The impact of musculoskeletal hand problems in older adults: findings from the North Staffordshire Osteoarthritis Project (NorStOP)
The impact of musculoskeletal hand problems in older adults: findings from the North Staffordshire Osteoarthritis Project (NorStOP)
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DOI：
10.1093/rheumatology/kem005
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发表时间：
2007-06-01
期刊：
影响因子：
5.5
通讯作者：
Croft, P. R.
中科院分区：
文献类型：
--
作者：
Dziedzic, K.;Thomas, E.;Croft, P. R.
目标。手部问题在老年人中很常见，但其对日常生活的影响尚不清楚。本研究的目的是调查手部问题对社区老年人的影响以及这种影响如何随年龄和性别而变化。方法。对 7878 名回答基线问卷的受试者进行了分析。被定义为有手部问题的参与者会收到第二份调查问卷，其中包括有关手部疼痛和残疾的问题。严重残疾被定义为在经过验证的手和手指功能量表上得分为 4 分或以上。按年龄和性别计算总应答者人群的手痛和严重残疾的 1 个月患病率估计值。结果。 2113 名手部有问题的人完成了第二阶段（78.6% 的回应）。一年内手部问题的患病率为 47%，预计 1 个月内手部疼痛的患病率为 30.8%。这些数字随着年龄的增长变化不大。严重的手部相关残疾影响了该样本的 12.3%（95% 置信区间 11.3-13.3%），在女性中比男性更常见，并且在年龄最大的年龄组中患病率有所增加。结论。手部肌肉骨骼问题在 50 岁以上人群中很常见。大多数都是痛苦的，并对日常生活产生重大影响。女性和老年人似乎特别容易受到手部问题对其日常活动的影响。
Objectives. Hand problems are common in older people, but their impact on everyday life is not clear. The aim of this study was to investigate the impact of hand problems in community-dwelling older adults and how this varies with age and gender.Methods. Analysis was performed in 7878 subjects who responded to a baseline questionnaire. Participants defined as having hand problems were sent a second questionnaire, which included questions about hand pain and disability. Severe disability was defined as a score of 4 or more points on a validated hand and finger function scale. Estimates of 1-month period prevalence of hand pain and severe disability were calculated for the total responder population, by age and gender.Results. 2113 persons with hand problems completed Stage 2 (78.6% response). One-year period prevalence of hand problems was 47% and estimated 1-month period prevalence of hand pain was 30.8%. These figures varied little with age. Severe hand-related disability affected 12.3% (95% confidence interval 11.3-13.3%) of this sample, was significantly more common in females than males, and increased in prevalence to the oldest age-groups.Conclusions. Musculoskeletal hand problems are common in the population aged over 50 yrs. Most are painful, and have a significant impact on everyday life. Women and the very old appear especially vulnerable to the effect of hand problems on their daily activities.