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Risk Factors of Knee Osteoarthritis in Women > 50 years
عامل الخطورة في التهاب مفاصل الركبة ألضموري لدى النساء في سن أكثر من خمسين سنة

Author: Dhafer B. AL-Youzbaki ظافر بشير
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2007 Volume: 20 Issue: 3 Pages: 394-396
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Abstract: Background: Osteoarthritis is one of the most disabling disease affecting middle age population specially knee osteoarthritis in women >50 years old, high parity had not been investigated thoroughly in western researches probably because it is not frequent in western societies, and hence it is very common in our locality, this research sheds lights on this important factor in the development of osteoarthritis in our patients.Aim: To determine risk factors in the development of knee osteoarthritis in our society's women aged > 50 yearsPatients & methods: A case-control design was adopted for this study, where 110 women >50 years with osteoarthritis of knee joints were allocated as cases, and another 110 women > 50 years without osteoarthritis of knee or other joints , were allocated as controls. Study period extended from 15 October 2005 to 1st. April 2006.Questionnaire forms were including, family history, parity status, history of previous abortion , history of previous trauma to knee joints and history of presence of one or more of chronic-non communicable diseases as Hypertension, ischemic heart disease, obesity and diabetes. Examination for assessing weight in kg and height in cm to obtain body mass index, also was undertaken by the researcher.Results: Obesity measured by body mass index (≥ 25) in this study appeared to be highly associated in the development of knee osteoarthritis (OR= 7.48, 95% C.I.= 3.66-15.29 ) and also positive family history was highly correlated with the development of knee osteoarthritis (OR= 3.47, 95% C.I.= 2.01-6.00). This study also, indicated that high parity ( >4 ) is an important risk factors for over 50 years women in the development of knee osteoarthritis (OR= 6.97, 95% C.I.= 3.55-13.70) , where 90 % of women with knee osteoarthritis were in high parity status compared to 56% of women with the same character , but without knee OA. Previous history of trauma to knee joints, past history of abortion and the presence of one or more of chronic non-communicable diseases, all appeared in this study not to be associated with the development of knee osteoarthritis. Conclusion: Obesity, positive family history and high parity are established risk factors for the development of knee osteoarthritis in women more that 50 years old.

الملخص:-المقدمة:إن أتهاب المفاصل ألضموري هو احد أهم الأمراض المعطلة و المعيقة التي تصيب الأعمار المتوسطة للناس و خاصة التهاب مفصل الركبة ألضموري لدى النساء في سن أكثر من خمسين سنة. الهدف:لتعيين عوامل الخطورة في حدوث مرض التهاب مفصل الركبة ألضموري لدى النساء في سن أكثر من خمسين سنة.تصميم الدراسة:دراسة العينة و الشاهد.النتائج:السمنة في هذه الدراسة ظهرت مرتبطة في حدوث التهاب الركبة ألضموري و كذلك تاريخ العائلة الايجابي لنفس المرض. كذلك أثبتت هذه الدراسة أن الخصوبة العالية لدى النساء كانت من عوامل الخطورة ذات القيمة الإحصائية قي حدوث مرض التهاب الركبة ألضموري لدى النساء في سن أكثر من خمسين سنة.الاستنتاجات:السمنة و تاريخ العائلة الايجابي للمرض إضافة للخصوبة العالية هي من العوامل الخطرة في حدوث مرض التهاب الركبة ألضموري للنساء في سن أكثر من خمسين سنة.


Article
Sociological Risk Factors in the Development of Knee Osteoarthritis among Women > 50 years Case-Control Study
عوامل الخطورة الاجتماعية في حدوث سوفان مفصل الركبة عند النساء اللاتي اعمارهن تتجاوز الخمسين سنة

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Abstract

Background: Osteoarthritis is now firmly established as a public health problem. It is the most disabling diseases in many countries. Knee osteoarthritis is regarded as the most common form of the disease in adult. Elderly women are found to be more affected by this disorder. From the available evidences, it is now reasonable to consider this disease as one of the most important among the chronic non-communicable diseases and investigation for the risk factors that are associated with this disorder is very important. Aim: To examine sociological risk factors in the development of symptomatic knee osteoarthritis for women > 50 years. Study design: Case-control study, where 76 women with symptomatic knee osteoarthritis proved by clinical and radiological evidences were allocated as cases. Another 116 women proved to be without clinical or radiological evidence of knee osteoarthritis was allocated as controls. Study period: 1st March 2007 to 1st December 2007.Questionnaire: Including, assessment of sociological factors such as personal characteristics (social identity, personal habits and psychological make-up), life events (stress, social discontinuities and geographical mobility) and social context (economic factors, social disintegration, urbanization). In addition, body mass index, previous history of surgical operation, the use of contraceptive pills and the presence of one or more of chronic non-communicable diseases, were also gained. Results: Regarding Personal Characteristics; unhealthy dietary behaviors appeared in this study to be highly associated with development of knee OA (OR= 7.19, P-value= 0.001, 95%C.I. = 2.08-18.60), the same thing was applied to women with personality type A (OR= 2.84, P-value= 0.009, 95% C.I. = 1.29-6.23). The habit of cigarette smoking appeared unexpectedly negatively associated with occurrence of knee OA (OR= 0.41, P-value=0.035 and 95%C.I. = 0.18-0.94). According to Life Events; stress was negatively associated with the development of knee OA (OR=0.24, p-value= 0.002, 95%C.I. = 0.10-0.59). The geographical mobility appears in this table to be protective against the development of knee OA (OR= 0.15, P-value= 0.000, 95%C.I. = 0.07-0.31). Dramatic change in economic factor, appeared to be negatively highly associated with the development of knee OA (OR= 0.12, P-value= 0.000, 95%C.I. = 0.04-0.34). Urban citizens, in this study appeared to be more prone to develop knee OA than rural citizens (OR= 3.04, P-value= 0.017, 95%C.I. = 1.22-7.57). General obesity (BMI > 25) is valid predictor for the development of knee OA (OR= 8.88, P-value= 0.000, 95%C.I. = 3.08-25.60). The presence of one or more of chronic non-communicable diseases appear to be associated with the occurrence of knee OA (OR=2.60, P-value=0.002, 95% C.I. = 1.43-4.72). Contraceptive pills users among women appear to be associated with the development of knee OA (OR= 3.21, P-value= 0.0001, 95%C.I. = 1.64-5.94). Conclusion: Women with unhealthy dietary behavior, personality type urbanization, general obesity, with one or more of chronic non-communicable diseases and contraceptive pills users are at high risk of development of knee OA. Cigarette smoking, stress, geographical motilities and unexpected change in economic status appeared to be negatively associated with the occurrence of knee OA in women > 50 years.Key words: Sociological risk factors, Knee, Osteoarthritis, Women, > 50 years.

الخلفية:ان مرض سوفان المفاصل هو الان يعتبر مشكلة طبية عامة. و هو اكثر الامراض المعوقة في عدة بلدان. سوفان الركب يعتبر اكثر شكل عام للسوفان عند الكبار. و النساء المسنات يعتبرن الاكثر تأثرا بهذا المرض. من الادلة المتوفرة, الان من المعقول اعتبار هذا المرض كاحد اهم الامراض ضمن الامراض المزمنة غير الانتقالية و البحث في عوامل خطورة هذا المرض هو من الاشياء المهمة.الهدف:فحص عوامل الخطورة الاجتماعية في تطور مرض سوفان الركب عند النساء في اعمار اكثر من 50 سنة.تصميم الدراسة:دراسة العينة و الشاهد.وقت الدراسة:من الاول من اذار 2007 الى الاول من كانون الاول 2007.النتائج:النساء اللاتي يتبعن نظاما غذائيا غير صحي, واللاتي يمتلكن نوع الشخصية ب, و ساكنات الحضر, وذوات سمنة عامة,ولديهن احد او اكثر من الامراض المزمنة غير الانتقالية, و اللاتي كن قد استعملن حبوب منع الحمل هن في خطر كبير لحدوث سوفان الركب لديهن.

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