Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 6 Issue 10

Prevalence of Comorbidities in Patients with Osteoarthritis of Knee

Dr. Priya Singh (PT), Dr. Bhavana Mhatre (PT) *, Dr. Sarawati Iyer (PT)

Department of PT School and Center, KEM hospital, Parel, Maharashtra University of Health Sciences (MUHS), India

*Corresponding Author: Dr. Bhavana Mhatre (PT), Department of PT School and Center, KEM hospital, Parel, Maharashtra University of Health Sciences (MUHS), India.

Received: July 24, 2023; Published: September 06, 2023

Abstract

Background: Osteoarthritis (OA) is the most common musculoskeletal disorder affecting weight bearing joints like the knee, which leads to reduced functional capacity and disability in adults. Due to pain and movement limitations OA knee patients, generally spend most of their waking hours sedentary, and such behaviour could ultimately lead to harmful comorbidities like diabetes, obesity, high blood pressure, and lipid disorders. Hence, there is a need to identify any of these comorbidities that may be present in the Indian population who are diagnosed with Osteoarthritis and referred for Physiotherapy management.

Methods: An interview-based questionnaire was prepared and validated by 6 expert physiotherapists, including the patient’s demographic data, lifestyle information, and comorbidities.

Results: The mean age of the study was 52.49 (SD: 6.62) years; with a mean BMI of 27.8 kg/m2 (SD: 4.61). 61% of subjects with OA knee had one or more than one comorbidities, the maximum being obesity followed by hypertension and diabetes mellitus.

Conclusions: Early recognition of the comorbid conditions associated with OA knee is essential for designing integrated care approach for a faster and efficient recovery, ultimately, improving the patient’s Quality of Life.

Keywords: Osteoarthritis; OA Knee; Comorbidities

References

  1. Nasonov EL and Alekseeva “Osteoarthritis and comorbidities”. Medicographia 35 (2013): 152-157.
  2. Buechele G., et al. “Osteoarthritis-patterns, cardio-metabolic risk factors and risk of all-cause mortality: 20 years follow-up in patients after hip or knee replacement”. Scientific Reports1 (2018): 1-8.
  3. Kadam UT., et al. “Clinical comorbidity in patients with osteoarthritis: a case- control study of general practice consulters in England and Wales”. Annals of the Rheumatic Diseases4 (2004): 408-414.
  4. Sancheti P., et al. “India-based knee osteoarthritis evaluation (iKare): A multi-centre cross-sectional study on the management of knee pain and early osteoarthritis in India”. Clinics in Orthopedic Surgery3 (2017): 286-294.
  5. Cunha-Miranda L., et al. “Assessing the magnitude of osteoarthritis disadvantage on people’s lives: the MOVES study”. Revista Brasileira de Reumatologia 55 (2015): 22-30.
  6. Arden N and Nevitt “Osteoarthritis: epidemiology”. Best Practice and Research Clinical Rheumatology 20.1 (2006): 3-25.
  7. Swain S and Choudhury P. “Comorbidity and healthcare utilization in osteoarthritis; a primary care survey from Odisha, India”. Clinical Epidemiology and Global Health4 (2019): 661-667.
  8. ET “Painful knees not an old-age problem anymore: Bad lifestyle, wrong food choices to be blamed”. Economic Times (2018).
  9. Murtagh EM., et al. “Interventions outside the workplace for reducing sedentary behaviour in adults under 60”. The Cochrane Database of Systematic Reviews 2 (2017).
  10. Tremblay MS., et al. “Sedentary behavior research network (SBRN)-terminology consensus project process and outcome”. International Journal of Behavioral Nutrition and Physical Activity1 (2017): 1-17.
  11. WHO guidelines on physical activity and sedentary Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO (2020).
  12. Wikipedia contributors. "Metabolic equivalent of task." Wikipedia, The Free Encyclopedia. Wikipedia, The Free Encyclopedia (2022).
  13. Prakash R. “Physical inactivity a leading cause of disease and disability, warns WHO. WHO. World Health Organization (2002).
  14. Sliepen M., et al. “Objective assessment of physical activity and sedentary behaviour in knee osteoarthritis patients–beyond daily steps and total sedentary time”. BMC Musculoskeletal Disorders1 (2018): 1-10.
  15. Van Dijk , et al. “Comorbidity, limitations in activities and pain in patients with osteoarthritis of the hip or knee”. BMC Musculoskeletal Disorders 9.1 (2008): 1-0.
  16. Misra , et al. “Consensus physical activity guidelines for Asian Indians”. Diabetes Technology and Therapeutics 14.1 (2012): 83-98.
  17. Pal CP., et al. “Epidemiology of knee osteoarthritis in India and related factors”. Indian Journal of Orthopaedics5 (2016): 518-522.
  18. World Health Organization. Foodborne disease outbreaks: guidelines for investigation and World Health Organization (2008): 107-108.
  19. Bieleman HJ., et al. “Functional capacity of people with early osteoarthritis: a comparison between subjects from the cohort hip and cohort knee (CHECK) and healthy ageing workers”. International Archives of Occupational and Environmental Health8 (2010): 913-921.
  20. World Health Organization (WHO). WHO/Europe| “Nutrition-Body mass index”. WHO (2014).
  21. Rosemann T., et al. “Osteoarthritis: quality of life, comorbidities, medication and health service utilization assessed in a large sample of primary care patients”. Journal of Orthopaedic Surgery and Research1 (2007): 1-9.
  22. Felson “The epidemiology of knee osteoarthritis: results from the Framingham Osteoarthritis Study”. In Seminars in Arthritis and Rheumatism 20.3 (1996): 42-50.
  23. Srikanth VK., et al. “A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis”. Osteoarthritis and Cartilage9 (2005): 769-781.
  24. Manolagas , et al. “The role of estrogen and androgen receptors in bone health and disease”. Nature Reviews Endocrinology 9.12 (2013): 699.
  25. Väänänen HK and Härkönen “Estrogen and bone metabolism”. Maturitas 23 (1996): S65- S69.
  26. Powell A., et al. “Obesity: a preventable risk factor for large joint osteoarthritis which may act through biomechanical factors”. British Journal of Sports Medicine1 (2005): 4-5.
  27. Carnevale , et al. “Skeletal involvement in patients with diabetes mellitus”. Diabetes/Metabolism Research and Reviews 20 (2004): 196-204.
  28. Schellevis FG., et al. “Comorbidity of chronic diseases in general practice”. Journal of Clinical Epidemiology5 (1993): 469-4 73.
  29. Zhang , et al. “Association between hypertension and risk of knee osteoarthritis: A meta-analysis of observational studies”. Medicine 96.32 (2017).
  30. Amin S., et al. “Cigarette smoking and the risk for cartilage loss and knee pain in men with knee osteoarthritis”. Annals of the Rheumatic Diseases1 (2007): 18-22.

Citation

Citation: Dr. Bhavana Mhatre (PT)., et al. “Prevalence of Comorbidities in Patients with Osteoarthritis of Knee". Acta Scientific Orthopaedics 6.10 (2023): 07-14.

Copyright

Copyright: © 2023 Dr. Bhavana Mhatre (PT)., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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