Barbour Kamil E, Helmick Charles G, Boring Michael, Brady Teresa J
Arthritis Program, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC.
MMWR Morb Mortal Wkly Rep. 2017 Mar 10;66(9):246-253. doi: 10.15585/mmwr.mm6609e1.
In the United States, doctor-diagnosed arthritis is a common and disabling chronic condition. Arthritis can lead to severe joint pain and poor physical function, and it can negatively affect quality of life.
CDC analyzed 2013-2015 data from the National Health Interview Survey, an annual, nationally representative, in-person interview survey of the health status and behaviors of the noninstitutionalized civilian U.S. adult population, to update previous prevalence estimates of arthritis and arthritis-attributable activity limitations.
On average, during 2013-2015, 54.4 million (22.7%) adults had doctor-diagnosed arthritis, and 23.7 million (43.5% of those with arthritis) had arthritis-attributable activity limitations (an age-adjusted increase of approximately 20% in the proportion of adults with arthritis reporting activity limitations since 2002 [p-trend <0.001]). Among adults with heart disease, diabetes, and obesity, the prevalences of doctor-diagnosed arthritis were 49.3%, 47.1%, and 30.6%, respectively; the prevalences of arthritis-attributable activity limitations among adults with these conditions and arthritis were 54.5% (heart disease), 54.0% (diabetes), and 49.0% (obesity).
The prevalence of arthritis is high, particularly among adults with comorbid conditions, such as heart disease, diabetes, and obesity. Furthermore, the prevalence of arthritis-attributable activity limitations is high and increasing over time. Approximately half of adults with arthritis and heart disease, arthritis and diabetes, or arthritis and obesity are limited by their arthritis. Greater use of evidence-based physical activity and self-management education interventions can reduce pain and improve function and quality of life for adults with arthritis and also for adults with other chronic conditions who might be limited by their arthritis.
在美国，医生诊断出的关节炎是一种常见且致残的慢性疾病。关节炎会导致严重的关节疼痛和身体功能不佳，并会对生活质量产生负面影响。
美国疾病控制与预防中心（CDC）分析了2013 - 2015年美国国家健康访谈调查的数据，该调查是一项针对美国非机构化成年平民人口的健康状况和行为的年度全国代表性面对面访谈调查，以更新先前关于关节炎及关节炎所致活动受限的患病率估计。
在2013 - 2015年期间，平均有5440万（22.7%）成年人被医生诊断患有关节炎，其中2370万（患有关节炎者的43.5%）存在关节炎所致活动受限（自2002年以来，报告活动受限的关节炎成年患者比例经年龄调整后增加了约20%[P趋势<0.001]）。在患有心脏病、糖尿病和肥胖症的成年人中，医生诊断出关节炎的患病率分别为49.3%、47.1%和30.6%；在患有这些疾病且患有关节炎的成年人中，关节炎所致活动受限的患病率分别为54.5%（心脏病）、54.0%（糖尿病）和49.0%（肥胖症）。
关节炎的患病率很高，尤其是在患有心脏病、糖尿病和肥胖症等合并症的成年人中。此外，关节炎所致活动受限的患病率很高且呈上升趋势。大约一半患有关节炎和心脏病、关节炎和糖尿病或关节炎和肥胖症的成年人因关节炎而活动受限。更多地使用基于证据的体育活动和自我管理教育干预措施，可以减轻患有关节炎的成年人以及可能因关节炎而活动受限的患有其他慢性病的成年人的疼痛，改善其功能和生活质量。
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