Etiologic fractions for physical work load, sports and overweight in the occurrence of coxarthrosis.

Olsen, Ole; Vingård, Eva; Köster, Max; Alfredsson, Lars

doi:10.5271/sjweh.1410

Cited by 54 publications

(17 citation statements)

References 17 publications

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“…Neither can we expect that etiologic fractions are the same for hip pain and coxarthrosis. Still, however, it may be interesting to compare former calculations of the etiologic fraction for coxarthrosis on the basis of a Swedish casereferent study (18) with our new results on hip pain. Similar to our results, Olsen et al (18) found a significant impact for overweight on coxarthrosis in Sweden (etiologic fraction of 0.16).…”

Section: Discussionmentioning

confidence: 99%

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Risk factors predicting hip pain in a 5-year prospective cohort study

Tüchsen¹,

Hannerz²,

Burr³

et al. 2003

Scand J Work Environ Health

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Objectives The aim of the study was to identify and quantify risk factors for hip pain. Methods A representative sample of 5001 Danish men and women aged 18-65 years in 1990 were interviewed about occupational exposures (response rate 90%); 5 years later they were reinterviewed about hip pain (response rate 86%). Logistic regression with forced entry of all the independent variables was used to estimate the odds ratios for the possible risk factors. The impact of the various predictors was assessed through the calculation of population etiologic fractions.Results A double risk of hip pain was found for the women as compared with the men [odds ratio (OR) 2.28, 95% confidence interval (95% CI) 1.68-3.09]. The risk increased with body mass index. Whole-body vibration (OR 1.86, 95% CI 1.09-2.71) and physically demanding work (OR 1.83, 95% CI 1.23-2.71) were strong predictors of hip pain, while a squatting work posture was protective (OR 0.64,. The impact of the statistically significant predictors (the etiologic fractions) was as follows: 0.49 for body mass index, 0.05 for whole body vibration, 0.10 for physically demanding work, and 0.32 for squatting (preventive).Conclusions Female gender, age, high body mass index, whole-body vibration, and physically demanding work are significant risk factors for hip pain.

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Section: Discussionmentioning

confidence: 99%

“…Still, it is a bit surprising that we found an etiologic fraction of 0.49 for a high BMI. In Sweden the etiologic fraction for coxarthrosis due to physical workload was as high as 0.4 (18). We calculated the impact of physically demanding work on hip pain to have an etiologic fraction of 0.10.…”

Section: Discussionmentioning

confidence: 99%

Risk factors predicting hip pain in a 5-year prospective cohort study

Tüchsen¹,

Hannerz²,

Burr³

et al. 2003

Scand J Work Environ Health

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“…But the literature is inconclusive as to risk factors for both hip and knee osteoarthritis for women and hip osteoarthritis for men. 34 Heredity 35 and sports 35,36 seem to be more important risk factors than workload. Obesity also seems to predict osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

Manual work as predictor for disability pensioning with osteoarthritis among the employed in Norway 1971-1990

Holte¹

2000

International Journal of Epidemiology

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Osteoarthritis is a non-inflammatory degenerative joint disease occurring chiefly in older people and is characterized by degeneration of the articular cartilage, hypertrophy of bone at the margins, and changes in the synovial membrane. It is accompanied by pain and stiffness. 1 In Norway in 1990 disability pensioners with osteoarthritis (DPOA) comprised 4.3% of all disability pensioners (5.0% of females and 3.5% of males). In 1990 new DPOA cases were 0.65 per 1000 men 16-66 years old without a disability pension and 0.92 per 1000 women 16-66 years old (1991). 2 For 50-59-year-old men and women there has been an increase in the annual incidence of disability pensioning with osteoarthritis over the period (unpublished work by the same authors).Risk factors for becoming a disability pensioner with a musculoskeletal diagnosis which have been published are female sex, 2-4 old age, 2,4,5 not being married, 3,5,6 low level of education, 4-7 low socioeconomic status, [8][9][10][11] low income, 6 working as shop assistant, nurse aide or charlady among women, 12 and heavy occupations among men. 5,10,13 The risk factors reported in previous studies are highly interrelated; people with a low level of education more often have poorly paid, physically demanding jobs than do those with a high level of education. 14 Married women more often work part time than do single women 15 and part-time work is more common in physically demanding jobs. The occupations associated with increased risk of becoming DPOA for women are physically demanding, require little education, and are associated with part-time work. If manual work remains a risk factor after adjusting for the other factors, the nature of this association will be discussed.The objective of this study is, based on prospective data of those employed and 50-56 years old at the start of a follow-up Background Manual work is reported to be a risk factor for becoming a disability pensioner due to osteoarthritis. This association may be due to covariation with other variables. We wanted to assess if manual work remained a risk factor after adjusting for number of hours worked, income, level of education, gender and marital status, and if the risk associated with manual work was equal in the 1970s and the 1980s. MethodsIn a prospective study, data on all new disability pensioners with osteoarthritis in Norway during the two follow-up periods, 1971-1980 and 1981-1990, were analysed by logistic regression. The study include data on all subjects living in Norway and registered as 50-56 years old and employed either in the census collected in 1970 or in the census of 1980. ResultsManual workers have nearly twice the probability of becoming a disability pensioner with osteoarthritis compared to professionals after adjusting for part-time work, income, level of education, marital status and gender. Adjusted for other risk factors, the probability of becoming a disability pensioner with osteoarthritis was three times higher in the 1980s compared to the 1970s. ConclusionThe relatively st...

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“…About 80% of the etiology of idiopathic coxarthrosis requiring endoprosthetic surgery was caused by a heavy physical workload, sports and overweight (Olsen et al 1994). Much physical activity, sports and strenuous work are etiological factors for severe osteoarthrosis of the hip and knee in both men and women (Vingird et al 1993, Olsen et al 1994, Sandmark and Vingird 1999.…”

Section: Common Risk Factors For Severe Osteoarthrosis and Cancermentioning

confidence: 99%

“…Much physical activity, sports and strenuous work are etiological factors for severe osteoarthrosis of the hip and knee in both men and women (Vingird et al 1993, Olsen et al 1994, Sandmark and Vingird 1999.…”

Section: Common Risk Factors For Severe Osteoarthrosis and Cancermentioning

confidence: 99%