骨关节炎的全球负担:从1990年到2019年的流行率和时间趋势
Xiao-Xiao Li1, Fan Cao2, Chan-Na Zhao1
1Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
International journal of rheumatic diseases
|August 8, 2024
概括
骨关节炎 (OA) 的患病率在全球范围内有所不同,美国承担了最高的负担. 虽然手部骨质炎的患病率下降,但从1990年至2019年,部和膝盖骨质炎的患病率增加,需要有针对性的预防策略.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 类风湿病学 类风湿病学
背景情况:
- 骨关节炎 (OA) 是一个重大的全球健康挑战.
- 了解其流行和趋势对于公共卫生干预至关重要.
研究的目的:
- 为了确定全球部,膝盖,手和其他OA的年龄标准化流行率 (ASPR).
- 分析从1990年到2019年的OA患病率的时间趋势.
主要方法:
- 利用了2019年全球疾病负担研究 (GBD) 的数据.
- 员工加入点回归分析,以评估三十年来的趋势.
主要成果:
- 在2019年,全球ASPRs是:部OA 400.95,膝盖OA 4375.95,手OA 1726.38,以及其他OA 745.62.
- 区域差异存在,欧洲和美国的部,手部和其他OA的比率更高,而美国的膝盖OA.
- 全球ASPR在手部OA下降 (-0.4%),但在部OA (0.43%),膝盖OA (0.17%) 和其他OA (0.16%) 在1990-2019年间增加.
结论:
- 美国面临的整体OA负担最高,而亚洲的膝盖OA负担很大.
- 建议紧急实施针对可修改风险因素的预防和控制措施,以减轻OA日益增长的影响.
相关概念视频
Prevalence and Incidence
409
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
409
Genome-wide Association Studies-GWAS
13.3K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.3K
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
Changes in the Appendicular Skeleton with Age
1.9K
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...
1.9K
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
Growth of Cartilage and Bone Tissue
3.1K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
3.1K


