Folia Medica Indonesiana
ISSN 0303-7932
Vol. 41 / No. 2 / Published : 2005-04
Order : 8, and page :118 - 129
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Original Article :
Risk factors of symptomatic and asymptomatic osteoarthritis of the knee
Author :
- Joewono Soeroso *1
- Leonila F Dans *2
- Maria Lourdes Amarillo *3
- Gina Santoso*4
- Department of Internal Medicine, Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya, Indonesia
- Clinical Epidemiology Unit, University of The Philippines, Manila, The Philippines
- Clinical Epidemiology Unit, University of The Philippines, Manila, The Philippines
- Department of Internal Medicine, Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya, Indonesia
Abstract :
Objective: To determine the risk factors of osteoarthritis (OA) of the knee. Design: Unmatched case-control study. Setting: Dr.Soetomo Hospital Surabaya, a tertiary government hospital. Methods: 239 cases of symptomatic - radiographic (Kellgren-Lawrence I or more) OA of the knee taken from rheumatology out-patient clinic, and 175 cases of asymptomatic - radiographic (Kellgren-Lawrence I or more) OA of the knee and 279 controls without radiographic (Kellgren-Lawrence 0) OA of the knee taken from General Internal Medicine Out-patient Clinic at the same hospital were analyzed through multiple logistic regressions. Group compared: A. Symptomatic cases compared to controls. B. Asymptomatic cases compared to controls. C. Their women subsets compared to that of controls. Results: 1) Symptomatic cases compared to controls: age > 50 (aOR:1.86, 95% CI:1.78-2.82), being female (aOR: 2.08,95% CI: 1.35-3.50), BMI > 25 units (aOR: 3.28,95% CI: 2.20-4.89), elementary education (aOR:0.29, 95% CI:0.14-0.61), genu valgus (aOR: 4.07, 95% CI:2.43-7.93). 2) Women subset of symptomatic cases compared to that of controls: age > 50 (aOR:9.34,95% CI:4.77-18.24), BMI > 25 units (aOR: 5.27,95% CI:2.85-9.73), genu valgus (aOR: 13.64, 95% CI:4.58-41.44). 3) Asymptomatic cases compared to controls: age > 50 (aOR: 2.31,95% CI:1.53-3.50),BMI > 25 units (aOR: 1.57,95% CI: 1.02-2.45). 4) Women subset of asymptomatic cases compared to that of controls: age > 50 (aOR 2.07, 95% CI: 1.14-2.77). Conclusions: 1.Age > 50, being female, BMI > 25 units, genu valgus, are the risk factors for symptomatic OA of the knee 2. Age > 50 and BMI > 25 units are the risk factors for asymptomatic OA of the knee. 3. Being female, BMI > 25 units, genu valgus may be the factors that associated with the development symptoms of OA of the knee.
Keyword :
osteoarthritis, risk factors, knee, symptomatic, asymptomatic,
References :
Bierman EL and Hirsch J,(1981) Obesity In: Williams RH ed. Textbook of endocrinology 6th ed Philadelphia : WB Saunders Company
Darmawan J, Wirawan S. Soenarto P, Soeharjo H,(1987) Prevalence of rheumatic diseases in rural population in Central Java, Indonesia (Indonesian) In: Tanwir JM, Pramudyo P,Tohamuslim A eds. Symposium of Rheumatology Bandung : Padjadjaran University
Archive Article
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