Abstract
The aim of this cross-sectional study was to estimate the prevalence and risk factors of symptomatic knee and distal interphalangeal (DIP) joint osteoarthritis (OA) in the elderly (≥50 years of age) urban population of Antalya, Turkey. According to the 1997 national census, Antalya’s population was 508,840. By random cluster sampling, 655 individuals aged 50 years or more were interviewed face-to-face and subjected to structured interviews regarding knee pain, worsening pain on exertion, and the gelling phenomenon. They were also asked about performing namaz (a fundamental act of worship in Islam performed five times a day), smoking, type of residence, type of toilet, work style, and duration of walking per day. They were also questioned about swelling in DIP joints. In the case of suspicion of knee OA, the individuals were invited to the hospital for further evaluation by physical examination and direct roentgenogram. The diagnosis of knee OA was based on clinical or clinical and radiographic findings. The prevalence of symptomatic knee OA was determined as 14.8% in the population aged 50 years or over. Advanced age, female sex, namaz, and type of residence were found to be associated with knee OA. The rate of symptomatic knee OA was significantly lower in smokers and those walking more than 2 h per day. Female sex was also strongly associated with OA DIP joints. OA of DIP joints was found significantly associated with symptomatic knee OA. The latter is a major health problem in the elderly population, especially in about one fourth of women aged 50 years or over. These data suggest that advanced age, female sex, and type of residence are risk factors.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Cooper C (2000) Osteoarthritis and related disorders-Epidemiology. In: Klippel JH, Dieppe PA (eds) Rheumatology. Mosby, London, pp 8.2.1–8.2.8
Yoshida S, Aoyagi K, Felson DT, Aliabadi P, Shindo H, Takemoto T (2002) Comparison of the prevalence of radiographic osteoarthritis of the knee and hand between Japan and the United States. J Rheumatol 29:1454–1458
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
Chaisson CE, Zhang Y, McAlindon TE, Hannan MT, Aliabadi P, Naimark A, Levy D, Felson DT (1997) Radiographic hand osteoarthritis: Incidence, patterns, and influence of pre-existing disease in a population based sample. J Rheumatol 24:1337–1343
Jones G, Cooley HM, Stankovich JM (2002) A cross sectional study of the association between sex, smoking, and other lifestyle factors and osteoarthritis of the hand. J Rheumatol 29:1719–1724
Altman R, Asch E, Bloch D, Bole G, Borenstein, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M, Howell D, Kaplan D, Koopman W, Longley S III, Mankin H, McShane DJ, Medsger T, Meenan R, Mikkelsen W, Moskowitz R, Murphy W, Rothschild B, Segal M, Sokoloff M, Wolfe F (1986) Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheum 29:1039–1049
Kellgren JH, Lawrence JS (1963) Atlas of standard radiographs: the epidemiology of chronic rheumatism, vol 2. Blackwell, Oxford
Zhang Y, Xu L, Nevitt MC, Aliabadi P, Yu W, Qin M, Lui L, Felson DT (2001) Comparison of the prevalence of knee osteoarthritis between the elderly Chinese population in Beijing and whites in the United States: the Beijing Osteoarthritis Study. Arthritis Rheum 44:2065–2071
Cooper C, McAlindon T, Coggon D, Egger P, Dieppe P (1994) Occupational activity and osteoarthritis of the knee. Ann Rheum Dis 53:90–93
Felson DT, Anderson JJ, Naimark A, Hannan MT, Kannel WB, Meenan RF (1989) Does smoking protect against osteoarthritis? Arthritis Rheum 32:166–172
Wilder FV, Hall BJ, Barrett JP (2003) Smoking and osteoarthritis: is there an association? The Clearwater Osteoarthritis Study. Osteoarthritis Cartilage 11:29–35
Felson DT, Zhang Y, Hannan MT, Naimark A, Weissman B, Aliabadi P, Levy D (1997) Risk factors for incident radiographic knee osteoarthritis in the elderly. Arthritis Rheum 40:728–733
McAlindon T, Zhang Y, Hannan M, Naimark A, Weissman B, Castelli W, Felson D (1996) Are risk factors for patellofemoral and tibiofemoral knee osteoarthritis different? J Rheumatol 23:332–337
Zhang Y, Hannan MT, Chaisson CE, McAlindon TE, Evans SR, Aliabadi P, Levy D, Felson DT (2000) Bone mineral density and risk of incident and progressive radiographic knee osteoarthritis in women: the Framingham Study. J Rheumatol 27:1032–1037
Bullough PG (2000) Osteoarthritis and related disorders—pathology. In: Klippel JH, Dieppe PA (eds) Rheumatology. Mosby, London, pp 8.8.1–8.8.8
Acknowledgements
We thank Profs. Osman Saka and Evren Tercan for statistical assistance and interns for their invaluable help at home visits. This study was supported by the Akdeniz University Research Fund and presented partly as a preliminary report at the EULAR 2001 Congress, in Prague, Czech Republic, on 13–16 June 2001.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kaçar, C., Gilgil, E., Urhan, S. et al. The prevalence of symptomatic knee and distal interphalangeal joint osteoarthritis in the urban population of Antalya, Turkey. Rheumatol Int 25, 201–204 (2005). https://doi.org/10.1007/s00296-003-0415-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-003-0415-z