CAJ | 학술논문

目的了解天津市老年人膝关节骨关节炎(OA)的患病情况及相关危险因素. 方法采用亚太地区风湿病协会联合会社区控制风湿病规划调查方法,应用《膝骨关节炎危险因素调查表》于2010年1月至2011年6月对天津市部分老年人共2038例进行调查. 结果天津市老年人膝痛和膝关节OA的患病率分别为23.1％和21.7％.女性患病率为27.6％高于男性的16.1％(x2=46.893,P＜0.001),且随年龄增长患病率增高(x2=764.34,P＜0.001).膝关节OA组BMI(25.4±3.3)kg/m2高于非膝关节OA组(23.8±2.9)kg/m2(t=7.944,P＜0.001).女性膝关节OA患者绝经年龄(50.2±3.7)岁早于非膝关节OA患者(52.8±4.1)岁(t=7.665,P＜0.001).Logistic 回归分析显示年龄、性别、BMI、绝经年龄是膝关节OA的危险因素,进食蔬菜是膝关节OA的保护因素. 结论年龄、女性、超重是膝关节OA的危险因素.
목적 료해천진시노년인슬관절골관절염(OA)적환병정황급상관위험인소. 방법 채용아태지구풍습병협회연합회사구공제풍습병규화조사방법,응용《슬골관절염위험인소조사표》우2010년1월지2011년6월대천진시부분노년인공2038례진행조사. 결과 천진시노년인슬통화슬관절OA적환병솔분별위23.1％화21.7％.녀성환병솔위27.6％고우남성적16.1％(x2=46.893,P＜0.001),차수년령증장환병솔증고(x2=764.34,P＜0.001).슬관절OA조BMI(25.4±3.3)kg/m2고우비슬관절OA조(23.8±2.9)kg/m2(t=7.944,P＜0.001).녀성슬관절OA환자절경년령(50.2±3.7)세조우비슬관절OA환자(52.8±4.1)세(t=7.665,P＜0.001).Logistic 회귀분석현시년령、성별、BMI、절경년령시슬관절OA적위험인소,진식소채시슬관절OA적보호인소. 결론 년령、녀성、초중시슬관절OA적위험인소.
Objective To explore the prevalence and risk factors of knee osteoarthritis (OA) among the elderly in Tianjin. Methods Totally 2038 elderly in Tianjin were investigated from January 2010 to June 2011 according to protocol of APLA-COPCORD Core Questionnaire to identification of risk factors for knee OA. Results The prevalence rates of knee pain and knee OA were 23.1％ and 21.7％,respectively. Knee OA appeared much frequently in women than men (27.6 ％ vs.16.1 ％,x2 =46.893,P＜0.001 ) in the trend of increase with aging(x2 =764.34,P＜0.001).BMI in knee OA group [(25.4±3.3) kg/m2]was significantly higher than in non-knee OA group [(23.8± 2.9) kg/m2],(t =7.944,P＜0.001).Menopause age in female knee OA group was younger than in female non-knee OA group [(50.2±3.7) years vs.(52.8±4.1) years,t=7.665,P＜0.001].Binary logistic regression revealed that age,sex,BMI and age of menopause were risk factors of knee OA,and eating vegetable might prevent from osteoarthritis,whereas there were no significantly association between knee OA and the other factors such as smoking and drinking.Conclusions Age,female and overweight are identified as risk factors of knee OA.