Prevalence of Knee Osteoarthritis and Health-Related Quality of Life in Stroke Patients over 60 Years Old: A Cross-Sectional Study Using Korean National Health and Nutrition Examination Survey V

Overview

Journal Ann Geriatr Med Res

Specialty Geriatrics

Date 2021 Jul 19

PMID 34275255

Citations 1

Authors

Kil-Yong Jeong

Hyun Jung Lee

Affiliations

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Abstract

Background: This study investigated the prevalence of knee osteoarthritis among stroke survivors aged over 60 years and analyzed the association between knee osteoarthritis and health-related quality of life (HRQOL) in stroke survivors.

Methods: We analyzed data of 287 participants who had experienced a stroke (stroke group) from the 2010-2012 Korean National Health and Nutrition Examination Survey. Among the participants, 65 stroke survivors also had knee osteoarthritis. We used the European Quality of Life-5 Dimensions (EQ-5D) questionnaire to compare the differences in HRQOL according to the presence or absence of knee osteoarthritis in the stroke group. Multiple regression analysis was performed to determine associated factors affecting HRQOL in the stroke group.

Results: The prevalence of knee osteoarthritis was 21% in the stroke group. The EQ-5D index score was significantly lower in patients in the stroke group with knee osteoarthritis than in those without knee osteoarthritis (adjusted mean±standard error [SE], 0.680±0.011 for stroke with knee osteoarthritis and 0.817±0.003 stroke without knee osteoarthritis; p<0.00001). Knee osteoarthritis, age, income level, education level, smoking, walking days, diabetes, and cardiovascular disease significantly influenced HRQOL in the stroke group.

Conclusion: The study results confirmed that the prevalence of knee osteoarthritis was 21% in the stroke group and that HRQOL was significantly lower among patients in the stroke group with knee osteoarthritis. These findings suggest the importance of active management of knee osteoarthritis in stroke survivors for HRQOL.

Citing Articles

Therapeutic Effects of Functional Electrical Stimulation on Physical Performance and Muscle Strength in Post-stroke Older Adults: A Review.

Shin H, Kim M, Lee D, Jang J, Soh Y, Yun D Ann Geriatr Med Res. 2022; 26(1):16-24.

PMID: 35313099 PMC: 8984173. DOI: 10.4235/agmr.22.0006.

References

Yoon H . Factors affecting quality of life of the Korean aged stroke patients. Int J Aging Hum Dev. 1997; 44(3):167-81. DOI: 10.2190/8D0G-4PAW-QH4R-WXU4. View

Marzetti E, Calvani R, Tosato M, Cesari M, Bari M, Cherubini A . Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res. 2017; 29(1):35-42. DOI: 10.1007/s40520-016-0705-4. View

Kaufman K, Hughes C, Morrey B, Morrey M, An K . Gait characteristics of patients with knee osteoarthritis. J Biomech. 2001; 34(7):907-15. DOI: 10.1016/s0021-9290(01)00036-7. View

Dzhus M, Dzhus M, Masnyi M, Kulyk M, Mostbauer H, Ivashkivsky O . Cross-sectional Evaluation of the Sarcopenia Quality of Life (SarQoL) Questionnaire: Translation and Validation of its Psychometric Properties. Ann Geriatr Med Res. 2020; 24(2):139-147. PMC: 7370798. DOI: 10.4235/agmr.20.0020. View

Kendall R . Musculoskeletal problems in stroke survivors. Top Stroke Rehabil. 2010; 17(3):173-8. DOI: 10.1310/tsr1703-173. View

Conley S, Rosenberg A, Crowninshield R . The female knee: anatomic variations. J Am Acad Orthop Surg. 2007; 15 Suppl 1:S31-6. DOI: 10.5435/00124635-200700001-00009. View

Jung J, Seok H, Kim J, Song G, Choi S . Association between osteoarthritis and mental health in a Korean population: a nationwide study. Int J Rheum Dis. 2017; 21(3):611-619. DOI: 10.1111/1756-185X.13098. View

Sivertsen H, Bjorklof G, Engedal K, Selbaek G, Helvik A . Depression and Quality of Life in Older Persons: A Review. Dement Geriatr Cogn Disord. 2015; 40(5-6):311-39. DOI: 10.1159/000437299. View

Ding C, Cicuttini F, Blizzard L, Scott F, Jones G . A longitudinal study of the effect of sex and age on rate of change in knee cartilage volume in adults. Rheumatology (Oxford). 2006; 46(2):273-9. DOI: 10.1093/rheumatology/kel243. View

10.

Jeong H, Baek S, Kim S, Eun Y, Kim I, Lee J . Comorbidities and health-related quality of life in Koreans with knee osteoarthritis: Data from the Korean National Health and Nutrition Examination Survey (KNHANES). PLoS One. 2017; 12(10):e0186141. PMC: 5646822. DOI: 10.1371/journal.pone.0186141. View

11.

Adamson J, Beswick A, Ebrahim S . Is stroke the most common cause of disability?. J Stroke Cerebrovasc Dis. 2007; 13(4):171-7. DOI: 10.1016/j.jstrokecerebrovasdis.2004.06.003. View

12.

Valderrabano V, Nigg B, von Tscharner V, Stefanyshyn D, Goepfert B, Hintermann B . Gait analysis in ankle osteoarthritis and total ankle replacement. Clin Biomech (Bristol). 2007; 22(8):894-904. DOI: 10.1016/j.clinbiomech.2007.05.003. View

13.

Donkor E . Stroke in the 21 Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2019; 2018:3238165. PMC: 6288566. DOI: 10.1155/2018/3238165. View

14.

Nguyen-Oghalai T, Ottenbacher K, Granger C, Goodwin J . Impact of osteoarthritis on the rehabilitation of patients following a stroke. Arthritis Rheum. 2005; 53(3):383-7. DOI: 10.1002/art.21166. View

15.

Thumboo J, Chew L, Lewin-Koh S . Socioeconomic and psychosocial factors influence pain or physical function in Asian patients with knee or hip osteoarthritis. Ann Rheum Dis. 2002; 61(11):1017-20. PMC: 1753936. DOI: 10.1136/ard.61.11.1017. View

16.

Jacob L, Tanislav C, Kostev K . Osteoarthritis and incidence of stroke and transient ischemic attack in 320,136 adults followed in general practices in the United Kingdom. Joint Bone Spine. 2020; 88(2):105104. DOI: 10.1016/j.jbspin.2020.105104. View

17.

Hays J, Croghan I, Baker C, Cappelleri J, Bushmakin A . Changes in health-related quality of life with smoking cessation treatment. Eur J Public Health. 2010; 22(2):224-9. DOI: 10.1093/eurpub/ckq137. View

18.

Edgley S, Gershkoff A . Common pain syndromes in stroke patients: review of two cases. Top Stroke Rehabil. 2010; 17(3):179-82. DOI: 10.1310/tsr1703-179. View

19.

Shan L, Shan J, Saxena A, Robinson D . Quality of life and functional status after carotid revascularisation: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg. 2015; 49(6):634-645. DOI: 10.1016/j.ejvs.2015.03.020. View

20.

Su Y, Yuki M, Otsuki M . Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2020; 29(9):105092. DOI: 10.1016/j.jstrokecerebrovasdis.2020.105092. View