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韩国老年人群全国健康调查中症状性髋、膝和脊柱骨关节炎的患病率分析

Prevalence of symptomatic hip, knee, and spine osteoarthritis nationwide health survey analysis of an elderly Korean population.

作者信息

Park Jung-Ho, Hong Jae-Young, Han Kyungdo, Suh Seung-Woo, Park Si-Young, Yang Jae-Hyuk, Han Seung-Woo

机构信息

Department of Orthopedics, Korea University Ansan Hospital, Ansan Department of Biostatistics, College of Medicine, Catholic University Department of Orthopedics, Korea University Guro Hospital Department of Orthopedics, Korea University Anam Hospital, Seoul, South Korea.

出版信息

Medicine (Baltimore). 2017 Mar;96(12):e6372. doi: 10.1097/MD.0000000000006372.

Abstract

Osteoarthritis is prominent among the elderly, with symptoms originating from multiple parts of the body. A cross-sectional study of a nationwide survey was performed to describe the prevalence of and identify factors related to symptomatic hip, knee, and spine osteoarthritis.This cross-sectional study collected data from the Fifth Korean National Health and Nutrition Examination Survey (KNHANES V-5; 2010-2012). After excluding ineligible subjects, there were 8976 subjects in this study (3830 males and 5146 females). All subjects reported symptoms and disabilities related to osteoarthritis. Plain radiographs of the spine, hip, and knee were taken in all subjects.Overall, 9.3% of male participants and 28.5% of female participants were diagnosed with symptomatic osteoarthritis according to survey criteria. Women showed a significantly higher prevalence in all age groups (P < 0.05). Multiple-joint osteoarthritis was diagnosed in 10.8% of male patients and 22.8% of female patients with osteoarthritis. Several demographic and lifestyle variables were related to osteoarthritis morbidity. Anthropometric and laboratory measurements were also related to osteoarthritis morbidity. In addition, mental distress and quality of life were significantly compromised in osteoarthritis. There were more significant relationships for these factors among women with a higher prevalence of multijoint osteoarthritis.A significant proportion of the elderly with single- or multiple-joint osteoarthritis had a variety of pain origins that were closely related. Osteoarthritis was also significantly related to several factors, including mental distress and quality of life.

摘要

骨关节炎在老年人中很常见,症状源自身体多个部位。进行了一项全国性调查的横断面研究,以描述有症状的髋、膝和脊柱骨关节炎的患病率并确定相关因素。这项横断面研究收集了韩国第五次全国健康与营养检查调查(KNHANES V-5;2010 - 2012年)的数据。在排除不符合条件的受试者后,本研究共有8976名受试者(3830名男性和5146名女性)。所有受试者均报告了与骨关节炎相关的症状和残疾情况。对所有受试者进行了脊柱、髋和膝的X线平片检查。

总体而言,根据调查标准,9.3%的男性参与者和28.5%的女性参与者被诊断为有症状的骨关节炎。女性在所有年龄组中的患病率均显著更高(P<0.05)。在患有骨关节炎的男性患者中,10.8%被诊断为多关节骨关节炎,女性患者中这一比例为22.8%。一些人口统计学和生活方式变量与骨关节炎的发病有关。人体测量和实验室检查结果也与骨关节炎的发病有关。此外,骨关节炎患者的精神痛苦和生活质量受到显著影响。在多关节骨关节炎患病率较高的女性中,这些因素之间的关系更为显著。

相当一部分患有单关节或多关节骨关节炎的老年人有多种密切相关的疼痛来源。骨关节炎还与包括精神痛苦和生活质量在内的几个因素显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a6d/5371462/2b0704410592/medi-96-e6372-g001.jpg

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