Ryu Mikyung, Ha Ji Sun, Lee Sol, Baek Weon-Chil, Kimm Heejin, Gym Ho
Department of Sports and Health Science, College of Human-Centered Convergence, Kyonggi University, Suwon, Republic of Korea.
Institute on Aging, Ajou University Medical Center, Suwon, Republic of Korea.
Int J Hypertens. 2021 Feb 23;2021:8065838. doi: 10.1155/2021/8065838. eCollection 2021.
Previous studies reported the relation of osteoarthritis (OA) and hypertension (HTN) mostly in postmenopausal women. This study aimed to identify the association between OA and HTN in pre- and postmenopausal women.
We used data of 4,627 middle-aged (40-59 years) women from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2012 to 2016. Chi-square and -test compared the characteristics of the participants. Binomial logistic regression was used to identify an association between OA and HTN under controlling covariates such as age, tobacco smoking, alcohol consumption, and obesity.
There were 1,859 participants with non-OA and menopause, 104 with OA and nonmenopause, and 375 with OA and menopause, respectively. The number of women with OA and HTN was 129. OA was significantly associated with HTN diagnosis in postmenopausal women under controlling covariates (odds ratio: 1.408, 95% CI: 1.092-1.815, =0.008). However, this relationship was weakened in premenopausal women (odds ratio: 1.651, 95% CI: 0.950-2.869, =0.075).
In conclusion, women with HTN showed a distinct association with OA than the normotensives, and this relationship was more apparent among postmenopausal women. Further research is needed for a preventive approach.
以往研究大多报道了绝经后女性骨关节炎(OA)与高血压(HTN)之间的关系。本研究旨在确定绝经前后女性OA与HTN之间的关联。
我们使用了2012年至2016年韩国国家健康与营养检查调查(KNHANES)中4627名中年(40 - 59岁)女性的数据。卡方检验和t检验比较了参与者的特征。采用二项逻辑回归在控制年龄、吸烟、饮酒和肥胖等协变量的情况下确定OA与HTN之间的关联。
分别有1859名非OA且绝经的参与者、104名OA且未绝经的参与者以及375名OA且绝经的参与者。患有OA和HTN的女性人数为129人。在控制协变量的情况下,绝经后女性中OA与HTN诊断显著相关(优势比:1.408,95%置信区间:1.092 - 1.815,P = 0.008)。然而,这种关系在绝经前女性中有所减弱(优势比:1.651,95%置信区间:0.950 - 2.869,P = 0.075)。
总之,与血压正常者相比,患有HTN的女性与OA的关联更为明显,且这种关系在绝经后女性中更为显著。需要进一步研究预防方法。