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

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.

• Authors: Kyoko Kondo, Seiya Jingushi, Satoko Ohfuji, Muroto Sofue, Moritoshi Itoman, Tadami Matsumoto, Yoshiki Hamada, Hiroyuki Shindo, Yoshio Takatori, Harumoto Yamada, Yuji Yasunaga, Hiroshi Ito, Satoshi Mori, Ichiro Owan, Genji Fujii, Hirotsugu Ohashi, Wakaba Fukushima, Akiko Maeda, Miki Inui, Shinji Takahashi, Yoshio Hirota
• Journal: International journal of rheumatic diseases (Int J Rheum Dis) Vol. 20 Issue 10 Pg. 1372-1382 (Oct 2017) ISSN: 1756-185X [Electronic] England
• PMID: 27943574 (Publication Type: Journal Article, Multicenter Study)
• Copyright: © 2016 The Authors. International Journal of Rheumatic Diseases published by Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.

Topics

• Activities of Daily Living
• Adolescent
• Adult
• Age Factors
• Aged
• Aged, 80 and over
• Asian People
• Biomechanical Phenomena
• Body Height
• Cross-Sectional Studies
• Disability Evaluation
• Female
• Hip Joint (physiopathology)
• Humans
• Japan (epidemiology)
• Logistic Models
• Middle Aged
• Multivariate Analysis
• Odds Ratio
• Osteoarthritis, Hip (diagnosis, epidemiology, physiopathology)
• Overweight (epidemiology)
• Parity
• Risk Factors
• Severity of Illness Index
• Sex Factors
• Surveys and Questionnaires
• Young Adult