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KMID : 1039620160060020111
Korean Journal of Family Practice
2016 Volume.6 No. 2 p.111 ~ p.117
The Association between Osteoarthritis and Depression in Korean Adults over 45 Years-Old: Korean National Health and Nutrition Examination Survey 2010?2012
Lee Eun-Jeong

Lee Yeon-Ji
Choi Ji-Ho
Jo Hye-Jin
Kang Ja-Yeon
Abstract
Background: Disability affects physical and social activities among individuals experiencing osteoarthritis. In these people, depression and depressive mood may be combined with osteoarthritis. We aimed to analyze the association between osteoarthritis and depression, and the effect of regular physical activity, in Korean adults over age 45 years.

Methods: We included 12,664 adults who participated in the Korean National Health and Nutrition Examination Survey from 2010 to 2012. We adjusted factors such as age, body mass index, presence of chronic disease (diabetes, dyslipidemia, hypertension, myocardial infarction, angina, stroke, and rheumatoid arthritis), smoking, alcohol, economic status, education, and living with a spouse. We then analyzed the association between osteoarthritis and depression according to biologic sex with logistic regression. We also used logistic regression to assess the association between osteoarthritis and depression, subjective depression, and objective depression in the population with or without regular physical activity.

Results: Depression was significantly associated with osteoarthritis in female participants (odds ratio [OR]=1.50, 95% confidence interval [CI]: 1.240? 1.182). Depression was also associated with osteoarthritis in female participants who did not engage in regular physical activity (OR=1.51, 95% CI: 1.324?1.719). There was a significant association between osteoarthritis and objective depression among people who did not engage in regular physical activity (OR=1.61, 95% CI: 1.302?1.989; OR=1.40, 95% CI: 1.246?1.586).

Conclusion: We found that osteoarthritis increases the risk of depression in female Koreans who do not engage in regular physical activity, but the risk is not significantly increased in male Koreans.
KEYWORD
Osteoarthritis, Depression, Sex, Physical Activity
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