Musculoskeletal pain in Japan: prevalence and interference with daily activities
Musculoskeletal pain in Japan: prevalence and interference with daily activities
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日本的肌肉骨骼疼痛：患病率及其对日常活动的干扰
作者：
M. Suka;Katsumi Yoshida
我们估计了日本成年人口 (n = 3188) 五个解剖区域肌肉骨骼疼痛的患病率及其对日常活动 (IDA) 的干扰。对三个医疗中心的健康检查参与者进行了问卷调查。在预先确定的身体区域的绘图上，参与者分别标记出受疼痛影响的区域和因疼痛而受到 IDA 影响的区域。肌肉骨骼疼痛的总体患病率为 41.4%（男性 40.9%，女性 42.2%），并且随着年龄的增长显着增加。颈部和肩部区域的疼痛发生率最高（20.3%；M 19.6%；F 21.3%），其次是腰部区域（19.1%；M 20.1%；F 17.5%）、臀部和膝盖区域（11.1%；M 9.1%；F 14.3%）、肘部、手腕和手部区域（7.4%；M 6.6%；F） 8.6%），以及脚踝和足部区域（5.8%；M 5.5%；F 6.3%）。 IDA 在肌肉骨骼疼痛中的总体百分比为 20.5%。调整年龄和性别后，IDA在疼痛中的百分比排序为：（1）颈肩部区域（31.0%），（2）肘部、腕部和手部区域（21.5%），（3）踝足部区域（18.8%），（4）下背部区域（17.9%），（5）臀部和膝盖区域（17.4%）。肌肉骨骼疾病的总体治疗百分比为 6.6%（男 4.7%，女 9.7%），即使在那些因疼痛而描述 IDA 的患者中，该比例仍为 28.1%（男 21.6%，女 38.0%）。根据我们的估计，4220万（41.2%）的日本成年人可能患有肌肉骨骼疼痛，910万（8.8%）的日本成年人可能因疼痛而患上IDA。由于 IDA 的高患病率，肌肉骨骼疼痛是日本高度重视的健康问题之一。
We estimated the prevalence of musculoskeletal pain in five anatomical areas and their interference with daily activities (IDA) in a Japanese adult population (n = 3188). A questionnaire survey was conducted among participants in health examinations at three health care centers. On a drawing with predefined body regions, participants marked the regions affected by pain and the regions affected by IDA due to the pain, respectively. Overall prevalence of musculoskeletal pain was 41.4% (M 40.9%, F 42.2%) with a significant increase with age. Neck and shoulder area showed the highest prevalence of pain (20.3%; M 19.6%; F 21.3%), followed by lower back area (19.1%; M 20.1%; F 17.5%), hip and knee area (11.1%; M 9.1%; F 14.3%), elbow, wrist, and hand area (7.4%; M 6.6%; F 8.6%), and ankle and foot area (5.8%; M 5.5%; F 6.3%). Overall percentage of IDA in musculoskeletal pain was 20.5%. After adjustment for age and sex, the ranking of percentage of IDA in the pain was: (1) neck and shoulder area (31.0%), (2) elbow, wrist, and hand area (21.5%), (3) ankle and foot area (18.8%), (4) lower back area (17.9%), and (5) hip and knee area (17.4%). Overall percentage of treatment for musculoskeletal disorders was 6.6% (M 4.7%, F 9.7%), which remained 28.1% (M 21.6%, F 38.0%) even in those who described IDA due to pain. According to our estimates, 42.2 million (41.2%) of Japanese adults might suffer from musculoskeletal pain and 9.1 million (8.8%) might encounter IDA due to the pain. Because of high prevalence and IDA, musculoskeletal pain is one of the health problems to be given high priority in Japan.