The Influence of Weather Conditions on Joint Pain in Older People with Osteoarthritis: Results from the European Project on OSteoArthritis
The Influence of Weather Conditions on Joint Pain in Older People with Osteoarthritis: Results from the European Project on OSteoArthritis
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DOI：
10.3899/jrheum.141594
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发表时间：
2015-10-01
影响因子：
3.9
通讯作者：
Deeg, Dorly J. H.
中科院分区：
文献类型：
--
作者：
Timmermans, Erik J.;Schaap, Laura A.;Deeg, Dorly J. H.
目标。这项研究考察了6个欧洲国家的日常天气状况、3天平均天气状况以及天气状况的变化是否会影响患有骨关节炎(OA)的老年人的关节疼痛。数据来自以人群为基础的欧洲骨性关节炎项目。美国风湿病学会的分类标准被用于诊断老年人(65-85岁)的骨性关节炎。在基线访谈后，在6个月，以及在12-18个月的随访访谈后，使用2周疼痛日历评估关节疼痛。气温、降雨量、大气压力、相对湿度和风速的日数值是从当地气象站获得的。多水平回归模型被用来检验疼痛与天气的关联，并对几个混杂因素进行了调整。这项研究包括810名膝盖、手和/或臀部有骨性关节炎的参与者。调整后，关节疼痛与每日平均湿度(B=0.004，p<；0.01)和3天平均湿度(B=0.004，p=0.01)显著相关。日平均湿度和温度对关节疼痛有显著的交互作用。在相对寒冷的天气条件下，湿度对疼痛的影响更强。连续2天的天气变量变化与报告的关节疼痛没有显著相关性。疼痛与每日平均天气状况之间的关联表明，关节疼痛与天气变量之间存在因果关系，但日常天气变化与疼痛之间的关联并不能确认因果关系。了解骨关节炎关节疼痛与天气之间的关系可能有助于骨关节炎患者、医生和治疗师更好地了解和管理疼痛的波动。
Objective. This study examined whether daily weather conditions, 3-day average weather conditions, and changes in weather conditions influence joint pain in older people with osteoarthritis (OA) in 6 European countries.Methods. Data from the population-based European Project on OSteoArthritis were used. The American College of Rheumatology classification criteria were used to diagnose OA in older people (65-85 yrs). After the baseline interview, at 6 months, and after the 12-18 months followup interview, joint pain was assessed using 2-week pain calendars. Daily values for temperature, precipitation, atmospheric pressure, relative humidity, and wind speed were obtained from local weather stations. Multilevel regression modelling was used to examine the pain-weather associations, adjusted for several confounders.Results. The study included 810 participants with OA in the knee, hand, and/or hip. After adjustment, there were significant associations of joint pain with daily average humidity (B = 0.004, p < 0.01) and 3-day average humidity (B = 0.004, p = 0.01). A significant interaction effect was found between daily average humidity and temperature on joint pain. The effect of humidity on pain was stronger in relatively cold weather conditions. Changes in weather variables between 2 consecutive days were not significantly associated with reported joint pain.Conclusion. The associations between pain and daily average weather conditions suggest that a causal relationship exist between joint pain and weather variables, but the associations between day-to-day weather changes and pain do not confirm causation. Knowledge about the relationship between joint pain in OA and weather may help individuals with OA, physicians, and therapists to better understand and manage fluctuations in pain.