Prevalence and risk factors of osteoarthritis in patients with type 2 diabetes in Beijing, China from 2015 to 2017.
- Author:
Jun Hui WU
1
;
Hong Bo CHEN
1
;
Yi Qun WU
1
;
Yao WU
1
;
Zi Jing WANG
1
;
Tao WU
1
;
Meng Ying WANG
1
;
Si Yue WANG
1
;
Xiao Wen WANG
1
;
Jia Ting WANG
1
;
Huan YU
1
;
Yong Hua HU
1
Author Information
1. Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing 100191, China.
- Publication Type:Journal Article
- Keywords:
Comorbidity;
Diabetes mellitus, type 2;
Osteoarthritis;
Prevalence
- MeSH:
Adult;
Aged;
Beijing/epidemiology*;
China/epidemiology*;
Cross-Sectional Studies;
Diabetes Mellitus, Type 2/epidemiology*;
Female;
Humans;
Male;
Middle Aged;
Osteoarthritis/etiology*;
Prevalence;
Risk Factors
- From:
Journal of Peking University(Health Sciences)
2021;53(3):518-522
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the prevalence and related factors of osteoarthritis in patients with type 2 diabetes mellitus, and provided a scientific basis for the prevention of the comorbidity.
METHODS:The data were obtained from the database of all designated medical institutions in Beijing from 2015 to 2017. Data of the adult patients with type 2 diabetes mellitus were collected for descriptive analysis, and a Logistic regression model was used to explore the related factors of osteoarthritis in the patients with type 2 diabetes mellitus.
RESULTS:A total of 1 046 264 diagnosed type 2 diabetes mellitus adult patients were included in our study, with an average age of 63.07 years, and 50.78% were males. Among the patients with type 2 diabetes mellitus, there were 341 561 cases with osteoarthritis, and the prevalence of osteoarthritis was 32.65%. The prevalence of females (38.05%) was higher than that of males (27.41%), and the difference was statistically significant (P < 0.05). Osteoarthritis occurred in all age groups among the patients with type 2 diabetes mellitus, with the highest prevalence of osteoarthritis in the age group of 65-69 years (36.76%), and the lowest prevalence in the age group ≤44 years (14.3%). Before the age of 70, the prevalence increased with age. Further analysis of related factors for osteoarthritis in the patients with type 2 diabetes mellitus showed that female (OR=1.62, 95%CI: 1.61-1.63), age (OR=1.01, 95%CI: 1.01-1.01), had other comorbidities (OR=1.19, 95%CI: 1.18-1.21), used hypoglycemic drugs (OR=0.79, 95%CI: 0.78-0.80), having the cardiovascular disease (OR=1.13, 95%CI: 1.11-1.15), having cerebrovascular disease (OR=1.25, 95%CI: 1.23-1.28), and having nephropathy (OR=1.61, 95%CI: 1.51-1.71) were associated with the osteoarthritis in the type 2 diabetic mellitus patients.
CONCLUSION:Our study revealed that the prevalence of osteoarthritis in patients with type 2 diabetes mellitus is high in Beijing area. Health education and disease monitoring should be strengthened in middle-aged and elderly patients. Screening for comorbidities should be carried out as soon as possible, with the focus on menopausal women.