Factors Associated with Functional Limitation in Stair Climbing in Female Japanese Patients with Knee Osteoarthritis
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概要
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BACKGROUND: Osteoarthritis (OA) of the knee is a common form of arthritis, and affects quality of life. We investigated factors associated with functional limitation in stair climbing among female Japanese patients with knee OA. As weight is a known risk factor for knee OA, we focused on body weight at 40 years of age, and examined the association with present weight, past weight, and weight change.METHODS: Subjects were 360 Japanese women aged 40-92 years who were newly diagnosed with knee OA at 3 university hospitals over a 1-year period. Factors associated with the severity of functional limitation in stair climbing were assessed by calculating odds ratios (OR) using the proportional odds model in logistic regression.RESULTS: Weight at diagnosis showed a positive association with severe functional limitation in stair climbing; however, a negative association was observed for weight change since age 40. Further analysis indicated that the association with weight at age 40 (highest vs. lowest quartile, OR=2.84, 95% confidence interval: 1.03-7.83, trend p=0.071) is stronger than weight at diagnosis. Other significant characteristics were age (70+ vs. 40-59 years, OR=7.37), previous knee pain and/or swelling 12 years or more before diagnosis (OR=2.67), and physical work (OR=1.94). In addition, higher parity was found to be a negatively associated factor (for tripara or more, OR=0.41).CONCLUSIONS: This study identified factors, such as heavy weight at age 40 and physical labor, which are potentially useful for preventing severe functional limitation for female knee OA patients. In addition, higher parity was associated with milder stair climbing limitation.J Epidemiol 2006; 16:21-29.
- 日本疫学会の論文
- 2006-01-01
著者
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TANAKA Takashi
Department of Physics, Faculty of Science, Okayama University
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Iwamoto Yukihide
Department Of Rehabilitation Kyushu University Hospital:department Of Orthopedics Kyushu University
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SUGIOKA YOICHI
Department of Orthopaedic Surgery, Faculty of Medicine, Kyushu University
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Kurosaka Masahiro
Department of Orthopedic Surgery, Kobe University Graduate School of Medicine
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Sugioka Yoichi
Department Of Orthopaedic Surgery Faculty Of Medicine Kyushu University
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Iwamoto Yukihide
Department Of Orthopaedic Surgery Graduate School Of Medical Sciences Kyushu University
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MIURA HIROMASA
Department of Rehabilitation Medicine, Kyushu University Hospital
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Sugioka Yoichi
Department Of Orthopaedic Surgery Kyushu University Faculty Of Medicine
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Miura Hiromasa
Department Of Orthopaedic Surgery Kyushu University Faculty Of Medicine
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INOUE Hajime
Department of High Energy Astrophysics, Institute of Space and Astronautical Science, Japan Aerospac
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KONDO KYOKO
Department of Public Health, Faculty of Medicine, Osaka City University
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HIROTA YOSHIO
Department of Public Health, Faculty of Medicine, Osaka City University
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Kondo Kyoko
Department Of Physics Faculty Of Science Ochanomizu University
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Kondo Kyoko
Department Of Public Health Osaka City University Faculty Of Medicine
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Hirota Yoshio
Department Of Public Health Osaka City University Faculty Of Medicine
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Hirota Yoshio
Department Of Public Health Faculty Of Medicine Osaka City University
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Shirata Kumiko
College Of Nursing Osaka City University
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Inoue Hajime
Department Of High Energy Astrophysics Institute Of Space And Astronautical Science Japan Aerospace
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KAWAMURA Hideya
Department of Orthopaedic Surgery, Kyushu University Faculty of Medicine
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YAMASHITA Terumi
Department of Public Health, Osaka City University Faculty of Medicine
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Kurosaka Masahiro
Department Of Orthopaedic Surgery Kobe University Graduate School Of Medicine
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Tanaka Takashi
Department Of Internal Medicine Fukui Cardiovascular Center
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Kurosaka Masahiro
Department Of Orthopaedic Surgery Kobe University Faculty Of Medicine
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Kawamura Hideya
Department Of Orthopaedic Surgery Kyushu University Faculty Of Medicine
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Iwamoto Yukihide
Department Of Orthopaedic Surgery Clinical Medicine Graduate School Of Medicine Kyushu University
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Iwamoto Yukihide
Department Of Orthopaedic Surgery Kyushu University Faculty Of Medicine
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Iwamoto Yukihide
Department Of Orthopaedic Surgery Clinical Medicine Graduate School Of Medical Sciences Kyushu Unive
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Yamashita Terumi
Department Of Public Health Osaka City University Faculty Of Medicine
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Inoue Hajime
Department Of Orthopaedic Surgery Okayama University Faculty Of Medicine
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Inoue Hajime
Department Of Applied Chemistry Faculty Of Engineering Kanagawa University
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Tanaka Takashi
Department Of Central Clinical Laboratory Teikyo University Hospital
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Tanaka Takashi
Department Of Public Health Osaka City University Faculty Of Medicine
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HIROTA Yoshio
Department of Public Health, Osaka City University Faculty of Medicine
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Kondo Kyoko
Department of Chemistry, Faculty of Science, Ehime University
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