The prevalence of osteoarthritis and its association with geriatric syndromes in people over 65: data from the Russian epidemiological study EVKALIPT
- Authors: Naumov A.V.1, Vorobyeva N.M.1, Khovasova N.O.1, Moroz V.I.1, Meshkov A.D.1, Manevich T.M.1, Tkacheva O.N.1, Kotovskaya Y.V.1, Selezneva E.V.2, Ovcharova L.N.2
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Affiliations:
- Pirogov Russian National Research Medical University
- National Research University “Higher School of Economics”
- Issue: Vol 93, No 12 (2021)
- Pages: 1482-1490
- Section: Original articles
- URL: https://journals.rcsi.science/0040-3660/article/view/96446
- DOI: https://doi.org/10.26442/00403660.2021.12.201268
- ID: 96446
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Abstract
Background. Osteoarthritis (OA) in elderly and senile patients is not only common, but also one of the main diseases affecting the duration of active life, its quality, the appearance of addictions and loss of autonomy. Data on the relationship between OA and geriatric syndromes (GS) in our country are extremely scarce.
Aim. To estimate the prevalence of OA and to analyze its associations with HS in persons aged ≥65 years.
Materials and methods. The study included 4308 people (30% of men) aged 65 to 107 years, living in 11 regions of Russia. The patients were divided into 2 groups: with OA (n=2464) and without OA (n=1821). All patients underwent a comprehensive geriatric assessment.
Results. The prevalence of OA was 57.6%. With age, the frequency of OA increased significantly. According to the results of a comprehensive geriatric assessment, patients with OA had lower walking speed, the sum of points on the Bartel, Lawton scales and a short battery of physical functioning tests and higher – the sum of points on the geriatric scale of depression and the age is not a hindrance scale. Patients with OA rated the quality of life and health status lower and higher – the intensity of pain syndrome. Patients with OA were more likely to use any assistive device, with the exception of a wheelchair. In patients with OA, the most common HS were chronic pain syndrome (92%), senile asthenia syndrome (64%), basic (66%) and instrumental (56%) dependence in everyday life, cognitive impairment (62%), probable depression (51%) and urinary incontinence (50%). Univariate regression analysis showed that OA is associated with a 1.2–3.0-fold increase in the risk of a number of GS and a 28% decrease in the risk of malnutrition.
Conclusion. OA is widespread in the elderly population. The presence of OA is associated with a number of GS associated with loss of autonomy.
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##article.viewOnOriginalSite##About the authors
Anton V. Naumov
Pirogov Russian National Research Medical University
Author for correspondence.
Email: nanton78@gmail.com
ORCID iD: 0000-0002-6253-621X
д-р мед. наук, проф. каф. болезней старения ФДПО, зав. лаб. заболеваний костно-мышечной системы ОСП РГНКЦ
Russian Federation, MoscowNatalya M. Vorobyeva
Pirogov Russian National Research Medical University
Email: nanton78@gmail.com
ORCID iD: 0000-0002-6021-7864
д-р мед. наук, зав. лаб. сердечно-сосудистого старения ОСП РГНКЦ
Russian Federation, MoscowNatalia O. Khovasova
Pirogov Russian National Research Medical University
Email: nanton78@gmail.com
ORCID iD: 0000-0002-3066-4866
канд. мед. наук, доц. каф. болезней старения ФДПО, ст. науч. сотр. лаб. заболеваний костно-мышечной системы ОСП РГНКЦ
Russian Federation, MoscowViktoriia I. Moroz
Pirogov Russian National Research Medical University
Email: nanton78@gmail.com
ORCID iD: 0000-0001-6040-1090
ассистент каф. болезней старения ФДПО, мл. науч. сотр. лаб. заболеваний костно-мышечной системы ОСП РГНКЦ
Russian Federation, MoscowAlexey D. Meshkov
Pirogov Russian National Research Medical University
Email: nanton78@gmail.com
ORCID iD: 0000-0002-5187-0108
канд. мед. наук, врач-ревматолог, ст. науч. сотр. лаб. заболеваний костно-мышечной системы ОСП РГНКЦ
Russian Federation, MoscowTatiana M. Manevich
Pirogov Russian National Research Medical University
Email: nanton78@gmail.com
ORCID iD: 0000-0002-2196-1068
канд. мед. наук, зав. отд-нием неврологии ОСП РГНКЦ
Russian Federation, MoscowOlga N. Tkacheva
Pirogov Russian National Research Medical University
Email: nanton78@gmail.com
ORCID iD: 0000-0002-4193-688X
д-р мед. наук, проф., зав. каф. болезней старения ФДПО, дир. ОСП РГНКЦ, гл. внештат. гериатр Минздрава России
Russian Federation, MoscowYulia V. Kotovskaya
Pirogov Russian National Research Medical University
Email: nanton78@gmail.com
ORCID iD: 0000-0002-1628-5093
д-р мед. наук, проф., зам. дир. по научной работе ОСП РГНКЦ
Russian Federation, MoscowElena V. Selezneva
National Research University “Higher School of Economics”
Email: nanton78@gmail.com
ORCID iD: 0000-0001-6623-6815
канд. экон. наук, ст. науч. сотр.
Russian Federation, MoscowLilia N. Ovcharova
National Research University “Higher School of Economics”
Email: nanton78@gmail.com
ORCID iD: 0000-0002-7266-707X
д-р экон. наук, проректор
Russian Federation, MoscowReferences
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