老年人骨关节炎患病率及相关危险因素:来自第五次韩国国民健康与营养调查(KNHANES V)的数据,2010~2012

H. Lee
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引用次数: 32

摘要

本研究的目的是利用2010 ~ 2012年第五次韩国国家健康与营养调查(KNHANES V)的数据,估计65岁以上韩国人骨关节炎的患病率,并评估与骨关节炎相关的危险因素。在KNHANES V的参与者中,共有3479名受试者使用SPSS统计复杂样本(Windows ver.;21.0)。骨关节炎在女性(32.5%)或农村(26.8%)人群中的发病率高于男性(9.3%)或城市(20.3%)人群。骨性关节炎组的平均年龄明显高于正常组。骨关节炎组BMI和腰围的平均值明显高于正常组,而身高、空腹血糖、总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、甘油三酯、血红蛋白和红细胞压积水平则无明显差异。健康相关生活质量(EQ-5D)在正常组明显高于骨关节炎组。多元logistic回归结果显示,肥胖和维生素A/核黄素摄入量与骨关节炎患病率显著相关,而吸烟、饮酒、体育锻炼、高血压、高胆固醇血症、高甘油三酯血症、贫血和糖尿病患病率无关。这项研究表明,肥胖和营养摄入与骨关节炎有关,而高脂血症、贫血、糖尿病等慢性疾病以及健康习惯则与骨关节炎无关。需要长期对照的前瞻性研究来确定这些因素对骨关节炎的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Osteoarthritis and Related Risk Factors in the Elderly: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012
ABSTRACT The purpose of this study was to estimate the prevalence of osteoarthritis as well as assess the risk factors associated with osteoarthritis in Koreans over 65 years using data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010∼2012. Of the participants from KNHANES V, a total of 3,479 subjects were analyzed using SPSS statistics complex samples (Windows ver. 21.0). Osteoarthritis was more frequently found in female (32.5%) or rural (26.8%) groups than male (9.3%) or urban (20.3%) groups. Mean age of the osteoarthritis group was significantly higher than that of the normal group. Mean values of BMI and waist circumference were significantly higher in the osteoarthritis group than in the normal group, whereas height, fasting blood glucose, total cholesterol, LDL-cholesterol, HDL-cholesterol, triglyceride, hemo-globin, and hematocrit levels were not. Health-related quality of life (EQ-5D) was significantly higher in the normal group than in the osteoarthritis group. The results of multiple logistic regression showed that obesity and vitamin A/riboflavin intakes were significantly related to the prevalence of osteoarthritis, whereas smoking, alcohol intake, physical activity, hypertension, hypercholesterolemia, hypertriglyceridemia, anemia, and diabetes were not. This study suggests that obesity and nutrient intakes were associated with osteoarthritis, whereas chronic diseases such as hyper-lipidemia, anemia, and diabetes as well as health habits were not. Prospective research of long-term control is needed to establish the effects of those factors on the osteoarthritis.
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