The incidence of osteoarthritis and features of the comorbid background in patients seeking medical help for joint pain

Zwinger S.M.; Govorin A.V.; Romanova E.N.; Portyannikova O.O.

doi:https://doi.org/10.17116/profmed20212401167

Zwinger S.M.

Chita State Medical Academy

Govorin A.V.

Chita State Medical Academy

Romanova E.N.

Chita State Medical Academy

Portyannikova O.O.

Chita State Medical Academy

The incidence of osteoarthritis and features of the comorbid background in patients seeking medical help for joint pain

Authors:

Zwinger S.M., Govorin A.V., Romanova E.N., Portyannikova O.O.

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Journal: Russian Journal of Preventive Medicine. 2021;24(1): 67‑72

DOI: 10.17116/profmed20212401167

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To cite this article:

Zwinger SM, Govorin AV, Romanova EN, Portyannikova OO. The incidence of osteoarthritis and features of the comorbid background in patients seeking medical help for joint pain. Russian Journal of Preventive Medicine. 2021;24(1):67‑72. (In Russ.)
https://doi.org/10.17116/profmed20212401167

Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)

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OBJECTIVE

Analysis of OA frequency and the characteristics of the comorbid background in young patients seeking medical help for joint pain.

MATERIAL AND METHODS

The work was carried out on the basis of the Clinical Medical Center (CMC) of Chita. The analysis of the data of the cohort of patients who applied to the CMC with complaints of joint pain in 2018 was carried out.

RESULTS

Among patients with OA, women predominated (mean age 42.2±2.5 years). More than 1/2 (56%) of the examined patients had chronic non-infectious diseases (NIDs) or risk factors (RFs) for their development. The leading positions among the RFs for the onset of NIDs in patients with OA were: overweight (78%), inappropriate nutrition (72%) and physical inactivity (62%). The structure of somatic pathology was dominated by: dorsopathies (82%), CVD (48%), obesity (26%) and acid-dependent stomach diseases (32%). In the group of patients with OA, who at the 1^st stage of clinical examination did not have any concomitant NIDs and RFs of their development, at the 2^nd stage of clinical examination, an increase in the thickness of the neck and lower extremities vessels’ intima-media complex was found in 32% of cases.

CONCLUSION

Among the cohort of young patients seeking medical care for joint pain, primary OA occurs in more than 1/2 cases. Every second patient with OA has a concomitant pathology. Its structure is dominated by obesity, arterial hypertension, atherosclerosis and associated conditions.

Keywords:

osteoarthritis

chronic non-communicable diseases

risk factors

atherosclerosis

Authors:

Zwinger S.M.

Chita State Medical Academy

Govorin A.V.

Chita State Medical Academy

Romanova E.N.

Chita State Medical Academy

Portyannikova O.O.

Chita State Medical Academy

Received:

08.04.2020

Accepted:

12.08.2020

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References:

Nasonov EL. Rossijskie klinicheskie rekomendacii. Revmatologiya. M.: GEOTAR-Media; 2020. (InRuss.).
Alekseeva LI, Taskina EA, Kashevarova NG. Osteoarthritis: epidemiology, classification, risk factors, and progression, clinical presentation, diagnosis, and treatment. Modern Rheumatology Journal. 2019;13(2):9-21. (InRuss.). https://doi.org/10.14412/1996-7012-2019-2-9-21
Drapkina OM, Skripnikova IA, Shepel RN, Kaburova AN. Osteoarthrit isininternists’ practice: thediagnosticandtreatmentalgorhythm. The Russian Journal of Preventive Medicine. 2018;21(6):12-22. (In Russ.). https://doi.org/10.17116/profmed20182106112
Galushko EA, Nasonov EL. Prevalenceofrheumaticdiseases in Russia. Al’manakh klinicheskoy meditsiny. 2018;46(1):32-39. (In Russ.). https://doi.org/10.18786/2072-0505-2018-46-1-32-39
Wallace IJ, Worthington S, Felson DT, Jurmain RD, Wren KT, Maijanen H, Woods RJ, Lieberman DE. Knee osteoarthritis has doubled in prevalence since the mid-20th century. Proc Natl Acad Sci USA. 2017;114(35):9332-9336. https://doi.org/10.1073/pnas.1703856114
Balabanova RM, Dubinina TV. Five-year (2013—2017) trends in the incidence and prevalence of musculoskeletal system diseases among the adult population of Russia. Modern Rheumatology Journal. 2019;13(4):11-17. (In Russ.). https://doi.org/10.14412/1996-7012-2019-4-11-17
Portyannikova OO, Tsvinger SM, Govorin AV, Romanova EN. Analysis of the prevalence and risk factors of osteoarthritis in a population. Modern Rheumatology Journal. 2019;13(2):105-111. (In Russ.). https://doi.org/10.14412/1996-7012-2019-2-105-111
Mendel OI, Naumov AV, Alekseyeva LI, Vertkin AL, Shamuilova MM, Luchikhina LV. Osteoarthrosisandcardiovasculardiseases. Overall risk factors and clinical and pathogenetic relationships. Therapy optimization. The Russian Journal of Preventive Medicine. 2010;3:35-41. (InRuss.).
Naumov AV, Vertkin AL. Drugformofacomorbidpatient. Part 1 Osteoarthritis. Outpatientappointment. 2015;1(1):55-58. (InRuss.).
Kendzerska T, Jüni P, King LK, Croxford R, Stanaitis I, Hawker GA. The longitudinal relationship between hand, hip and knee osteoarthritis and cardiovascular events: a population-based cohort study. Osteoarthritis Cartilage. 2017;25(11):1771-1780. https://doi.org/10.1016/j.joca.2017.07.024
Fernandes GS, Valdes AM. Cardiovascular disease and osteoarthritis: common pathways and patient outcomes. Eur J Clin Invest. 2015;45(4):405-414. https://doi.org/10.1111/eci.12413
Kim HS, Shin J-S, Lee J, Lee YJ, Kim M-r, Bae Y-H, Lee YJ, Kim M-R, Bae Y-H, Park KB, Lee E-J, Kim J-H, Ha I-H. Association between Knee Osteoarthritis, Cardiovascular Risk Factors, and the Framingham Risk Score in South Koreans: A Cross-Sectional Study. PLoS ONE. 2016;11(10):e0165325. https://doi.org/10.1371/journal.pone.0165325
Tsvinger SM, Govorin AV, Portyannikova OO, Romanova EN. Pathogeneticconnectionsbetweenosteoarthritisandatherosclerosis. ENI Zabaykal’skiy meditsinskiy vestnik. 2017;4:164-173. (In Russ.).
Order of the Ministry of health of the Russian Federation dated March 13, 2019 No.124n on approval of the procedure for conducting preventive medical examinations and medical examinations of certain groups of the adult population.Accessed April 3, 2020. (In Russ.). https://www.rosminzdrav.ru/documents/prikaz minzdrava Rossii-124-n-ot-13-marta-2019-g
Strebkova EA, Alekseeva LI. Osteoarthritisandobesity. Rheumatology Science and Practice. 2015;53(5):542-552. (In Russ.). https://doi.org/10.14412/1995-4484-2015-542-552
Eganyan RA, Kalinina AM, Izmailova OV, Kushunina DV, Bunova AS. Primary and repeated prophylactic medical examination of certain adult population groups: changes in diet-related risk factors for non-communicable diseases. The Russian Journal of Preventive Medicine. 2019;22(4):14-21. (In Russ.). https://doi.org/10.17116/profmed20192204114
Cardiovascular prevention 2017. Russian national guidelines. Russian journal of cardiology. 2018;6:7-122. (In Russ.). https://doi.org/10.15829/1560-4071-2018-6-7-122
Aleksenko EU, Govorin AV, Tsvinger SM. Inflammatorymarkersinpatientswithosteoarthritisandarterialhypertension. Medical Immunology. 2010;12(4-5):429-432. (In Russ.). https://doi.org/10.15789/1563-0625-2010-4-5-429-432
Kabalyk MA. Molecular interaction of vascular remodeling in patients with osteoarthritis and arterial hypertension. The Bulletin of Contemporary Clinical Medicine. 2017;10(5):29-35.(In Russ.).
Morovic-Vergles J, Sˇalamon L, Marasovic-Krstulovic D, Kehler T, Šakić D, Badovinac O, Vlak T, Novak S, Štiglić-Rogoznica N, Hanih M, Bedeković D, Grazio S, Kadojić M, Milas-Ahić J, Prus V, Stamenković D, Šošo D, Anić B, Babić-Naglić Đ, Gamulin S. Is the prevalence of arterial hypertension in rheumatoid arthritis and osteoarthritis associated with disease? Rheumatol Int. 2013;33:1185-1192. https://doi.org/10.1007/s00296-012-2522-1