Clinical investigation of knee osteoarthritis with metabolic syndrome
10.3760/cma.j.issn.1007-7480.2014.11.009
- VernacularTitle:膝骨关节炎合并代谢综合征的临床研究
- Author:
Juan MENG
;
Yi ZHENG
- Publication Type:Journal Article
- Keywords:
Osteoarthritis,knee;
Metabolic syndrome X;
Disease attributes
- From:
Chinese Journal of Rheumatology
2014;18(11):758-761
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the morbidity and clinical characteristics of knee osteoarthritis (OA) complicated with metabolic syndrome (MS).Methods Four hundred and ten patients with knee OA were enrolled into this survey.The subjects were divided into two groups:those with knee OA only:those with both OA and MS.Clinical data in the two groups were evaluated.Results The prevalence of MS was 40.2% in all knee OA patients,there was significant difference between the two groups according to the ratio of male to female (x2=5.853,P=0.001),but no difference between the two groups according to age distribution respectively (P>0.05).For metabolic parameters,waist circumference,triglyceride (TG),low density lipoprotein cholesterol (LDL-C),systolic blood pressure and glycosylated hemoglobin (HbA1c) were significantly increased in the group with both of the two diseases (OA and MS),comparing with those with knee OA only (t=3.123,4.679,2.818,3.697,2.632,2.907,P<0.05).However,there was no difference in both group in serum total cholesterol (TC),high density lipoprotein cholesterol (HDL-C) and fasting plasma glucose level (P>0.05).Incidence of coronary heart disease,diabetes mellitus and hypertension was higher in the group with both OA and MS than that in knee OA only group (x2=6.676 and 104.12,P<0.05).The incidence of diabetes mellitus was not different between the two groups (P>0.05).Conclusion The incidence of metabolic syndrome in knee OA patients is relatively high.Effective treatment should be invited to treat knee OA with MS.