在他们的时间之前老吗? 骨关节炎对年轻成年人的影响
Jessica M Wilfong1, Elizabeth M Badley2, Anthony V Perruccio2
1Schroeder Arthritis Institute, Krembil Research Institute, and Arthritis Community Research and Epidemiology Unit, Toronto, Ontario, Canada.
Arthritis care & research
|May 16, 2024
概括
骨关节炎 (OA) 影响了许多年轻人,症状严重程度与老年人相似. 这凸显了所有年龄组需要有效的OA管理,以应对长期影响.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 骨关节炎 (OA) 经常被错误地认为是一种仅仅影响老年人的疾病.
- 关于OA在年轻成年人群中的患病率和影响的研究有限.
- 这项研究解决了理解OA负担在广泛的年龄范围内存在的差距.
研究的目的:
- 为了描述骨关节炎 (OA) 在广泛的年龄范围内带来的负担.
- 为了比较年轻的成年人与OA的经验与老年人的经验.
- 调查OA在65岁以下的个体中的流行率和影响.
主要方法:
- 利用了来自加拿大社区健康调查和加拿大慢性疾病生活调查 - - 关节炎组件的数据.
- 对1749名20岁及以上的加拿大人进行了描述性分析,他们被诊断患有OA.
- 排除了除OA以外的关节炎类型的参与者.
主要成果:
- 超过一半 (55.4%) 的OA成年人年龄在65岁以下.
- 骨关节炎诊断的平均年龄为50岁,其中30.4%的患者在45岁之前被诊断出来.
- 年轻的成年人报告的疼痛,疲劳和活动限制与OA的老年人相似.
结论:
- 骨关节炎在年轻和中年成人中普遍存在,具有显著的症状负担.
- 患有OA的年轻人面临着长期生活在症状和残疾中.
- 有效,包括年龄在内的OA管理策略对于减轻长期健康后果至关重要.
相关概念视频
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K
The Effect of Aging on Tissues
2.1K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.1K
Changes in the Appendicular Skeleton with Age
2.0K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.0K
Knee Joint
1.7K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.7K
Ankle Joint
1.5K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.5K
Osteoclasts in Bone Remodeling
2.9K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
2.9K


