Hochberg M C, Kasper J, Williamson J, Skinner A, Fried L P
Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.
J Rheumatol Suppl. 1995 Feb;43:16-8.
Our objective was to examine the relationship of a self-reported physician diagnosis of arthritis with disability in elderly community dwelling women. Data from a representative sample of 1541 women aged 65 and above were analyzed to determine the prevalence and associations of a self-reported physician diagnosis of arthritis with other chronic conditions and difficulty performing physical activities. A history of physician diagnosed arthritis was reported by 902 (58.5%) women. Women with arthritis were significantly more likely to report fair or poor perceived health, as well as a physician diagnosis of angina, myocardial infarction, hypertension, diabetes, stroke, lung disease, and hearing and vision problems. After adjustment for age, race, education, marital status, and comorbid/geriatric conditions, arthritis was significantly associated with difficulty in the following 13 activities: raising arms, lifting < or = 10 pounds, walking 2-3 blocks, bathing or showering, climbing 10 steps, grasping, getting in or out of a bed or chair, dressing, using the toilet, preparing meals, doing personal shopping, heavy and light housework. We conclude that physician diagnosed arthritis is a common problem among elderly community dwelling women and is associated with difficulties in physical activity.
我们的目标是研究在社区居住的老年女性中，医生自我报告诊断的关节炎与残疾之间的关系。对1541名65岁及以上具有代表性的女性样本数据进行分析，以确定医生自我报告诊断的关节炎的患病率及其与其他慢性病和身体活动困难之间的关联。902名（58.5%）女性报告有医生诊断关节炎的病史。患有关节炎的女性更有可能报告自身健康状况为一般或较差，以及被医生诊断患有心绞痛、心肌梗死、高血压、糖尿病、中风、肺病以及听力和视力问题。在对年龄、种族、教育程度、婚姻状况和合并症/老年病进行调整后，关节炎与以下13项活动困难显著相关：举臂、提起≤10磅重物、步行2至3个街区、洗澡或淋浴、爬10级台阶、抓握、上床或下床或从椅子上起身、穿衣、使用厕所、准备饭菜、个人购物、繁重和轻便的家务劳动。我们得出结论，医生诊断的关节炎在社区居住的老年女性中是一个常见问题，并且与身体活动困难有关。
