• A V Naumov, N M Vorobyeva, N O Khovasova, V I Moroz, A D Meshkov, T M Manevich, O N Tkacheva, Y V Kotovskaya, E V Selezneva, and L N Ovcharova.
• Pirogov Russian National Research Medical University.
• Terapevt Arkh. 2021 Dec 15; 93 (12): 1482-1490.

BackgroundOsteoarthritis (OA) in elderly and senile patients is not only common, but also one of the main diseases affecting the duration of active life, its quality, the appearance of addictions and loss of autonomy. Data on the relationship between OA and geriatric syndromes (GS) in our country are extremely scarce.AimTo estimate the prevalence of OA and to analyze its associations with HS in persons aged 65 years.Materials And MethodsThe study included 4308 people (30% of men) aged 65 to 107 years, living in 11 regions of Russia. The patients were divided into 2 groups: with OA (n=2464) and without OA (n=1821). All patients underwent a comprehensive geriatric assessment.ResultsThe prevalence of OA was 57.6%. With age, the frequency of OA increased significantly. According to the results of a comprehensive geriatric assessment, patients with OA had lower walking speed, the sum of points on the Bartel, Lawton scales and a short battery of physical functioning tests and higher the sum of points on the geriatric scale of depression and the age is not a hindrance scale. Patients with OA rated the quality of life and health status lower and higher the intensity of pain syndrome. Patients with OA were more likely to use any assistive device, with the exception of a wheelchair. In patients with OA, the most common HS were chronic pain syndrome (92%), senile asthenia syndrome (64%), basic (66%) and instrumental (56%) dependence in everyday life, cognitive impairment (62%), probable depression (51%) and urinary incontinence (50%). Univariate regression analysis showed that OA is associated with a 1.23.0-fold increase in the risk of a number of GS and a 28% decrease in the risk of malnutrition.ConclusionOA is widespread in the elderly population. The presence of OA is associated with a number of GS associated with loss of autonomy.

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