Yonsei Med J.  2015 Jan;56(1):124-131. 10.3349/ymj.2015.56.1.124.

Risk Factors for Osteoarthritis and Contributing Factors to Current Arthritic Pain in South Korean Older Adults

• Lee KM
• Chung CY
• Sung KH
• Lee SY
• Won SH
• Kim TG
• Choi Y
• Kwon SS
• Kim YH
• Park MS

• KMID: 2352797
• DOI: http://doi.org/10.3349/ymj.2015.56.1.124

Abstract

PURPOSE
Although previous studies have focused on risk factors for osteoarthritis, there is some debate on this issue. Furthermore, associated factors with arthritic symptom (arthralgia) have not been sufficiently investigated, despite its clinical importance in the management of osteoarthritis. This study was performed to examine the risk factors for osteoarthritis and the contributing factors to current arthritic pain in older adults.
MATERIALS AND METHODS
The Fourth Korean National Health and Nutrition Examination Surveys was conducted in 2009. Therein, 720 males and 1008 females aged 65 years and older were included. Comprehensive data on habitual, socioeconomic, medical, nutritional, and psychological factors were collected along with the presence of osteoarthritis and arthritic pain. After univariate analysis, binary logistic regression analysis was performed to identify risk factors for osteoarthritis and contributing factors to current arthritic pain.
RESULTS
Age (p=0.005), female gender (p<0.001), higher body mass index (BMI) (p<0.001), and osteoporosis (p<0.001) were significant risk factors for osteoarthritis, while higher education level (p=0.025) was a protective factor for osteoarthritis. Higher BMI (p=0.047), lack of weekly moderate intensity activity (p<0.001), and unfavorable subjective health status (p<0.001) were significant factors contributing to current arthritic pain among subjects with osteoarthritis. Both osteoarthritis and current arthritic pain adversely affected health related quality of life.
CONCLUSION
Higher BMI, lack of weekly moderate intensity activity, and unfavorable subjective health status were significant factors contributing to current arthritic pain. More attention needs to be paid to psychiatric effects on osteoarthritis and joint related pain.

Keyword

Osteoarthritis; joint related pain; risk factors; older adults

MeSH Terms

Adult
Aged
Aged, 80 and over
Demography
Female
Health Status
Humans
Joints/pathology
Logistic Models
Male
Osteoarthritis/*etiology
Pain/*etiology
Quality of Life
Republic of Korea
Risk Factors

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