Davatchi Fereydoun, Jamshidi Ahmad-Reza, Tehrani Banihashemi Arash, Gholami Jaleh, Hossein Forouzanfar Mohammad, Akhlaghi Massoomeh, Barghamdi Mojgan, Noorolahzadeh Elham, Khabazi Ali-Reza, Salesi Mansour, Salari Amir-Hossein, Karimifar Mansoor, Essalat-Manesh Kamal, Hajialiloo Mehrzad, Soroosh Mohsen, Farzad Farhad, Moussavi Hamid-Reza, Samadi Farideh, Ghaznavi Koorosh, Asgharifard Homa, Zangiabadi Amir-Hossein, Shahram Farhad, Nadji Abdolhadi, Akbarian Mahmood, Gharibdoost Farhad, Rasker Johannes J
Rheumatology Research Center, Shariati Hospital, Medical Sciences/University of Tehran, Kargar Avenue, Tehran 14114, Iran.
Clin Rheumatol. 2009 Nov;28(11):1275-82. doi: 10.1007/s10067-009-1235-7. Epub 2009 Jul 26.
The objective of this study was to compare the prevalence of musculoskeletal complaints and rheumatic disorders in Caucasians and Turks in an identical environment. Subjects were selected randomly for an interview from Tehran's 22 districts. The Community Oriented Program for Control of Rheumatic Diseases questionnaire was filled in, positive cases were examined, and if needed, laboratory or X-ray tests were performed. A total of 4,096 houses were visited, and 10,291 persons were interviewed. They were 71.4% Caucasians and 23.1% Turks with similar distribution of age and gender. Musculoskeletal complaints of the past 7 days were detected in 40.8% of Caucasians and 45.5% of Turks (p < 0.001). In Caucasians, the total of musculoskeletal complaints in men was 33.8% (95% CI, 31.4-36.2%) versus 48.3% in women (95% CI, 45.7-50.8%). In Turks, the total of musculoskeletal complaints in men was 36.6% (95% CI, 32.2-41.1%) versus 55.8% in women (95% CI, 55.8-60.6%). The data of Caucasians versus Turks were as follows: knee pain 20.2% (95% CI, 18.2-22.1) versus 24.1% (95% CI, 20.5-27.6), with p < 0.001; dorso-lumbar spine pain 15.1% (95% CI, 13.6-16.6) versus 18.4% (95% CI, 15.1-21.8), with p < 0.001; shoulder pain 10.7% (95% CI, 9.4-11.9) versus 12.3% (95% CI, 9.7-14.8), with p = 0.025; osteoarthritis 14.1% (95% CI, 12.8-15.2) versus 16.4% (95% CI, 14.3-18.6), p = 0.04; and knee osteoarthritis 12.3% (95% CI, 11.8-14.1) versus 15.3% (95% CI, 13.3-17.4), with p < 0.001). There were no significant differences regarding the prevalence of soft tissue rheumatism, rheumatoid arthritis, ankylosing spondylitis, Behcet's disease, fibromyalgia, and gout. Although musculoskeletal complaints were more frequent in Turks than in Caucasians, the prevalence of rheumatic disorders was rather similar except for knee osteoarthritis.
本研究的目的是在相同环境下比较白种人和土耳其人肌肉骨骼疾病及风湿性疾病的患病率。从德黑兰的22个区随机选取受试者进行访谈。填写面向社区的风湿性疾病控制项目问卷，对阳性病例进行检查，必要时进行实验室或X光检查。共走访了4096户家庭，访谈了10291人。他们中71.4%是白种人，23.1%是土耳其人，年龄和性别分布相似。在过去7天中，40.8%的白种人和45.5%的土耳其人有肌肉骨骼疾病（p<0.001）。在白种人中，男性肌肉骨骼疾病的总患病率为33.8%（95%CI，31.4 - 36.2%），女性为48.3%（95%CI，45.7 - 50.8%）。在土耳其人中，男性肌肉骨骼疾病的总患病率为36.6%（95%CI，32.2 - 41.1%），女性为55.8%（95%CI，55.8 - 60.6%）。白种人与土耳其人的数据如下：膝关节疼痛20.2%（95%CI，18.2 - 22.1）对24.1%（95%CI，20.5 - 27.6），p<0.001；背腰脊柱疼痛15.1%（95%CI，13.6 - 16.6）对18.4%（95%CI，15.1 - 21.8），p<0.001；肩部疼痛10.7%（95%CI，9.4 - 11.9）对12.3%（95%CI，9.7 - 14.8），p = 0.025；骨关节炎为14.1%（95%CI，12.8 - 15.2）对16.4%（95%CI，14.3 - 18.6），p = 0.04；膝关节骨关节炎为12.3%（95%CI，11.8 - 14.1）对15.3%（95%CI，13.3 - 17.4），p<0.001）。在软组织风湿病、类风湿关节炎、强直性脊柱炎（AS）、白塞病、纤维肌痛和痛风的患病率方面没有显著差异。尽管土耳其人肌肉骨骼疾病比白种人更常见，但除膝关节骨关节炎外，风湿性疾病的患病率相当相似。
