社区居住的老年人关节僵硬与健康相关的生活质量的关系。
Association between joint stiffness and health-related quality of life in community-dwelling older adults.
机构信息
Department of Community Health Sciences, Kobe University, Graduate School of Health Sciences, 7-10-2, Tomogaoka, Suma-ku, Kobe, Hyogo, 654-0142, Japan; Japan Society for the Promotion of Science, 5-3-1, Koujimachi, Chiyoda, Tokyo 102-0083, Japan.
Section for Health Promotion, Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430, Morioka-cho, Obu, Aichi, 474-8511, Japan.
出版信息
Arch Gerontol Geriatr. 2017 Nov;73:234-239. doi: 10.1016/j.archger.2017.07.021. Epub 2017 Aug 1.
OBJECTIVE
This study aimed to examine the association between joint stiffness and health-related quality of life (HRQOL) in community-dwelling older adults.
METHODS
Participants in this cross-sectional study were 530 Japanese community-dwelling older adults (mean age, 73.9 years; women, 64.3%). Joint stiffness was assessed at the neck, low back, shoulder, elbow, hand or wrist, hip, knee, and ankle or feet; the duration of joint stiffness was also evaluated. We assessed HRQOL using the Short Form-12 (SF-12) and EuroQOL-5 Dimension (EQ-5D) questionnaires. We calculated the physical component summary scores (PCS) and mental component summary scores (MCS) from SF-12 and the EQ-5D index from EQ-5D.
RESULTS
The prevalence of joint stiffness was 54.0%. Joint stiffness at two or more sites and at each site had a meaningful impact on PCS. Joint stiffness that lasted for 30min or more was meaningfully associated with low PCS and EQ-5D scores (PCS, 30-60min: beta=-6.122, P<0.05; >60min: beta=-5.962, P<0.01; EQ-5D index, 30-60min: beta=-0.068, P<0.01; >60min: beta=-0.070, P<0.01). Further, joint stiffness that lasted over 60min extended over MCS (MCS, >60min: beta=-3.212, P<0.05).
CONCLUSIONS
Joint stiffness is associated with HRQOL. Assessing joint stiffness and intervention could be beneficial for HRQOL.
目的
本研究旨在探讨社区居住的老年人关节僵硬与健康相关生活质量（HRQOL）之间的关系。
方法
本横断面研究的参与者为 530 名日本社区居住的老年人（平均年龄 73.9 岁；女性 64.3%）。评估颈部、下背部、肩部、肘部、手部或腕部、髋部、膝部和踝部或足部的关节僵硬；还评估了关节僵硬的持续时间。我们使用简短形式-12 （SF-12）和欧洲五维健康量表（EQ-5D）问卷评估 HRQOL。我们从 SF-12 计算了生理成分综合评分（PCS）和心理成分综合评分（MCS），并从 EQ-5D 计算了 EQ-5D 指数。
结果
关节僵硬的患病率为 54.0%。两个或更多部位以及每个部位的关节僵硬对 PCS 有重要影响。持续 30min 或以上的关节僵硬与较低的 PCS 和 EQ-5D 评分显著相关（PCS，30-60min：β=-6.122，P<0.05；>60min：β=-5.962，P<0.01；EQ-5D 指数，30-60min：β=-0.068，P<0.01；>60min：β=-0.070，P<0.01）。此外，持续超过 60min 的关节僵硬会影响 MCS（MCS，>60min：β=-3.212，P<0.05）。
结论
关节僵硬与 HRQOL 相关。评估关节僵硬和干预措施可能对 HRQOL 有益。
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