Jaiswal Abhishek, Goswami Kiran, Haldar Partha, Salve Harshal Ramesh, Singh U
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, India.
J Family Med Prim Care. 2021 Jan;10(1):354-360. doi: 10.4103/jfmpc.jfmpc_1477_20. Epub 2021 Jan 30.
Osteoarthritis (OA) is the most common type of arthritis and a very common disease of elderly. It is one of the leading causes of disability. The present study was conducted to estimate the burden of the knee OA among rural elderly.
A community-based cross-sectional study was conducted among 500 randomly selected elderly resident of rural Ballabgarh, Haryana. A semi-structured interview schedule was used by a trained investigator for face-to-face interview, clinical examination of knee using American College of Rheumatology criteria, and quality of life assessment using WHOQOL-BREF.
Almost two-third of the participants among 454 elderly recruited, suffered from knee OA (292, 64.3%) had knee OA. History of a knee injury, a family history of knee pain, current physical activity and smoking status were found to be significantly associated with knee OA, in multivariate logistic regression model. Elderly suffering from knee OA had significantly lower quality-of-life scores contrasted to those not (-value < 0.001). The scores were significantly lower for all the domains (-value <0.001) among elderly suffering with the knee OA, with the maximum effect seen in psychological, and physical domain.
Rural elderly of Ballabgarh, Haryana, had a high burden of knee OA. Elderly suffering from knee OA had significantly lower perception of their quality of life most affected is the psychological and physical domains of quality of life.
骨关节炎（OA）是最常见的关节炎类型，也是老年人的一种常见疾病。它是导致残疾的主要原因之一。本研究旨在评估农村老年人膝骨关节炎的负担。
在哈里亚纳邦巴拉加尔农村随机选取500名老年居民进行基于社区的横断面研究。由经过培训的调查员使用半结构化访谈问卷进行面对面访谈，按照美国风湿病学会标准对膝关节进行临床检查，并使用世界卫生组织生活质量简表（WHOQOL-BREF）进行生活质量评估。
在招募的454名老年人中，近三分之二（292名，64.3%）患有膝骨关节炎。在多因素逻辑回归模型中，膝关节损伤史、膝关节疼痛家族史、当前身体活动情况和吸烟状况与膝骨关节炎显著相关。与未患膝骨关节炎的老年人相比，患膝骨关节炎的老年人生活质量得分显著更低（P值<0.001）。在患膝骨关节炎的老年人中，所有领域的得分均显著更低（P值<0.001），在心理和身体领域影响最大。
哈里亚纳邦巴拉加尔的农村老年人膝骨关节炎负担较重。患膝骨关节炎的老年人对其生活质量的认知显著更低，生活质量受影响最大的是心理和身体领域。
