Prevalence of Osteoarthritis of Weight Bearing Joints in Relation to Body Weight in Both Genders

Niaz J. AL-Barzinjy

doi:10.15218/zjms.2010.010

Authors

Niaz J. AL-Barzinjy MBChB, DRMR.Assistant lecturer of Rheumatology, Department of Medicine, College of Medicine, Hawler Medical University, Erbil - Iraq

DOI:

https://doi.org/10.15218/zjms.2010.010

Keywords:

keywords

Abstract

Background and objective: Obesity is an important and increasing public health problem, being a risk factor for overall mortality and major chronic disease. To determine relationship between different measures of body mass index and incidence of hip and knee osteoarthritis in male and female.

Methods: Comparison of prevalence of primary osteoarthritis of knee and hip. Between age and sex matched control from out patient clinic of Erbil and Rizgary teaching hospital over period of eleven months starting on Jan 2007.this constituted one hundred and eighty five subjects of normal body `mass index. And one hundred and sixty subjects with high body mass index. Subjects fulfilling our inclusion criteria under went clinical evaluation and radiology of their knee and hip joints, we assessed by chi-squared test, differences in frequency of osteoarthritis between those with normal body mass index and those with high body mass index and between male and female.

Results: Obesity was a stronger predictor of osteoarthritis of knee joint with no sex and age difference. In the prevalence of osteoarthritis of hip joint. No link between obesity and hip osteoarthritis was found in this study.

Conclusion: Obesity in 35-45 year old men and female will predispose to primary osteoarthritis of the knee.

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References

1-Calle EE, Rodriguez C, Walker-Thurmond K, et al.. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S.adults. N Engl J Med 2004;348: 1625-38.

2-Field AE, Coakley EH, Must A, et al..Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Arch Intern Med 2001; 161: 1581-6.

3-Must A, Spadano J, Coakley EH, et al..The disease burden associated with overweight and obesity. JAMA 1999; 282: 1523-9.

4-Ferraro KF, Su YP, Gretebeck RJ, et al..Body mass index and disability in adulthood: a 20-year panel study.Am J Public Health 2002; 92:834-40.

5-Murphy NF, Maclntyre K, Stewart S, et al..Long-term cardiovascular consequences of obesity: 20- year follow-up of more than 15000 middle-aged men and women (the Renfrew-Paisley study). Eur Heart J 2006; 27:96-106.

6-Reynolds SL, Saito Y, Crimmins EM. The impact of obesity on active life expectancy in older American men and women. Gerontologist 2005;45: 438-44.

7-Ostir GV, Markids KS, Freeman DH, et al.. Obesity and health condition s in elderly Mexican Americans: the Hispanic EPESE. Established Population for Epidemiologic Studies of the Elderly. Ethn Dis 2000; 10:31-8

8-World Health Organization. See [http://wwwwhoint/mediacentre/factsheets/fs311/en/indexhtml].

9-Haslam DW, James WP. Obesity. Lancet 2005; 366:1197-209.

10-Brandt KD, Doherty M, Lohmander S, editors. Osteoarthritis. New York: Oxford University Press; 1998.

11-Klippel JH. Osteoarthritis: Epidemiology, pathology and pathogenesis. In:Klippel JH, Crofford LL, Stone JH, Weyand CM. Primer on the Rheumatic Disease.12th ed. Atlanta, GA: Arthritis foundation as publisher;2002.p.285-288.

12-Brandt KD. Osteoarthritis. In Braunwald E, Kasper AS, Hauser SL, Longo DL, Jameson JL, editors. Hrisons Principles of Internal Medicine.15th ed. New York: Mc Graw-Hill medical publishing division; 2001. p. 1987-94.

13-Doherty M, Lanyon P, Ralston SH. Epidemiology of Osteoarthritis. In Haslett C, Chilvers ER, Boon NA, Colledge NR, editors: Davidsons principles and practice of medicine.19th ed.2002.Edinburgh.UK:Churc3hill Livingstone.p.997-8.

14-Schnitzer TJ, Lane NE. Epidemiology of Osteoarthritis. In: Goldman L, Ausiello D, editors. Cecil Textbook of Medicine 22nd ed. Philadelphia, PA; W.B. Saunders Company; 2004. p.1698-9.

15-Felson DT, Zhang Y. An update on the epidemiology of knee and hip Osteoarthritis with a view to prevention. Arthritis Rheum.1998; 41(8):1343-55.

16-Felson DT. Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, etal. Osteoarthritis: New insights. Part 1:The disease and its risk factors. Ann Intern Med 2000; 133(8):635-46.

17-Sowers MF. Epidemiology of risk factors for Osteoarthritis: systemic factors. Curr Opin Rheumatol 2001; 13(5): 447-51.

18-Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum 1998; 41(5):778-9.

19-Lawrence RC, Hochberg MC, Kelsey JL, McDuffie FC, Medsger TA Jr, Felts WR, et al. Estimates of the prevalence of selected arthritis and musculoskeletal diseases in the United States. J Rheumatol 1989;16(4) :427-41.

20-Bagge E, Brooks P. Osteoarthritis in older patients. Optimum treatment. Drugs Aging 1995; 7(3):176-83.

21-Manek NJ, Lane NE. Osteoarthritis: Current concepts in diagnosis and mangment. Am Fam Physician 2000; 61(6):1795-804.

22-Zhang Y, Mc Alindon TE, Hannan MT, Chaisson CE, Klein R, Wilson PW, et al. Estrogen replacement therapy and worsening of radiographic Knee Osteoarthritis: The Framingham study. Arthritis Rheum 1998; 41(10):1867-73.

23-Moussa M, Ahlberg A. Osteoarthritis of the Knee in Saudi-Arabian population. Saudi Med J 1989; 10: 400-3.

24-Nevitt MC, Xu L, Zhang Y, Lui LY, Yu W, Lane NE, et al. Very low prevalence of Hip Osteoarthritis among Chinese elderly in Beijing, China, compared with whites in the United States: The Beijing Osteoarthritis study. Arthritis Rheum 2002; 46(7):1773-9

25-Felson DT, Anderson JJ, Naimark A, et al. Obesity and knee osteoarthritis. Ann Intern Med 1988; 109: 18e -24.