J Korean Med Sci.  2011 Sep;26(9):1140-1146. 10.3346/jkms.2011.26.9.1140.

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

Affiliations
  • 1Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. kimha@hallym.ac.kr
  • 2Institute for Skeletal Aging, Hallym University, Chuncheon, Korea.
  • 3Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
  • 4Hallym Research Institute of Clinical Epidemiology, Hallym University, Chuncheon, Korea.
  • 5Department of Social and Preventive Medicine, Hallym University, Chuncheon, Korea.

Abstract

To investigate the prevalence of knee pain and its influence on physical function and quality of life (QOL), we examined 504 community residents of Chuncheon, aged > or = 50 yr. Demographic information was obtained by questionnaire, and radiographic evaluations consisted of weight-bearing semi-flexed knee anteroposterior radiographs. Self-reported QOL and function were assessed using the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index and Short Form 12 (SF-12). Performance-based lower extremity function was assessed using the tests consisting of standing balance, usual walk and chair stands. The prevalence of knee pain was 46.2% (32.2% in men and 58.0% in women) and increased with age in women. After adjustment of confounders including the presence of knee OA, the subjects with knee pain had significantly worse WOMAC function and SF-12 scores compared to subjects without knee pain. Among the subjects with knee pain, women had worse WOMAC and SF-12 scores than men. Subjects with knee pain had worse physical performance score compared to those without knee pain, especially among females. In conclusion, the prevalence of knee pain is high (32.2% in men and 58.0% in women) in this elderly community population in Korea. Independent of knee OA and other confounding factors, subjects with knee pain have more than 5-fold increase in the risk of belonging to the worst lower extremity function compared to subjects without knee pain.

Keyword

Knee Pain; Osteoarthritis; Quality of Life

MeSH Terms

Age Factors
Aged
Aged, 80 and over
Cohort Studies
Cross-Sectional Studies
Female
Health Surveys
Humans
Knee Joint/*physiopathology/radiography
Male
Middle Aged
Odds Ratio
Osteoarthritis, Knee/epidemiology/physiopathology/radiography
Pain/*epidemiology/radiography
Prevalence
*Quality of Life
Questionnaires
Republic of Korea
Risk Factors
Severity of Illness Index
Sex Factors

Figure

  • Fig. 1 Age-specific prevalence of knee pain in men and women.


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