Published: 2021-01-27

Study of magnitude of knee osteoarthritis among adult population with age 40 years and above in rural area: a cross sectional study

Ashok R. Jadhao, Punam M. Dambhare


Background: Osteoarthritis (OA) is a degenerative joint disease, which mainly affects the articular cartilage. Worldwide estimates are that 9.6% of men and 18.0% of women aged over 60 years have symptomatic osteoarthritis. It affects the daily physical activities like climbing stairs, squatting etc. Pain is the main symptom. Considering this the study was conducted with the objective to find out the magnitude of knee OA among adult population more than 40 years of age in rural area and to study the association between risk factors and knee OA.

Methods: A cross sectional study was conducted in rural health training Centre of study institute. Total 150 patients with knee joint pain were included in the study. Knee OA was diagnosed using American rheumatology criteria (ACR). Analysis was done by using epi info 7. Chi square test and Fischer’s exact test was applied to see the association between risk factors and knee OA.

Results: The prevalence of knee OA among study subjects was found to be 34.7%. Study subjects with age >60 years were having prevalence of 32 (43.2%) and this association was statistically significant. The study subjects with history of DM and who are having BMI≥25 were having higher prevalence and the association was statistically significant.

Conclusions: The prevalence of knee OA in our study was 34.7%. Factors such as age >60 years, education, occupation, low socioeconomic status, DM, BMI≥25 were having significant association with knee OA.


Knee osteoarthritis, Prevalence of knee OA, Risk factors

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WHO Department of Chronic Diseases and Health Promotion. Available at:

Jain AK,Turek's Orthopaedics principles and thier applications,7th edition,India,Wolters Kluwer Pvt.Ltd,New Delhi,2016.

Singh AK, Mani kalaivani AK, Aggarwal PK, Gupta SK. Prevalence of osteoarthritis of knee among elderly persons in urban slums using American College of Rheumatology (ACR) criteria. Journal of clinical and diagnostic research: JCDR. 2014;8(9):JC09.

Venkatachalam J, Natesan M, Eswaran M, Johnson AK, Bharath V, Singh Z. Prevalence of osteoarthritis of knee joint among adult population in a rural area of Kanchipuram District, Tamil Nadu. Indian journal of public health. 2018;62(2):117.

Ajit NE, Nandish B, Fernandes RJ, Roga G, Kasthuri A, Shanbhag D, et al. Prevalence of knee osteoarthritis in rural areas of Bangalore urban district. Internet Journal of Rheumatology and Clinical Immunol. 2014;1(S1).

Mahapatra A, Kar S. Osteoarthritis in women reporting to tertiary care hospital in Eastern India: Associated factors determining management. J Family Medicine and Primary Care. 2019;8(11):3544.

Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis & Rheumatism: Official J American College of Rheumatol. 1986;29(8):1039-49.

Pandey VK, Aggarwal P, Kakkar R. Modified BG Prasad Socio-economic Classification, Update-2019. Indian Journal of Community Health. 2019;31(1).

Sood A, Sood A. Prevalence of Knee Osteoarthritis in Elderly Persons in a District Of Central Uttar Pradesh: A Cross Sectional Study. Physreva. 2015;32:428-9.

Kaur R, Ghosh A, Singh A. Prevalence of knee osteoarthritis and its determinants in 30-60 years old women of Gurdaspur, Punjab. International Journal of Medical Science and Public Health. 2018;7(10):825-31.

Sharma MK, Swami HM, Bhatia V, Verma A, Bhatia SP, Kaur G. An epidemiological study of correlates of osteo-arthritis in geriatric population of UT Chandigarh. Ind J Com Medic. 2007;32(1):77.

Bhaskar A, Areekal B, Bindhu Vasudevan AR, Ravi S, Sankar S. Osteoarthritis of knee and factors associated with it in middle aged women in a rural area of central Kerala, India. International journal of community medicine and public health. 2016;3(10):2926-31.

Das AK, Routray D, Panigrahi TK. Prevalence and Risk Factors of Knee Osteoarthritis in a Rural Community of Odisha: A Snap Shot Study.

Salve H, Gupta V, Palanivel C, Yadav K, Singh B. Prevalence of knee osteoarthritis amongst perimenopausal women in an urban resettlement colony in South Delhi. Indian journal of public health. 2010;54(3):155.

Nieves-Plaza M, Castro-Santana LE, Font YM, Mayor AM, Vilá LM. Association of hand or knee osteoarthritis with diabetes mellitus in a population of Hispanics from Puerto Rico. Journal of clinical rheumatology: practical reports on rheumatic & musculoskeletal diseases. 2013;19(1).

Amin S, Niu J, Guermazi A, Grigoryan M, Hunter DJ, Clancy M, et al. Cigarette smoking and the risk for cartilage loss and knee pain in men with knee osteoarthritis. Annals Rheum Dis. 2007;66(1):18-22.