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Hand osteoarthritis in Chuvashian population: prevalence and determinants

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Abstract

The objectives of this study are to evaluate the prevalence of radiographic hand osteoarthritis (OA) in Chuvashian community-based sample and its associations with age, sex, body mass index (BMI), smoking, and alcohol consumption. The study population was comprised of Chuvashians (443 males, age 47.4 ± 17.0 years and 384 females, age 50.8 ± 16.3 years). OA was evaluated for 14 joints of each hand according to the Kellgren and Lawrence grading scheme. Statistical analyses included prevalence estimation, linear, logistic and polynomial regressions, and χ2 tests. After the age of 65 years, 89.2% of males and 97.6% of females had at least one affected joint. For males and females the best-fitted and most parsimonious model of association between age and number of affected hand joints was the two interval linear one. After adjustment for age, no association between prevalence of hand OA and BMI was found in males. However, females with obesity have almost three times higher risk of development of hand OA than those with normal weight. No association was found between smoking and prevalence of hand OA. Moderate alcohol consumption showed protective effect on prevalence of hand OA in women.

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References

  1. Hart DJ, Spector TD (2000) Definition and epidemiology of osteoarthritis of the hand: a review. Osteoarthritis Cartilage 8 Suppl A:S2–S7

    CAS  PubMed  Google Scholar 

  2. van Saase JL, van Romunde LK, Cats A, Vandenbroucke JP, Valkenburg HA (1989) Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Ann Rheum Dis 48:271–280. doi:10.1136/ard.48.4.271

    Article  PubMed  Google Scholar 

  3. Busby J, Tobin J, Ettinger W, Roadarmel K, Plato CC (1991) A longitudinal study of osteoarthritis of the hand: the effect of age. Ann Hum Biol 18:417–424. doi:10.1080/03014469100001712

    Article  CAS  PubMed  Google Scholar 

  4. Caspi D, Flusser G, Farber I, Ribak J, Leibovitz A, Habot B, Yaron M, Segal R (2001) Clinical, radiologic, demographic, and occupational aspects of hand osteoarthritis in the elderly. Semin Arthritis Rheum 30:321–331. doi:S0049-0172(01)09511-7[pii]10.1053/sarh.2001.19957

    Article  CAS  PubMed  Google Scholar 

  5. Kalichman L, Cohen Z, Kobyliansky E, Livshits G (2004) Patterns of joint distribution in hand osteoarthritis: contribution of age, sex, and handedness. Am J Hum Biol 16:125–134. doi:10.1002/ajhb.20007

    Article  PubMed  Google Scholar 

  6. Plato CC, Norris AH (1979) Osteoarthritis of the hand: age-specific joint-digit prevalence rates. Am J Epidemiol 109:169–180

    CAS  PubMed  Google Scholar 

  7. Kalichman L, Ling L, Kobyliansky E (2008) Prevalence, pattern and determinants of radiographic hand osteoarthritis in Turkmen community-based sample. Rheumatol Int. doi:10.1007/s00296-008-0815-1

  8. Davis MA (1988) Epidemiology of osteoarthritis. Clin Geriatr Med 4:241–255

    CAS  PubMed  Google Scholar 

  9. Hochberg MC (1991) Epidemiology of osteoarthritis: current concepts and new insights. J Rheumatol Suppl 27:4–6

    CAS  PubMed  Google Scholar 

  10. Felson DT, Zhang Y, Hannan MT, Naimark A, Weissman B, Aliabadi P, Levy D (1997) Risk factors for incident radiographic knee osteoarthritis in the elderly: the Framingham Study. Arthritis Rheum 40:728–733. doi:10.1002/1529-0131(199704)40:4<728:AID-ART19>3.0.CO;2-D

    Article  CAS  PubMed  Google Scholar 

  11. Sturmer T, Gunther KP, Brenner H (2000) Obesity, overweight and patterns of osteoarthritis: the Ulm Osteoarthritis Study. J Clin Epidemiol 53:307–313. doi:S0895-4356(99)00162-6[pii]

    Article  CAS  PubMed  Google Scholar 

  12. Kalichman L, Cohen Z, Kobyliansky E, Livshits G (2002) Interrelationship between bone aging traits and basic anthropometric characteristics. Am J Hum Biol 14:380–390. doi:10.1002/ajhb.10051

    Article  PubMed  Google Scholar 

  13. Dequeker J, Goris P, Uytterhoeven R (1983) Osteoporosis and osteoarthritis (osteoarthrosis). Anthropometric distinctions. JAMA 249:1448–1451. doi:10.1001/jama.249.11.1448

    Article  CAS  PubMed  Google Scholar 

  14. Haara MM, Manninen P, Kroger H, Arokoski JP, Karkkainen A, Knekt P, Aromaa A, Heliovaara M (2003) Osteoarthritis of finger joints in Finns aged 30 or over: prevalence, determinants, and association with mortality. Ann Rheum Dis 62:151–158. doi:10.1136/ard.62.2.151

    Article  CAS  PubMed  Google Scholar 

  15. Oliveria SA, Felson DT, Cirillo PA, Reed JI, Walker AM (1999) Body weight, body mass index, and incident symptomatic osteoarthritis of the hand, hip, and knee. Epidemiology 10:161–166. doi:00001648-199903000-00010[pii]

    Article  CAS  PubMed  Google Scholar 

  16. Felson DT, Anderson JJ, Naimark A, Hannan MT, Kannel WB, Meenan RF (1989) Does smoking protect against osteoarthritis? Arthritis Rheum 32:166–172. doi:10.1002/anr.1780320209

    Article  CAS  PubMed  Google Scholar 

  17. Hart DJ, Spector TD (1993) Cigarette smoking and risk of osteoarthritis in women in the general population: the Chingford study. Ann Rheum Dis 52:93–96. doi:10.1136/ard.52.2.93

    Article  CAS  PubMed  Google Scholar 

  18. Jones G, Cooley HM, Stankovich JM (2002) A cross sectional study of the association between sex, smoking, and other lifestyle factors and osteoarthritis of the hand. J Rheumatol 29:1719–1724

    PubMed  Google Scholar 

  19. Kalichman L, Kobyliansky E, Seibel MJ, Livshits G (2005) Repeated measurement study of hand osteoarthritis in an apparently healthy Caucasian population. Am J Hum Biol 17:611–621. doi:10.1002/ajhb.20417

    Article  PubMed  Google Scholar 

  20. David D, Woodward C, Esquenazi J, Mellman TA (2004) Comparison of comorbid physical illnesses among veterans with PTSD and veterans with alcohol dependence. Psychiatr Serv 55:82–85. doi:10.1176/appi.ps.55.1.82

    Article  PubMed  Google Scholar 

  21. El’chinova GI, Znichenko RA, Ginter EK (2003) Temporal dynamics of ethnic assortativeness in the Tsivil’sk region of Chuvashia. Genetika 39:562–564

    PubMed  Google Scholar 

  22. Pavlovsky O (1981) Methods of osseographic studies of the bone. In: Pavlovsky O (ed) Morpho-physiological researches in anthropology. MGU Publishing House, Moscow, pp 44–61

    Google Scholar 

  23. Livshits G, Karasik D, Kobyliansky E (2002) Complex segregation analysis of the radiographic phalanges bone mineral density and their age-related changes. J Bone Miner Res 17:152–161. doi:10.1359/jbmr.2002.17.1.152

    Article  PubMed  Google Scholar 

  24. Kellgren J, Lawrence J (1963) Atlas of standard radiographs: the epidemiology of chronic rheumatism. Blackwell Scientific Publications, Oxford

    Google Scholar 

  25. Malkin I, Karasik D, Livshits G, Kobyliansky E (2002) Modelling of age-related bone loss using cross-sectional data. Ann Hum Biol 29:256–270. doi:10.1080/03014460110075729

    Article  CAS  PubMed  Google Scholar 

  26. Dahaghin S, Bierma-Zeinstra SM, Ginai AZ, Pols HA, Hazes JM, Koes BW (2005) Prevalence and pattern of radiographic hand osteoarthritis and association with pain and disability (the Rotterdam study). Ann Rheum Dis 64:682–687. doi:10.1136/ard.2004.023564[pii]

    Article  CAS  PubMed  Google Scholar 

  27. Zhang Y, Xu L, Nevitt MC, Niu J, Goggins JP, Aliabadi P, Yu W, Lui LY, Felson DT (2003) Lower prevalence of hand osteoarthritis among Chinese subjects in Beijing compared with white subjects in the United States: the Beijing Osteoarthritis Study. Arthritis Rheum 48:1034–1040. doi:10.1002/art.10928

    Article  PubMed  Google Scholar 

  28. Cooley HM, Stankovich J, Jones G (2003) The association between hormonal and reproductive factors and hand osteoarthritis. Maturitas 45:257–265. doi:S0378512203001518[pii]

    Article  CAS  PubMed  Google Scholar 

  29. El-Sherif HE, Kamal R, Moawyah O (2008) Hand osteoarthritis and bone mineral density in postmenopausal women; clinical relevance to hand function, pain and disability. Osteoarthritis Cartilage 16:12–17. doi:S1063-4584(07)00190-2[pii]10.1016/j.joca.2007.05.011

    Article  CAS  PubMed  Google Scholar 

  30. Chaisson CE, Zhang Y, McAlindon TE, Hannan MT, Aliabadi P, Naimark A, Levy D, Felson DT (1997) Radiographic hand osteoarthritis: incidence, patterns, and influence of pre-existing disease in a population based sample. J Rheumatol 24:1337–1343

    CAS  PubMed  Google Scholar 

  31. Cooper C, Egger P, Coggon D, Hart DJ, Masud T, Cicuttini F, Doyle DV, Spector TD (1996) Generalized osteoarthritis in women: pattern of joint involvement and approaches to definition for epidemiological studies. J Rheumatol 23:1938–1942

    CAS  PubMed  Google Scholar 

  32. Egger P, Cooper C, Hart DJ, Doyle DV, Coggon D, Spector TD (1995) Patterns of joint involvement in osteoarthritis of the hand: the Chingford Study. J Rheumatol 22:1509–1513

    CAS  PubMed  Google Scholar 

  33. Srikanth VK, Fryer JL, Zhai G, Winzenberg TM, Hosmer D, Jones G (2005) A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis Cartilage 13:769–781. doi:S1063-4584(05)00112-3[pii]10.1016/j.joca.2005.04.014

    Article  PubMed  Google Scholar 

  34. Bagge E, Bjelle A, Eden S, Svanborg A (1991) Factors associated with radiographic osteoarthritis: results from the population study 70-year-old people in Goteborg. J Rheumatol 18:1218–1222

    CAS  PubMed  Google Scholar 

  35. Carman WJ, Sowers M, Hawthorne VM, Weissfeld LA (1994) Obesity as a risk factor for osteoarthritis of the hand and wrist: a prospective study. Am J Epidemiol 139:119–129

    CAS  PubMed  Google Scholar 

  36. Cicuttini FM, Baker JR, Spector TD (1996) The association of obesity with osteoarthritis of the hand and knee in women: a twin study. J Rheumatol 23:1221–1226

    CAS  PubMed  Google Scholar 

  37. Hart DJ, Spector TD (1993) The relationship of obesity, fat distribution and osteoarthritis in women in the general population: the Chingford Study. J Rheumatol 20:331–335

    CAS  PubMed  Google Scholar 

  38. Davis MA, Neuhaus JM, Ettinger WH, Mueller WH (1990) Body fat distribution and osteoarthritis. Am J Epidemiol 132:701–707

    CAS  PubMed  Google Scholar 

  39. Hochberg MC, Lethbridge-Cejku M, Plato CC, Wigley FM, Tobin JD (1991) Factors associated with osteoarthritis of the hand in males: data from the Baltimore Longitudinal Study of Aging. Am J Epidemiol 134:1121–1127

    CAS  PubMed  Google Scholar 

  40. Hochberg MC, Lethbridge-Cejku M, Scott WW Jr, Plato CC, Tobin JD (1993) Obesity and osteoarthritis of the hands in women. Osteoarthritis Cartilage 1:129–135. doi:S1063-4584(05)80028-7[pii]

    Article  CAS  PubMed  Google Scholar 

  41. Kalichman L, Kobyliansky E (2007) Age, body composition, and reproductive indices as predictors of radiographic hand osteoarthritis in Chuvashian women. Scand J Rheumatol 36:53–57. doi:777047558[pii]10.1080/03009740600902460

    Article  CAS  PubMed  Google Scholar 

  42. Wilder FV, Barrett JP, Farina EJ (2006) Joint-specific prevalence of osteoarthritis of the hand. Osteoarthritis Cartilage 14:953–957. doi:S1063-4584(06)00118-X[pii]10.1016/j.joca.2006.04.013

    Article  CAS  PubMed  Google Scholar 

  43. Samanta A, Jones A, Regan M, Wilson S, Doherty M (1993) Is osteoarthritis in women affected by hormonal changes or smoking? Br J Rheumatol 32:366–370. doi:10.1093/rheumatology/32.5.366

    Article  CAS  PubMed  Google Scholar 

  44. Wilder FV, Hall BJ, Barrett JP (2003) Smoking and osteoarthritis: is there an association? The Clearwater Osteoarthritis Study. Osteoarthr Cartil 11:29–35. doi:S1063458402908575[pii]

    Article  CAS  PubMed  Google Scholar 

  45. Szoeke CE, Cicuttini FM, Guthrie JR, Clark MS, Dennerstein L (2006) Factors affecting the prevalence of osteoarthritis in healthy middle-aged women: data from the longitudinal Melbourne Women’s Midlife Health Project. Bone 39:1149–1155. doi:S8756-3282(06)00542-4[pii]10.1016/j.bone.2006.05.016

    Article  CAS  PubMed  Google Scholar 

  46. Sowers M, Lachance L, Hochberg M, Jamadar D (2000) Radiographically defined osteoarthritis of the hand and knee in young and middle-aged African American and Caucasian women. Osteoarthr Cartil 8:69–77. doi:10.1053/joca.1999.0273S1063-4584(99)90273-X[pii]

    Article  CAS  PubMed  Google Scholar 

  47. Karlamangla AS, Sarkisian CA, Kado DM, Dedes H, Liao DH, Kim S, Reuben DB, Greendale GA, Moore AA (2008) Light to moderate alcohol consumption and disability: variable benefits by health status. Am J Epidemiol. doi:kwn294[pii]10.1093/aje/kwn294

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Correspondence to Leonid Kalichman.

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Kalichman, L., Kobyliansky, E. Hand osteoarthritis in Chuvashian population: prevalence and determinants. Rheumatol Int 30, 85–92 (2009). https://doi.org/10.1007/s00296-009-0920-9

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