Prevalence and Risk Factors of Spine, Shoulder, Hand, Hip, and Knee Osteoarthritis in Community-dwelling Koreans Older Than Age 65 Years
- PMID: 26162413
- PMCID: PMC4562942
- DOI: 10.1007/s11999-015-4450-3
Prevalence and Risk Factors of Spine, Shoulder, Hand, Hip, and Knee Osteoarthritis in Community-dwelling Koreans Older Than Age 65 Years
Abstract
Background: Osteoarthritis (OA) is common and disabling among older patients around the world. Data exploring the prevalence and risk factors of OA are of paramount importance in establishing healthcare policies. However, few studies have evaluated these topics among Asian populations.
Questions/purposes: This study was conducted to determine the prevalence and risk factors of radiographic OA in the spine, shoulder, hand, hip, and knee in Koreans older than age 65 years.
Methods: A simple random sample (N = 1118) was drawn from a roster of elderly individuals older than age 65 years in Seongnam. Of the 1118 invited subjects, 696 (males = 298, females = 398) participated in this study (a response rate of 62%). The mean age of respondents was 72 ± 5 years (range, 65-91 years). Radiographs of the lumbar spine, shoulder, hand, hip, and knee were taken and afterward evaluated for radiographic OA. The Kellgren-Lawrence grading system was used for all mentioned joints, and radiographic OA was defined as Grade 2 changes or higher. The association of sex, aging, and obesity with OA in each of the mentioned joints was determined with the help of multivariate logistic regression.
Results: The highest prevalence of radiographic OA was seen in the spine (number of subjects with OA/number of whole population = 462 of 696 [66%]) followed by the hand (415 of 692 [60%]), knee (265 of 696 [38%]), shoulder (36 of 696 [5%]), and hip (15 of 686 [2%]). Female sex was associated with knee OA (odds ratio [OR], 5.7; 95% confidence interval [CI], 3.9-8.4; p < 0.001) and hand OA (OR, 2.3; 95% CI, 1.6-3.1; p < 0.001), and male sex was associated with spine OA (OR, 0.7; 95% CI, 0.5-1.0; p = 0.025). Aging was associated with radiographic OA in the spine, knee, and hand (OR per 5-year increments, 1.3 [95% CI, 1.1-1.6; p = 0.001], 1.6 [95% CI, 1.4-1.9; p < 0.001], and 1.4 [95% CI, 1.2-1.7; p < 0.001]), respectively) but not associated with OA in the hip and shoulder. Obesity was associated with knee OA (OR, 3.4; 95% CI, 2.4-5.0; p < 0.001) and spine OA (OR, 1.5; 95% CI, 1.1-2.2; p = 0.014) but not with OA in other joints.
Conclusions: OA of the spine, hand, and knee is likely to become a major public health problem rather than shoulder and hip OA in Korea. Associations of demographic factors with radiographic OA differed among each joint, and that would be valuable information to assess the role and influence of risk factors of OA in various joints.
Level of evidence: Level III, prognostic study.
Similar articles
-
Lumbar spine radiographic features and demographic, clinical, and radiographic knee, hip, and hand osteoarthritis.Arthritis Care Res (Hoboken). 2012 Oct;64(10):1536-44. doi: 10.1002/acr.21720. Arthritis Care Res (Hoboken). 2012. PMID: 22556059 Free PMC article.
-
Association between general joint hypermobility and knee, hip, and lumbar spine osteoarthritis by race: a cross-sectional study.Arthritis Res Ther. 2018 Apr 18;20(1):76. doi: 10.1186/s13075-018-1570-7. Arthritis Res Ther. 2018. PMID: 29669593 Free PMC article.
-
Serum periostin is associated with prevalent knee osteoarthritis and disease incidence/progression in women: the OFELY study.Osteoarthritis Cartilage. 2015 Oct;23(10):1736-42. doi: 10.1016/j.joca.2015.05.015. Epub 2015 Jun 11. Osteoarthritis Cartilage. 2015. PMID: 26072384
-
The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review.Osteoarthritis Cartilage. 2011 Nov;19(11):1270-85. doi: 10.1016/j.joca.2011.08.009. Epub 2011 Aug 24. Osteoarthritis Cartilage. 2011. PMID: 21907813 Review.
-
Prevalence of osteoarthritis in former elite athletes: a systematic overview of the recent literature.Rheumatol Int. 2015 Mar;35(3):405-18. doi: 10.1007/s00296-014-3093-0. Epub 2014 Jul 19. Rheumatol Int. 2015. PMID: 25037899 Review.
Cited by
-
Systematic review and network meta-analysis on the efficacy and safety of parmacotherapy for hand osteoarthritis.PLoS One. 2024 May 9;19(5):e0298774. doi: 10.1371/journal.pone.0298774. eCollection 2024. PLoS One. 2024. PMID: 38722915 Free PMC article.
-
Glenohumeral Osteoarthritis: A Biological Advantage or a Missed Diagnosis?J Clin Med. 2024 Apr 18;13(8):2341. doi: 10.3390/jcm13082341. J Clin Med. 2024. PMID: 38673614 Free PMC article. Review.
-
Neuromuscular manifestations of wild type transthyretin amyloidosis: a review and single center's experience.Front Cardiovasc Med. 2024 Feb 12;11:1345608. doi: 10.3389/fcvm.2024.1345608. eCollection 2024. Front Cardiovasc Med. 2024. PMID: 38410247 Free PMC article. Review.
-
Genetic polymorphism of WNT9A is functionally associated with thumb osteoarthritis in the Chinese population.Adv Rheumatol. 2024 Jan 29;64(1):12. doi: 10.1186/s42358-023-00337-9. Adv Rheumatol. 2024. PMID: 38287451
-
Association between hyperuricaemia and hand osteoarthritis: data from the Xiangya Osteoarthritis Study.RMD Open. 2023 Dec 1;9(4):e003683. doi: 10.1136/rmdopen-2023-003683. RMD Open. 2023. PMID: 38053456 Free PMC article.
References
-
- Andrianakos AA, Kontelis LK, Karamitsos DG, Aslanidis SI, Georgountzos AI, Kaziolas GO, Pantelidou KV, Vafiadou EV, Dantis PC. Prevalence of symptomatic knee, hand, and hip osteoarthritis in Greece. The ESORDIG study. J Rheumatol. 2006;33:2507–2513. - PubMed
-
- Anuurad E, Shiwaku K, Nogi A, Kitajima K, Enkhmaa B, Shimono K, Yamane Y. The new BMI criteria for asians by the regional office for the western pacific region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers. J Occup Health. 2003;45:335–343. doi: 10.1539/joh.45.335. - DOI - PubMed
-
- Cvijetic S, Campbell L, Cooper C, Kirwan J, Potocki K. Radiographic osteoarthritis in the elderly population of Zagreb: distribution, correlates, and the pattern of joint involvement. Croat Med J. 2000;41:58–63. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials