Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Department of Neurology, Chungbuk National University Hospital, Cheongju, South Korea.
J Clin Neurosci. 2019 Dec;70:229-233. doi: 10.1016/j.jocn.2019.08.105. Epub 2019 Sep 6.
Musculoskeletal problems are common in the general population and also in Parkinson's disease (PD) patients. We aimed to assess whether socioeconomic status (SES) is associated with the prevalence of musculoskeletal problems in PD patients. This cross-sectional study used data a total of 309 patients with PD who were interviewed, and their medical records were reviewed from the Movement Disorder Clinic of Seoul National University Hospital from March to December 2016. The PD patients were divided into four age groups. Education level was divided into three groups: primary school, middle and high school, and college or higher. Monthly household income was divided into four groups. Occupation was divided into three groups: manual workers, non-manual workers, and others (unemployed and housewives). Patients with musculoskeletal problems were more likely to be women and older, had a more impaired Activities of Daily Living and depressive symptoms and less education, and were less likely to be engaged in non-manual work. For both genders, SES had no association with musculoskeletal problems. For men, similar to the patients overall, age had a positive association with musculoskeletal problems. The Unified Parkinson's Disease Rating Scale I & II scores also had positive associations with musculoskeletal problems. For women, Beck depression inventory and diabetes mellitus also had positive and negative associations with musculoskeletal problems, respectively. SES had no association with musculoskeletal problems in PD patients. Women had a higher risk of musculoskeletal problems. A gender difference was shown in the risk factors of musculoskeletal problems.
肌肉骨骼问题在普通人群和帕金森病（PD）患者中都很常见。我们旨在评估社会经济地位（SES）是否与 PD 患者肌肉骨骼问题的患病率有关。这项横断面研究使用了 2016 年 3 月至 12 月期间从首尔国立大学医院运动障碍诊所接受访谈的 309 名 PD 患者的数据，并查阅了他们的病历。PD 患者被分为四个年龄组。教育程度分为三组：小学、中学和高中，以及大学或以上。月收入分为四组。职业分为三组：体力劳动者、非体力劳动者和其他（失业和家庭主妇）。有肌肉骨骼问题的患者更可能是女性和老年人，日常生活活动能力和抑郁症状更差，受教育程度更低，从事非体力劳动的可能性更小。对于男性和女性来说，SES 与肌肉骨骼问题无关。对于男性来说，与总体患者相似，年龄与肌肉骨骼问题呈正相关。统一帕金森病评定量表 I & II 评分也与肌肉骨骼问题呈正相关。对于女性，贝克抑郁量表和糖尿病分别与肌肉骨骼问题呈正相关和负相关。SES 与 PD 患者的肌肉骨骼问题无关。女性患肌肉骨骼问题的风险更高。在肌肉骨骼问题的危险因素方面存在性别差异。
