ĐẶC ĐIỂM HỘI CHỨNG CHUYỂN HÓA Ở BỆNH NHÂN NAM GIỚI THOÁI HÓA KHỚP GỐI NGUYÊN PHÁT

Abstract

Due to population aging and increasing obesity, knee osteoarthritis (knee OA) and metabolic Syndrome (MetS) are becoming important public health challenges today in developed and developing countries including Vietnam. MetS increases the risk and severity of primary knee OA. Objective: Determine the rate of MetS and some related factors in male patients with primary knee OA. Research subjects and methods: descriptive, cross-sectional study of 73 male patients diagnosed with primary knee OA who came for medical examination or inpatient treatment at Bach Mai Hospital and Hanoi Medical University Hospital from August 2023 to June 2024. Results: The rate of MetS in male patients with primary knee OA is 47.95%, of which hyperglycemia is the most common (64.35%). Groups of subjects who are overweight - obese, have moderate - severe pain (VAS ≥ 4) and have late-stage knee OA on X-ray are at twice the risk of MetS turn is 4.45; 3.27 and 5.33 times compared to the other group, statistically significant with p < 0.05. Among the components of MetS, the group with increased waist circumference increased the risk of progression to late-stage knee OA on X-ray 8 times higher than in the other group (p < 0.05). Conclusion: The incidence of MetS in male patients with primary knee OA is quite high, and the risk of MetS is increased in groups of subjects with overweight - obesity, moderate pain - Severe (VAS ≥ 4) and have late-stage knee OA on X-ray. Increased waist circumference increases the risk of progression to late-stage knee OA on X-ray.