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2023年乌鲁木齐市成年居民膝骨关节炎患病情况及其影响因素分析

The knee osteoarthritis prevalence and associated influencing factors among adult residents in Urumqi city

  • 摘要:
    目的 了解新疆乌鲁木齐市成年居民膝骨关节炎(KOA)患病情况及其影响因素,为KOA的预防控制提供参考依据。
    方法 于2023年6—8月采用电子问卷通过问卷星的方式线上对乌鲁木齐市多阶段随机整群抽取的12个社区共5 000名≥18岁成年居民的KOA患病情况及其相关影响因素进行了调查。
    结果 乌鲁木齐市最终纳入分析的4 638名成年居民中,患KOA者444例,KOA患病率为9.6%;多因素非条件logistic回归分析结果显示,年龄≥40岁、有睡眠障碍、生活作息规律、既往有膝关节外伤、有关节炎家族史、冠心病、糖尿病、高脂血症和高尿酸血症是乌鲁木齐市成年居民KOA患病的危险因素;文化程度初中及以上和每日饮水量≥500 mL是乌鲁木齐市成年居民KOA患病的保护因素。
    结论 乌鲁木齐市成年居民KOA患病率相对较低,年龄、文化程度、每日饮水量、有无睡眠障碍、生活作息是否规律、既往有无膝关节外伤、有无关节炎家族史以及是否冠心病、糖尿病、高脂血症、高尿酸血症是该地区成年居民KOA患病的主要影响因素。

     

    Abstract:
    Objective To investigate the prevalence of knee osteoarthritis (KOA) and its influencing factors among adult residents in Urumqi city, Xinjiang, and to provide a reference for the prevention and control of KOA.
    Methods From June to August 2023, an online survey was conducted via Wenjuanxing using electronic questionnaires to investigate the prevalence of KOA and its related influencing factors among 5 000 adult residents aged 18 years old from 12 communities selected through multi-stage stratified cluster sampling in Urumqi city.
    Results Among the 4 638 adult residents in Urumqi city finally included in the analysis, 444 had KOA, with a prevalence rate of 9.6%. Multivariable unconditional logistic regression analysis showed that age ≥40 years, sleep disorders, regular lifestyle, history of knee trauma, family history of arthritis, coronary heart disease, diabetes, hyperlipidemia, and hyperuricemia were risk factors for KOA in adult residents of Urumqi city. Education level of junior high school and above and daily water intake ≥500 mL were protective factors against KOA in adult residents of Urumqi city.
    Conclusions The prevalence of KOA among adult residents in Urumqi city is relatively low. Age, education level, daily water intake, sleep disorders, lifestyle regularity, history of knee trauma, family history of arthritis, coronary heart disease, diabetes, hyperlipidemia, and hyperuricemia are the main influencing factors of KOA in adult residents in this area.

     

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