Understanding Risk Factors of Knee Pain Severity among Iranian Women suffer from Knee Osteoarthritis: A cross-sectional study from Yasuj, Iran

Document Type : Original Research

Authors
1 Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares of University, Tehran, Iran.
2 Department of Health Education and Promotion, School of Health and Nutrition Sciences, Yasuj University of Medical Sciences, Yasuj, Iran
3 Department of Physical Medicine and Rehabilitation, Yasuj University of Medical Sciences, Yasuj, Iran.
4 Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
5 Department of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran.
Abstract
Aims: Knee osteoarthritis (KO) is one of the most common Musculoskeletal Disorders (MSDs) that causes severe pain, decreased function and range of motion, reduced income, decreased social interaction, and ultimately affects the quality of life in patients. As many studies indicated that KO is common among women, this study aimed to assess the risk factors of Knee osteoarthritis in women between 40 and 55 years.

Method and Materials: In this descriptive-analytical study, 198 were selected randomly, of whom, based on inclusion criteria, 100 participants were eligible and included in the study. To obtain the level of protection behaviors, a 38-item self-designed checklist was used. Western Ontario and McMaster Universities Arthritis Index (WOMAC) and visual analog scale (VAS) were used to measure knee pain severity and knee function. Moreover, a selfefficacy questionnaire and a muscle strength questionnaire were used. The obtained data were analyzed through the analytical tests by using SPSS version 24. Findings: This study showed there is a significant relationship between knee osteoarthritis and various factors such as age, body mass index, educational status, other diseases (blood pressure and diabetes), muscle strength, daily housewives performance, knee-protective behaviors, self-efficacy in the field of knee-protective behaviors (P <0.05 in all instances).

Conclusion: As this study indicated, the majority of the risk factors associated with knee pain due to osteoarthritis can be controlled, so providing educational-training programs for women to reduce knee osteoarthritis is strongly recommended.

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1. Huang C, Chan P-K, Chiu K-Y, Yan C-H, Yeung S-S, Fu SN. Exploring the relationship between pain intensity and knee moments in participants with medial knee osteoarthritis: a cross-sectional study. BMC Musculoskelet Disord. 2021;22:1–9.
2. Nguyen U-SDT, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT. Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Ann Intern Med. 2011;155:725–32.
2. Liu Q, Wang S, Lin J, Zhang Y. The burden for knee osteoarthritis among Chinese elderly: estimates from a nationally representative study. Osteoarthr Cartil. 2018;26:1636–42.
4. Stubbs B, Hurley M, Smith T. What are the factors that influence physical activity participation in adults with knee and hip osteoarthritis? A systematic review of physical activity correlates. Clin Rehabil. 2015;29:80–94.
5. Alkan BM, Fidan F, Tosun A, Ardıçoğlu Ö. Quality of life and self-reported disability in patients with knee osteoarthritis. Mod Rheumatol. 2014;24:166–71.
6. Palazzo C, Nguyen C, Lefevre-Colau M-M, Rannou F, Poiraudeau S. Risk factors and burden of osteoarthritis. Ann Phys Rehabil Med. 2016;59:134–8.
7. Muraki S, Tanaka S, Yoshimura N. Epidemiology of knee osteoarthritis. OA Sport Med. 2013;1:21.
8. Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull. 2013;105:185–99.
9. Hame SL, Alexander RA. Knee osteoarthritis in women. Curr Rev Musculoskelet Med. 2013;6:182–7.
10. Blagojevic M, Jinks C, Jeffery A, Jordan 1KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthr Cartil. 2010;18:24–33.
11. Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26:355–69.
12. Reid CR, Bush PM, Cummings NH, McMullin DL, Durrani SK. A review of occupational knee disorders. J Occup Rehabil. 2010;20:489–501.
13. Lementowski PW, Zelicof SB. Obesity and osteoarthritis. Am J Orthop Mead. 2008;37:148.
14- Dashtian M, * Tavafian SS, Karimzade shirazi K, Yazdanpanah P. Design and psychometric assessment of a checklist for evaluating knee care behaviors
In women around menopause age. Journal of Education and Community Health. Hamedan, Iran (Accepted)
15- Ebrahimzadeh MH, Makhmalbaf H, Birjandinejad A, Keshtan FG, Hoseini HA, Mazloumi SM. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in Persian Speaking Patients with Knee Osteoarthritis. Arch Bone Jt Surg. 2014 Mar;2(1):57-62
16- McCormack HM, Home DJ, Sheather, S. Clinical applications of visual analogue scales: A critical
review. Psychol Med 1988;18(4):1007-1019
17. Shamsi M, Safari A, Soroush A, Safari Y. The Survey of Knee Osteoarthritis in the Population over Age 50 Visited in the Health Bus in Kermanshah, Iran. J Aging Res. 2021 Nov 12;2021:9809565. doi: 10.1155/2021/9809565. PMID: 34804610; PMCID: PMC8604593
18- Dehghan, A., Soleimani Salehabadi, H., Jamshidi, A. et al. Epidemiology of musculoskeletal symptoms, rheumatologic disorders, and disability in the Zoroastrian population in Yazd, Iran: a WHO-ILAR COPCORD study (stage 1). BMC Rheumatol 5, 46 (2021). https://doi.org/10.1186/s41927-021-00214-2
19-Norozi E, Malakimoghadam H. Factors affecting arthritis preventive behavior in middle-aged women in Birjand using the Health Belief Model. J Birjand Univ Med Sci. 2018;25:334–41.
20- Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian J Intern Med. 2011 Spring;2(2):205-12. PMID: 24024017; PMCID: PMC3766936.
21- Jormand H, Mohammadi N, Khani Jeihooni A, Afzali Harsini P. Self-care behaviors in older adults suffering from knee osteoarthritis: Application of theory of planned behavior. Front Public Health. 2022 Nov 4;10:958614. doi: 10.3389/fpubh.2022.958614. PMID: 36408046; PMCID: PMC9672679.
22-- Norouzi S, Tavafian SS, Cousins R, Mokarami H. Understanding risk factors for musculoskeletal disorders in Iranian housewives: Development of a comprehensive health promotion behavior model. BMC Public Health. 2023 Mar 31;23(1):617. doi: 10.1186/s12889-023-15518-w.
23- Delshad MH, Tavafian SS, Kazemnejad A. Educational intervention for promoting stretching exercise behavior among a sample of Iranian office employees: applying the Health Promotion Model. J Pain Res. 2019 Feb 22; 12:733-742