Al-Jarallah Khaled, Shehab Diaa, Al-Jaser Munirah T, Al-Azemi Khaled M, Wais Fatma F, Al-Saleh Ahmed M, Al-Ajmi Abdulhadi S, Al-Omairah Hamad A, Abraham Mini, Sharma Prem N
Department of Medicine, Kuwait University, Safat, Kuwait.
Faculty of Medicine, Kuwait University, Safat, Kuwait.
Int J Rheum Dis. 2017 Aug;20(8):935-940. doi: 10.1111/1756-185X.12556. Epub 2014 Dec 20.
To determine the prevalence of joint hypermobility (JH) among young Kuwaiti adults.
This was a cross-sectional study of 390 randomly selected healthy undergraduate university students, aged 18-29 years from the Health Sciences Centre, Kuwait University, Safat, Kuwait. Beighton score at four peripheral sites bilaterally (knees, elbows, thumbs and fifth fingers) and forward flexion of the trunk were used to evaluate joint hypermobility. Any student who met four out of the nine criteria was considered hypermobile. Joint pain was documented in all subjects through personal interview.
A total of 390 subjects (male : female ratio 1.0 : 0.9) were assessed. Of those, 87 (22.3%) were found to have JH: 60 (29.4%) males and 27 (14.5%) females, showing a significantly higher male predominance (P < 0.001). Beighton score was inversely correlated with age (ρ = -0.15, P = 0.003). A higher incidence of finger signs was noted in comparison to elbow-knee hyperextension and hands-to-floor. Knee joint, back, neck and shoulder pains, in descending order, were the commonest type of joint complaints, although not statistically significant (P > 0.05) in subjects with and without joint hypermobility. It was also observed that the left side, at all the sites, was slightly more hypermobile in comparison to the right side in hypermobile subjects.
The prevalence of joint hypermobility is not uncommon among young Kuwaiti adults, and was comparable to the data published in other Asian-Pacific regions. General practitioners should therefore be familiar with the condition and its clinical associations, while assessing musculoskeletal complaints.
确定科威特年轻成年人中关节过度活动（JH）的患病率。
这是一项横断面研究，从科威特萨法特科威特大学健康科学中心随机选取390名年龄在18至29岁之间的健康本科大学生。通过双侧四个外周部位（膝盖、肘部、拇指和小指）的Beighton评分以及躯干前屈来评估关节过度活动。任何符合九条标准中的四条的学生被视为关节过度活动者。通过个人访谈记录所有受试者的关节疼痛情况。
共评估了390名受试者（男：女比例为1.0：0.9）。其中，87人（22.3%）被发现有关节过度活动：男性60人（29.4%），女性27人（14.5%），男性优势明显更高（P < 0.001）。Beighton评分与年龄呈负相关（ρ = -0.15, P = 0.003）。与肘膝过度伸展和手触地相比，手指体征发生率更高。膝关节、背部、颈部和肩部疼痛按降序排列是最常见的关节主诉类型，尽管在有关节过度活动和无关节过度活动的受试者中差异无统计学意义（P > 0.05）。还观察到，在关节过度活动的受试者中，所有部位左侧的活动度略高于右侧。
关节过度活动在科威特年轻成年人中并不罕见，与其他亚太地区公布的数据相当。因此，全科医生在评估肌肉骨骼疾病主诉时应熟悉这种情况及其临床关联。
