Keywords
military situation
overweight
people of older age groups
How to Cite
Abstract
In press
The article provides an overview of literary sources related to the following headings: gonarthrosis in patients of an elderly and respectable age and against the background of overweight or obesity. I studied the dynamics and trends of the above indicators in the world in general and in Ukraine in particular. Attention is paid to the processes of diagnosis, treatment and rehabilitation among persons of older age categories. The structure and dynamics of demographic indicators, the prevalence of gonarthrosis in general and in certain age groups depending on gender were analyzed. The assessment of the influence of overweight or obesity on the course of pathology of the musculoskeletal system in knee arthrosis is given. The mechanism of osteoarthritis has undergone changes. The main factor in the occurrence of this pathology is recognized as inflammation of all joint structures, such as: hyaline cartilage, synovial membrane of the joint, inflammation of the bones that form the joint, the occurrence of inflammation in the synovial fluid of an infectious, reactive or traumatic nature. New pathogenetic ideas about degenerative-dystrophic diseases of the bone and joint system and the influence of excess body weight on their course are reflected. The indicated peculiarities of diagnosis and treatment tactics of this group of patients are related to the military situation in Ukraine. Given demographic trends, the obesity pandemic, physical inactivity, and injury, the prevalence of osteoarthritis is expected to continue to increase worldwide. Persistent pain, progressive disease, and significant mobility impairment lead to a decreased quality of life. Therefore, there is an urgent need to create a diagnostic, treatment and rehabilitation model for overweight patients in older age groups with knee osteoarthritis to improve their condition, restore their quality of life and socialization using the capabilities of the medical guarantee program.
Keywords: degenerative-dystrophic diseases, military situation, overweight, people of older age groups.
References
Osteoarthritis. World Health Organization, 14 Jul 2023. [Internet]. Available at: https://www.who.int/news-room/fact-sheets/detail/osteoarthritis [accessed 21 Feb 2025].
Vina ER, Kwoh CK. Epidemiology of osteoarthritis: literature update. Curr Opin Rheumatol. 2018;30(2):160-7. DOI: 10.1097/BOR.0000000000000479. PMID: 29227353.
Runhaar J, Holden MA, Hattle M, Quicke J, Healey EL, van der Windt D, et al. STEER OA Patient Advisory Group; OA Trial Bank Exercise Collaborative. Mechanisms of action of therapeutic exercise for knee and hip OA remain a black box phenomenon: an individual patient data mediation study with the OA Trial Bank. RMD Open. 2023;9(3):e003220. DOI: 10.1136/rmdopen-2023-003220. PMID: 37640513.
Long H, Liu Q, Yin H, Diao N, Zhang Y, Lin J, et al. Prevalence trends of site-specific osteoarthritis from 1990 to 2019: Findings from the global burden of disease study 2019. Arthritis Rheumatol. 2022;74(7):1172-83. DOI: 10.1002/art.42089. PMID: 35233975.
Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287-333. DOI: 10.1016/j.ejpain.2005.06.009. PMID: 16095934.
Berenbaum F, Griffin TM, Liu-Bryan R. Review: Metabolic regulation of inflammation in osteoarthritis. Arthritis Rheumatol. 2017;69(1):9-21. DOI: 10.1002/art.39842. PMID: 27564539.
Lementowski PW, Zelicof SB. Obesity and osteoarthritis. Am J Orthop (Belle Mead NJ). 2008;37(3):148-51. PMID: 18438470.
Wang T, Zhao YL, Hao LX, Jia JG. Prevalence of musculoskeletal symptoms among industrial employees in a modern industrial region in Beijing, China. Chin Med J (Engl). 2019;132(7):789-97. DOI: 10.1097/CM9.0000000000000165. PMID: 30897593.
GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-22. DOI: 10.1016/S0140-6736(20)30925-9. Erratum in: Lancet. 2020;396(10262):1562. DOI: 10.1016/S0140-6736(20)32226-1. PMID: 33069326.
Bliddal H, Christensen RD. Osteoartrose og adipositas. Prognose og behandlingsmuligheder [Osteoarthritis and obesity. Prognosis and treatment possibilities]. Ugeskr Laeger. 2006;168(2):190-3. PMID: 16403349. [In Danish].
Bliddal H, Christensen R. Bliddal H, Christensen R. The management of osteoarthritis in the obese patient: practical considerations and guidelines for therapy. Obes Rev. 2006;7(4):323-31. DOI: 10.1111/j.1467-789X.2006.00252.x. PMID: 17038126.
Osadchuk TI, Kalashnikov AV, Khyts OV. Gonarthrosis: prevalence and differential approach to endoprosthesis. Ukrainian Medical Journal. 2021;6(146):1-5. DOI: 10.32471/umj.1680-3051.146.222998. [In Ukrainian].
Osadchuk TI, Khyts OV. Modern aspects of surgical treatment and prevention of complications in patients with osteoarthritis of the knee joints. Ukrainian Medical Journal. 2024;4(162):1-5. DOI: 10.32471/umj.1680-3051.162.251712. [In Ukrainian].
Tung S, Iqbal J. Evolution, aging, and osteoporosis. Ann N Y Acad Sci. 2007;1116:499-506. DOI: 10.1196/annals.1402.080. PMID: 18083942.
Geng R, Li J, Yu C, Zhang C, Chen F, Chen J, et al. Knee osteoarthritis: Current status and research progress in treatment (Review). Exp Ther Med. 2023;26(4):481. DOI: 10.3892/etm.2023.12180. PMID: 37745043.
Cui A, Li H, Wang D, Zhong J, Chen Y, Lu H. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine. 2020;29-30:100587. DOI: 10.1016/j.eclinm.2020.100587. PMID: 34505846.
Primorac D, Molnar V, Rod E, Jeleс Z, Cukelj F, Matisic V, et al. Knee osteoarthritis: A review of pathogenesis and state-of-the-art non-operative therapeutic considerations. Genes (Basel). 2020;11(8):854. DOI: 10.3390/genes11080854. PMID: 32722615.
Sridhar MS, Jarrett CD, Xerogeanes JW, Labib SA. Obesity and symptomatic osteoarthritis of the knee. J Bone Joint Surg Br. 2012;94(4):433-40. DOI: 10.1302/0301-620X.94B4.27648. PMID: 22434455.
Ministry of Health of Ukraine. Annual report on the state of health of the population of Ukraine and the epidemic situation for 2023. Kyiv: Ministry of Health of Ukraine; 2024. Available at: https://surl.li/bhfxfd [accessed 21 Feb 2025]. [In Ukrainian].
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.