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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(03): 310-316
DOI: 10.1055/s-0040-1701281
Artigo Original
Joelho
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Association between Knee Osteoarthritis and Metabolic Syndrome in Non-Institutionalized Elderly Patients[*]

Article in several languages: português | English
Maura Fernandes Franco 
1   Programa de Gerontologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil
,
Glaucia Regina Falsarella 
2   Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil
,
Beatriz Lavras Costallat
3   Departamento de Radiologia, Hospital Vera Cruz, Campinas, Brasil
,
Ibsen Bellini Coimbra 
2   Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil
,
Arlete Maria Valente Coimbra 
2   Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil
› Author Affiliations
Further Information

Publication History

10 October 2018

19 March 2019

Publication Date:
16 March 2020 (online)

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Abstract

Objective This study aimed to analyze the association between knee osteoarthritis (OA) and metabolic syndrome (MS) in non-institutionalized elderly patients.

Methods A cross-sectional, randomized study, drawn from a probabilistic cluster study conducted with 416 elderly people from a Family Health Unit (USF, in the Portuguese acronym) of our municipality. Metabolic syndrome was defined according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III), and OA according to the Kellgren-Lawrence (KL) scale (≥ 2).

Results For the statistical analysis, we performed an exploratory data analysis, Mann-Whitney or Chi-Squared tests and univariate and multivariate logistic regressions, with significance level of p < 0.05; the concordance between the evaluators was verified through the Kappa coefficient. There was an association between OA and body mass index (BMI) (p = 0.0021) and between OA and waist circumference (WC) (p < 0.001; odds ratio [OR] = 3.524). There was no significant association between OA and the number of metabolic components nor with SM itself.

Conclusion We conclude that knee OA is associated with WC, regardless of weight, and that the increase in its measure reflects a greater chance of MS in non-institutionalized elderly patients.

Keywords

osteoarthritis - metabolic syndrome - obesity - aging - health promotion

* Work developed at Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.


 

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