Schmidt Carsten Oliver, Günther Klaus-Peter, Goronzy Jens, Albrecht Katinka, Chenot Jean-François, Callhoff Johanna, Richter Adrian, Kasch Richard, Ahrens Wolfgang, Becher Heiko, Berger Klaus, Brenner Hermann, Fischer Beate, Franzke Claus-Werner, Hoffmann Wolfgang, Holleczek Bernd, Jaeschke Lina, Jenning Carsten, Jöckel Karl-Heinz, Kaaks Rudolf, Keil Thomas, Kluttig Alexander, Krause Gérard, Kuß Oliver, Leitzmann Michael, Lieb Wolfgang, Linseisen Jakob, Löffler Markus, Meinke-Franze Claudia, Meisinger Christa, Michels Karin B, Mikolajczyk Rafael, Obi Nadia, Peters Annette, Pischon Tobias, Schikowski Tamara, Schipf Sabine, Specker Christof, Völzke Henry, Wirkner Kerstin, Zink Angela, Sander Oliver
Institut für Community Medicine - SHIP-KEF, Universitätsmedizin Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Deutschland.
Universitätsklinikum Dresden, Dresden, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Apr;63(4):415-425. doi: 10.1007/s00103-020-03110-1.
Musculoskeletal diseases and symptoms are very common in the general population. They lead to high healthcare costs and pose a significant burden to the national economy.
Based on data from the population-based German National Cohort (GNC), frequencies of musculoskeletal symptoms and diseases are reported, including back pain, osteoporosis, osteoarthritis, and arthritis.
Data were collected from March 2014 to March 2017 in adults aged 20-75 years during the first half of the baseline survey of the GNC. The sample comprised 101,779 interviewed subjects, including 9370 subjects who underwent clinical musculoskeletal examinations. The interview included questions about specific musculoskeletal disorders. A clinical examination of the hand provided information about palpable swollen joints and pressure-sensitive joints. Resting pain of the knees and hips was also assessed by a clinical examination. Frequencies were standardized to the German standard population of the year 2011.
Having ever been diagnosed with recurrent back pain (22.5%) or osteoarthritis (20.6%) were the most common complaints reported in the interview; osteoporosis (2.9%) and rheumatoid arthritis (1.9%) were stated more seldom. According to the hand examination, 6.0% of all participants experienced pain in at least one finger joint. Resting pain was present in at least one knee among 8.2% and in at least one hip among 5.1% of the participants as assessed during the clinical examination. Women were more likely to report musculoskeletal disorders and symptoms than men. The proportion of adults affected by musculoskeletal diseases increased strongly with age.
Musculoskeletal disorders and symptoms occur frequently. The burden of complaints and diagnoses is comparable to previous population-based surveys.
肌肉骨骼疾病和症状在普通人群中非常常见。它们导致高昂的医疗成本，给国民经济带来巨大负担。
基于德国全国代表性队列（GNC）的数据，报告肌肉骨骼症状和疾病的发生率，包括背痛、骨质疏松症、骨关节炎和关节炎。
在2014年3月至2017年3月期间，对GNC基线调查上半年20至75岁的成年人进行数据收集。样本包括101,779名接受访谈的受试者，其中9370名受试者接受了临床肌肉骨骼检查。访谈包括有关特定肌肉骨骼疾病的问题。手部临床检查提供了有关可触及的肿胀关节和压痛关节的信息。还通过临床检查评估了膝盖和臀部的静息痛。发生率根据2011年德国标准人群进行标准化。
在访谈中报告的最常见主诉是曾被诊断患有复发性背痛（22.5%）或骨关节炎（20.6%）；骨质疏松症（2.9%）和类风湿性关节炎（1.9%）的报告较少。根据手部检查，所有参与者中有6.0%至少有一个手指关节疼痛。临床检查评估显示，8.2%的参与者至少有一个膝盖存在静息痛，5.1%的参与者至少有一个臀部存在静息痛。女性比男性更有可能报告肌肉骨骼疾病和症状。受肌肉骨骼疾病影响的成年人比例随年龄增长而大幅增加。
肌肉骨骼疾病和症状频繁发生。主诉和诊断的负担与以往基于人群的调查相当。
