Official Journal of the College of Nursing, University of Mosul

Document Type : Original Articles

Author

Assist. Lecturer / College of Nursing / University of Mosul / albark66@yahoo.com

Abstract

Background and Aim: Osteoarthritis is now firmly establish as public health problem. It is the most disabling diseases in many countries. Knee osteoarthritis is regarded as the most common form of the disease in adults. Elderly women are more affect by this disorder. From the available evidences, it is now reasonable to consider this disease as one of the most important among the chronic diseases and investigation for the risk factors that are associated with this disorder is very important. Aim of study to assess risk factors of osteoarthritis of the knee joint among women.
Material and method: Case control study, where 200 women with symptomatic knee osteoarthritis proved by physical examinations  and radiological evidences were allocate as cases. In addition, 200 women proved to be without clinical or radiological evidence of knee osteoarthritis were allocate as controls. The study was applied from 15th November 2013 to 7th april  2014. Questionnaire which focus on the distribution of the study population according to personal characteristics such as (Family history, smoking, sedentary lifestyle, walk long, employment and urban), life events as (previous trauma, stress previous surgery),other variables such as (BMI, DM, HT, genitourinary, calcium intake).
Results: Smoking appeared in this study to be highly associated with knee osteoarthritis at (p-value =0.007), Sedentary lifestyle associated with development of knee Osteoarthritis (P-value =0.000).Unhealthy calcium intake was highly associated with development of knee osteoarthritis(P-Value=0.000),Walking for long distances appeared unexpected negatively associated with occurrence of knee Osteoarthritis(P-value=0.84). Employment appears unexpected negative associated with occurrence of knee Osteoarthritis (p-value= 0.129).
Conclusion: Obese Women, diabetes mellitus, genitourinary infection, stress and previous surgery are the high risk for developing knee osteoarthritis, while hypertensive women or women with previous trauma has low risks for developing knee osteoarthritis.
Recommendation: the study recommended avoiding sitting for long times, apply exercise regularly and encourage calcium intake for women to decrease the incidence of knee osteoarthritis.
Keyword: Risk factor, Knee ,Osteoarthritis ,Women

Keywords

Andre, Klussmann; Hansjurgen, Gebhardt; Matthias, Nubling; Falk, Liebbers; Emilio, Quiros, Perea; Wolfgang, Cordier; Lars, von Engelhardt; Markus, Schubert; Andreas, David; Bertil, Bouillon; and Monika, A. Rieger; Individual and occupational risk factors for knee osteoarthritis: results of a case-control study in Germany, al. Arthritis Research & Therapy.(2010). Vol. 12: p.88.
Barrett ,M ,; Scott  , G  .  ; Wiles   , J  .  ; and Symons  , P  ., the impact of rheumatoid arthritis on employment status in the early years of disease : a UK community -based study . Rheumatology (oxford) . (2000): P .140.
Berenbaum,F.(2008) New horizons and perspectives in the treatment of osteoarthritis .Arthritis Res Ther 10 (Suppl.2):SI .
Blagojevicy, M.; Jinksy, C.; Jefferyz,A., and JordanyK. P.;Risk factors for onset of osteoarthritis of the knee in older adults:a systematic review and meta-analysis, Osteoarthritis Research Society International. Published by Elsevier Ltd. Osteoarthritis and Cartilage.( 2010). Vol.18: p. 24-33.
Coggon, D. ,Reading, I. , Croft, P. ,McLaren, M. ,Cooper, C. .(2001). Knee osteoarthritis and Obesity .IntJ.Obes25:p622-627
Ding C.,Cicuttini S.,Blizzard L.,jones J..Smoking Interacts with family history with regard to change Knee cartilage volume and cartilage defect development Arthritis Rheum.(2007).56:p1521-1528.
Dunlop , D ,  ; Song ,J , Semanik , P ;Sharma , L  .  ; and Chang , R ., physical activity Levels and functional performance in the osteoarthritis initiative . Arthritis and rheumatism .(2010) . 63(1 : P127-136 .
Franklin  , J , Ingvar son , TH ., Engiund ,M ., and Lohmander  ,S., Association between occupation and knee and hip replacement due to osteoarthritis .arthritis research and Therapy .(2010).102(12):P2-9.
Friedrich M, Cermak T, Heiller I. Spinal troubles in sewage workers : epidemiological data and disability due to low back pain. Int Arch Occup Environ Health.( 2000). 73:245-24.
Ilias, Vrezas;  Gine, Elsner;  Ulrich, Bolm-Audorff; Nasreddin, Abolmaali;  Andreas, Seidler; Case–control study of knee osteoarthritis and lifestyle factors considering their interaction with physical workload, Int Arch Occup Environ Health. Springer-verlag. (2009.): p. 8.
Jenny H  Ledikwe,  Helen Smiciklas-Wright, Diane C Mitchell, Gordon L Jensen, Janct M Fricdmann and Christopher D stili. Nutritional risk assessment and obesity in rural older adult. American Journal of clinical nutritio.( 2003). 77(3):p 551-558.
Kapstad  ,H, Rokne  ,B ; and Stavem , K , Psychometric properties of the Brief Pain Inventory among patient with osteoarthritis undergoing total  hip replacement surgery . Health and Quality of Life outcomes  . ( 2010),8:P.148.
Kristiann C Heesch, Y vette D Miller and Wendy J Brown. Relationship between physical activity and stiff or painful joint in mid aged women and older women: a 3-year prospective study. Arthritis Research & Therapy.( 2007). p9:1186-1194.
Lewis,J,Carey,S.(2012).Surgeryfor Osteoarthritis of the Knee, Osteoarthritis: Daignosis, Treatment and Surgery. Available from: http://www.intechopen.combooksosteoarthritis-diagnosis-treatment-and- surgery-for- osteoarthritis- of- the- knee.
Losina , E .; Walensky , R.; Reichmann , W .; holt , H .; and Katz , J ., Impact of Obesity and Knee Osteoarthritis on Morbidity and Mortality in Older American . Annals of Internal Medicine .(2011) .154 (10):P.216-226.
Marks ,R , Obesity profiles with Knee osteoarthritis on . Journal of Obesity .(2007).15(7):P.1867-1869.
Miksch, A .; Hermann ,K.; Rolz , A .; Joos , S.; and Szecsenyi ,J, Additional impact of concomitant hypertension and osteoarthritis quality of life among patients with type 2 diabetes in primary care in Germany .Health and Quality of Life Outcomes .(2009). 19 (7):P.1-7.
Muraki ,S .; Akune , T .; Oka , and , Yoshida , M ., Association of radiographic and symptomatic knee osteoarthritis with health related quality of life .Osteoarthritis and Cartilage  . (2010) . 18 (9) :P. 1227-1234.
Rossi A, Marino G, Barbieri L, et al. Backache from exertion in health personnel of the IstitutiOrtopedici Rizzoli in Bologna. A case –control study of the injury phenomenon in the 10-year period of 1987-1996. Epidemiolprev. (1999).23:p98-104.
Solomon, L. ,Warwick, D. ,Nayagam, S..(2010). System of orthopaedics and fractures, ninth p82-86.
Thommasen , HV ; and Zhang , W , Impact the chronic disease on quality of life in the bellacolla valley . The international Journal of Rural and Remote , Health research . (2006). 528(6):p. 1-8.
Trescot AM, Brown MN, Karl HW. Infrapatellar  saphenous neuralgia-diagnosis and treatment. Pain physician.( 2013). 16:p315-24.