Epidemiological survey of knee osteoarthritis and analysis of related risk factors among military personnel in plateau regions
10.11855/j.issn.0577-7402.1151.2025.0313
- VernacularTitle:高原地区军人膝骨关节炎流行病学调查及相关危险因素分析
- Author:
Pei-Jie LI
1
;
Yong-Jie QIAO
;
Ya-Fei CAO
;
Jian-Kang ZENG
;
Fei TAN
;
Jia-Huan LI
;
Rui-Ling XU
;
Shuo YE
;
Sheng-Hu ZHOU
Author Information
1. 甘肃中医药大学第一临床医学院,甘肃 兰州 730000;解放军联勤保障部队第940医院关节外科,甘肃
- Keywords:
knee osteoarthritis;
epidemiologi;
ultrasonography;
prevalence;
risk factors
- From:
Medical Journal of Chinese People's Liberation Army
2025;50(11):1374-1381
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the epidemiological characteristics of knee osteoarthritis(KOA)among military personnel in plateau regions and to explore its risk factors.Methods From July 2023 to July 2024,a multi-stage stratified cluster random sampling method was employed to survey the prevalence of KOA and related risk factors among military personnel in the northwest plateau regions of China,covering different altitudes(1500-4500 m)and geographical areas(Gansu,Qinghai,Tibet,and Xinjiang).All study subjects were divided into KOA and non-KOA groups based on the presence or absence of KOA.Variables including age,gender,body mass index(BMI),education level,smoking status,military rank,military branch,service duration,regional altitude,annual average temperature,training duration,perceived training intensity,and history of knee injury were selected for univariate analyses between groups.Variables with P<0.05 in the univariate analyses were included in the binary multifactor logistic regression to identify risk factors for KOA.Results A total of 3000 questionnaires were distributed,and 2854 valid questionnaires were collected,with a response rate of 95.13%.The sample included 2584 males and 270 females,with 510 cases of KOA,resulting in a prevalence rate of 17.9%.Univariate analysis showed that there were statistically significant differences between KOA and non-KOA groups in terms of age,BMI,smoking status,military rank,military branch,service duration,regional altitude,annual average temperature,training duration,perceived training intensity,and history of knee injury(P<0.05).However,no significant differences were found in gender and education level(P>0.05).Binary multivariate logistic regression analysis revealed that older age(OR=1.382,P=0.017),higher BMI(P<0.01),smoking(OR=1.929,P<0.01),higher military rank(OR=1.485,P=0.007),being a member of the Armed Police(P<0.01),longer service duration(P<0.01),higher regional altitude(OR=1.459,P<0.01),lower annual average temperature(OR=1.188,P=0.001),longer training duration(P<0.01),higher perceived training intensity(OR=2.450,P<0.01),and history of knee injury(OR=2.768,P=0.002)were independent risk factors for KOA.Conclusions Older age,overweight/obesity,smoking,higher military rank,being a member of the Armed Police,longer service duration,higher altitude,cold climate,longer training duration,higher training intensity,and history of knee injury are independent risk factors for KOA among military personnel in the northwest plateau regions of China.
