Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, Wonju-si 26426, Korea.
Department of Rheumatology, College of Medicine, Hallym University, Anyang-si 14068, Korea.
Int J Environ Res Public Health. 2021 Apr 3;18(7):3758. doi: 10.3390/ijerph18073758.
(1) Background: the purpose of the present study was to analyze the associations between arthritis and fall histories in Korean adults. (2) Methods: data from the 2015 and 2017 Korean Community Health Survey were analyzed. In total, 322,962 participants aged ≥40 years were included. The participants were divided into two different groups. First, the participants were divided into the 'arthritis (osteoarthritis or rheumatoid arthritis) for entire life' and 'nonarthritis for entire life (comparison I)' groups. Subsequently, the participants were divided into the 'current arthritis' and 'noncurrent arthritis (comparison II)' groups. Afterwards, we analyzed the prevalence odds ratios (pORs) of the fall histories of the participants using a logistic regression analysis with the 95% confidence interval (CI). The variables of income, education level, region of residence, smoking status, alcohol consumption, obesity, subjective health status, stress level, physical activity, and sleep hours were adjusted for as covariates. (3) Results: both the arthritis for entire life and current arthritis groups had higher prevalence rates of falls than the comparison I and comparison II groups, respectively (each < 0.001). The pORs of falling ≥1 time and ≥2 times per year in the arthritis for the entire life group were 1.42 (95% CI = 1.38-1.46) and 1.69 (95% CI = 1.62-1.76), respectively. The adjusted pORs for falling ≥1 time and ≥2 times per year in the current arthritis group were 1.35 (95% CI = 1.31-1.39) and 1.56 (95% CI = 1.50-1.63), respectively. (4) Conclusions: previous arthritis has a significant impact on the risk of falling.
(1) 背景：本研究旨在分析关节炎与韩国成年人跌倒史之间的关联。(2) 方法：分析了 2015 年和 2017 年韩国社区健康调查的数据。共纳入 322962 名年龄≥40 岁的参与者。将参与者分为两组。首先，将参与者分为“终生关节炎（骨关节炎或类风湿关节炎）”和“终生无关节炎（对照 I）”组。随后，将参与者分为“当前关节炎”和“非当前关节炎（对照 II）”组。之后，使用 logistic 回归分析和 95%置信区间（CI）分析参与者跌倒史的患病率优势比（pOR）。调整收入、教育水平、居住地、吸烟状况、饮酒、肥胖、主观健康状况、压力水平、体力活动和睡眠时间等变量作为协变量。(3) 结果：终生关节炎和当前关节炎组的跌倒发生率均高于对照 I 和对照 II 组（均<0.001）。终生关节炎组跌倒≥1 次和≥2 次/年的 pOR 分别为 1.42（95%CI=1.38-1.46）和 1.69（95%CI=1.62-1.76）。当前关节炎组跌倒≥1 次和≥2 次/年的调整后 pOR 分别为 1.35（95%CI=1.31-1.39）和 1.56（95%CI=1.50-1.63）。(4) 结论：既往关节炎对跌倒风险有显著影响。
