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Joint hypermobility in Indian children.
R P Hasija1, R P Khubchandani, S Shenoi
1Pediatric Rheumatology Clinic, Jaslok Hospital & Research Center, Gopalrao Deshmukh Marg, Mumbai, India.
Clinical and Experimental Rheumatology
|March 11, 2008
Summary
Joint hypermobility is common in Mumbai children, especially those with moderate to severe malnutrition. Hypermobile children, particularly those malnourished, report more musculoskeletal symptoms, highlighting a significant health association.
Area of Science:
- Pediatric Rheumatology
- Nutritional Epidemiology
- Public Health
Background:
- Joint hypermobility, a condition characterized by excessive joint range of motion, is increasingly recognized in pediatric populations.
- Understanding the prevalence and associated factors of joint hypermobility is crucial for identifying at-risk children and implementing timely interventions.
- Malnutrition is a significant public health concern in many regions, and its potential impact on musculoskeletal health warrants investigation.
Purpose of the Study:
- To determine the prevalence of joint hypermobility among children in Mumbai, India.
- To investigate the association between joint hypermobility and the nutritional status of these children.
- To explore the relationship between joint hypermobility, malnutrition, and the occurrence of musculoskeletal symptoms.
Main Methods:
- A cross-sectional study was conducted involving 829 children aged 3-19 years from lower urban socio-economic strata in Mumbai.
- Joint hypermobility was assessed using the Beighton 9-point scoring system, with a score of ≥4/9 considered positive.
- Nutritional status was stratified using Indian growth charts, and musculoskeletal symptoms were evaluated via parental questionnaires. Statistical significance was determined using the Chi-square test (p<0.05).
Main Results:
- The prevalence of joint hypermobility was found to be 58.7% in the study population.
- A significant association was observed between moderate to severe malnutrition (Grade 3 and 4) and a higher prevalence of joint hypermobility (61.5%) compared to children with normal or mild malnutrition (36.8%).
- Hypermobile children, particularly those with moderate to severe malnutrition, reported a higher incidence of musculoskeletal symptoms (26.1%) compared to their non-hypermobile counterparts (17.7%).
Conclusions:
- The study identified a high prevalence of joint hypermobility in Mumbai's pediatric population.
- Moderate to severe malnutrition is significantly associated with joint hypermobility in children.
- Joint hypermobility is linked to an increased risk of musculoskeletal symptoms, especially in malnourished children.
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