Journal of Family Medicine and Primary Care最新文献

{"title":"Exploring smartphone utilization patterns, addiction, and associated factors in school-going adolescents: A mixed-method study.","authors":"Hemangi M Ladani, M Yogesh, Nidhi S Trivedi, Rohankumar B Gandhi, Dhruv Lakkad","doi":"10.4103/jfmpc.jfmpc_1308_24","DOIUrl":"10.4103/jfmpc.jfmpc_1308_24","url":null,"abstract":"<p><strong>Background: </strong>Smartphone use and addiction among adolescents is an emerging public health concern. This study aimed to assess smartphone use, addiction, patterns of use, and associated factors among adolescents.</p><p><strong>Methods: </strong>An institutional-based mixed-method study was conducted among 560 adolescents aged 15-19 years. Data were collected on smartphone use, and addiction assessed by a Short Version of the Smartphone Addiction Scale (SAS-SV), patterns of use, and correlations with demographic factors, physical health, and psychological symptoms. Statistical analysis included percentages, logistic regression, and tests of significance. A <i>P</i> value of < 0.05 is considered significant.</p><p><strong>Results: </strong>Smartphone use prevalence was 89.8% [95% CI (87.09%-92.49%)], and addiction prevalence was 64% [95% CI (62.66%-72.34%)] among users. Factors associated with smartphone use are statistically significant based on adjusted odds ratios (AOR), which were urban residence [2.5 (1.8-3.8)], use of handsfree kit [2.04 (1.56-2.95)], illiterate father's education [2.7 (1.9-7.8)], illiterate [2.38 (1.98-5.7)], primary/secondary educated [2.15 (1.06-4.3)] mother's education, and addiction [3.2 (1.7-4.3)]. Addicted users showed higher use for gaming, videos, and social media (<i>P</i> < 0.05). No significant physical or psychological health differences were found between addicted and non-addicted groups.</p><p><strong>Conclusions: </strong>Smartphone addiction (SA) was highly prevalent among adolescents. Use patterns, such as gaming and social media, as well as perceptions of harm, were implicated in addiction risk. Tailored interventions are required to address this emerging public health problem among adolescents.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"334-340"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pigmentary demarcation lines: Three cases encapsulating a benign condition.","authors":"Natalia Chalupczak, Alexander Woods, Allison Kirchner, Sheryl Hoyer, Roger Haber","doi":"10.4103/jfmpc.jfmpc_1189_24","DOIUrl":"10.4103/jfmpc.jfmpc_1189_24","url":null,"abstract":"<p><p>Pigmentary demarcation lines (PDL), or Voigt-Futcher lines, are lines marking an abrupt transition between hyperpigmented skin and normal skin. They are usually seen in African, Hispanic, and Japanese populations, but can be rarely observed in Caucasians. The distribution of these markings is postulated to follow \"Voigt's lines,\" which mark the underlying peripheral nerves. We report three cases of patients presenting with PDL and review this phenomenon to raise awareness across specialties of this benign condition.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"458-461"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical presentation of anorexia nervosa pediatric patient: A multidisciplinary approach to diagnosis and management.","authors":"Zainab Al Masseri, Afnan Aljawad, Zahrah Alkashi, Nadeer Albaik","doi":"10.4103/jfmpc.jfmpc_921_24","DOIUrl":"10.4103/jfmpc.jfmpc_921_24","url":null,"abstract":"<p><p>This case report describes the complex presentation, diagnostic problems, and multidisciplinary therapy of a 13-year-old Syrian girl with an unusual form of anorexia nervosa (AN). The goal is to improve understanding of AN's varied clinical spectrum while emphasizing the significance of a complete diagnostic approach and multidisciplinary therapy in juvenile cases. The patient reported considerable weight loss, amenorrhea, and physical indications of starvation over the previous two months. Notably, she did not exhibit the typical psychological symptoms linked with AN. Extensive examinations, including gastrointestinal, endocrinology, rheumatology, psychology, psychiatry, and neurology, were carried out to determine the underlying reason and develop a personalized care plan. The diagnostic process found unexpected traits that challenged established AN criteria. A multidisciplinary approach aided incorrect diagnosis and guided a treatment strategy that included nutritional rehabilitation, psychosocial support, and medical measures. The patient's outcomes included weight gain, menstruation resumption, and hormonal and physical parameter normalization. This instance contributes to our growing understanding of AN as a group of illnesses with a variety of clinical manifestations. The patient's atypical traits highlight the necessity for flexible diagnostic criteria and personalized, multidisciplinary care. The favorable outcomes demonstrate the possibility for positive outcomes with a complete strategy, paving the door for further investigation of diagnostic frameworks and treatment techniques in pediatric AN cases.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"473-477"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Induction training programme of resident doctors: The need of the hour.","authors":"Md Sameer, Jawahar S K Pillai, Biswajeevan Sahoo","doi":"10.4103/jfmpc.jfmpc_1099_24","DOIUrl":"10.4103/jfmpc.jfmpc_1099_24","url":null,"abstract":"<p><strong>Background: </strong>An induction training program is a structured process to acclimatize and orient the newly inducted staff or employees to an organization. As per the literature, there is no structured induction training program for resident doctors available in tertiary care teaching hospitals in India. Unlike other institutions, hospitals are complex places with several departments, processes, and patient services. Resident doctors in teaching medical institutions are a valuable human resource as they form the frontline doctors for delivering healthcare services. Therefore, the resident doctor needs to be oriented to the institution as early as possible to ensure quality in patient care services. The study aims to develop an induction training program for newly joined residents in teaching medical institutions and evaluate its effectiveness. The study setting was AIIMS, Bhubaneswar and the duration of the study was 6 months.</p><p><strong>Methodology: </strong>The ADDIE (analyze, design, develop, implement, and evaluate) model of human resource management was used as the study tool to develop the training program. An online national survey was conducted in the analyze phase to identify the training needs of residents. A comprehensive training module was developed based on the findings and referring the NABH Standards. The modules were implemented in a pilot mode in the study setting, and feedback was collected to understand the effectiveness of the program.</p><p><strong>Results: </strong>A training program for residents with 14 modules was developed and implemented. It consisted of 22 credits. The findings of the online survey and the feedback of the training program were found to be similar in many aspects though study participants were different in the analyze and evaluate phases. The Hospital Infection Control Practices, Hospital Management Information Systems, and Medico-legal Module were rated high by the residents. The study outlined the need for an induction training program for resident doctors in medical institutions. Based on the survey, the module was prepared and implemented. This module can be a model that can be replicated in other medical institutions.</p><p><strong>Conclusion: </strong>An induction training program for resident doctors was developed that helped them to get oriented to their workplace and improve their skills. This activity directly affects the quality of healthcare services thereby significantly contributing to patient safety.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"296-310"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitude towards ankle sprain management among primary care physicians in the department of family medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.","authors":"Abdullah A Alzahrani, Norah A AlQarni, Fahad S Alghamdi, Tariq A Alghamdi","doi":"10.4103/jfmpc.jfmpc_1109_24","DOIUrl":"10.4103/jfmpc.jfmpc_1109_24","url":null,"abstract":"<p><strong>Introduction: </strong>Family doctors are the primary care providers for ankle sprains, which are a prevalent condition that they treat with great care. Family physicians' differing management styles and levels of knowledge about established recommendations may have a substantial influence on patient outcomes.</p><p><strong>Aims: </strong>The current study aimed to assess the level of awareness among family physicians regarding established guidelines for ankle sprain management.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted targeting all available and accessible primary care physicians within the Department of Family Medicine at King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia during the period from 2023 to May 2024. Data were collected using an online questionnaire that was initiated by the study researchers after comprehensive review of similar articles in the literature.</p><p><strong>Results: </strong>A total of 88 primary care physicians were included. Physicians' ages ranged from 25 to 60 years with a mean age of 33.4 ± 7.4 years old. A total of 47 (53.4%) were males, 29 (33%) were residents, 28 (31.8%) were consultants, 16 (18.2%) were senior Registrar, and 9 (10.2%) were GPs. A total of 41 (46.6%) of the study physicians had an overall good knowledge level about ankle sprain while most of them (53.4%) had poor knowledge level. A total of 55 (62.5%) of the study physicians utilize the Ottawa Ankle Rules to guide the need for X-ray imaging in ankle sprains, and 52 (59.1%) routinely provide information on preventive measures to patients diagnosed with an ankle sprain.</p><p><strong>Conclusion: </strong>The study found that primary care physicians have average knowledge about ankle sprains, diagnosis, classification, and treatment, with lower knowledge of follow-up plans. They need training and educational programs.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"211-217"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why women refuse Postpartum IUCD?","authors":"Jayshree J Upadhye, Smita K Parate, Aditi J Upadhye, Rasika D Zade","doi":"10.4103/jfmpc.jfmpc_131_24","DOIUrl":"10.4103/jfmpc.jfmpc_131_24","url":null,"abstract":"<p><strong>Background: </strong>Women are highly motivated and receptive to accepting family planning methods during the antenatal period. Hence, we conducted this study to evaluate the refusal rate and reasons for the refusal of postpartum Intrauterine Contraceptive Devices (PPIUCD).</p><p><strong>Material and methods: </strong>The present cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, at a tertiary Care Centre, on 400 antenatal women from November 2023 for 2 months.</p><p><strong>Results: </strong>In present study, 331 (82.8%) subjects were knowing condom as contraceptive, followed by 310 (77.5%) subjects knowing about copper T. 282 (70.5%) subjects were knowing tubectomy, 264 (68.5%) were knowing oral contraceptives, 264 (66%) were knowing vasectomy, 205 (51.2%) were knowing natural methods, 179 (44.8%) were knowing injectable contraceptive, 83 (20.8%) were knowing Saheli, and 27 (6.8%) subjects were not knowing any contraceptive method. In total, 185 (46.5%) subjects knew that Copper T could be inserted immediately after delivery followed by 83 (20.9%) who knew that copper T could be inserted after menses. Sixty-nine (17.3%) knew that copper T could be inserted during a cesarean section. A total of 352 (88%) subjects refused postpartum copper T as a method of contraception. Only 48 (12%) subjects were willing to insert postpartum copper T. After counseling, the rate of acceptance of copper T insertion increased from 48 (12%) to 102 (25.5%).</p><p><strong>Conclusion: </strong>Knowledge of PPIUCD in the present study was good, but the refusal rate was high. The commonest reason was fear of side effects.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"377-381"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive value of platelet parameters for early-onset pre-eclampsia: A prospective cohort study in a teaching institution in Gujarat, India.","authors":"DipenKumar Thakkar, Jeel Shihora, Rohankumar Gandhi, Rahul Parmar, M Yogesh","doi":"10.4103/jfmpc.jfmpc_1331_24","DOIUrl":"10.4103/jfmpc.jfmpc_1331_24","url":null,"abstract":"<p><strong>Background: </strong>Early-onset pre-eclampsia is associated with severe maternal and perinatal complications. Identifying novel biomarkers for early prediction is crucial for timely intervention and improved outcomes. This study aimed to evaluate the predictive value of platelet parameters, namely mean platelet volume (MPV), platelet distribution width (PDW), and platelet count (PC), for early-onset pre-eclampsia.</p><p><strong>Methods: </strong>A prospective cohort study was conducted at a tertiary care hospital in Gujarat, India. Pregnant women (n = 712) between 14 and 18 weeks of gestation were enrolled and followed up until delivery. MPV, PDW, and PC were measured at enrollment. The primary outcome was the development of early-onset pre-eclampsia (<34 weeks). Receiver operating characteristic (ROC) curves were used to evaluate the predictive value of platelet parameters.</p><p><strong>Results: </strong>The prevalence of early-onset pre-eclampsia was 5.3%. Women who developed early-onset pre-eclampsia had significantly higher MPV and PDW and lower PC at 14-18 weeks compared to those who remained normotensive. The combination of MPV > 10.2 fL, PDW > 16.5 fL, and PC < 180 × 103/µL had the highest predictive value (AUC: 0.951, sensitivity: 71.1%, specificity: 99.1%). Individual platelet parameters also demonstrated good predictive ability.</p><p><strong>Conclusion: </strong>Platelet parameters, particularly MPV, PDW, and PC, measured at 14-18 weeks of gestation, have good predictive value for early-onset pre-eclampsia. Incorporating these parameters into routine antenatal screening could improve the early identification of at-risk women. Further research is needed to validate these findings and evaluate the cost-effectiveness of implementation.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"327-333"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimation of the pattern of ocular manifestations, risk factors, and imaging of rhino-orbital-cerebral mucormycosis in COVID-19 patients.","authors":"Rajwinder Kaur, Grace Budhiraja, Upasana Bhumbla, Manjot Kaur, Vandana Sharma, Priyanka Gupta, Ritesh Singla, Akashdeep Goel, Ekta Gupta, Priyanka Dahiya","doi":"10.4103/jfmpc.jfmpc_1161_24","DOIUrl":"10.4103/jfmpc.jfmpc_1161_24","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate the pattern of ocular manifestations, as observed clinically and radiologically, and associated risk factors in cases of coronavirus disease 2019 (COVID-19)-related rhino-orbital cerebral mucormycosis (ROCM) during the second wave at presentation to the hospital in northern India.</p><p><strong>Materials and methods: </strong>A total of 35 patients of ROCM associated with active cases of COVID-19 or recovered cases of COVID-19 presenting to the Ophthalmology outpatient department or admitted in the COVID ward of the hospital with clinical features suggestive of ROCM. They were confirmed as mucormycosis on KOH and fungal cultures of nasal scrapings and histopathology of debrided tissue. This is an ambispective study with retrospective medical records review for COVID-19 analysis and prospective assessment of ROCM-associated COVID-19 during the second outbreak of the COVID-19 pandemic.</p><p><strong>Results: </strong>The total patients included were 35, which ranged in the age group of 52.91+/- 11.93 years, and the male-to-female ratio was 24:11. The duration between the first positive COVID report and onset of COVID-19-associated ROCM was 9.46+/-11.63 days. The majority (82.9%; n-29) either were diabetics or had high blood glucose levels during the recent COVID-19 infection. 45.7% of patients gave a history of steroid therapy. The most common ocular clinical features were ptosis (80%) and loss of vision 48.7%, respectively. There was diffuse involvement of sinuses in 18 cases (51.4%). Staging based on magnetic resonance imaging scans showed that 7 (20%) had stage II, 20 (57.1%) had stage III, and 28.7% had stage IV disease. Ten patients had varied intracranial extension ranging from meningitis and cavernous sinus thrombophlebitis/thrombosis to brain abscess.</p><p><strong>Conclusions: </strong>COVID-associated ROCM was very rapidly spreading and more destructive. Ptosis and loss of vision related to third nerve involvement and CRAO, respectively, were alarming signs and bad prognostic indicators to the patient. Intracranial involvement and CRAO were poor prognostic features in this type of mucormycosis.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"259-267"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the relationship between adversity quotient, professional identity, and perceived humanistic care of head nurses in Master's Degrees in nursings.","authors":"Cai Haina, Gu Lingna, He Qingqing, Wang Yang, Cai Zejun, Tian Chuan, Xu Qinghong","doi":"10.4103/jfmpc.jfmpc_781_24","DOIUrl":"10.4103/jfmpc.jfmpc_781_24","url":null,"abstract":"<p><strong>Background: </strong>High-level nursing talents play an important role in solving nursing scientific problems and leading nursing innovation, so the construction of high-level nursing talents has become a necessary guarantee for the health strategy in the new era. Managers have high expectations for master's degree in nursing, hoping that they will develop in all aspects of research, teaching, and professionalism, etc. However, the high expectations of managers have led to unclear job orientation, high clinical and scientific research pressure, and low recognition of nurses' sense of professional value from the outside world, which have led to the lowering of master's degree of professional identity and the tendency to leave the profession, which is not conducive to the stabilization of the nursing workforce.</p><p><strong>Purpose: </strong>To explore the influence of adversity quotient, perceived humanistic care of nurse leaders on professional identity of nursing masters, and to clarify the relationship model between the three.</p><p><strong>Methods: </strong>A convenience sampling method was used to conduct an online questionnaire survey on 160 master's degree nursing students in Ningbo and Shanghai from July to September 2022 using the general information questionnaire, adversity quotient, career identity and perceived humanistic care of nurse leaders scale.</p><p><strong>Results: </strong>Adversity quotient, occupational identity and perceived humanistic care of nurse leaders were all at a moderate level. Adversity quotient (<i>r</i> = 0.430, <i>P</i> < 0.01), perceived humanistic care of nurse leaders (<i>r</i> = 0.443, <i>P</i> < 0.01) and occupational identity were positively correlated, and perceived humanistic care of nurse leaders could affect occupational identity through the mediating effect of adversity quotient, with the mediating effect accounting for 31.8%.</p><p><strong>Conclusion: </strong>Nursing managers should create a good organizational atmosphere, build a training system for adversity quotient courses, conduct regular assessment and humanistic care to improve the ability of nursing masters to face adversity and enhance the awareness of their own professional values.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"232-239"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteoarthritis of the knee joint and its association with metabolic syndrome: A case control study.","authors":"Rohini Motwani, Arvind Kumar Bodla, Shravan Kumar Peddamadyam, Mrudula Chandrupatla, Nagesh Cherukuri, Maheshwar Lakkireddy, Gunvanti Rathod, Sai Ram Challa, Chowdavarapu Raghavendra Rao, Abhishek Arora, Srikanth Eppakayala, Arcot Reddy Vamsi Krishna","doi":"10.4103/jfmpc.jfmpc_1515_24","DOIUrl":"10.4103/jfmpc.jfmpc_1515_24","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis of the knee joint (OAK) represents a leading cause of pain, functional limitation, and diminished quality of life, particularly among older adults. The association between metabolic syndrome (MetS) and OAK is of growing interest due to the potential impact of MetS components on joint health. While evidence suggests that MetS and its components may influence the development of osteoarthritis (OA), the specific relationship between MetS and the likelihood of progressing to a stage of OAK that requires Total knee replacement (TKA) remains underexplored.</p><p><strong>Aim: </strong>This study aimed to evaluate the association between osteoarthritis of the knee joint (OAK) and metabolic syndrome (MetS) and to know whether the presence of MetS (or its components) increases the risk of OAK requiring Total knee replacement (TKA).</p><p><strong>Methodology: </strong>It is a cross-sectional study that includes patients (males and females) above 50. Data collection was done including demographic details, medical history, physical examinations, and laboratory tests. OAK (≥grade 2 Kellgren-Lawrence) and severe OAK (≥grade 3 Kellgren-Lawrence) were evaluated based on radiological findings.</p><p><strong>Statistical analysis: </strong>Mean, standard deviation, frequencies, and percentages were calculated for baseline characteristics. To analyze the association between qualitative factors and MetS, the Chi-Square test was used. For comparing quantitative factors, the unpaired <i>t</i>-test was employed. A <i>P</i> value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The study involved 107 primary osteoarthritis patients categorized into cases (<i>N</i> = 57), requiring TKA, and controls (<i>N</i> = 50), not requiring TKA. MetS was significantly more prevalent among cases than controls, with 68.4% of cases and 36% of controls testing positive for MetS (<i>P</i> = 0.001). The odds of having MetS were 3.9 times higher in the cases compared to the controls.</p><p><strong>Conclusion: </strong>The results of our research could shed light on how MetS affects the onset and course of OAK, guiding primary care and prevention measures. It might also emphasize how critical it is to treat MetS symptoms to lessen the severity of OAK. Understanding whether MetS or its components are linked to an increased risk of TKA could provide crucial insights into preventive and therapeutic strategies for managing severe OAK.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"434-440"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}