Osteoarthritis of knee joint in metabolic syndrome

Pathogenesis of osteoarthritis may have a systemic metabolic component. This study was undertaken to assess the prevalence of primary knee osteoarthritis (OA) in a sample of Egyptian patients with metabolic syndrome (MetS) and to examine the relationship of metabolic syndrome and its components with...

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Bibliographic Details
Published in:Clinical rheumatology 2018-10, Vol.37 (10), p.2855-2861
Main Authors: Afifi, Abd EL- Moaty Ali, Shaat, Reham Magdy, Gharbia, OLa M., Boghdadi, Yosra EL, Eshmawy, Mervat Mohammad EL, El-Emam, Ola Ali
Format: Article
Language:English
Subjects:
Adult
Arthritis
Case-Control Studies
Cholesterol
Diabetes
Diabetes mellitus
Egypt - epidemiology
Female
High density lipoprotein
Humans
Hypertension
Knee
Knee Joint - diagnostic imaging
Male
Medicine
Medicine & Public Health
Metabolic syndrome
Metabolic Syndrome - complications
Middle Aged
Obesity
Original Article
Osteoarthritis
Osteoarthritis, Knee - diagnostic imaging
Osteoarthritis, Knee - epidemiology
Osteoarthritis, Knee - etiology
Pain
Patients
Prevalence
Radiography
Regression analysis
Rheumatology
Severity of Illness Index
Socioeconomic Factors
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Summary:Pathogenesis of osteoarthritis may have a systemic metabolic component. This study was undertaken to assess the prevalence of primary knee osteoarthritis (OA) in a sample of Egyptian patients with metabolic syndrome (MetS) and to examine the relationship of metabolic syndrome and its components with clinical, functional, and radiographic findings of knee OA. A total of 60 patients (55 females, 5 males) diagnosed as having MetS according to the National Cholesterol Education Program Adult Treatment Panel III (ATP III) criteria and 30 obese subjects without MetS (24 females, 6 males), serving as a control group, were included in this study. All participants had completed preliminary questionnaires, clinical and laboratory examinations, and an evaluation for radiographic knee OA. Scores from the Western Ontario and Mc-Master University (WOMAC) were used for the pain, stiffness, and disability assessments of OA patients. X-rays were classified according to the Kellgren–Lawrence (KL) radiographic rating scale. We tested the relationship of metabolic syndrome and its components with the WOMAC score and radiographic findings of knee OA after adjusting for BMI. The prevalence of OA was 83.3% in MetS group compared with 63.3% in control group ( P  = 0.034). MetS patients with OA had higher WOMAC score and radiographic grading than controls with OA ( P  = 0.034, 0.019). MetS patients with OA had more waist circumference (WC) ( P  = 0.022), and higher frequency of hypertension (HTN) and diabetes mellitus (DM) ( P  = 0.009, 0.002 respectively) than MetS patients without OA. There were significant associations of MetS, WC, HTN, DM, high TG, and low HDL with OA ( P  = 0.041, 0.007,
ISSN:0770-3198
1434-9949
DOI:10.1007/s10067-018-4201-4