Park Jae Hyeon, Lee Jung Soo, Lee Soong Joon, Kim Yeo Hyung
Department of Rehabilitation Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea.
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Geriatr Gerontol Int. 2021 Jan;21(1):20-26. doi: 10.1111/ggi.14085. Epub 2020 Nov 10.
This study aimed to evaluate the prevalence and associated factors of radiographic hip osteoarthritis (OA) in the Korean community-dwelling population.
This study included 11 814 individuals (5025 men and 6789 women) ≥50 years of age from the Korea National Health and Nutrition Examination Surveys. Radiographic hip OA was defined as having a Kellgren-Lawrence grading scale score ≥2. Painful hip OA was defined as radiographic hip OA with the presence of hip pain. The prevalence of radiographic hip OA was evaluated with respect to age group, sex and presence of hip pain. The associations of sociodemographic and clinical variables with hip OA and hip pain were assessed using multivariable logistic regression analyses.
The weighted prevalence of radiographic hip OA and painful hip OA was 1.1% and 0.2%, respectively, in Korea. Older age (≥75 years) and male sex were independently associated with radiographic hip OA and painless hip OA. Comorbid musculoskeletal pain (knee pain) was independently associated with painful hip OA. The difference between painful and painless hip OA was the presence of comorbid musculoskeletal pain (knee pain and low back pain). Although hip pain was more common in women than in men, it was associated with the severity of hip OA only in men.
Radiographic hip OA is rare in Korean middle-aged and elderly people. Furthermore, hip pain is infrequent in radiographic hip OA. Geriatr Gerontol Int 2021; 21: 20-26.
本研究旨在评估韩国社区居住人群中影像学髋关节骨关节炎（OA）的患病率及相关因素。
本研究纳入了来自韩国国民健康与营养检查调查的11814名年龄≥50岁的个体（5025名男性和6789名女性）。影像学髋关节OA被定义为Kellgren-Lawrence分级量表评分≥2。疼痛性髋关节OA被定义为伴有髋关节疼痛的影像学髋关节OA。根据年龄组、性别和髋关节疼痛情况评估影像学髋关节OA的患病率。使用多变量逻辑回归分析评估社会人口统计学和临床变量与髋关节OA及髋关节疼痛之间的关联。
在韩国，影像学髋关节OA和疼痛性髋关节OA的加权患病率分别为1.1%和0.2%。年龄较大（≥75岁）和男性与影像学髋关节OA及无痛性髋关节OA独立相关。合并肌肉骨骼疼痛（膝关节疼痛）与疼痛性髋关节OA独立相关。疼痛性和无痛性髋关节OA之间的差异在于是否存在合并肌肉骨骼疼痛（膝关节疼痛和腰痛）。尽管髋关节疼痛在女性中比在男性中更常见，但仅在男性中它与髋关节OA的严重程度相关。
影像学髋关节OA在韩国中老年人中较为罕见。此外，在影像学髋关节OA中髋关节疼痛并不常见。《老年医学与老年病学国际杂志》2021年；21: 20 - 26。
