Elderly musculoskeletal disease burden in Karachi, Pakistan: Associations and implications for developing countries.
community
osteoarthritis
osteoporosis
Journal
Aging medicine (Milton (N.S.W))
ISSN: 2475-0360
Titre abrégé: Aging Med (Milton)
Pays: Australia
ID NLM: 101741954
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
01
09
2020
revised:
02
12
2020
accepted:
02
12
2020
entrez:
19
3
2021
pubmed:
20
3
2021
medline:
20
3
2021
Statut:
epublish
Résumé
The global rise in the older population has increased the rates of osteoporosis and osteoarthritis, conditions that impact mobility and functionality. There is limited data on musculoskeletal disease in older populations residing in developing countries. A community-based study using multistage cluster random sampling of older individuals was conducted in Karachi. Predefined criteria were used for osteoporosis and osteoarthritis. Gait assessment was performed. More than half of the participants were females and 53% reported illiteracy. Around 30% had osteoporosis and two-thirds had osteoarthritis. Multivariate analysis showed associations of female sex, Pashtun ethnicity, illiteracy, and hypertension with the combined variable of osteoporosis and osteoarthritis. The prevalence of osteoarthritis was higher than in other regional studies. Presence of both osteoporosis and osteoarthritis increased the risk of certain geriatric syndromes. High rates of musculoskeletal morbidity are seen in the elderly in Pakistan. Measures at a health-system level are required for better outcomes in older adults.
Identifiants
pubmed: 33738376
doi: 10.1002/agm2.12141
pii: AGM212141
pmc: PMC7954836
doi:
Types de publication
Journal Article
Langues
eng
Pagination
19-25Informations de copyright
© 2020 The Authors. Aging Medicine published by Beijing Hospital and John Wiley & Sons Australia, Ltd.
Déclaration de conflit d'intérêts
Nothing to disclose.
Références
Health Educ Res. 2012 Dec;27(6):947-60
pubmed: 22752153
BMC Musculoskelet Disord. 2012 May 29;13:82
pubmed: 22642899
PLoS One. 2019 Jun 27;14(6):e0218872
pubmed: 31247025
Eur J Public Health. 2016 Feb;26(1):192-8
pubmed: 26105959
BMC Womens Health. 2015 Oct 12;15:83
pubmed: 26458880
PLoS One. 2014 Mar 05;9(3):e90813
pubmed: 24599391
Arthritis Rheumatol. 2014 Mar;66(3):622-36
pubmed: 24574223
Nutrients. 2014 Sep 12;6(9):3601-23
pubmed: 25221975
Br J Rheumatol. 1998 May;37(5):491-5
pubmed: 9651074
Nat Rev Rheumatol. 2012 Dec;8(12):729-37
pubmed: 22907293
Int J Rheum Dis. 2011 May;14(2):113-21
pubmed: 21518309
Osteoporos Int. 2009 Dec;20(12):2049-53
pubmed: 19343468
BMJ. 2003 Mar 1;326(7387):469
pubmed: 12609940
Medicine (Baltimore). 2017 Aug;96(32):e7584
pubmed: 28796041
Osteoporos Int. 2015 Aug;26(8):2203-8
pubmed: 25994904
Indian J Endocrinol Metab. 2014 Jul;18(4):449-54
pubmed: 25143898
J Obstet Gynaecol Can. 2009 May;31(5):434-9
pubmed: 19604424
J Am Geriatr Soc. 2000 Jul;48(7):721-5
pubmed: 10894308
Bone. 2006 Feb;38(2 Suppl 1):S4-9
pubmed: 16455317
Ann Rheum Dis. 2017 Aug;76(8):1365-1373
pubmed: 28209629
J Rheumatol. 2005 Feb;32(2):348-53
pubmed: 15693098
Eur J Rheumatol. 2017 Mar;4(1):46-56
pubmed: 28293453
J Rheumatol. 2009 Mar;36(3):614-22
pubmed: 19208598
J Gerontol A Biol Sci Med Sci. 2013 Oct;68(10):1243-51
pubmed: 23902935
Rheumatol Int. 2011 Jul;31(7):849-55
pubmed: 21331574
Arch Osteoporos. 2012;7:275-82
pubmed: 23152063