Waseem Ahmed,
Athar Parvez Ansari,
N Zaheer Ahmed,
K Kabiruddin Ahmed,
Farah Ahmad,
- Research Associate Unani, The Scheduled Caste Sub Plan, Regional Research Institute of Unani Medicine, Chennai, Tamil Nadu, India
- Research Officer Unani, Regional Research Institute Of Unani Medicine Govt Unani Hospital, Chennai, Tamil Nadu, India
- Director General, Central Council for Research in Unani Medicine, New Delhi, India
- Deputy Director, Regional Research Institute of Unani Medicine, Chennai, Tamil Nadu, India
- Research Officer Unani, Central Council for Research in Unani Medicine,, New Delhi, India
Abstract
Background: Osteoarthritis (OA) is a prevalent degenerative condition affecting older individuals, particularly in developing nations. It is commonly linked to aging and various intricate underlying causes. The complex causes of osteoarthritis include confounding factors that significantly increase the risk of its development, many of which can be managed or prevented. Among all joints, knee osteoarthritis is particularly prevalent, especially in women. In rural India, the SC/ST population faces significant health disparities, highlighting the urgent need to address this issue promptly. Aim & Objective: The study aimed to determine the prevalence of osteoarthritis and examine the associated risk factors among patients attending SCSP camps in a rural area of the Chennai district, Tamil Nadu, over a two-year period (April 2021 to March 2023). The primary objective was to evaluate the burden and contributing factors of knee osteoarthritis in the adult population. Methods: A multicenter observational study was conducted by RRIUM, Chennai, in six selected villages or locations associated with the SCSP Camp. The study involved daily visits by a team of medical professionals. Osteoarthritis was diagnosed using the American College of Rheumatology criteria, which were validated and applied in the study area. Around 590 patients presenting with knee joint pain were seen at the mobile outpatient department. The program included patient screening, treatment with Unani formulations, lifestyle modification counseling, referral services, health awareness lectures, and the distribution of information, education, and communication (IEC) materials. Results: A total of 590 patients with Knee joint pain adults attending the mobile OPD of SCSP Camps were examined out of which 30.4% had OA of knee. Age more than 50 years, female gender, Phlegmatic temperament (Balgami Mizaj), tobacco usage, illiteracy, lower socioeconomic class, diabetes, Obesity and hypertension were found to be associated with OA knee. Conclusion: The prevalence of knee osteoarthritis was notably high in these regions, highlighting the potential for significant improvement if early interventions are implemented
Keywords: Knee joint pain, Osteoarthritis, Wajaul mafasil, SCSP
[This article belongs to Research & Reviews : A Journal of Unani, Siddha and Homeopathy ]
Waseem Ahmed, Athar Parvez Ansari, N Zaheer Ahmed, K Kabiruddin Ahmed, Farah Ahmad. An Observational Study on Prevalence and Risk Factors for OA Knee Joint Among Adult Population Attending the SCSP Camps in Chennai, Tamil Nadu, India. Research & Reviews : A Journal of Unani, Siddha and Homeopathy. 2025; 12(01):9-17.
Waseem Ahmed, Athar Parvez Ansari, N Zaheer Ahmed, K Kabiruddin Ahmed, Farah Ahmad. An Observational Study on Prevalence and Risk Factors for OA Knee Joint Among Adult Population Attending the SCSP Camps in Chennai, Tamil Nadu, India. Research & Reviews : A Journal of Unani, Siddha and Homeopathy. 2025; 12(01):9-17. Available from: https://journals.stmjournals.com/rrjoush/article=2025/view=194568
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References
- Martin JA, Buckwalter JA. Roles of articular cartilage aging and chondrocyte senescence in the pathogenesis of osteoarthritis. Iowa Orthop J. 2001;21:1–7.
- Longo D, Kasper A, Fauci V. Harrison’s Principles of Internal Medicine. 18th ed. 2012. 2234.
- Wolf AD, Pledger B. Burden of major musculoskeletal conditions. Policy and practice. Special theme - Bone and Joint Decade 2000-2010. Bull World Health Organ. 2003;81(9):646–656.
- Symmons D, Mathers C, et al. Global burden of osteoarthritis in the year 2000 [Online]. Available from: who.int/healthinfo/statistics/bod_osteoarthritis.pdf.
- Joshi VL, Chopra A. Is there an urban-rural divide? Population surveys of rheumatic musculoskeletal disorders in the Pune region of India using the COPCORD Bhigwan Model. J Rheumatol. 2009;36:614–622.
- De Angelis G, Chen Y. Obesity among women may increase the risk of arthritis: observations from the Canadian Community Health Survey, 2007–2008. Rheumatol Int. 2013;33:2249–2253.
- Munjal Y. Association of Physicians of India (API) textbook of medicine. 9th ed. 2012. 1818.
- Hanan A, Javed G. Waja-ul Mafasil- Ta’reekh aur Moalijati Naqtai Nazar Se. Jahan-e-Tib. 2000;1(2-3):47–53.
- Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. J Rheumatol. 2011;33(11):2271–2279.
- American College of Rheumatology Diagnostic Guidelines [Online]. Available from: http://www.hopkinsarthritis.org/physician/diagnosticguidelines
- Scheduled caste welfare [Online]. Available from: https://vikaspedia.in/social-welfare/scheduled-caste-welfare-1/schedules-caste-sub-plan-scsp.
- Central Council for Research in Unani Medicine (CCRUM) [Online]. Available from: https://ccrum.res.in/UserView/index?mid=1745.
- Census India 2011. Tamil Nadu population [Online]. Available from: https://www.censusindia2011.com/tamil-nadu-population.html.
- Kumar R. Rural and urban disparities of scheduled caste population: A study with special reference to Viluppuram District, Tamil Nadu. J Soc Sci Res. 2020;16.
- Bora JK, Raushan R, Lutz W. The persistent influence of caste on under-five mortality: factors that explain the caste-based gap in high focus Indian states. PLoS One. 2019;14:e0211086.
- Pal CP, et al. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop. 2016;50(5):518–522.
- Nguyen TV. Osteoarthritis in Southeast Asia. Int J Clin Rheumatol. 2014;9(5):405–408.
- Felson DT, Lawrence RC, et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000;133(8):635–646.
- Nevitt MC, et al. Osteoarthritis initiative: Protocol for cohort study [Online]. Available from: https://epi-ucsf.org/datarelease/doc/studyprotocol.pdf.
- Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26(3):355–369.
- Srikanth VK, Fryer JL, Zhai G, Winzenberg TM, Hosmer D, Jones G. Osteoarthritis: A meta-analysis of sex differences in prevalence, incidence, and severity. Osteoarthritis Cartilage. 2005;13(9):769–781.
- Huidekoper AL, et al. Patients with early arthritis consume less alcohol than controls, regardless of the type of arthritis. Rheumatology (Oxford). 2013;52(9):1701–1707.
- Paans N, van den Akker-Scheek I, Dilling RG, Bos M, van der Meer K, Bulstra SK, et al. Effect of exercise and weight loss in people with hip osteoarthritis who are overweight or obese: A prospective cohort study. Phys Ther. 2013;93(2):137–146.
- Nayab M, Islam M. An overview of Waja-ur-Rukbah (knee osteoarthritis) with reference to Waja-ul-Mafasil and its regimenal management (Ilaj bit tadbeer) in Unani system of medicine. Altern Ther Complement Med. 2021;4:19–29.
Research & Reviews : A Journal of Unani, Siddha and Homeopathy
Volume | 12 |
Issue | 01 |
Received | 24/10/2024 |
Accepted | 13/01/2025 |
Published | 15/01/2025 |
Publication Time | 83 Days |