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Muskuloskelettale Schmerzen in der Bevölkerung

  • Schwerpunkt: Muskelschmerz
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Zusammenfassung

Die vorliegende Übersicht über Ergebnisse zur Prävalenz der muskuloskelettalen Schmerzen zeigt, dass es sich dabei um eine epidemiologisch sehr bedeutsame Gesundheitsstörung handelt. Nach den Ergebnissen des Bundesgesundheitssurveys beträgt die Prävalenz schwergradiger muskuloskelettaler Schmerzen in der erwachsenen Bevölkerung ca. 16%. Frauen sind von diesen Schmerzen häufiger betroffen als Männer (Frauen 18%, Männer 14%), es besteht eine Altersabhängigkeit mit einem Prävalenzanstieg bis ca. ins 5. Lebensjahrzehnt. Ein Vergleich mit den Angaben zur Prävalenz ausgebreiteter chronischer Schmerzen erlaubt die realistische Schätzung der Prävalenz klinisch relevanter muskuloskelettaler Schmerzen. In den Befunden von Längsschnittstudien zeigt sich eine hohe Übereinstimmung im Hinblick auf den Verlauf von muskuloskelettalen Schmerzen. Die bisher beschriebenen Risikofaktoren sind—mit Ausnahme von vorher bestehenden Schmerzen—mit dem Auftreten und dem Verlauf der Schmerzen nur mittelstark assoziiert.

Abstract

This review of studies on the prevalence of musculoskeletal pain demonstrates the epidemiologic relevance of this health problem. Based on the results of the German National Health Survey, about 16% of the adult population is affected by severe musculoskeletal pain. Prevalence in women is higher than in men (women: 18%, men: 14%) and dependent on age, with a maximum prevalence occurring around the age of 50 to 60. In a comparison with results on the prevalence of chronic widespread pain, a realistic estimate of the prevalence of clinically relevant musculoskeletal pain can be derived. Findings from longitudinal studies show considerable agreement with respect to the natural course of musculoskeletal pain. Known risk factors—apart from a history of pain experience—are only moderately associated with the occurrence and course of musculoskeletal pain.

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  1. Institut für Community Medicine, Universität Greifswald

    T. Kohlmann

  2. Institut für Community Medicine, Universität Greifswald, Walther-Rathenau-Str. 48, 17487 , Greifswald

    T. Kohlmann

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Kohlmann, T. Muskuloskelettale Schmerzen in der Bevölkerung. Schmerz 17, 405–411 (2003). https://doi.org/10.1007/s00482-003-0250-x

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