巴基斯坦卡拉奇老年人肌肉骨骼疾病负担：对发展中国家的关联及影响
Elderly musculoskeletal disease burden in Karachi, Pakistan: Associations and implications for developing countries.
作者信息
Sabzwari Saniya, Fatmi Zafar, Khan Adeel Ahmed
机构信息
Aga Khan University Hospital Karachi Pakistan.
Saudi Board Program of Preventive Medicine Mecca Pakistan.
出版信息
Aging Med (Milton). 2020 Dec 22;4(1):19-25. doi: 10.1002/agm2.12141. eCollection 2021 Mar.
OBJECTIVE
The global rise in the older population has increased the rates of osteoporosis and osteoarthritis, conditions that impact mobility and functionality. There is limited data on musculoskeletal disease in older populations residing in developing countries.
METHODS
A community-based study using multistage cluster random sampling of older individuals was conducted in Karachi. Predefined criteria were used for osteoporosis and osteoarthritis. Gait assessment was performed.
RESULTS
More than half of the participants were females and 53% reported illiteracy. Around 30% had osteoporosis and two-thirds had osteoarthritis. Multivariate analysis showed associations of female sex, Pashtun ethnicity, illiteracy, and hypertension with the combined variable of osteoporosis and osteoarthritis.
CONCLUSIONS
The prevalence of osteoarthritis was higher than in other regional studies. Presence of both osteoporosis and osteoarthritis increased the risk of certain geriatric syndromes. High rates of musculoskeletal morbidity are seen in the elderly in Pakistan. Measures at a health-system level are required for better outcomes in older adults.
目的
全球老年人口的增加导致骨质疏松症和骨关节炎的发病率上升，这些疾病会影响行动能力和功能。关于居住在发展中国家的老年人群体中肌肉骨骼疾病的数据有限。
方法
在卡拉奇进行了一项基于社区的研究，对老年人采用多阶段整群随机抽样。使用预定义标准诊断骨质疏松症和骨关节炎。进行了步态评估。
结果
超过一半的参与者为女性，53%的参与者报告为文盲。约30%的人患有骨质疏松症，三分之二的人患有骨关节炎。多变量分析显示，女性、普什图族、文盲和高血压与骨质疏松症和骨关节炎的综合变量相关。
结论
骨关节炎的患病率高于其他地区研究。骨质疏松症和骨关节炎并存会增加某些老年综合征的风险。在巴基斯坦老年人中肌肉骨骼疾病的发病率很高。为了使老年人获得更好的治疗效果，需要在卫生系统层面采取措施。
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