본문 바로가기
KERD
논문KCI 등재

한국 성인의 무릎통증 유병률과 영향요인: 2010-2012년 국민건강영양조사 자료 이용

Prevalence and Risk Factors of Knee Pain in Korean Adults: Results from Korea National Health and Nutrition Examination Survey, 2010-2012

김순례|이아리
한국보건정보통계학회 (The Korean Society of Health informatics statistics)|2015.10|보건정보통계학회지 (Journal of Health Informatics and Statistics)|제40권 제3호|pp. 129-139

1

조회

0

다운로드

4

인용

0

참고문헌

키워드

OsteoarthritisRisk factorPrevalenceKnee pain

초록

Objectives: The objective of this study was to determine the prevalence and risk factors of knee pain in the general Korean population. Methods: The subjects were participants aged ≥ 50 years from the fifth Korea National Health and Nutrition Examination Survey, a nationwide cross-sectional health survey conducted in 2010-2012. Knee pain was defined by the question: "Have you ever had knee joint pain last ing at least 30 days in the recent 3 months? Results: The prevalence of knee pain among the subjects was 20.7% (11.4% in men and 28.7% in women). In the multivariable logistic regression analysis, knee pain was significantly associated with females (OR=1.43, 95% CI 1.19, 1.71) the elderly (≥70 years) (OR=1.31, 95% CI 1.06, 1.61), lower level of education (OR=2.26, 95% CI 1.58, 3.23), hip pain (OR=3.37, 95% CI 2.77, 4.09), back pain (OR=2.90, 95% CI 2.48, 3.39), knee radiographic osteoarthritis (OR=2.77, 95% CI 2.39, 3.21), obesity (OR=1.39, 95% CI 1.19, 1.61), stress (OR=1.44, 95% CI 1.22, 1.70), and depression (OR=1.35, 95% CI 1.12, 1.62). These multiple factors explained 32.1% of variance in knee pain. Conclusions: Knee pain is a common health problem in korean adults and it is a result of the interaction of multiple variables. Therefore, it is necessary to focus on the multiple factors of patients suffering from knee pain.

Abstract

Objectives: The objective of this study was to determine the prevalence and risk factors of knee pain in the general Korean population. Methods: The subjects were participants aged ≥ 50 years from the fifth Korea National Health and Nutrition Examination Survey, a nationwide cross-sectional health survey conducted in 2010-2012. Knee pain was defined by the question: "Have you ever had knee joint pain last ing at least 30 days in the recent 3 months? Results: The prevalence of knee pain among the subjects was 20.7% (11.4% in men and 28.7% in women). In the multivariable logistic regression analysis, knee pain was significantly associated with females (OR=1.43, 95% CI 1.19, 1.71) the elderly (≥70 years) (OR=1.31, 95% CI 1.06, 1.61), lower level of education (OR=2.26, 95% CI 1.58, 3.23), hip pain (OR=3.37, 95% CI 2.77, 4.09), back pain (OR=2.90, 95% CI 2.48, 3.39), knee radiographic osteoarthritis (OR=2.77, 95% CI 2.39, 3.21), obesity (OR=1.39, 95% CI 1.19, 1.61), stress (OR=1.44, 95% CI 1.22, 1.70), and depression (OR=1.35, 95% CI 1.12, 1.62). These multiple factors explained 32.1% of variance in knee pain. Conclusions: Knee pain is a common health problem in korean adults and it is a result of the interaction of multiple variables. Therefore, it is necessary to focus on the multiple factors of patients suffering from knee pain.

참고문헌 (50)

  1. Arden N, "Osteoarthritis: epidemiology", Best Practice & Research: Clinical Rheumatology, 20(1), pp.3~25 (2006)
  2. Lawrence RC, "Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II", Arthritis Rheum, 58(1), pp.26~35 (2008)
  3. Anderson KO, "Pain behavior of rheumatoid arthritis patients enrolled in experimental drug trials", Arthritis Care and Research, 7(2), pp.64~68 (1994)
  4. 김인제, "Prevalence of Knee Pain and Its Influence on Quality of Life and Physical Function in the Korean Elderly Population: A Community Based Cross-Sectional Study", Journal of Korean Medical Science, 26(9), pp.1140~1146 (2011), 대한의학회
  5. Ayis S, "The natural history of disability and its determinants in adults with lower limb musculoskeletal pain", Journal of Rheumatology, 36(3), pp.583~591 (2009)
  6. O'Reilly SC, "Knee pain and disability in the Nottingham community:association with poor health status and psychological distress", British Journal of Rheumatology, 37(8), pp.870~873 (1998)
  7. 전형준, "Knee Pain and Its Severity in Elderly Koreans: Prevalence, Risk Factors and Impact on Quality of Life", Journal of Korean Medical Science, 28(12), pp.1807~1813 (2013), 대한의학회
  8. "2013 Health Insurance Statistics Annual Report"[URL]
  9. Le TK, "Healthcare costs associated with osteoarthritis in US patients", Pain Practice, 12(8), pp.633~640 (2012)
  10. Adamson J, "Prevalence and risk factors for joint pain among men and women in the West of Scotland Twenty-07 study", Annals of the Rheumatic Diseases, 65(4), pp.520~524 (2006)
  11. Andersen RE, "Prevalence of significant knee pain among older Americans: results from the Third National Health and Nutrition Examination Survey", Journal of the American Geriatrics Society, 47(12), pp.1435~1438 (1999)
  12. Muraki S, "Incidence and risk factors for radiographic knee osteoarthritis and knee pain in Japanese men and women:a longitudinal population-based cohort study", Arthritis Rheum, 64(5), pp.1447~1456 (2012)
  13. Picavet HS, "Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study", Pain, 102(1-2), pp.167~178 (2003)
  14. Sa KN, "Knee pain prevalence and associated factors in a Brazilian population study", Pain Medicine, 12(3), pp.394~402 (2011)
  15. Soni A, "Prevalence of reported knee pain over twelve years in a community-based cohort", Arthritis Rheum, 64(4), pp.1145~1152 (2012)
  16. 김인제, "The Prevalence of Knee Osteoarthritis in Elderly Community Residents in Korea", Journal of Korean Medical Science, 25(2), pp.293~298 (2010), 대한의학회
  17. 김진현, "한국인의 유증상 무릎 골관절염의 위험요인에 관한 연구", 대한류마티스학회지, 15(2), pp.123~130 (2008), 대한류마티스학회
  18. Yun SH, "Prevalence and related factors of knee Osteoarthritis in rural woman Korean", Korean Journal of Preventive Medicine, 34, pp.331~336 (2001)
  19. Hannan MT, "Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee", Journal of Rheumatology, 27(6), pp.1513~1517 (2000)
  20. Felson DT, "The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study", Arthritis Rheum, 30(8), pp.914~918 (1987)
  21. Davis MA, "Correlates of knee pain among US adults with and without radiographic knee osteoarthritis", Journal of Rheumatology, 19(12), pp.1943~1949 (1992)
  22. Hagglund KJ, "Predicting individual differences in pain and functional impairment among patients with rheumatoid arthritis", Arthritis Rheum, 32(7), pp.851~858 (1989)
  23. McGrath PA, "Psychological aspects of pain perception", Archives of Oral Biology, 39, pp.55s~62s (1994)
  24. Altman R, "Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association", Arthritis Rheum, 29(8), pp.1039~1049 (1986)
  25. Korea National Health and Nutrition Examination Survey V, the third year (2010-2012): professional surveyor education and quality control for osteoarthritis examination, "Korea Centers for Disease Control and Prevention", Ministry of Health and Welfare, 12~17 (2012)
  26. Korea health statistics 2012: Korea National Health and Nutrition Examination Survey, "Korea Centers for Disease Control and Prevention", Ministry of Health and Welfare, 3~6, pp.KNHANES V-3 (2012)
  27. Woo J, "Musculoskeletal complaints and associated consequences in elderly Chinese aged 70 years and over", Journal of Rheumatology, 21(10), pp.1927~1931 (1994)
  28. O'Reilly SC, "Screening for pain in knee osteoarthritis: which question?", Annals of the Rheumatic Diseases, 55(12), pp.931~933 (1996)
  29. Ingham SL, "Incident knee pain in the Nottingham community: a 12-year retrospective cohort study", Osteoarthritis and Cartilage, 19(7), pp.847~852 (2011)
  30. Jinks C, "Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)", Pain, 100(1-2), pp.55~64 (2002)
  31. Denton M, "Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health", Social Science and Medicine, 58(12), pp.2585~2600 (2004)
  32. Wijnhoven HA, "xplaining sex differences in chronic musculoskeletal pain in a general population", Pain, 124(1-2), pp.158~166 (2006)
  33. Jinks C, "Predictors of onset and progression of knee pain in adults living in the community", A prospective study. Rheumatology, 47(3), pp.368~374 (2008)
  34. Miranda H, "A prospective study on knee pain and its risk factors", Osteoarthritis and Cartilage, 10(8), pp.623~630 (2002)
  35. Loeser RF, Jr., "Aging cartilage and osteoarthritiswhat's the link?", Science of Aging Knowledge Environment, 2004(29), pp.pe31~ (2004)
  36. Callahan LF, "Limited educational attainment and radiographic and symptomatic knee osteoarthritis: a cross-sectional analysis using data from the Johnston County (North Carolina) Osteoarthritis Project", Arthritis Research & Therapy, 12(2), pp.R46~ (2010)
  37. Dorner TE, "The impact of socio-economic status on pain and the perception of disability due to pain", European Journal of Pain, 15(1), pp.103~109 (2011)
  38. Hannan MT, "Educational attainment and osteoarthritis:differential associations with radiographic changes and symptom reporting", Journal of Clinical Epidemiology, 45(2), pp.139~147 (1992)
  39. Leigh JP, "Correlations between education and arthritis in the 1971-1975NHANES I", Social Science and Medicine, 38(4), pp.575~583 (1994)
  40. Croft P, "Pain elsewhere and the impact of knee pain in older people", Arthritis Rheumatism, 52(8), pp.2350~2354 (2005)
  41. Lethbridge-Cejku M, "Association of radiographic features of osteoarthritis of the knee with knee pain: data from the Baltimore Longitudinal Study of Aging", Arthritis Care and Research, 8(3), pp.182~188 (1995)
  42. Zhai G, "Correlates of knee pain in older adults: Tasmanian Older Adult Cohort Study", Arthritis Rheumatism, 55(2), pp.264~271 (2006)
  43. Bedson J, "The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature", BMC Musculoskeletal Disorders, 9, pp.116~ (2008)
  44. Robbins SM, "Association of pain with frequency and magnitude of knee loading in knee osteoarthritis", Arthritis Care &Research, 63(7), pp.991~997 (2011)
  45. Kim MJ, "Effect of chronic alcohol ingestion on bone mineral density in males without liver cirrhosis", Korean Journal of Internal Medicine, 18(3), pp.174~180 (2003)
  46. Amin S, "Cigarette smoking and the risk for cartilage loss and knee pain in men with knee osteoarthritis", Annals of the Rheumatic Diseases, 66(1), pp.18~22 (2007)
  47. Felson DT, "Does smoking protect against osteoarthritis?", Arthritis Rheumatism, 32(2), pp.166~172 (1989)
  48. Hui M, "Does smoking protect against osteoarthritis? Meta-analysis of observational studies", Annals of the Rheumatic Diseases, 70(7), pp.1231~1237 (2011)
  49. Lichtenberg PA, "The role of personality, recent life stress and arthritic severity in predicting pain", Journal of Psychosomatic Research, 28(3), pp.231~236 (1984)
  50. Riddle DL, "Psychological health impact on 2-year changes in pain and function in persons with knee pain: data from the Osteoarthritis Initiative", Osteoarthritis and Cartilage, 19(9), pp.1095~1101 (2011)

관련 논문AI추천

50세 이상 한국 성인에서 무릎 골관절염의 방사선적 소견에 따른 무릎 통증과 관련된 요인김민정, 최은영대한임상건강증진학회 · Korean Journal of Health Promotion2016 · 제16권 제3호The Prevalence of Osteoarthritis and Risk Factors in the Korean Population: The Sixth Korea National Health and Nutrition Examination Survey (VI-1, 2013)권영근, Jihyun Kim, Keun-Joo Bae, Kyung-Hwan Cho, Nojin Lee, Seokhan Lee, Seokwon Park, Yang Hyun Kim대한가정의학회 · Korean Journal of Family Medicine2019 · 제40권 제3호Risk Factors for Osteoarthritis and Contributing Factors to Current Arthritic Pain in South Korean Older Adults최영, 권순선, 김연호, 김태균, 박문석, 성기혁, 원성훈, 이경민, 이승열, 정진엽연세대학교의과대학 · Yonsei Medical Journal2015 · 제56권 제1호Prevalence of Musculoskeletal Symptoms Related With Activities of Daily Living and Contributing Factors in Korean Adults박재현, 정해관, 최규식대한예방의학회 · 예방의학회지2013 · 제46권 제1호우리나라 골관절염 환자의 관절통증: 2012년 국민건강영양조사 자료를 이용하여이진숙대한근관절건강학회 · 근관절건강학회지2016 · 제23권 제3호50세 이상 여성에서 골관절염과 인구사회학적 특성, 비만과 건강 관련 삶의 질의 연관성: 국민건강영양조사를 중심으로박혜진, 이성국한국보건교육건강증진학회 · 보건교육건강증진학회지2012 · 제29권 제2호

이 간행물의 다른 논문 (16건)

관리도를 활용한 혈액재고관리이성임, 황형태, 고찬규, 나경인pp. 1-8독거노인의 치매에 대한 지식과 내적건강통제위가 치매예방행위에 미치는 영향송미숙, 유미애, 유문숙, 강나경pp. 9-19과체중·비만 아동의 우울감에 영향을 미치는 요인양승경, 하영미pp. 20-31일개 도 지역 지역주민의 심근경색증 조기증상 인지도와 관련요인김건엽, 이유미, 최연희, 나윤주pp. 32-42Forecasting Mortality Indexes Allowing for Economic Growth Dependence이상일pp. 43-52
원문 보기