Vital Signs: Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation - United States, 2013-2015

Kamil E Barbour, Charles G Helmick, Michael Boring, Teresa J Brady, Kamil E Barbour, Charles G Helmick, Michael Boring, Teresa J Brady

Abstract

Background: In the United States, doctor-diagnosed arthritis is a common and disabling chronic condition. Arthritis can lead to severe joint pain and poor physical function, and it can negatively affect quality of life.

Methods: CDC analyzed 2013-2015 data from the National Health Interview Survey, an annual, nationally representative, in-person interview survey of the health status and behaviors of the noninstitutionalized civilian U.S. adult population, to update previous prevalence estimates of arthritis and arthritis-attributable activity limitations.

Results: On average, during 2013-2015, 54.4 million (22.7%) adults had doctor-diagnosed arthritis, and 23.7 million (43.5% of those with arthritis) had arthritis-attributable activity limitations (an age-adjusted increase of approximately 20% in the proportion of adults with arthritis reporting activity limitations since 2002 [p-trend <0.001]). Among adults with heart disease, diabetes, and obesity, the prevalences of doctor-diagnosed arthritis were 49.3%, 47.1%, and 30.6%, respectively; the prevalences of arthritis-attributable activity limitations among adults with these conditions and arthritis were 54.5% (heart disease), 54.0% (diabetes), and 49.0% (obesity).

Conclusions and comments: The prevalence of arthritis is high, particularly among adults with comorbid conditions, such as heart disease, diabetes, and obesity. Furthermore, the prevalence of arthritis-attributable activity limitations is high and increasing over time. Approximately half of adults with arthritis and heart disease, arthritis and diabetes, or arthritis and obesity are limited by their arthritis. Greater use of evidence-based physical activity and self-management education interventions can reduce pain and improve function and quality of life for adults with arthritis and also for adults with other chronic conditions who might be limited by their arthritis.

Figures

FIGURE 1
FIGURE 1
Age-adjusted percentage of adults with doctor-diagnosed arthritis, by obesity, diabetes, and heart disease status — National Health Interview Survey, United States, 2013–2015 * With 95% confidence intervals indicated by error bars.
Figure 2
Figure 2
Age-adjusted percentage of persons with arthritis-attributable activity limitations among adults with doctor-diagnosed arthritis — National Health Interview Survey, United States, 2002–2015 * With 95% confidence intervals indicated by error bars.

References

    1. Barbour KE, Helmick CG, Theis KA, et al. Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation—United States, 2010–2012. MMWR Morb Mortal Wkly Rep 2013;62:869–73.
    1. Barbour KE, Helmick CG, Boring M, Zhang X, Lu H, Holt JB. Prevalence of doctor-diagnosed arthritis at state and county levels—United States, 2014. MMWR Morb Mortal Wkly Rep 2016;65:489–94. 10.15585/mmwr.mm6519a2
    1. CDC. Prevalence and most common causes of disability among adults—United States, 2005. MMWR Morb Mortal Wkly Rep 2009;58:421–6.
    1. Hootman JM, Helmick CG, Barbour KE, Theis KA, Boring MA. Updated projected prevalence of self-reported doctor-diagnosed arthritis and arthritis-attributable activity limitation among US adults, 2015–2040. Arthritis Rheumatol 2016;68:1582–7. 10.1002/art.39692
    1. Yelin E, Murphy L, Cisternas MG, Foreman AJ, Pasta DJ, Helmick CG. Medical care expenditures and earnings losses among persons with arthritis and other rheumatic conditions in 2003, and comparisons with 1997. Arthritis Rheum 2007;56:1397–407. 10.1002/art.22565
    1. Helmick CG, Watkins-Castillo SI. The burden of musculoskeletal diseases in the United States: prevalence, societal and economic bosts (BMUS). 3rd ed. Rosemont, IL: The United States Bone and Joint Initiative; 2014.
    1. Barbour KE, Boring M, Helmick CG, Murphy LB, Qin J. Prevalence of severe joint pain among adults with doctor-diagnosed arthritis—United States, 2002–2014. MMWR Morb Mortal Wkly Rep 2016;65:1052–6. 10.15585/mmwr.mm6539a2
    1. Murphy LB, Sacks JJ, Brady TJ, Hootman JM, Chapman DP. Anxiety and depression among US adults with arthritis: prevalence and correlates. Arthritis Care Res (Hoboken) 2012;64:968–76.
    1. Theis KA, Murphy L, Hootman JM, Wilkie R. Social participation restriction among US adults with arthritis: a population-based study using the International Classification of Functioning, Disability and Health. Arthritis Care Res (Hoboken) 2013;65:1059–69. 10.1002/acr.21977
    1. Barbour KE, Stevens JA, Helmick CG, et al.. Falls and fall injuries among adults with arthritis—United States, 2012. MMWR Morb Mortal Wkly Rep 2014;63:379–83.
    1. CDC. Arthritis as a potential barrier to physical activity among adults with obesity—United States, 2007 and 2009. MMWR Morb Mortal Wkly Rep 2011;60:614–8.
    1. Strauss SM, McCarthy M. Arthritis-related limitations predict insufficient physical activity in adults with prediabetes identified in the NHANES 2011–2014. Diabetes Educ 2017. Epub February 7, 2017.
    1. Hootman JM, Cisternas M, Murphy L, Losby J. Prevalence and trends in prescribed opioid use among US adults with arthritis, 2008–2013, Medical Expenditure Panel Survey [Abstract]. Arthritis Rheumatol. 2016;68(suppl 10).
    1. Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016. MMWR Recomm Rep 2016;65(RR-1). 10.15585/mmwr.rr6501e1
    1. Kelley GA, Kelley KS, Hootman JM, Jones DL. Effects of community-deliverable exercise on pain and physical function in adults with arthritis and other rheumatic diseases: a meta-analysis. Arthritis Care Res (Hoboken) 2011;63:79–93. 10.1002/acr.20347
    1. Brady TJ, Murphy L, O’Colmain BJ, et al. A meta-analysis of health status, health behaviors, and healthcare utilization outcomes of the Chronic Disease Self-Management Program. Prev Chronic Dis 2013;10:120112. 10.5888/pcd10.120112
    1. Murphy LB, Brady TJ, Boring MA, et al. Self-management education participation among US adults with arthritis: Who’s attending? Arthritis Care Res (Hoboken) 2016. 10.1002/acr.23129
    1. CDC. State-specific prevalence of no leisure-time physical activity among adults with and without doctor-diagnosed arthritis—United States, 2009. MMWR Morb Mortal Wkly Rep 2011;60:1641–5.
    1. Murphy LB, Theis KA, Brady TJ, et al. A health care provider’s recommendation is highly associated with taking an arthritis self-management course. Presented at the International Conference on Support for Self Management of Health; May 11–13, 2010; Stirling, Scotland.
    1. Murphy L, Theis K, Brady T, et al. A health care provider’s recommendation is the most influential factor in taking an arthritis self-management course (SMC): a national perspective from the arthritis conditions health effects survey (ACHES). Arthritis Rheum 2007;56:S307–8.
    1. Centers for Medicare & Medicaid Services. Report to Congress: the Centers for Medicare & Medicaid Services' evaluation of community-based wellness and prevention programs under section 4202 (b) of the Affordable Care Act. Baltimore, MD: Centers for Medicare & Medicaid Services; 2013.
    1. Belza B, Shumway-Cook A, Phelan EA, Williams B, Snyder SJ, LoGerfo JP. The effects of a community-based exercise program on function and health in older adults: the EnhanceFitness Program. J Appl Gerontol 2006;25:291–306. 10.1177/0733464806290934
    1. Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected US population. Healthy people statistical notes, no. 20. Hyattsville, Maryland: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2001.
    1. Ward BW, Schiller JS. Prevalence of multiple chronic conditions among US adults: estimates from the National Health Interview Survey, 2010. Prev Chronic Dis 2013;10:120203. 10.5888/pcd10.120203
    1. Sacks JJ, Harrold LR, Helmick CG, Gurwitz JH, Emani S, Yood RA. Validation of a surveillance case definition for arthritis. J Rheumatol 2005;32:340–7.
    1. Nevitt MC. Obesity outcomes in disease management: clinical outcomes for osteoarthritis. Obes Res 2002;10(Suppl 1):33S–7S. 10.1038/oby.2002.187
    1. National Center for Health Statistics. National Health Interview Survey 2015: survey description. Hyattsville, Maryland: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2016.

Source: PubMed

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