浦东上钢社区中老年人群膝骨关节炎危险因素的流行病学研究

向珍蛹，茅建春，曲环汝等.浦东上钢社区中老年人群膝骨关节炎危险因素的流行病学研究[J].上海交通大学学报（医学版）. 2013, 33(3):318-322

中老年人群;膝骨关'y炎;患病率;危险因素;上海

向珍蛹，茅建春，曲环汝，徐先国，徐翔峰，胡劲松，宋花玲，赵蓓俊，顾军花，许一，杨晔颖，苏励

上海中医药大学附属龙华医院风湿科,上海200032; 广东省增城市中医院重症医学科,增城511300

2013

318-322

知网,万方

目的 了解上海市浦东新区社区中老年人群膝骨关节炎患病率,探索患病的相关因素.方法 采用分层整群多阶段抽样方法,随机抽取上海市浦东新区上钢新村街道社区≥40岁具有本地户籍的居民共1 499人,入户问卷调查.调查内容主要包括姓名、性别、教育水平、职业、身高、体质量、腰围以及关节症状、既往病史、环境、饮食、生活习惯等,采用单因素和多因素方法分析膝骨关节炎的危险因素.结果 膝骨关节炎患病率为33.3％(女性41.6％,男性24.0％),患病率随着年龄的增大而逐渐升高.将单因素分析显示可能与膝骨关节炎患病相关的因素进行逐步Logistic回归分析,结果显示高龄、女性、超重/肥胖、大量家务劳动、骨关节炎家族史、膝外伤、寒冷环境、长时间站立和步行9个因素是膝骨关节炎患病的危险因素；未发现教育水平、体育锻炼、劳动强度、饮食、潮湿环境、饮酒、吸烟、穿高跟鞋、上下楼梯、蹲厕以及长时间蹲姿等因素与膝骨关节炎患病相关.结论 上海市浦东新区中老年人群的膝骨关节炎呈高患病率状态,女性患病率高于男性,患病率随着年龄的增大呈升高趋势.高龄、女性、超重/肥胖、大量家务劳动、骨关节炎家族史、膝外伤、寒冷环境、长时间站立和步行是膝骨关节炎患病的危险因素. Objective To investigate the prevalence of knee osteoarthritis in the elderly in Pudong 1\ew District in Shanghai, and explore the related risk factors. Metlxods \X}ith cluster stratified multistage random sampling me山r>d 1 499 registered residents aged no less than 40 years in Shanggang Community in Pudong lfew District in Slmn}liai were selected for questionnaire survey. The contents of purvey included name, sex, educational level, vocation, height, body weight, waist circumference, joint symptoms, past disease history, environmen[一recipes and living habit, and the risk factors for knee osteoarthritis were investigated with univariate and multivariate analysis. Results The prevalence of knee osteoarthritis was 33.3%(41.6 %r{〔)「females, 24.0% for males).which was increased with age. Stepwiee Logistic regression analysis of factors possibly related to knee osteoarthritis revealed that old age, female, overweight/obesity, a lot of housework, family history of osteoarthritis, knee trauma, cold environment, prolonged standing and walking were the risk factors for knee osteoarthritis, while education, physical exercise, labor intensity, recipes, moist environment, drinking smoking, wearing high heels, floors and stair c;limhing, squat toilet and prolonged squatting were not significantly associated with the prevalence of knee osteoarthritis.Conclusion There is a high prevalence of knee osteoarthritis in the elderly in Pudong 11ew District in Shanghai, females have a higher prevalence of knee osteoarthritis than males, and the prevalence of knee osteoarthritis increases with age. Old age一female, overiveight/ohesit5}, a lot of housework, family history of osteoarthritis, knee trauma, cold environment, prolonged standing and walking are the，isk factors for knee osteoarthritis.