Cross-sectional analysis of self-reported sedentary behaviors and chronic knee pain among South Korean adults over 50 years of age in KNHANES 2013-2015

Lee, Sook-Hyun; Son, Chihyoung; Ha, In‐Hyuk

doi:10.1186/s12889-019-7653-9

Cited by 24 publications

(29 citation statements)

References 37 publications

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“…In an analysis of the correlation between chronic knee pain and the total daily sedentary time (<5, 5-7, 8-10, >10 hours), the results claimed that the incidence of chronic knee pain was higher in individuals with longer sedentary times (P for trend=0.02). 42…”

Section: Sedentary Lifestyles and Musculoskeletal Diseasesmentioning

confidence: 99%

“…A prolonged sedentary time was correlated with chronic knee pain. In an analysis of the correlation between chronic knee pain and the total daily sedentary time (<5, 5–7, 8–10, >10 hours), the results claimed that the incidence of chronic knee pain was higher in individuals with longer sedentary times (P for trend=0.02) [ 42 ]. In particular, a sedentary time >10 hours a day was markedly correlated with chronic knee pain (adjusted OR, 1.28; 95% CI, 1.02–1.61; P=0.03) [ 42 ].…”

Section: Sedentary Lifestyles and Health Risksmentioning

confidence: 99%

“…In an analysis of the correlation between chronic knee pain and the total daily sedentary time (<5, 5–7, 8–10, >10 hours), the results claimed that the incidence of chronic knee pain was higher in individuals with longer sedentary times (P for trend=0.02) [ 42 ]. In particular, a sedentary time >10 hours a day was markedly correlated with chronic knee pain (adjusted OR, 1.28; 95% CI, 1.02–1.61; P=0.03) [ 42 ]. People who engaged in greater physical activity had less chronic knee pain (adjusted OR, 0.78; 95% CI, 0.67–0.91; P=0.00), but women with >10 hours of sedentary time while engaging in greater physical activity were highly likely to experience chronic knee pain (adjusted OR, 1.19; 95% CI, 1.02–1.39; P=0.03).…”

Section: Sedentary Lifestyles and Health Risksmentioning

confidence: 99%

“…People who engaged in greater physical activity had less chronic knee pain (adjusted OR, 0.78; 95% CI, 0.67–0.91; P=0.00), but women with >10 hours of sedentary time while engaging in greater physical activity were highly likely to experience chronic knee pain (adjusted OR, 1.19; 95% CI, 1.02–1.39; P=0.03). The study recommends individuals to shorten their sedentary times to <10 hours a day [ 42 ].…”

Section: Sedentary Lifestyles and Health Risksmentioning

confidence: 99%

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Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks

et al. 2020

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One-third of the global population aged 15 years and older engages in insufficient physical activities, which affects health. However, the health risks posed by sedentary behaviors are not well known. The mean daily duration of sedentary behavior is 8.3 hours among the Korean population and 7.7 hours among the American adult population. Sedentary lifestyles are spreading worldwide because of a lack of available spaces for exercise, increased occupational sedentary behaviors such as office work, and the increased penetration of television and video devices. Consequently, the associated health problems are on the rise. A sedentary lifestyle affects the human body through various mechanisms. Sedentary behaviors reduce lipoprotein lipase activity, muscle glucose, protein transporter activities, impair lipid metabolism, and diminish carbohydrate metabolism. Furthermore, it decreases cardiac output and systemic blood flow while activating the sympathetic nervous system, ultimately reducing insulin sensitivity and vascular function. It also alters the insulin-like growth factor axis and the circulation levels of sex hormones, which elevates the incidence of hormone-related cancers. Increased sedentary time impairs the gravitostat, the body's weight homeostat, and weight gain, adiposity, and elevated chronic inflammation caused by sedentary behavior are risk factors for cancer. Sedentary behaviors have wide-ranging adverse impacts on the human body including increased all-cause mortality, cardiovascular disease mortality, cancer risk, and risks of metabolic disorders such as diabetes mellitus, hypertension, and dyslipidemia; musculoskeletal disorders such as arthralgia and osteoporosis; depression; and, cognitive impairment. Therefore, reducing sedentary behaviors and increasing physical activity are both important to promote public health.

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Section: Sedentary Lifestyles and Musculoskeletal Diseasesmentioning

confidence: 99%

Section: Sedentary Lifestyles and Health Risksmentioning

confidence: 99%

Section: Sedentary Lifestyles and Health Risksmentioning

confidence: 99%

Section: Sedentary Lifestyles and Health Risksmentioning

confidence: 99%

See 2 more Smart Citations

Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks

et al. 2020

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“…The prevalence of knee pain is one of the most common symptoms in the ageing population around the world. According to the sixth National Health and Nutrition Survey (KNHANES VI, 2013–2015), 20.8% of Korean population aged over 50 years reported chronic knee pain 6. In an Italian cross-sectional study, 22.4% of the population aged over 65 years complained about pain in the knee 7.…”

Section: Introductionmentioning

confidence: 99%

Association between severity of depressive symptoms and chronic knee pain in Korean adults aged over 50 years: a cross-sectional study using nationally representative data

Han

Lee

et al. 2019

BMJ Open

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ObjectivesTo identify the association between the presence and severity of depressive symptoms and those of chronic knee pain.DesignA retrospective cross-sectional study.ParticipantsWe used data from the sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-2) performed in 2014. Overall, 7550 patients were included in the KNHANES VI-2.Outcome measuresParticipants were asked whether they had chronic knee pain, and each answer was either ‘yes’ or ‘no’. Patient Health Questionnaire-9 (PHQ-9) was used as a screening tool for depressive symptoms, and PHQ-9 scores of 10 or higher was classified as the depressed group. In total, 527 patients reported that they had pain in their knee, of whom 91 also had depressive symptoms.ResultsThe prevalence of chronic knee pain in the Korean population aged over 50 years was 19.8%. Multiple logistic regression was conducted after adjustment for sex, age, smoking, alcohol drinking, education level, household income, physical activity, sleep duration and comorbidity. The analysis revealed a significant association between depressive symptoms and chronic knee pain (adjusted OR=2.333, p<0.001). In contrast, the severity of depressive symptoms was linearly correlated with the intensity of chronic knee pain (p for trend <0.001). In participants with no chronic knee pain (Numerical Rating Scale; NRS=0) or mild chronic knee pain (NRS=1–4), the prevalence of moderate and severe depressive symptoms was 3.4% and 0.6%, respectively. However, in those with severe chronic knee pain (NRS=8–10), there was a higher prevalence of moderate and severe depressive symptoms (10.1% and 5.8%, respectively) (p<0.001).ConclusionsA strong association was observed between the presence and severity of depressive symptoms and the presence of chronic knee pain. The association became stronger with higher levels of depressive symptoms, indicating a positive correlation between depressive symptoms severity and chronic knee pain.

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Sitting may increase risk for radiographic incidence and progression of knee osteoarthritis over 2 years: Data from a large cohort study

Voinier

Neogi

Master

et al. 2023

Musculoskeletal Care

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ObjectivesTo examine the association of leisure‐time sitting with radiographic incidence and progression of knee osteoarthritis (OA) over 2 years, and to determine whether worktime sitting modifies this association.MethodsWe included adults with or at high risk for knee OA who enroled in the Osteoarthritis Initiative (OAI). Participants reported leisure‐time sitting (≤4 vs. >4 h/day) and worktime sitting (frequent vs. infrequent) at enrolment, and had bilateral knee radiographs at enrolment and 2 years later. Our outcome, radiographic knee OA incidence/progression (yes/no), was defined as any increase in Kellgren‐Lawrence grade over 2 years. We examined the association of leisure‐time sitting (≤4 vs. >4 h/day) with risk of radiographic knee OA incidence/progression using binary linear regression, adjusting for potential confounders. We stratified by worktime sitting (frequent vs. infrequent) and repeated our analysis.ResultsWe included 4254 adults (mean age 61 years; 58% women; mean body mass index 29 kg/m2) who contributed a total of 8127 knees. Adults with >4 h/day of leisure‐time sitting had 25% higher risk (adjusted risk ratio [RR] 1.25, 95% confidence interval [95% CI] 1.08–1.50) for radiographic knee OA incidence/progression compared with adults with ≤4 h/day of leisure‐time sitting (referent group). Importantly, this association was intensified (RR 1.60, 95% CI 1.19–2.33) among adults with frequent worktime sitting, but was attenuated (RR 1.11, 95% CI 0.89–1.39) among adults with infrequent worktime sitting.ConclusionsHigher leisure‐time sitting (>4 h/day) may be associated with greater risk for radiographic knee OA incidence/progression over 2 years. Furthermore, this association was intensified among adults who also reported frequent worktime sitting.

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Cross-sectional analysis of self-reported sedentary behaviors and chronic knee pain among South Korean adults over 50 years of age in KNHANES 2013-2015

Cited by 24 publications

References 37 publications

Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks

Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks

Association between severity of depressive symptoms and chronic knee pain in Korean adults aged over 50 years: a cross-sectional study using nationally representative data

Sitting may increase risk for radiographic incidence and progression of knee osteoarthritis over 2 years: Data from a large cohort study

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