Sections of Clinical Epidemiology Research, Training Unit and Rheumatology, Boston University School of Medicine, Boston, MA 02118, USA.
Rheum Dis Clin North Am. 2013 Feb;39(1):1-19. doi: 10.1016/j.rdc.2012.10.004. Epub 2012 Nov 10.
Osteoarthritis (OA) is the most common form of arthritis in the United States and is a leading cause of disability. It is typically defined in epidemiologic studies by radiographic findings and consideration of symptoms. Its incidence and prevalence are rising, likely related to the aging of the population and increasing obesity. Risk factors for OA include numerous person-level factors, such as age, sex, obesity, and genetics, as well as joint-specific factors that are likely reflective of abnormal loading of the joints. In studying OA, several methodologic challenges exist that can hamper our ability to identify pertinent relationships.
骨关节炎(OA)是美国最常见的关节炎类型,也是导致残疾的主要原因。在流行病学研究中,它通常通过影像学发现和症状考虑来定义。其发病率和患病率正在上升,可能与人口老龄化和肥胖率上升有关。OA 的危险因素包括许多个体因素,如年龄、性别、肥胖和遗传,以及可能反映关节异常负荷的关节特异性因素。在研究 OA 时,存在一些方法学挑战,这可能会阻碍我们识别相关关系的能力。