The Korean Journal of Food And Nutrition (한국식품영양학회지)

The Korean Society of Food and Nutrition (한국식품영양학회)
권호 표지
DOI QR코드

DOI QR Code

The Presence or Absence of Osteoarthritis and Related Risk Factors in Korean Elderly using the 6th Korea National Health and Nutrition Examination Survey (2013~2014 KNHANES VI)

제6기 국민건강영양조사 자료를 이용한 한국 노인의 골관절염 유병 여부와 관련 위험 요인(2013~2014 KNHANES VI)

  • Kim, Min-Ju (Division of Food & Nutrition, Chonnam National University) ;
  • Yun, Jung-Mi (Division of Food & Nutrition, Chonnam National University)
  • 김민주 (전남대학교 식품영양과학부) ;
  • 윤정미 (전남대학교 식품영양과학부)
  • Received : 2017.04.04
  • Accepted : 2017.08.21
  • Published : 2017.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was performed to determine the prevalence and associated risk factors of osteoarthritis in the elderly using the Korea National Health and Nutrition Examination Survey (2013~2014 KNHANES VI). A total of 2,148 (936 males, 1212 females) elderly participants aged 65 years or older were selected. Prevalence of osteoarthritis was higher in 460 female (80.7%) and 167 rural (29.1%) groups, than in 110 male (19.3%) and 404 urban (70.9%) groups. While the mean values of LDL-cholesterol, triglyceride level, and waist circumference were significantly higher in the osteoarthritis group than the normal group, other parameters including height, HDL-cholesterol, fasting blood glucose, hemoglobin and hematocrit values were not. Quality of life (EQ-5D) was also significantly lower in the osteoarthritis group. The results of logistic regression analysis showed that smoking, alcohol intake, obesity, hypercholesterolemia and energy intakes were significantly different in regards to the prevalence of osteoarthritis. This study suggests that obesity and energy intakes were associated with osteoarthritis, whereas risk factors of chronic disease, such as hypertension, Hypo-high density lipoprotein, hypertrigly-ceridemia, anemia, diabetes, vigorous physical activity, moderate physical activity and walking were not. Long-term prospective study is necessary to investigate the effects of these factors on osteoarthritis.

Keywords

References

  1. Adamson J, Ebrahim S, Dieppe P, Hunt K. 2006. Prevalence and risk factors for joint pain among men and women in the west of Scotland Twenty-07 study. Ann Rheum Dis 65: 520-524 https://doi.org/10.1136/ard.2005.037317
  2. 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 (KNHANES). J Korean Diet Assoc 15:311-327
  3. Bachorik PS, Ross JW. 1995. The national cholesterol education program working group on lipoprotein measurement. national cholesterol education program recommendation for measurement of low-density lipoprotein cholesterol: Executive summary. Clin Chem 41:1414-1420
  4. Bliddal H, Leeds AR, Christensen R. 2014. Osteoarthritis, obesity and weight loss: Evidence, hypotheses and horizons: A scoping review. Obes Rev 15:578-586 https://doi.org/10.1111/obr.12173
  5. Cicuttini FM, Baker JR, Spector TD. 1996. The association of obesity with osteoarthritis of the hand and knee in women: A twin study. J Rheumatol 23:1221-1226
  6. Do BT, Hootman JM, Helmick CG, Brady TJ. 2011. Monitoring health people 2010 arthritis management objectives: Education and clinician counseling for weight loss and exercise. Ann Fam Med 9:136-141 https://doi.org/10.1370/afm.1210
  7. Ettinger WH, Afable RF. 1994. Physical disability from knee arthritis: the role of exercise as on intervention. Med Sci Sports Exerc 26:1425-1440
  8. Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM. 2000. Osteoarthritis new insights. Part 1: The disease and its risk factors. Ann Intern Med 133:635-646 https://doi.org/10.7326/0003-4819-133-8-200010170-00016
  9. Felson DT, Goggins J, Niu J, Zhang Y, Hunter D. 2004. The effect of body weight on progression of knee osteoarthritis is dependent on alignment. Arthritis Rheum 50:3904-3909 https://doi.org/10.1002/art.20726
  10. Han CD, Yang IH, Lee WS, Park YJ, Park KK. 2013. Correlation between metabolic syndrome and knee osteoarthritis: data from the Korea National Health and Nutrition Examination Survey(KNHANES). BMC Public Health 13:603-610 https://doi.org/10.1186/1471-2458-13-603
  11. 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 79:291-297 https://doi.org/10.1016/j.jbspin.2011.05.015
  12. Jiang Y, Hesser JE. 2006. Association between health-related quality of life and demographics and health risks. results from rhode island's 2002 behavioral risk factor survey. Health Qual Life Outcomes 4:14-38 https://doi.org/10.1186/1477-7525-4-14
  13. Kim HR, Kim EJ. 2013. Prevalence of osteoarthritis and its affecting factors among a Korean population aged 50 and over. J Korean Public Health Nurs 27:27-39 https://doi.org/10.5932/JKPHN.2013.27.1.27
  14. Kim HJ, Park K. 2011. Egg consumption and prevalence of metabolic syndrome in Korean adults: based on 2007-2008 Korea National Health and Nutrition Examination Survey (KNHANES). Korean J Community Nutr 16:364-374 https://doi.org/10.5720/kjcn.2011.16.3.364
  15. Kim HR. 2013. Prevalence and risk factors of osteoarthritis among women and men elderly people in Korea. J Korean Geriatr Soc 33:805-820
  16. Kim KM, Kwon JS. 2004. Nutritional and health status of the elderly living in Songnam II . dietary habits and nutrient intakes. Korean J Food Nutr 17:420-428
  17. Kim KI, Lee JH, Kim CH. 2012. Impaired health-related quality of life in elderly women is associated with multimorbidity: Results from the Korea National Health and Nutrition Examination Survey (KNHNES). Gend Med 9:309-318 https://doi.org/10.1016/j.genm.2012.08.001
  18. 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 (KNHANES) 2010. Korean J Food Nutr 26:515-525 https://doi.org/10.9799/ksfan.2013.26.3.515
  19. Kim SY, Jeon EY. 2011 Influencing factors on osteoarthritis in Korean. Korean J Rehabil Nurs 14:111-117
  20. Lawes CM, Rodgers A, Bennett DA, Parag V, Suh I, Ueshima H, MacMahon S. 2003. Blood pressure and cardiovascular disease in the Asia Pacific region. J Hypertens 21:707-716 https://doi.org/10.1097/00004872-200304000-00013
  21. Lee AR, Kim SL. 2015. Prevalence and risk factors of knee pain in Korean adults: Results from Korea National Health and Nutrition Examination Survey (KNHANES), 2010-2012. J Health Info Stat 40:129-139
  22. Lee EJ, Lee YJ, Choi JH, Jo HJ, Kang JY. 2016. The association between osteoarthritis and depression in Korean adults over 45 years-old: Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. Korean J Fam Pract 6:111-117 https://doi.org/10.21215/kjfp.2016.6.2.111
  23. Lee HS. 2014. 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. J Korean Diet Assoc 20:99-109 https://doi.org/10.14373/JKDA.2014.20.2.99
  24. 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 38:1187-1194 https://doi.org/10.3746/jkfn.2009.38.9.1187
  25. Neogi T, Zhang Y. 2011. Osteoarthritis prevention. Curr Opin Rheumatol 23:185-191 https://doi.org/10.1097/BOR.0b013e32834307eb
  26. Muraki S, Akuke T, Oka H, Ishimoto Y, Nagata K, Yoshida M, Tokimura N. 2012. Incidence and risk factors for radiographic knee osteoarthritis and knee pain in Japanese men and women: A longitudinal population-based cohort study. Arthritis Rheum 64:1447-1456
  27. Oh JY, Lim S, Kim DJ, Kim NH, Kim DJ, Moon SD, Jang HC, Cho YM, Song KH, Park KS. 2007. Committee of the Korean diabetes association on the diagnosis and classification of diabetes mellitus. The diagnosis of diabetes mellitus in Korea: A pooled analysis of four community-based cohort studies. Diabet Med 24:217-8 https://doi.org/10.1111/j.1464-5491.2007.02051.x
  28. Oh JY, Lim S, Kim DJ, Kim NH, Kim DJ, Moon SD, Jang HC, Cho YM, Song KH, Ahn CW, Sung YA, Park JY, Shin C, Lee HK, Park KS. 2008. Committee of the Korean diabetes association on the diagnosis and classification of diabetes mellitus. A report on the diagnosis of intermediate hyperglycemia in Korea: A pooled analysis of four communitybased cohort studies. Diabetes Res Clin Pract 80:463-468 https://doi.org/10.1016/j.diabres.2008.01.022
  29. Oliveria SA, Felson DT, Cirillo PA, Reed JI, Walker AM. 1999. Body weight, body mass index, and incident symptomatic osteoarthritis of the hand, hip and knee. Epidemiology 10: 161-166 https://doi.org/10.1097/00001648-199903000-00013
  30. 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 Promot 29:23-32
  31. Park MS, Suh YS, Chung YJ. 2014. Comparison of chronic disease risk by dietary carbohydrate energy ratio in Korean elderly: Using the 2007-2009 Korea National Health and Nutrition Examination Survey (KNHANES). J Nutr Health 47:247-257 https://doi.org/10.4163/jnh.2014.47.4.247
  32. Parkinson L, Gibson R, Robinson I, Byles J. 2010. Older women and arthritis: tracking impact over time. Australas J Ageing 29:155-160 https://doi.org/10.1111/j.1741-6612.2010.00422.x
  33. Pearson CJ. 2007. Literature review on the effects of obesity on knee osteoarthritis. Orthop Nurs 26:289-292 https://doi.org/10.1097/01.NOR.0000295955.63956.1d
  34. Reginster JY. 2002. The prevalence and burden of arthritis. Rheumatology (Oxford) 41:3-6
  35. Rejeski WJ, Focht BC, Messier SP, Morgan T, Pahor M, Penninx B. 2002. Obese, older adults with knee osteoarthritis: Weight loss, exercise, and quality of life. Health Psychol 21:419-426 https://doi.org/10.1037/0278-6133.21.5.419
  36. Shane Anderson A, Loeser RF. 2010. Why is osteoarthritis an age-related disease?. Best Pract Res Clin Rheumatol 24: 15-26 https://doi.org/10.1016/j.berh.2009.08.006
  37. Sharma L. 2001. Local factors in osteoarthritis. Curr Opin Rheumatol 13:441-446 https://doi.org/10.1097/00002281-200109000-00017
  38. Shin DW, Nam SJ, Bang YS, Lee JY. 2013. Estimation of the prevalence of Korean adults aged 50 years or more with knee osteoarthritis based on the data from fifth Korea National Health and Nutrition Examination Survey (KNHANES). J Korean Med Assoc 565:431-436
  39. Sturmer T, Gunther KP, Brenner H. 2000. Obesity, overweight and patterns of osteoarthritis: The ulm osteoarthritis atudy. J Clin Epidemiol 53:307-313 https://doi.org/10.1016/S0895-4356(99)00162-6
  40. Suh YS, Park MS, Chung YJ. 2015. An evaluation of chronic disease risk based on the percentage of energy from carbohydrates and the frequency of vegetable intake in the Korean elderly: Using the 2007-2009 Korea National Health and Nutrition Examination Survey (KNHANES). Korean J Community Nutr 20:41-52 https://doi.org/10.5720/kjcn.2015.20.1.41
  41. Syed IY, Davis BL. 2000. Obesity and osteoarthritis of the knee: hypotheses concerning the relationship between ground reaction forces and quadriceps fatigue in long-duration walking. Medical Hypotheses 54:182-185 https://doi.org/10.1054/mehy.1999.0013
  42. Vignon E, Valat JP, Rossignol M, Avouac B, Rozenberg S, Thoumie P, Hilliquin P. 2006. Osteoarthritis of the knee and hip and activity: a systematic international review and synthesis (OASIS). Joint Bone Spine 73:442-455 https://doi.org/10.1016/j.jbspin.2006.03.001
  43. Warren TY, Wilcox S, Dowda M, Baruth M. 2012. Independent association of waist circumference with hyper-tension and diabetes in African American women, South Carolina, 2007-2009. Prev Chronic Dis 9:E105-E121
  44. WHO/IASO/IOTF. 2000. The Asia-Pacific perspective: redefining obesity and its treatment. Health Communications Australia: Melbourne
  45. Zakkak JM, Wilson DB, Lanier JO. 2009. The association between body mass index and arthritis among US adults: CDC's surveillance case definition. Prev Chronic Dis 6: A56-A67
  46. Zhang Y, Jordan JM. 2008. Epidemiology of osteoarthritis. Rheum Dis Clin North Am 34:515-529 https://doi.org/10.1016/j.rdc.2008.05.007
  47. Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, Dougados M. 2008. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteo Arthr Cartil 16:137-162 https://doi.org/10.1016/j.joca.2007.12.013