足部和膝部畸形与功能限制和骨关节炎的关系:前瞻性队列研究

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Osteoporosis and Sarcopenia Pub Date : 2024-09-01 DOI:10.1016/j.afos.2024.08.002
Jonathan K.L. Mak , Kathryn Choon Beng Tan , Janus Siu Him Wong , Martin Man Ho Chung , Ching-Lung Cheung
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引用次数: 0

摘要

方法 我们纳入了香港骨质疏松症研究的 1253 名参与者(平均年龄 58.1 岁),他们完成了关于足部姿势、功能、疼痛以及是否存在畸形(如足外翻和膝内翻等)的检查。我们使用逻辑回归法估算了每种足部和膝部问题与功能结果(行走速度慢、自我报告的跌倒和功能限制)和 OA 的横截面关联。通过与电子健康记录的联系,我们使用 Cox 模型进一步研究了这些问题与 8 年内发生的 OA 之间的关系。所有模型均根据年龄、性别和体重指数进行了调整。结果足外翻、足痛和膝关节屈曲的患病率分别为 33.1%、35.1% 和 25.8%。扁平足姿势与膝关节屈曲有关,代偿足功能与足外翻有关。在所评估的足部问题中,只有足部疼痛与功能性结果(包括功能限制和反复跌倒)有显著关联。足部疼痛还与基线时普遍存在的 OA 有关,但与发生的 OA 无关。结论 在社区居住的中国成年人中,足部疼痛(而非足部畸形)与功能受限和跌倒有关,而膝关节外翻与OA事件有关。
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Foot and knee deformities in relation to functional limitations and incident osteoarthritis: A prospective cohort study

Objectives

This study aimed to investigate the relationships of foot and leg symptoms, structure, and function with functional limitations and osteoarthritis (OA).

Methods

We included 1253 participants (mean age 58.1 years) from the Hong Kong Osteoporosis Study who completed an examination on foot posture, function, pain, and presence of deformities such as hallux valgus and varus knee. Using logistic regression, we estimated cross-sectional associations of each foot and knee problem with functional outcomes (slow walking speed, self-reported falls, and functional limitations) and OA. Through linkage to electronic health records, we further examined their associations with incident OA over 8 years using Cox models. All models were adjusted for age, sex, and body mass index.

Results

The prevalence of hallux valgus, foot pain, and varus knee were 33.1%, 35.1%, and 25.8%, respectively. Planus foot posture was associated with varus knee, and pronated foot function was associated with hallux valgus. Of the assessed foot problems, only foot pain showed significant associations with functional outcomes, including functional limitations and recurrent falls. Foot pain was also associated with prevalent OA at baseline but not incident OA. Meanwhile, we observed a 3-times increased risk of incident OA associated with varus knee (95% CI = 1.48–6.10), and this association was particularly seen in older adults, women, and obese individuals.

Conclusions

In community-dwelling Chinese adults, foot pain, but not the reported foot deformities, is associated with functional limitations and falls, while varus knee is associated with incident OA.
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来源期刊
Osteoporosis and Sarcopenia
Osteoporosis and Sarcopenia Orthopedics, Sports Medicine and Rehabilitation, Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Geriatrics and Gerontology
自引率
5.00%
发文量
23
审稿时长
66 days
期刊最新文献
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