| Association of overweight, trauma and workload with coxarthrosis. A health survey of 7,217 persons. | |
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MedLine Citation:
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PMID: 8237314 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a population sample health survey, body mass, previous trauma and physical stress were studied for associations with coxarthrosis. A sample of 8,000 persons representative of the Finnish population aged 30 or over was invited for examination, and 90 percent participated. On the basis of a standardized clinical examination, a physician diagnosed coxarthrosis in 6 percent of the women and 4 percent of the men. The prevalence rose with age. In persons with a past traumatic lower-limb injury, the odds ratio of unilateral coxarthrosis was 2.1 and of bilateral coxarthrosis 1.5, as adjusted for sex, age and other determinants using logistic regression. The sum index reflecting self-reported features of physical stress in present or previous occupations was directly proportional to the prevalence of coxarthrosis. Body mass index (kg/m2) was closely associated with bilateral coxarthrosis; the adjusted odds ratio (95 percent confidence intervals) for indices > 35, compared to those < 25, was 2.8 (1.4-5.7). In terms of the population attributable fraction, prior trauma, physical stress and body mass were estimated to explain 59 percent of the prevalence of coxarthrosis. The potential for primary prevention may be great, but longitudinal population studies are necessary to elucidate causal significance of the risk factors. |
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Authors:
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M Heliövaara; M Mäkelä; O Impivaara; P Knekt; A Aromaa; K Sievers |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta orthopaedica Scandinavica Volume: 64 ISSN: 0001-6470 ISO Abbreviation: Acta Orthop Scand Publication Date: 1993 Oct |
Date Detail:
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Created Date: 1993-12-22 Completed Date: 1993-12-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370352 Medline TA: Acta Orthop Scand Country: DENMARK |
Other Details:
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Languages: eng Pagination: 513-8 Citation Subset: IM |
Affiliation:
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Social Insurance Institution, Helsinki, Finland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Body Mass Index Body Weight Cluster Analysis Cross-Sectional Studies Female Finland / epidemiology Humans Leg Injuries / complications Male Middle Aged Odds Ratio Osteoarthritis, Hip / epidemiology*, etiology Prevalence Retrospective Studies Risk Factors Stress, Mechanical |
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