Ogunbode A M, Adebusoye L A, Olowookere O O, Alonge T O
University College Hospital, Ibadan, Nigeria.
Ethiop J Health Sci. 2014 Oct;24(4):319-28. doi: 10.4314/ejhs.v24i4.7.
Knee osteoarthritis is a chronic medical condition of public health importance in Nigeria which causes disability and impacts daily activities in the sufferers. This study aimed to describe the physical functionality and self-rated health status of adult patients with clinical knee osteoarthritis presenting at the Family Medicine Department, University College Hospital, Ibadan, Nigeria.
This was a cross-sectional study of 400 respondents. Knee osteoarthritis was diagnosed clinically using the criteria of the American College of Rheumatology. Morbidities, self-rated health status and physical functionality of the respondents were also assessed.
Knee osteoarthritis was diagnosed in 46(11.5%) respondents. Respondents with knee osteoarthritis significantly rated their health worse than those without knee osteoarthritis (p <0.0001). Experience of pain, stiffness and performance of daily activities were significantly worse among respondents with knee osteoarthritis. Those who had knee osteoarthritis had significantly higher waist (p <0.0001), hip (p <0.0001) and knee circumferences (p <0.0001) respectively. Logistic regression analysis showed increasing age (OR=1.103; 95% CI=1.022 - 1.191), self-rated health worse than six months ago (OR=12.562; 95% CI=1.178-125.243), experience of stiffness after waking up in the morning (OR=12.758; 95% CI=3.572-45.569), stiffness after sitting/lying down/resting (OR=21.517; 95% CI=2.213-209.220) and waist circumference (OR=1.225;95% CI=1.017-1.477) to be the most significantly associated with knee osteoarthritis.
Knee osteoarthritis significantly impairs the health and daily activities of adult patients in Ibadan, Nigeria. Healthcare workers need to screen adult patients routinely at first-contact to detect knee osteoarthritis clinically early and manage appropriately.
膝骨关节炎是尼日利亚一种具有公共卫生重要性的慢性疾病，会导致残疾并影响患者的日常活动。本研究旨在描述在尼日利亚伊巴丹大学学院医院家庭医学科就诊的成年临床膝骨关节炎患者的身体功能和自我评定的健康状况。
这是一项对400名受访者的横断面研究。采用美国风湿病学会的标准对膝骨关节炎进行临床诊断。还评估了受访者的发病率、自我评定的健康状况和身体功能。
46名（11.5%）受访者被诊断为膝骨关节炎。膝骨关节炎患者对自身健康的评定明显比无膝骨关节炎患者差（p<0.0001）。膝骨关节炎患者的疼痛、僵硬体验及日常活动表现明显更差。患有膝骨关节炎的患者腰围（p<0.0001）、臀围（p<0.0001）和膝围（p<0.0001）分别明显更大。逻辑回归分析显示，年龄增长（比值比=1.103；95%置信区间=1.022 - 1.191）、自我评定的健康状况比六个月前差（比值比=12.562；95%置信区间=1.178 - 125.243）、早晨醒来后的僵硬体验（比值比=12.758；95%置信区间=3.572 - 45.569）、坐下/躺下/休息后的僵硬（比值比=21.517；95%置信区间=2.213 - 209.220）和腰围（比值比=1.225；95%置信区间=1.017 - 1.477）与膝骨关节炎最显著相关。
膝骨关节炎严重损害了尼日利亚伊巴丹成年患者的健康和日常活动。医护人员需要在首次接触成年患者时进行常规筛查，以便早期临床发现膝骨关节炎并进行适当管理。
