Распространенность и характеристики рентгенологического остеоартроза костей кисти у сельских туркмен

Abstract

Introduction. The knowledge about the prevalence of hand osteoarthritis (OA) in different populations, the pattern of joint involvement, and the association with age, sex, and weight might be helpful in the understanding of the etiology and in developing the prevention strategy of hand OA. It can be important from a public health perspective. The study aimed to evaluate the prevalence and pattern of radiographic hand OA in the Turkmen community-based sample and its association with age, sex, and body mass index. Materials and methods. The study population was comprised of Turkmens (277 males and 427 females, aged 19–90 years). Radiographic hand OA was evaluated for 14 joints of each hand according to the Kellgren and Lawrence grading scheme. Statistical analyses included prevalence estimation, linear regression, and χ2 tests. Results. 13.8% of individuals before age 36 had at least one joint with OA, and the prevalence reached 100% after age 65. After adjustment for age, we found that females with severe obesity have a higher risk of development of radiographic hand OA than those with normal weight (OR(95%CI): 3.88 (1.20-12.60)). Conclusion. In the present study, after adjusting for age, we found that in men there was no association between the prevalence of hand OA and BMI. However, women with severe obesity are almost four times more likely to develop hand OA than women of normal weight.