Kim Ji Hyoun, Kim So Young, Park Jong Eun, Kim Hyo Jong, Jeon Hyun Jeong, Kim Yeon Yong, Park Jong-Hyock
Department of Internal Medicine Chungbuk National University Hospital Cheongju Republic of Korea.
College of Medicine Chungbuk National University Cheongju Republic of Korea.
JBMR Plus. 2023 May 3;7(6):e10747. doi: 10.1002/jbm4.10747. eCollection 2023 Jun.
This study examined the 10-year trends in the prevalence of osteoporosis according to disability grade and type compared with those without disabilities in South Korea. We linked national disability registration data with the National Health Insurance claims data. Age- and sex-standardized prevalence of osteoporosis were analyzed from 2008 to 2017 according to sex, disability type, and disability grade. Adjusted odds ratios for osteoporosis according to disability characteristics in the most recent years' data were also confirmed by multivariate analysis. Over the past decade, the prevalence of osteoporosis has increased in people with disabilities compared with people without disabilities, and the gap has gradually widened from 7% to 15%. By analysis of the most recent year data, both male and female individuals with disabilities had a higher risk of osteoporosis than those without disability (odds ratios [OR] 1.72, 95% confidence interval [CI] 1.70-1.73 in males; OR 1.28, 95% CI 1.27-1.28 in females); the multivariate-adjusted OR was especially prominent in disability related to respiratory disease (OR 2.07, 95% CI 1.93-2.21 in males; OR 1.74; 95% CI 1.60-1.90 in females), epilepsy (OR 2.16, 95% CI 1.78-2.61 in males; OR 1.71; 95% CI 1.53-1.91 in females), and physical disability types (OR 2.09, 95% CI 2.06-2.21 in males; OR 1.70; 95% CI 1.69-1.71 in females). In conclusion, the prevalence and risk of osteoporosis have increased in people with disabilities in Korea. In particular, the risk of osteoporosis increases significantly in people with respiratory diseases, epilepsy, and physical disability types. © 2023 The Authors. published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.
本研究调查了韩国骨质疏松症患病率按残疾等级和类型划分的10年趋势，并与非残疾人群进行了比较。我们将国家残疾登记数据与国民健康保险理赔数据相链接。根据性别、残疾类型和残疾等级，分析了2008年至2017年年龄和性别标准化的骨质疏松症患病率。通过多变量分析，还确认了近年数据中根据残疾特征得出的骨质疏松症调整优势比。在过去十年中，与非残疾人群相比，残疾人群中骨质疏松症的患病率有所上升，差距已从7%逐渐扩大到15%。通过对最近一年数据的分析，残疾男性和女性患骨质疏松症的风险均高于非残疾者（男性优势比[OR]为1.72，95%置信区间[CI]为1.70 - 1.73；女性OR为1.28，95% CI为1.27 - 1.28）；多变量调整后的OR在与呼吸系统疾病相关的残疾中尤为突出（男性OR为2.07，95% CI为1.93 - 2.21；女性OR为1.74，95% CI为1.60 - 1.90）、癫痫（男性OR为2.16，95% CI为1.78 - 2.61；女性OR为1.71，95% CI为1.53 - 1.91）以及身体残疾类型（男性OR为2.09，95% CI为2.06 - 2.21；女性OR为1.70，95% CI为1.69 - 1.71）。总之，韩国残疾人群中骨质疏松症的患病率和风险有所增加。特别是，患有呼吸系统疾病、癫痫和身体残疾类型的人群患骨质疏松症的风险显著增加。© 2023作者。由Wiley Periodicals LLC代表美国骨与矿物质研究学会出版。
