Hopman-Rock M, Odding E, Hofman A, Kraaimaat F W, Bijlsma J W
TNO Prevention and Health, Division of Public Health and Prevention, Leiden, The Netherlands.
J Rheumatol. 1997 Dec;24(12):2416-23.
To determine differences in health status of people aged 55 to 74 years with pain in the hip or knee only and with additional mobility restricting conditions.
A subsample from a community based study on pain, disability, comorbidity, and radiological osteoarthritis (OA) was used to identify a group with current pain in the hip or knee only (n = 62), a group with additional mobility restricting conditions (n = 124), and a reference group without pain and radiological OA (n = 72). Health status was measured with the IRGL instrument (Impact of Rheumatic diseases on General health and Lifestyle). Additional mobility restricting conditions were self-reported.
The most reported additional conditions were more widespread joint pain and stiffness, and cardiovascular and respiratory problems. The group with pain in the hip or knee only had less mobility than the reference group (p < 0.05), but had higher mobility (p < 0.05), less pain (p < 0.001), less psychological distress (p < 0.01), and less effect of symptoms on daily life (p < 0.001) than the group with additional conditions. No differences were found in background variables or comorbidity. Multivariate logistic regression analysis showed that the group with additional conditions differed from the group with knee or hip pain only with respect to joint pain (OR 1.18), cheerfulness (OR 0.9), and effect on daily life (OR 1.1).
The health status of people with pain in the hip or knee only is comparable to that of a reference group without pain. Health status is lower when pain in the hip or knee is present in combination with additional mobility restricting conditions. This last group is at greater risk of psychological distress and physical dysfunctioning.
确定仅患有髋部或膝部疼痛以及伴有其他行动受限状况的55至74岁人群的健康状况差异。
一项基于社区的关于疼痛、残疾、合并症和放射学骨关节炎（OA）的研究中的一个子样本，用于确定仅当前患有髋部或膝部疼痛的一组（n = 62）、伴有其他行动受限状况的一组（n = 124）以及无疼痛和放射学OA的参照组（n = 72）。使用IRGL工具（风湿性疾病对总体健康和生活方式的影响）测量健康状况。其他行动受限状况通过自我报告获得。
报告最多的其他状况是更广泛的关节疼痛和僵硬，以及心血管和呼吸系统问题。仅患有髋部或膝部疼痛的组比参照组的行动能力更低（p < 0.05），但比伴有其他状况的组具有更高的行动能力（p < 0.05）、更少的疼痛（p < 0.001）、更少的心理困扰（p < 0.01）以及症状对日常生活的影响更小（p < 0.001）。在背景变量或合并症方面未发现差异。多变量逻辑回归分析表明，伴有其他状况的组与仅患有膝部或髋部疼痛的组在关节疼痛（比值比1.18）、愉悦感（比值比0.9）和对日常生活的影响（比值比1.1）方面存在差异。
仅患有髋部或膝部疼痛的人群的健康状况与无疼痛的参照组相当。当髋部或膝部疼痛与其他行动受限状况同时存在时，健康状况较低。最后这一组出现心理困扰和身体功能障碍的风险更大。
