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BMJ. 1992 May 16;304(6837):1269-72.

Osteoarthritis of the hip: an occupational disease in farmers.

Author information

  • 1ARC Epidemiology Research Unit, University of Manchester.

Abstract

OBJECTIVE:

To test the hypothesis that farmers are at high risk of hip osteoarthritis and to investigate possible causes for such a hazard.

DESIGN:

Cross sectional survey.

SETTING:

Five rural general practices.

SUBJECTS:

167 male farmers aged 60-76 and 83 controls from mainly sedentary jobs. All those without previous hip replacement underwent radiography of the hip.

MAIN OUTCOME MEASURES:

Hip replacement for osteoarthritis or radiological evidence of hip osteoarthritis.

RESULTS:

Prevalence of hip osteoarthritis was higher in farmers than controls and especially in those who had farmed for over 10 years (odds ratio 9.3, 95% confidence interval 1.9 to 44.5). The excess could not be attributed to any one type of farming, and heavy lifting seems the likely explanation.

CONCLUSIONS:

Manual handling in agriculture should be limited where possible. Consideration should be given to making hip osteoarthritis a prescribed industrial disease in farmers. There may be wider implications for the prevention of hip osteoarthritis in the general population.

Comment in

  • Osteoarthritis of the hip in farmers. [BMJ. 1992]
  • Farmer's hip. [BMJ. 1992]
  • Farmer's hip. [BMJ. 1992]
PMID:
1606427
[PubMed - indexed for MEDLINE]
PMCID:
PMC1881870
Free PMC Article
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