DOI QR코드

DOI QR Code

The Association between Health-related Quality of Life and Depression on Activity Restriction in Osteoarthritis: A Cross-sectional Study

  • Lee, Do-Youn (Department of Physical Therapy, Daegu University) ;
  • Kim, Seong-Gil (Department of Physical Therapy, Sun Moon University)
  • Received : 2020.11.09
  • Accepted : 2020.12.14
  • Published : 2020.12.31

Abstract

Purpose: The purpose of this study is to provide basic evidence on the need to approach osteoarthritis patients through a psychological factors-considering rehabilitation program by understanding how activity restrictions in osteoarthritis affect health-related quality of life and depression. Methods: This study assessed 3,761 osteoarthritis patients from the Korea National Health and Nutrition Examination Survey. The subjects were divided into two categories: with and without activity restriction. Results: The prevalence of osteoarthritis in women was higher than that of men (men: 19.7%; women: 80.3%), and high BMI increased the prevalence of osteoarthritis. The EQ-5D index of subjects with activity restriction was 0.84±0.18 (points), while in those without activity restriction was 0.93±0.12, and the diagnosis of depression was 15.8%, 8.2%. There was a statistically significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with activity restriction was 2.098 compared with no activity restriction. Conclusion: Activity restriction of osteoarthritis patients significantly decreases the health-related quality of life and increase the probability of depression. Therefore, early diagnosis of depression symptoms to prevent deterioration of symptoms in patients with osteoarthritis and to increase compliance with rehabilitation treatment, and to provide arbitration, including treatment that can alleviate depression.

Keywords

References

  1. Choi MS, Lee DK. The effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. J Kor Phys Ther. 2019;31(5):317-21. https://doi.org/10.18857/jkpt.2019.31.5.317
  2. Lee EK. Impact of aging on elderly health care expenditure in korea. Korea Institute of Public Finance. 2011.
  3. Park HJ, Lee SK. The association between osteoarthritis and health-related quality of life in women aged 50 years and over: Using the korea national health and nutrition examination survey (knhanes) data. Korean J Health Edu Promot. 2012;29(2):23-32.
  4. Yelin E, Murphy L, Cisternas MG et al. Medical care expenditures and earnings losses among persons with arthritis and other rheumatic conditions in 2003, and comparisons with 1997. Arthritis Rheum. 2007;56 (5):1397-407.
  5. Kim HR, Kim EJ. Prevalence of osteoarthritis and its affecting factors among a korean population aged 50 and over. J Korean Pubilc Health Nurs. 2013;27(1):27-39.
  6. Park SJ, Lee JH. Effect of joint mobilization and kinesio taping on pain, range of motion, and knee function in patients with knee osteoarthritis. J Kor Phys Ther. 2016;28(5):279-85. https://doi.org/10.18857/jkpt.2016.28.5.279
  7. Kim M, Bae SH. Factors influencing health-related quality of life in older adults with osteoarthritis: Based on the 2010-2011 korea national health and nutrition examination survey. J Muscle Jt Health. 2014;21(3):195-205.
  8. Hunter DJ, Riordan EA. The impact of arthritis on pain and quality of life: An a ustralian survey. Int J Rheum Dis. 2014;17(2):149-55. https://doi.org/10.1111/1756-185X.12232
  9. Sadosky AB, Bushmakin AG, Cappelleri JC et al. Relationship between patient-reported disease severity in osteoarthritis and self-reported pain, function and work productivity. Arthritis Res Ther. 2010;12(4):R162.
  10. Jun HJ, Kim KJ, Chun IA et al. The relationship between stroke patients socio-economic conditions and their quality of life: The 2010 korean community health survey. J Phys Ther Sci. 2015;27(3):781-4. https://doi.org/10.1589/jpts.27.781
  11. Kim HS. The effect of protective socks with functional insoles on plantar foot pressure in diabetes patients. J Kor Phys Ther. 2018;30(6):224-8. https://doi.org/10.18857/jkpt.2018.30.6.224
  12. Lee SY, Choi SH, Ha KJ et al. An investigation study on the role and performance ability of physical therapists in the community care system for elderly. J Kor Phys Ther. 2020;32(4):266-71. https://doi.org/10.18857/jkpt.2020.32.4.266
  13. Kim EK. Comparison of vital capacity and balance between elderly women and young women with forward head postures according to the use of figure-8 brace. J Kor Phys Ther. 2019;31(4):248-53. https://doi.org/10.18857/jkpt.2019.31.4.248
  14. Kim EK, Lee DK. Effect of scapular brace on the pulmonary function and foot pressure of elderly women with forward head posture. J Kor Phys Ther. 2018;30(4):141-5. https://doi.org/10.18857/jkpt.2018.30.4.141
  15. Kim GE, Choi YE, Yang SS et al. Relationship between functional fitness and break response in elderly drivers: Comparison with young driver. J Kor Phys Ther. 2018;30(5):187-92. https://doi.org/10.18857/jkpt.2018.30.5.187
  16. Alrushud AS, El-Sobkey SB, Hafez AR et al. Impact of knee osteoarthritis on the quality of life among saudi elders: A comparative study. Saudi J Sports Med. 2013;13(1):10. https://doi.org/10.4103/1319-6308.112207
  17. Yang SJ, An JS. Health status, health behavior and quality of life in the elderly with osteoarthritis. Nursing Science. 2011;23(2):23-33.
  18. Vennu V, Bindawas SM. Relationship between falls, knee osteoarthritis, and health-related quality of life: Data from the osteoarthritis initiative study. Clin Interv Aging. 2014;9:793.
  19. Yeo SS. Changes of gait variability by the attention demanding task in elderly adults. J Kor Phys Ther. 2017;29(6):303-6. https://doi.org/10.18857/jkpt.2017.29.6.303
  20. Seo SH, Bae HB, Cho YJ et al. Immediate effect of eye movement on static balance according to age in elderly individuals. J Kor Phys Ther. 2016;28(5):274-8. https://doi.org/10.18857/jkpt.2016.28.5.274
  21. Mesci E, Icagasioglu A, Mesci N et al. Relation of physical activity level with quality of life, sleep and depression in patients with knee osteoarthritis. North Clin Istanb. 2015;2(3):215. https://doi.org/10.14744/nci.2015.95867
  22. Broderick JE, Junghaenel DU, Schneider S et al. Treatment expectation for pain coping skills training: Relationship to osteoarthritis patients' baseline psychosocial characteristics. Clin J Pain. 2011;27(4):315. https://doi.org/10.1097/AJP.0b013e3182048549
  23. Lee SH, Oh KO, Kang MH. A study on factors affecting the suicidal ideation in older adults with osteoarthritis. J Korean Acad Psychiatr Ment Health Nurs. 2011;20(1):103-10. https://doi.org/10.12934/jkpmhn.2011.20.1.103
  24. Rivard V, Cappeliez P. Perceived control and coping in women faced with activity restriction due to osteoarthritis: Relations to anxious and depressive symptoms. Can J Aging. 2007;26(3):241-53. https://doi.org/10.3138/cja.26.3.241
  25. Son J. Factors influencing quality of life of patients with osteoarthritis in rural area. J Korean Geriatr Soc. 2014;34(1):23-35.
  26. Nakajima A, Kamitsuji S, Saito A et al. Disability and patient's appraisal of general health contribute to depressed mood in rheumatoid arthritis in a large clinical study in japan. Mod Rheumatol. 2006;16(3):151-7. https://doi.org/10.3109/s10165-006-0475-5
  27. Niti M, Ng TP, Kua EH et al. Depression and chronic medical illnesses in asian older adults: The role of subjective health and functional status. Int J Geriatr Psychiatry. 2007;22(11):1087-94. https://doi.org/10.1002/gps.1789
  28. Jakobsson U, Hallberg IR. Quality of life among older adults with osteoarthritis: An explorative study. J Gerontol Nurs. 2006;32(8):51-60.
  29. Choi IS, Park K. The effects of pain, sleep, and depression on quality of life in elderly people with chronic pain. J Digit Converg. 2017;15(8):289-99. https://doi.org/10.14400/JDC.2017.15.8.289