Comorbidades em pacientes com osteoartrite: frequência e impacto na dor e na função física

Abstract

Introduction: As the prevalence of osteoarthritis (OA) increases with age, the coexistence of other chronic diseases is common. Objectives: To evaluate the frequency of comorbidities in OA patients and to measure their impact on pain and physical function of those patients. Methods: Cross-sectional study in OA patients of a public rheumatology clinic. Pain was measured by use of the Visual Analogue Scale (VAS) and physical function by use of the Lequesne's and SACRAH indices. A screening for depression was performed, as were the following measurements: anthropometric data; blood pressure; fasting glycemia; and lipid profile. Results: The study assessed 91 patients (mean age 59.3 years; 91.4% female). The metabolic syndrome frequency was 54.9%. Hypertension occurred in 75.8% of the patients, dyslipidemia in 52.6%, and obesity in 57.1%. The screening for depression was positive in 61.3% of patients. When comparing the metabolic syndrome components individually, patients with hypertension had higher SACRAH scores, with statistically significant differences (P = 0.035). For the other variables, no differences among the Lequesne's, SACRAH and VAS scores were observed. Conclusion: This group of OA patients showed a high frequency of depression, metabolic syndrome and its components in isolation, which can impact the pain and physical function of those patients. Such results showed the need for investigating and treating those comorbidities in OA patients.

Cognitive Capacity and Depressive Symptoms in Elderly People Attending the Primary Care Services / Condições Cognitivas e Sintomas Depressivos em Pessoas Idosas Inseridas na Atenção Básica

“…Researchers report that such association is probably due to the fact that women have a longer life expectancy and, consequently, a bigger risk of developing incapacitating chronic diseases. 19,24,25 Although data from the present study showed the prevalence of female among the elderly with depression, a statistically insignificant association was found between the gender variable and the GDS-15 instrument, as opposed to the literature consulted.…”

“…It should be pointed out that such pathologies are related to chronic pain and, consequently, to the association between this clinical finding, depressive symptoms, and sleep disorders, which alternate as an uninterrupted cycle. 19 So, depression emerges in postmodern society as evidence of man's vulnerability to new rhythms, values, and contexts, materializing latent expiatory suffering through cessation of interest in the modern world, in a mixture of progressive loss of identity by recriminations against themselves and decline in self-esteem. 17,18 This scenario interferes negatively in personal and social productivity, enabling disabilities across the age range, races, faith, gender, socioeconomic status, as well as historical, cultural and geographical boundaries between nations.…”

Trabalho e potência dos músculos extensores e flexores do joelho de pacientes com osteoartrite e com artroplastia total de joelho

“…In studies showing that improvement, all participants received physical therapeutic care after surgery until total rehabilitation. 43,44 Other authors, however, have found a correlation between the presence of pain, depression, OA, and alteration in functionality. 45 Several patients can have problems, such as muscle weakness and contracture, reduced range of motion, diffi culty in walking, and limitation of daily life activities, despite replacing the injured joint with a prosthesis.…”

Obesidade e Osteoartrite de Joelhos: Perfil epidemiológico DE usuários do sistema único de saúde

“…A idade foi uma variável que mostrou associação estatisticamente significante em relação à presença de OA (p=0,01), com maiores idades entre os pacientes do grupo 1, esse dado corrobora com os resultados de pesquisas na mesma temática (CHACUR et al, 2010;LEITE et al, 2011). O aumento da idade aumenta à incidência de OA em todas as articulações.…”