Factores de riesgo de artrosis de rodilla, cadera o ambas en mujeres chilenas de mediana edad: un estudio de cohorte de tres décadas



Título del documento: Factores de riesgo de artrosis de rodilla, cadera o ambas en mujeres chilenas de mediana edad: un estudio de cohorte de tres décadas
Revista: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000448954
ISSN: 0034-9887
Autors: 1
2
3
1
4
Institucions: 1Universidad de Chile, Facultad de Medicina, Santiago de Chile. Chile
2Universidad Finis Terrae, Escuela de Medicina, Santiago de Chile. Chile
3Pontificia Universidad Católica de Chile, Facultad de Medicina, Santiago de Chile. Chile
4Universidad Católica de Santiago de Guayaquil, Facultad de Ciencias Médicas, Guayaquil, Guayas. Ecuador
Any:
Període: Ene
Volum: 150
Número: 1
Paginació: 46-53
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background: Osteoarthritis (OA) is a health problem affecting millions of individuals worldwide. Aim: To evaluate risk factors for hip and knee osteoarthritis (OA) in women aged 40 to 59 years. Material and Methods: Analysis of a prospective cohort of 1159 women attending preventive health care programs and followed during 28 years. They underwent a clinical and laboratory evaluation from 1990 to 1993. The diagnosis of OA was retrieved from registries of a special program for osteoarthritis in 2020. Results: Twenty four percent of participants developed osteoarthritis during the follow-up. At the beginning of the study and compared with women without OA, they were older (median [interquartile range or IQR]: 49.6 [8.5] and 47.2 [8.2] years respectively), had a higher body mass index (26.3 [5.3] and 25.1 [5.3] respectively), and a higher frequency of jobs with low qualification (76 and 62% respectively). The presence of type 2 diabetes mellitus, chronic hypertension, a previous history of alcohol or cigarette consumption, postmenopausal status and lipid and glucose blood levels did not differ between women with or without OA. Cox regression showed a final model that incorporates body mass index (hazard ratio (HR): 1.04; 95% confidence intervals (CI): 1.01-1.07), age (HR: 1.05; 95% CI: 1.03-1.08) and having an unqualified job (HR: 1.88; 95% CI: 1.43-2.47) as risk factors for OA. Conclusions: Obesity and the type of job are the most relevant risk factors found for OD: both may be modified with proper care
Disciplines Medicina
Paraules clau: Reumatología,
Mujeres,
Osteoartritis,
Factores de riesgo,
Obesidad
Keyword: Rheumatology,
Obesity,
Osteoarthritis,
Women,
Risk factors
Text complet: Texto completo (Ver HTML) Texto completo (Ver PDF)