Skip to main content

The American Viewpoint

  • Chapter
Osteoarthritis

Overview

Arthritis and musculoskeletal diseases are the most common chronic diseases and causes of physical disability in the United States [1]. Based on data from the 1989–1991 National Health Interview Survey (NHIS), 15.1 percent of the civilian, noninstitutionalized population of the United States reported the presence of a musculoskeletal condition that was classified as arthritis by the National Arthritis Data Work Group [2]. The prevalence of arthritis increased with increasing age; the majority of persons aged 65 and above reported the presence of an arthritis diagnosis (Fig. 1). Age-adjusted prevalence was higher in women than men, and in persons of non-Hispanic than of Hispanic ethnicity; there was no difference in age-adjusted prevalence between whites and blacks, but the ratio was lower in Asians [2,3]. Other factors associated with the presence of arthritis, analyzed in a subset of this cohort aged 18 and above, included being overweight, defined as having a body mass index (BMI) of 25 kg/m2 of greater, and having low levels of formal education, defined as not being a high school graduate [4].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Kelsey JL, Hochberg MC (1988) Epidemiology of chronic musculoskeletal disorders. Ann Rev Public Health 9: 379–401

    Article  CAS  Google Scholar 

  2. Centers for Disease Control (1994) Arthritis prevalence and activity limitations-United States, 1990. MMWR 43: 433–438

    Google Scholar 

  3. Centers for Disease Control (1996) Prevalence and impact of arthritis by race and ethnicity-United States, 1989–1991. MMWR 45: 373–378

    Google Scholar 

  4. Centers for Disease Control (1996) Factors associated with prevalent self-reported arthritis and other rheumatic conditions-United States, 1989–1991. MMWR 45: 487–491

    Google Scholar 

  5. Verbrugge LM, Gates DM, Ike RW (1991) Risk factors for disability among US adults with arthritis. J Clin Epidemiol 44: 167–182

    Article  PubMed  CAS  Google Scholar 

  6. Felts W, Yelin E (1989) The economic impact of the rheumatic diseases in the United States. J Rheumatol 16: 867–884

    PubMed  CAS  Google Scholar 

  7. Yelin EH, Felts WR (1990) A summary of the impact of musculoskeletal conditions in the United States. Arthritis Rheum 33: 750–755

    Article  PubMed  CAS  Google Scholar 

  8. Praemer A, Furner S, Rice DP (eds) (1992) Musculoskeletal Conditions in the United States. Park Ridge, American Academy of Orthopaedic Surgeons

    Google Scholar 

  9. Yelin E, Callahan LF, for the National Arthritis Data Work Group (1995) The economic cost and social and psychological impact of musculoskeletal conditions. Arthritis Rheum 38: 1351–62

    Article  PubMed  CAS  Google Scholar 

  10. Hochberg MC, Flores RH (1995) Arthritis and connective tissue diseases. In: Thoene J (ed) Physician’s Guide to Rare Diseases. Second edition. Montvale, Dowden Publishing Co. Inc. 745–86

    Google Scholar 

  11. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K et al. (1986) Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheum 29: 1039–1049

    Article  PubMed  CAS  Google Scholar 

  12. Brandt KD, Mankin HJ, Shulman LE (1986) Workshop on etiopathogenesis of osteoarthritis. J Rheumatol 13: 1126–1160

    Google Scholar 

  13. Kuttner K, Goldberg VM (eds) (1995) Osteoarthritic Disorders. American Academy of Orthopaedic Surgeons, Rosemont xxi-v

    Google Scholar 

  14. Kellgren JH, Lawrence JS (1957) Radiologic assessment of osteoarthrosis. Ann Rheum Dis 16: 494–501

    Article  PubMed  CAS  Google Scholar 

  15. The Department of Rheumatology and Medical Illustration, University of Manchester (1973) The Epidemiology of Chronic Rheumatism, Vol 2, Atlas of Standard Radiographs of Arthritis. F. A. Davis Company, Philadelphia 1–15

    Google Scholar 

  16. Spector TD, Hochberg MC (1994) Methodological problems in the epidemiological study of osteoarthritis. Ann Rheum Dis 53: 143–146

    Article  PubMed  CAS  Google Scholar 

  17. Kallman DA, Wigley FM, Scott WW Jr, Hochberg MC, Tobin JD (1989) New radiographic grading scales for osteoarthritis of the hand. Arthritis Rheum 32: 1584–1591

    Article  PubMed  CAS  Google Scholar 

  18. Croft P, Cooper C, Wickham C, Coggon D (1990) Defining osteoarthritis of the hip for epidemiologic studies. Amer J Epidemiol 132: 514–522

    CAS  Google Scholar 

  19. Lane NE, Nevitt MC, Genant HK, Hochberg MC (1993) Reliability of new indices of radiographic osteoarthritis of the hand and hip and lumbar disc degeneration. J Rheumatol 20: 1911–1918

    PubMed  CAS  Google Scholar 

  20. Spector TD, Cooper C, Cushnaghan J, Hart DJ, Dieppe PA (1992) A Radiographic Atlas of Knee Osteoarthritis. Springer-Verlag, London

    Google Scholar 

  21. Scott WW Jr, Lethbridge-Cejku M, Reichle R, Wigley FM, Tobin JD, Hochberg MC (1993) Reliability of grading scales for individual radiographic features of osteoarthritis of the knee: the Baltimore Longitudinal Study of Aging atlas of knee osteoarthritis. Invest Radiol 28: 497–501

    Article  PubMed  Google Scholar 

  22. Altman RD, Hochberg MC, Murphy WA Jr, Wolfe F, Lequesne M (1995) Atlas of individual radiographic features in osteoarthritis. Osteoarthritis Cart 3 (Suppl A): 3–70

    Google Scholar 

  23. Bennett PH, Wood PHN (eds) (1968) Population Studies of the Rheumatic Diseases, International Congress Series No. 148. Excerpta Medica Foundation, Amsterdam 417–419

    Google Scholar 

  24. Altman RD, Meenan RF, Hochberg MC, Bole GG Jr, Brandt K, Cooke TDV, et al. (1983) An approach to developing criteria for the clinical diagnosis and classification of osteoarthritis: a status report of the American Rheumatism Association Diagnostic Subcommittee on Osteoarthritis. J Rheumatol 10: 180–183

    Google Scholar 

  25. Altman R, Alarcon G, Appelrough D, Bloch D, Borenstein D, Brandt K et al. (1990) The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheum 33: 1601–1610

    Article  PubMed  CAS  Google Scholar 

  26. Altman R, Alarcon G, Appelrough D, Bloch D, Borenstein D, Brandt K, et al. (1991) The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum 34: 505–514

    Article  PubMed  CAS  Google Scholar 

  27. Altman R (1991) Classification of disease: osteoarthritis. Semin Arthritis Rheum 20 (6, Suppl 2): 40–47

    Article  PubMed  CAS  Google Scholar 

  28. Hart DJ, Leedham-Green M, Spector TD (1991) The prevalence of knee osteoarthritis in the general population using different clinical criteria: the Chingford Study. Br J Rheumatol 30 (S2): 72

    Google Scholar 

  29. Engle A (1966) Osteoarthritis in adults by selected demographic characteristics, United States-1960–1962. Vital Health Stat, Series 11, No. 20, Washington, D. C.

    Google Scholar 

  30. Maurer K (1979) Basic data on arthritis knee, hip and sacroiliac joints in adults ages 25–74 years, United States, 1971–1975. Vital Health Stat, Series 11, No. 213, Washington, D. C.

    Google Scholar 

  31. Lawrence RC, Hochberg MC, Kelsey JL, et al. (1989) Estimates of the prevalence of selected arthritic and musculoskeletal diseases in the United States. J Rheumatol 16: 427–441

    PubMed  CAS  Google Scholar 

  32. Lawrence RC, Helmick CG, Arnett FC, et al. (1998) Prevalence estimates of the arthritis and selected musculoskeletal diseases in the United States. Arthritis Rheum 41: in press

    Google Scholar 

  33. Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF (1987) The prevalence of knee osteoarthritis in the elderly. Arthritis Rheum 30: 914–918

    Article  PubMed  CAS  Google Scholar 

  34. Lethbridge-Cejku M, Tobin JD, Scott WW Jr, Reichle R, Plato CC, Hochberg MC (1994) The relationship of age and gender to prevalence and pattern of radiographic changes of osteoarthritis of the knee: data from the Baltimore Longitudinal Study of Aging. Aging Clin Exp Res 6: 353–7

    CAS  Google Scholar 

  35. Anderson JJ, Felson DT (1988) Factors associated with osteoarthritis of the knee in the First National Health and Nutrition Examination Survey (NHANES-I): evidence for an association with overweight, race, and physical demands of work. Am J Epidemiol 128: 179–189

    PubMed  CAS  Google Scholar 

  36. Tepper S, Hochberg MC (1993) Factors associated with hip osteoarthritis: data from the National Health and Nutrition Examination Survey (NHANES-I). Amer J Epidemiol 137: 1081–1088

    CAS  Google Scholar 

  37. Scott JC, Hochberg MC (1987) Epidemiologic insights into the pathogenesis of hip osteoarthritis. In Hadler NM (ed) Clinical Concepts in Regional Musculoskeletal Illness. Orlando, Grune & Stratton 89–107

    Google Scholar 

  38. Hochberg MC (1991) Epidemiologic considerations in the primary prevention of osteoarthritis. J Rheumatol 18: 1438–1440

    PubMed  CAS  Google Scholar 

  39. Silman AJ, Hochberg MC (1993) Epidemiology of the Rheumatic Diseases. Oxford, Oxford University Press 257–88

    Google Scholar 

  40. Hochberg MC, Lethbridge-Cejku M (1997) Epidemiologic considerations in the primary prevention of osteoarthritis. In Hamerman D (ed) Osteoarthritis: Public Health Implications for an Aging Population. Johns Hopkins University Press, Baltimore 169–186

    Google Scholar 

  41. Hartz AJ, Fischer ME, Brill G et al. (1986) The association of obesity with joint pain and osteoarthritis in the HANES data. J Chron Dis 39: 311–319

    Article  PubMed  CAS  Google Scholar 

  42. Davis MA, Ettinger WH, Neuhaus JM (1988) The role of metabolic factors and blood pressure in the association of obesity with osteoarthritis of the knee. J Rheumatol 15: 1827–1832

    PubMed  CAS  Google Scholar 

  43. Davis MA, Ettinger WH, Neuhaus JM, Hauck WW (1998) Sex differences in osteoarthritis of the knee: the role of obesity. Am J Epidemiol 127: 1019–1030

    Google Scholar 

  44. Davis MA, Ettinger WH, Neuhaus JM, Cho SA, Houck WW (1989) The association of knee injury and obesity with unilateral and bilateral osteoarthritis of the knee. Am J Epidemiol 130: 278–288

    PubMed  CAS  Google Scholar 

  45. Davis MA, Neuhaus JM, Ettinger WH, Mueller WH (1990) Body fat distribution and osteoarthritis. Am J Epidemiol 132: 701–707

    PubMed  CAS  Google Scholar 

  46. Hochberg MC, Lethbridge-Cejku M, Scott WW Jr, Reichle R, Plato CC, Tobin JD (1995) The association of body weight, body fatness and body fat distribution with osteoarthritis of the knee: data from the Baltimore Longitudinal Study of Aging. J Rheumatol 22: 488–493

    PubMed  CAS  Google Scholar 

  47. Martin K, Lethbridge-Cejku M, Muller D, Elahi D, Andres R, Plato CC, Tobin JD, Hochberg MC (1997) Metabolic correlates of obesity and radiographic features of knee osteoarthritis: data from the Baltimore Longitudinal Study of Aging. J Rheumatol 24: 702–707

    PubMed  CAS  Google Scholar 

  48. Felson DT, Anderson JJ, Naimark AA, Walker AM, Meenan RF (1988) Obesity and knee osteoarthritis: the Framingham study. Ann Intern Med 109: 18–24

    PubMed  CAS  Google Scholar 

  49. Felson DT, Zhang Y, Anthony JM, Naimark A, Anderson JJ (1992) Weight loss reduces the risk for symptomatic knee osteoarthritis in women: the Framingham Study. Ann Intern Med 116: 535–539

    PubMed  CAS  Google Scholar 

  50. Cooper C (1995) Occupational activity and the risk of osteoarthritis. J Rheumatol 22 (suppl 43): 10–2

    Google Scholar 

  51. Felson DT (1994) Do occupation-related physical factors contribute to arthritis? Balliere’s Clin Rheumatol 8: 63–77

    Article  CAS  Google Scholar 

  52. Buckwalter JA (1995) Osteoarthritis and articular cartilage use, disuse, and abuse: experimental studies. J Rheumatol 1995; 22(suppl 43): 13–5

    Google Scholar 

  53. Felson DT, Hannan MT, Naimark A, Berkeley J, Gordon G, Wilson PWF, Anderson J. Occupational physical demands, knee bending, and knee osteoarthritis: results from the Framingham study. J Rheumatol 18: 1587–1592

    Google Scholar 

  54. Roach KE, Persky V, Miles T, Budiman-Mak E (1994) Biomechanical aspects of occupation and osteoarthritis of the hip: a case-control study. J Rheumatol 21: 2334–2340

    PubMed  CAS  Google Scholar 

  55. Panush RS, Lane NE (1994) Exercise and the musculoskeletal system. Balliere’s Clin Rheumatol 8: 79–102

    Article  CAS  Google Scholar 

  56. Lane NE, Buckwalter JA (1993) Exercise: a cause of osteoarthritis? Rheum Dis Clin N. A. 19: 617–633

    CAS  Google Scholar 

  57. Lane NE, Bloch DA, Jones HH, Marshall W Jr, Wood PD, Fries JF (1986) Long distance running, bone density and osteoarthritis. JAMA 255: 1147–1151

    Article  PubMed  CAS  Google Scholar 

  58. Lane NE, Bloch DA, Hubert HB, Jones H, Simpson U, Fries JF (1990) Running, osteoarthritis, and bone density: initial 2-year longitudinal study. Am J Med 88: 452–459

    Article  PubMed  CAS  Google Scholar 

  59. Lane NE, Michel B, Bjorkengren A, Oehlert J, Shi H, Bloch DA, Fries JF (1993) The risk of osteoarthritis with running and aging: a 5-year longitudinal study. J Rheumatol 20: 461–468

    PubMed  CAS  Google Scholar 

  60. Felson DT (1993) The course of osteoarthritis and factors that affect it. Rheum Dis Clin N. A. 19: 607–615

    CAS  Google Scholar 

  61. Hochberg MC (1996) Progression of osteoarthritis. Ann Rheum Dis 55: 685–688

    Article  PubMed  CAS  Google Scholar 

  62. Martin K, Nicklas BJ, Bunyard LB, et al. (1996) Weight loss and walking improve symptoms of knee osteoarthritis. Arthritis Rheum 39 (Suppl 9): S225

    Google Scholar 

  63. McAlindon RE, Lacques P, Zhang Y, et al. (1997) Do antioxidant micronutrients protect against the development and progression of knee osteoarthritis? Arthritis Rheum 39: 648–656

    Article  Google Scholar 

  64. McAlindon RE, Lacques P, Zhang Y, et al. (1996) The relationship between vitamin D status and knee osteoarthritis progression. Ann Intern Med 125: 353–359

    PubMed  CAS  Google Scholar 

  65. McAlindon T, Felson DT (1997) Nutrition: risk factors for osteoarthritis. Ann Rheum Dis 56: 397–402

    Article  PubMed  CAS  Google Scholar 

  66. Gabriel SE, Crowson CS, Campion ME, O’Fallon WM (1997) Direct medical costs unique to people with arthritis. J Rheumatol 24: 719–725

    PubMed  CAS  Google Scholar 

  67. Gabriel SE, Crowson CS, Campion ME, O’Fallon WM (1997) Indirrect and nonmedical costs among people with rheumatoid arthritis and osteoarthritis compared with non-arthritic controls. J Rheumatol 24: 43–48

    PubMed  CAS  Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Scott, J.C., Lethbridge-Cejku, M., Hochberg, M.C. (1999). The American Viewpoint. In: Osteoarthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60026-5_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60026-5_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-65127-7

  • Online ISBN: 978-3-642-60026-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics