DOI QR코드

DOI QR Code

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

우리나라 65세 이상 노인의 골관절염 유병률과 관련요인: 제5기 국민건강영양조사자료 분석, 2010~2012

  • Lee, Hye-Sang (Dept. of Food & Nutrition, Andong National University)
  • Received : 2014.02.14
  • Accepted : 2014.03.14
  • Published : 2014.05.02

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, hemoglobin, 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.

Keywords

References

  1. Ahn SH, Son SM, Park JK (2009): Health and nutritional factors related to hypertension of subjects aged over 50 in high income class - based on the 2005 Korea national health and nutrition examination survey. J Korean Diet Assoc 15(3): 311-327
  2. Chung SK, Nam CH, Shin DM, Yang SH, Kim GY, Lee MK, Moon KN (2002): The analytic study of the condition of Korean patients with arthritis and its related factors. J Korean Public Health Assoc 28(3):306-321
  3. Grazio S (2005): Osteoarthritis-epidemiology, economics and quality of life. Reumatizam 52(2):21-29
  4. Han CD, Yang IH, Lee WS, Park YJ, Park KK (2013): Correlation between metabolic syndrome and knee osteoarthritis: data from the Korean National Health and Nutrition Examination Survey (KNHANES). BMC Public Health 13(1):603 https://doi.org/10.1186/1471-2458-13-603
  5. Issa SN, Sharma L (2006): Epidemiology of osteoarthritis: an update. Curr Rheumatol Rep 8(1):7-15 https://doi.org/10.1007/s11926-006-0019-1
  6. Jiang L, Tian W, Wang Y, Rong J, Bao C, Liu Y, Zhao Y, Wang C (2012): Body mass index and susceptibility to knee osteoarthritis: a systematic review and meta-analysis. Joint Bone Spine 79(3):291-297 https://doi.org/10.1016/j.jbspin.2011.05.015
  7. Keddie AM (2011): Associations between severe obesity and depression: results from the national health and nutrition examination survey, 2005-2006. Prev Chronic Dis 8(3):A57
  8. Kim HJ, Park K (2011): Egg consumption and prevalence of metabolic syndrome in Korean adults: based on 2007-2008 Korean national health and nutrition examination survey. Korean J Comm Nutr 16(3):364-374 https://doi.org/10.5720/kjcn.2011.16.3.364
  9. Kim KI, Lee JH, Kim CH (2012): Impaired health-related quality of life in elderly women is associated with multimorbidity: results from the Korean National Health and Nutrition Examination Survey. Gend Med 9(5):309-318 https://doi.org/10.1016/j.genm.2012.08.001
  10. Kim MH (2013): Characteristics of nutrient intake according to metabolic syndrome in Korean elderly - using data from the Korea national health and nutrition examination survey 2010. Korean J Food Nutr 26(3):515-525 https://doi.org/10.9799/ksfan.2013.26.3.515
  11. Koo S, Kim YO, Kim MK, Yoon JS, Park K (2012): Nutrient intake, lifestyle factors and prevalent hypertension in Korean adults: results from 2007-2008 Korean National Health and Nutrition Examination Survey. Korean J Community Nutr 17(3):329-340 https://doi.org/10.5720/kjcn.2012.17.3.329
  12. Korea Centers for Disease Control and Prevention. Report of the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V). Available from: http://knhanes.cdc.go.kr/ Accessed February 4, 2014
  13. Korea National Statistical Office. Annual report on the statistics for elderly. Available from: http://kostat.go.kr/ Accessed February 5, 2014
  14. Lee CJ, Joung HJ (2012): Milk intake is associated with metabolic syndrome-using data from the Korea national health and nutrition examination survey 2007-2010. Korean J Community Nutr 17(6):795-804 https://doi.org/10.5720/kjcn.2012.17.6.795
  15. Lee HS (2013): Prevalence of hypertension and related risk factors in the elderly: data from the 4th Korean national health & nutrition examination survey, 2007-2009. J Korean Diet Assoc 19(1):14-24 https://doi.org/10.14373/JKDA.2013.19.1.014
  16. Lee HS, Kwon CS (2009): Prevalence of arthritis and health behavior related risk factors of the older residents in Andong rural area. J Korean Soc Food Sci Nutr 38(9):1187-1194 https://doi.org/10.3746/jkfn.2009.38.9.1187
  17. Lee JH, Chung EJ, Lee YH, Ji JD, Ahn HS (2008): Antioxidant nutrient intakes and health behaviors of rheumatoid arthritic patients. Korean J Comm Nutr 13(2):253-262
  18. Magliano M (2008): Obesity and arthritis. Menopause Int 14(4):149-154
  19. Messier SP (2008): Obesity and osteoarthritis: disease genesis and nonpharmacologic weight management. Rheum Dis Clin North Am 34(3):713-729 https://doi.org/10.1016/j.rdc.2008.04.007
  20. Min BH, Kim HS, Kim HW, Lee SY, Park JW, Kang SY (2000): Epidemiology for Korean knee osteoarthritis: results from the health and nutritional survey in Kuri city. J Korean Knee Soc 12(2):214-221
  21. Moon HK, Kong JE (2010): Assessment of nutrient intake for middle aged with and without metabolic syndrome using 2005 and 2007 Korean national health and nutrition survey. Korean J Nutr 43(1):69-78 https://doi.org/10.4163/kjn.2010.43.1.69
  22. Ong KL, Wu BJ, Cheung BM, Barter PJ, Rye KA (2013): Arthritis: its prevalence, risk factors, and association with cardiovascular diseases in the United States, 1999 to 2008. Ann Epidemiol 23(2):80-86 https://doi.org/10.1016/j.annepidem.2012.11.008
  23. Park H, Lee SK (2011): Association of obesity with osteoarthritis in elderly Korean women. Maturitas 70(1):65-68 https://doi.org/10.1016/j.maturitas.2011.05.014
  24. Park HJ, Lee SK (2012): The association between osteoarthritis and health-related quality of life in women aged 50 years and over: using the Korea National Health and Nutrition Examination Survey (KNHANES) Data. Korean J Health Educ Promot 29(2):23-32
  25. Peat G, McCarney R, Croft P (2001): Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care. Ann Rheum Dis 60(2):91-97 https://doi.org/10.1136/ard.60.2.91
  26. Rastmanesh R, Weber CE (2012): Bioactive food as dietary interventions for arthritis and related inflammatory disease. Academic Press. San Diego, CA. pp.507-513
  27. Ryu JY, Kim DH (2013): Gender differences in the relationship between alcohol use behaviors and metabolic syndrome-Korean national health and nutrition examination survey (KNHANES) V 2010-. Korean J Health Educ Promot 30(1):83-93 https://doi.org/10.14367/kjhep.2013.30.1.083
  28. Shane Anderson A, Loeser RF (2010): Why is osteoarthritis an age-related disease? Best Pract Res Clin Rheumatol 24(1):15-26 https://doi.org/10.1016/j.berh.2009.08.006
  29. The Korean Nutrition Society (2010): Dietary reference intakes for Koreans. The Korean Nutrition Society. Seoul. pp.578-583
  30. Warren TY, Wilcox S, Dowda M, Baruth M (2012): Independent association of waist circumference with hypertension and diabetes in African American women, South Carolina, 2007-2009. Prev Chronic Dis 9:E105
  31. Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P (2008): OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 16(2):137-162 https://doi.org/10.1016/j.joca.2007.12.013

Cited by

  1. The Factors Influencing Health-Related Quality of Life in the Elderly: Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012 vol.19, pp.5, 2014, https://doi.org/10.5720/kjcn.2014.19.5.479
  2. Factors influencing Health-related Quality of Life in Older Adults with Osteoarthritis: Based on the 2010-2011 Korea National Health and Nutrition Examination Survey vol.21, pp.3, 2014, https://doi.org/10.5953/JMJH.2014.21.3.195
  3. Food Insecurity and Related Risk Factors in the Elderly: Korea National Health and Nutrition Examination Survey 2013 Data vol.21, pp.4, 2015, https://doi.org/10.14373/JKDA.2015.21.4.308
  4. Effect of chronic knee osteoarthritis on flexion-relaxation phenomenon of the erector spinae in elderly females vol.28, pp.7, 2016, https://doi.org/10.1589/jpts.28.1964
  5. Physical activity status by pain severity in patients with knee osteoarthritis: a nationwide study in Korea vol.19, pp.1, 2018, https://doi.org/10.1186/s12891-018-2301-6