Association of Metabolic Factors with Symptomatic Hand Osteoarthritis in the Chinese Han Population Aged 40 Years and above / 中华医学杂志(英文版)
Chinese Medical Journal
; (24): 2301-2307, 2016.
Article
em En
| WPRIM
| ID: wpr-307419
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>BACKGROUND</b>The relationship between hand osteoarthritis (HOA) and systemic metabolic factors is unclear. The aim of this study was to investigate the prevalence of systemic metabolic factors including obesity, hypertension, diabetes mellitus, and atherosclerosis in symptomatic patients with HOA and the association between these systemic metabolic factors and symptomatic HOA in the Chinese Han population aged 40 years and above.</p><p><b>METHODS</b>A cross-sectional survey was conducted on Chinese Han population aged 40 years and above in six centers in China. The sociodemographic features, lifestyle of the participants, and medical history of hypertension, diabetes mellitus, and atherosclerosis were collected. The cases with hand symptoms underwent anteroposterior radiographic examination of both hands to obtain a diagnosis. The correlations between systemic metabolic factors and symptomatic HOA were analyzed using Logistic regression analysis.</p><p><b>RESULTS</b>Overweight (39.3% vs. 30.5%, P< 0.001), hypertension (34.7% vs. 18.6%, P< 0.001), diabetes mellitus (11.2% vs. 3.3%, P< 0.001), and atherosclerosis (19.8% vs. 8.3%, P< 0.001) were more prevalent in symptomatic patients with HOA than those in the population without HOA. Overweight (odds ratio [OR] = 1.35, 95% confidence interval [CI]: 1.10-1.65, P = 0.005), hypertension (OR = 1.47, 95% CI: 1.18-1.83, P < 0.001), and diabetes mellitus (OR = 2.45, 95% CI: 1.74-3.45, P< 0.001) were associated with a higher prevalence of symptomatic HOA and the OR of symptomatic HOA significantly increased with the accumulated number of the three metabolic factors. Symptomatic HOA was associated with a higher prevalence of atherosclerosis (OR = 1.39, 95% CI: 1.05-1.85, P = 0.023).</p><p><b>CONCLUSIONS</b>Overweight, hypertension, and diabetes mellitus were associated with a higher prevalence of HOA, showing cumulative effects. Atherosclerosis risk should be assessed in patients with HOA.</p>
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Índice:
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Assunto principal:
Osteoartrite
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Patologia
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Modelos Logísticos
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Fatores Sexuais
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Epidemiologia
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Estudos Transversais
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Articulação da Mão
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Aterosclerose
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Sobrepeso
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Hipertensão
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
En
Revista:
Chinese Medical Journal
Ano de publicação:
2016
Tipo de documento:
Article