How common is hip pain among older adults? Results from the Third National Health and Nutrition Examination Survey

ArticleinThe Journal of family practice 51(4):345-8 · May 2002with14 Reads
Source: PubMed
To determine the incidence of self-reported significant hip pain using a nationally representative sample of older adults in the United States. Subjects were interviewed to determine their leisure time physical activity levels and whether they experienced severe hip pain. Sampling weights were calculated to account for unequal selection probabilities. The impact of race, age, and physical activity status was examined as influential factors affecting hip pain. We interviewed 6596 adults aged 60 years and older as part of the third National Health and Nutrition Examination Survey (NHANES III). We measured the prevalence of hip pain. A total of 14.3% of participants aged 60 years and older reported significant hip pain on most days over the past 6 weeks. Men reported hip pain less frequently than women. Age did not influence self-reported hip pain in men. The lowest prevalence of hip pain was found in women aged 60 to 70 years. Sixteen percent of non-Hispanic white women reported hip pain, compared with 14.8% of black women and 19.3% of Mexican American women. Among non-Hispanic white men, 12.4% reported hip pain, a proportion no different from that of their black and Mexican American male counterparts. Among older US adults, 18.4% of those who had not participated in leisure time physical activity during the previous month reported severe hip pain; 12.6% of those who did engage in physical activity reported hip pain. Self-reported hip pain has increased since NHANES I (1971-1975). Further studies are needed to identify individuals at highest risk for severe hip pain and to identify optimal treatment of hip pain.
    • "Picavet and Hazes [9] also examined the prevalence of specific self-reported doctor diagnosed musculoskeletal diseases in a general population (back herniated disc, gout, repetitive strain injury, epicondylitis, osteoarthritis of knee and hip, osteoporosis, whiplash, rheumatoid arthritis, other chronic arthritis, fibromyalgia and tendinitis/capsulitis ) at baseline and six months, and demonstrated good reliability for all conditions except repetitive strain injury (non-specific arm pain) and chronic arthritis, which were fair to moderate. However, while the prevalence of non-specific areas of pain have been reported by various authors (shoulder, elbow, wrist and hand pain [30]; upper limb pain [9]; distal arm pain [31]; hip [32]; hip and knee pain [33, 34]; hip, knee and foot pain [35]; foot and ankle [36]; neck pain and back pain [37]; back pain [36]), there are few studies which examine the reliability of these questions used to assess musculoskeletal pain prevalence. The aims of this study were to examine (i) the testretest reliability of self-reported doctor diagnosed arthritis and non-specific musculoskeletal pain in six areas of the body and (ii) the effect of questionnaire wording, order and time between questionnaires. "
    [Show abstract] [Hide abstract] ABSTRACT: Background Case definition has long been an issue for comparability of results obtained for musculoskeletal pain prevalence, however the test-retest reliability of questions used to determine joint pain prevalence has not been examined. The objective of this study was to determine question reliability and the impact of question wording, ordering and the time between questions on responses. Methods A Computer Assisted Telephone Interviewing (CATI) survey was used to re-administer questions collected as part of a population-based longitudinal cohort study. On two different occasions questions were asked of the same sample of 203 community dwelling respondents (which were initially randomly selected) aged 18 years and over at two time points 14 to 27 days apart (average 15 days). Reliability of the questions was assessed using Cohen’s kappa (κ) and intraclass correlation coefficient (ICC) and whether question wording and period effects existed was assessed using a crossover design. Results The self-reported prevalence of doctor diagnosed arthritis demonstrated excellent reliability (κ = 0.84 and κ = 0.79 for questionnaires 1 and 2 respectively). The reliability of questions relating to musculoskeletal pain and/or stiffness ranged from moderate to excellent for both types of questions, that is, those related to ever having joint pain on most days for at least a month (κ = 0.52 to κ = 0.95) and having pain and/or stiffness on most days for the last month (κ = 0.52 to κ = 0.90). However there was an effect of question wording on the results obtained for hand, foot and back pain and/or stiffness indicating that the area of pain may influence prevalence estimates. Conclusions Joint pain and stiffness questions are reliable and can be used to determine prevalence. However, question wording and pain area may impact on estimates with issues such as pain perception and effect on activities playing a possible role in the recall of musculoskeletal pain.
    Full-text · Article · Dec 2016
    • "Hip pain is a common presenting symptom in patients older than 60 years of age. The differential diagnosis is broad and includes degenerative, inflammatory, or infectious arthritis; pelvic and thigh fractures; bursitis; tendinitis; osteonecrosis; avascular necrosis; metastatic disease; and muscle strains or spasms [1]. Iliopsoas muscle avulsion at its insertion on the lesser trochanter of the femur because of trauma is another potential cause of hip pain that has been documented previously in this population [2]; however, spontaneous avulsion of the iliopsoas tendon also can occur and is a rare cause of acute onset hip pain with associated functional limitation. "
    [Show abstract] [Hide abstract] ABSTRACT: Iliopsoas tendon rupture is a relatively rare cause of hip pain. It has been described in children, in adults with pathologic avulsion secondary to metastatic disease, and in older individuals with multiple chronic illnesses. We are reporting a case of apparently spontaneous iliopsoas tendon rupture which occurred in an elderly patient presenting with severe debilitating hip pain whose etiology was initially unrecognized. Magnetic resonance imaging (MRI) of the hip confirmed the diagnosis. This case highlights the importance of considering iliopsoas tear in the differential diagnosis of unexplained acute onset hip pain, and illustrates that geriatric patients with this condition can be treated conservatively with satisfactory functional outcome. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
    Full-text · Article · Jul 2015
    • "чалась боль в области ТБС, продолжавшаяся большую часть дней в течение предшествующих 6 нед [5]. В медицинских учреждениях первичного звена частота боли в области ТБС составляет 1,8 на 1000 больных в год [6] . "
    [Show abstract] [Hide abstract] ABSTRACT: Pathological changes that develop in the hip joints (HJ) have different origins and mechanisms of development, but their main manifestation is pain. The nature of this pain cannot be well established on frequent occasions. The English-language medical literature currently classifies such disorders as greater trochanter pain syndrome (GTPS). Its major signs are chronic pain and local palpatory tenderness in the outer part of HJ. The development of GTPS may be associated with inflammation of the synovial bursae situated in the greater tronchanter, as well as with tendinitis, myorrhexis, iliotibial band syndrome, and other local changes in the adjacent tissues or with systemic diseases. So GTPS may be characterized as regional pain syndrome that frequently mimics pain induced by different diseases, including myofascial pain syndrome, osteoarthrosis, spinal diseases, etc.
    Full-text · Article · Jun 2013
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