PMID: 8612027Feb 1, 1996Paper

Knee pain amongst the poor and affluent in Pakistan

British Journal of Rheumatology
T GibsonA Syed

Abstract

The frequency of joint symptoms was determined amongst 2022 affluent and 2210 poor adults in Karachi, Pakistan. Joint pain was significantly (P = 0.025) more common amongst the affluent (6.6%) compared with the poor (5%) and this was due to a significantly greater frequency of knee pain in the richer community (3% vs 1.8%; P = 0.008). The prevalence increased with age and was more common in females. Almost half were associated with varus deformity, suggesting the presence of associated OA in a high proportion. The overall frequency of knee pain seemed no greater than in series reported from the West. Compared with age- and sex-matched controls, body weight was significantly greater amongst those with knee pain, both amongst the affluent (P = 0.005) and the poor (P = 0.02). Control subjects were heavier in the affluent population, suggesting that the greater frequency of knee symptoms in this community was due to their relative obesity. Knee bending at prayer was most common amongst the affluent controls and may indicate that religious observance also contributed to the problem in the richer population. Squatting was a characteristic of the poor who had less knee pain than the affluent. Knee flexing could not therefore be confid...Continue Reading

Citations

Apr 27, 2011·International Journal of Rheumatic Diseases·Marlene FransenPeter Brooks
Oct 24, 2003·Journal of Epidemiology and Community Health·J DawsonR Fitzpatrick
Oct 29, 2008·The Knee·Hiromasa MiuraYukihide Iwamoto
Sep 12, 2008·Best Practice & Research. Clinical Rheumatology·Siddharth Kumar Das, Abid Farooqi
Feb 2, 2008·Obesity·Andrew J TeichtahlFlavia M Cicuttini
Sep 19, 2001·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·S J Mulholland, U P Wyss
Nov 3, 2006·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Maria LampinenMarie Carlson
Oct 13, 2015·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Anthony M ReginatoUNKNOWN Pan-American League of Associations for Rheumatology (PANLAR) Osteoarthritis Study Group
Jul 9, 2002·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·U-B JönssonP Venge

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