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Int J Rheum Dis. 2017 Oct;20(10):1372-1382. doi: 10.1111/1756-185X.12955. Epub 2016 Dec 10.

Factors associated with functional limitations in the daily living activities of Japanese hip osteoarthritis patients.

Author information

1
Department of Public Health, Osaka City University Faculty of Medicine, Osaka, Japan.
2
Department of Orthopaedic Surgery, Kyushu Rosai Hospital of Japan Labor Health and Welfare Organization, Kitakyushu, Japan.
3
Orthopaedic Division, Nakajo Central Hospital, Tainai, Japan.
4
Department of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
5
Department of Orthopaedic Surgery, Kanazawa Medical University, Kahokugun, Japan.
6
Department of Orthopedics, Mitsuwadai General Hospital, Chiba, Japan.
7
Department of Orthopaedic Surgery, Nagasaki University Graduate School of Medicine, Nagasaki, Japan.
8
Department of Orthopaedic Surgery, Japan Community Health Care Organization Yugawara Hospital, Ashigarashimogun, Japan.
9
Department of Orthopaedic Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
10
Department of Orthopaedic Surgery, Hiroshima Prefectural Rehabilitation Center, Higashihiroshima, Japan.
11
Department of Orthopaedic Surgery, Asahikawa Medical University, Asahikawa, Japan.
12
Department of Bone and Joint Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
13
Department of Orthopaedic Surgery, Okinawa Red Cross Hospital, Naha, Japan.
14
Tohoku Hip Joint Centre, Matsuda Hospital, Sendai, Japan.
15
Department of Orthopedic Surgery, Saiseikai Nakatsu Hospital, Osaka, Japan.
16
Department of Orthopaedic Surgery, Osaka City University Faculty of Medicine, Osaka, Japan.
17
College of Health Care Management, Miyama, Japan.

Abstract

AIM:

As society ages, there is a vast number of elderly people with locomotive syndrome. In this study, the factors associated with functional limitations in daily living activities evaluated by female hip osteoarthritis (OA) patients were investigated.

METHODS:

This study was a cross-sectional study. The subjects were 353 female patients who were newly diagnosed with hip OA at an orthopedic clinic with no history of hip joint surgery. Outcome indices were functional limitations in two daily living activities obtained from a questionnaire completed by the patients: (i) standing up (standing from a crouched position) and (ii) stair-climbing (climbing and/or descending stairs). The odds ratios (ORs) and 95% confidence intervals (CIs) were computed for explanatory variables using the proportional odds model in logistic regression to evaluate their associations with functional limitations.

RESULTS:

Functional limitations in standing up were associated with heavy weight (third tertile vs. first tertile: 1.91, 1.11-3.27), participation in sports at school (0.62, 0.40-0.98), parity (vs. nullipara: 1.96, 1.08-3.56), old age and OA stage. Associations with functional limitations in stair-climbing were seen with short height (< 151.0 cm vs. ≥ 156.0 cm: 2.05, 1.02-4.12), bilateral involvement (vs. unilateral: 1.71, 1.01-2.88), old age and OA stage.

CONCLUSION:

Old age, OA stage, heavy weight, parity, shorter height and bilateral OA were associated with functional limitations in standing up and/or stair-climbing, whereas participation in sports such as club activities in school maintained standing up.

KEYWORDS:

anthropometric factors; epidemiology; functional limitation; hip osteoarthritis; parity; sports

PMID:
27943574
PMCID:
PMC5655789
DOI:
10.1111/1756-185X.12955
[Indexed for MEDLINE]
Free PMC Article

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