Knee pain in adults from the northeast of São Paulo, Brazil: prevalence, risk factors, and impact on quality of life

Main Article Content

Alberto de Vitta
Nicoly Machado Maciel
Sandra Fiorelli Almeida Penteado Simeão
Matias Noll

Abstract

Introduction: The existing literature describes several risk factors associated with knee pain, including personal, psychological, and work-related factors, among others. Furthermore, several studies have shown the negative impact of knee pain on quality of life; however, there is a lack of knowledge about knee pain in Latin American populations. Objective: This study aims to investigate the prevalence, risk factors, and impact on the quality of life of knee pain in Brazilian adults. Methods: This cross-sectional study was based on a population survey with 600 individuals interviewed using questionnaires including a) sociodemographic and labor aspects; b) physical activity level (IPAC questionnaire); c) musculoskeletal symptoms (Nordic questionnaire); and d) quality of life (SF-36). Results: The prevalence of knee pain was 25.6% (95% confidence interval: 22.3–29.3%), and it was associated with being >60 years old, black ethnicity, mean or low income, overweight, depression, gastrointestinal and renal diseases, and persons who performed occupations requiring repetitive movements, sitting while using a computer, and standing. All individuals with knee pain demonstrated significantly greater risks for summaries of the physical components. Conclusion: Knee pain is associated with socioeconomic variables, work aspects, and lifestyle factors and impacts the quality of life.

Downloads

Download data is not yet available.

Article Details

How to Cite
Vitta, A. de, Maciel, N. M., Simeão, S. F. A. P., & Noll, M. (2025). Knee pain in adults from the northeast of São Paulo, Brazil: prevalence, risk factors, and impact on quality of life. ABCS Health Sciences, 50, e025208. https://doi.org/10.7322/abcshs.2023157.2447
Section
Original Articles

References

Jones GT, Harkness EF, Nahit ES, McBeth J, Silman AJ, Macfarlane GJ. Predicting the onset of knee pain: results from a 2-y. Ann Rheum Dis. 2007;66(3):400-6. http://dx.doi.org/10.1136/ard.2006.057570

Olivotto E, Trisolino G, Belluzzi E, Lazzaro A, Strazzari A, Pozzuoli A, et al. Macroscopic Synovial Inflammation Correlates with Symptoms and Cartilage Lesions in Patients Undergoing Arthroscopic Partial Meniscectomy: A Clinical Study. J Clin Med. 2022;11(15):4330. https://doi.org/10.3390/jcm11154330

D'Ambrosi R, Meena A, Raj A, Ursino N, Hewett TE. Anterior Knee Pain: State of the Art. Sports Med Open. 2022;30;8(1):98. https://doi.org/10.1186/s40798-022-00488-x

Dionne CE, Leclerc L, Carton M, Mediouni Z, Goldberg M, Zins M, et al. Social position modifies the association between severe shoulder/ arm and knee/leg pain, and quality of life after retirement. Int Arch Occup Environ Health. 2016;89(1):63-77. https://doi.org/10.1007/s00420-015-1052-z

Jiang L, Tian W, Wang Y, Rong J, Bao C, Liu Y, et al. Body mass index and susceptibility to knee osteoarthritis: a systematic review and meta-analysis. Joint Bone Spine. 2012;79(3):291-7. https://doi.org/10.1016/j.jbspin.2011.05.015

Sá KN, Pereira CM, Souza RC, Baptista AF, Lessa I. Knee pain prevalence and associated factors in a Brazilian population study. Pain Med. 2011;12(3):394-402. https://doi.org/10.1111/j.1526-4637.2011.01063.x

Paterniani A, Sperati F, Esposito G, Cognetti G, Pulimeno AML, Rocco G, et al. Quality of life and disability of chronic non-cancer pain in adult patients attending pain clinics: a pro-spective, multicenter, observational study. Appl Nurs Res. 2020; 56:151332. https://doi.org/10.1016/j.apnr.2020.151332

Nigoro K, Ito H, Kawata T, Nishitani K, Tabara Y, Matsuda F, et al. Obesity with radio-logical changes or depression was associated with worse knee outcome in the general popula-tion: a clúster analysis in the Nagahama study. Arthritis Res Ther. 2020; 27;22(1):280. https://doi.org/10.1186/s13075-020-02375-w

Kim W, Jin YS, Lee CS, Bin SI, Lee SY, Choi KH. Influence of Knee Pain and Low Back Pain on the Quality of Life in Adults Older Than 50 Years of Age. PM R .2015;7(9):955-61. https://doi.org/10.1016/j.pmrj.2015.03.002

Muraki S, Akune T, Oka H, En-Yo Y, Yoshida M, Saika A, et al. Health-related quality of life in subjects with low back pain and knee pain in a population-based cohort study of Japa-nese men: The Research on Osteoarthritis Against Disability study. Spine (Phila Pa 1976). 2011;36(16):1312-19. https://doi.org/10.1097/BRS.0b013e3181fa60d1

Bindawas SM, Vennu V, Alfhadel S, Al-Otaibi AD, Binnasser AS. Knee pain and health-related quality of life among older patients with different knee osteoarthritis severity in Saudi Arabia. PLoS One. 2018;13(5):e0196150. https://doi.org/10.1371/journal.pone.0196150

Vitta A, Maciel NM, Bento TPF, Genebra CVS, Simeão SFAP. Multisite musculoskeletal pain in the general population: a cross-sectional survey. Sao Paulo Med J. 2022;140(1):24-32. https://doi.org/10.1590/1516-3180.2021.0134.R1.05052021

Marques RLS, Rezende ATO, Junger AL, Noll M, Oliveira C, Silveira EA. What is the relationship between physical activity and chronic pain in older adults? A systematic review and meta-analysis protocol. BMJ Open. 2022;12(11):e062566. https://doi.org/10.1136/bmjopen-2022-062566

Maciel NM, De Conti MHS, Simeão SFAP, Genebra CVDS, Corrente JE, De Vitta, A. Sociodemographic factors, level of physical activity and health-related quality of life in adults from the north-east of São Paulo, Brazil: a cross-sectional population study. BMJ Open. 2018;8(1):e017804. https://doi.org/10.1136/bmjopen-2017-017804

Folstein MF, Folstein SE, McHugh PR. Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6

Barros ENC, Alexandre NMC. Cross-Cultural adaptation of the Nordic Musculoskeletal Questionnaire. Int Nurs Rev. 2003;50(2):101-8. https://doi.org/10.1046/j.1466-7657.2003.00188.x

Instituto Brasileiro de Geografia e Estatística (IBGE). Censo demográfico. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2010.

Silva MC, Fassa AG, Valle NC. Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors. Cad Saude Publica. 2004;20(2):377-85. https://doi.org/10.1590/s0102-311x2004000200005

World Health Organization (WHO). Guidelines for controlling and monitoring the tobacco epidemic. Geneva: World Health Organization; 1998.

Campolina AG, Ciconelli RM. Qualidade de Vida medidas de utilidade: parâmetros clí-nicos para as tomadas de decisão em saúde. Rev Panam Salud Publica. 2006;19(2):128-36.

Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questioná-rio Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís Saude. 2001;6(2):5-18. https://doi.org/10.12820/rbafs.v.6n2p5-18

Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF 36 (Brasil-36). Rev Bras Reumatol. 1999;39(3):143-50.

Laguardia J, Campos MR, Travassos C, Najar AL, Anjos LA, Vasconcellos MM. Dados normativos brasileiros do questionário Short Form-36 versao 2. Rev Bras Epidemiol. 2013;16(4):889-97. https://doi.org/10.1590/S1415-790X2013000400009

Callahan LF, Martin KR, Shreffler J, Kumar D, Schoster B, Kaufman JS, et al. Inde-pendent and combined influence of homeownership, occupation, education, income, and community poverty on physical health in persons with arthritis. Arthritis Care Res (Hoboken). 2011;63(5):643-53. https://doi.org/10.1002/acr.20428

Ibeachu C, Selfe J, Sutton CJ, Dey P. Knee problems are common in young adults and associated with physical activity and not obesity: the findings of a cross-sectional survey in a university cohort. BMC Musculoskelet Disord 2019;20(1):116. https://doi.org/10.1186/s12891-019-2487-2

Boling M, Padua D, Marshall S, Guskiewicz K, Pyne S, Beutler A. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports. 2010;20(5):725-30. https://doi.org/10.1111/j.1600-0838.2009.00996.x

Peat G, Bergknut C, Frobell R, Jöud A, Englund M. Population-wide incidence estimates for soft tissue knee injuries presenting to healthcare in southern Sweden: data from the Skåne Healthcare Register. Arthritis Res Ther. 2014;16(4):R162. https://doi.org/10.1186/ar4678

Luong MLN, Cleveland RJ, Nyrop KA, Callahan LF. Social determinants and osteoarthri-tis outcomes. Aging Health. 2012;8(4):413-37. https://doi.org/10.2217/ahe.12.43

Liu Y, Zhang H, Liang N, Fan W, Li J, Huang Z, et al. Prevalence and associated factors of knee osteoarthritis in a rural Chinese adult population: an epidemiological survey. BMC Public Health. 2016;16:94. https://doi.org/10.1186/s12889-016-2782-x

Allen KD, Helmick CG, Schwartz TA, DeVellis RF, Renner JB, Jordan JM. Racial dif-ferences in self-reported pain and function among individuals with radiographic hip and knee osteoarthritis: the Johnston County Osteoarthritis Project. Osteoarthritis Cartilage. 2009;17(9):1132-6. https://doi.org/10.1016/j.joca.2009.03.003

Dainese P, Wyngaert KV, De Mits S, Wittoek R, Van Ginckel A, Calders P. Association between knee inflammation and knee pain in patients with knee osteoarthritis: a systematic review. Osteoarthritis Cartilage. 2022;30(4):516-34. https://doi.org/10.1016/j.joca.2021.12.003

Berteau JP. Knee Pain from osteoarthritis: pathogenesis, risk factors, and recent evidence on physical therapy interventions. J Clin Med. 2022;11(12):3252. https://doi.org/10.3390/jcm11123252

Reid CR, Bush PM, Karwowski W, Durrani SK. Occupational postural activity and lower extremity discomfort: A review. Int J Ind Ergon. 2010;40(3):247-56. https://doi.org/10.1016/j.ergon.2010.01.003

Todd L, Puangthongthub ST, Mottus K, Mihlan G, Wing S. Health Survey of Workers Exposed to Mixed Solvent and Ergonomic Hazards in Footwear and Equipment Factory Workers in Thailand. Ann Occup Hyg. 2008;52(3):195-205. https://doi.org/10.1093/annhyg/men003

Jensen LK, Rytter S, Marott JL, Bonde JP. Relationship between years in the trade and the development of radiographic knee osteoarthritis and MRI-detected meniscal tears and bursitis in floor layers. A cross-sectional study of a historical cohort. BMJ Open. 2012;2:e001109. http://dx.doi.org/10.1136/bmjopen-2012-001109

Alijani H, Mirnasuri R, Nuri A. Studying the relation between sitting position and knee osteoarthritis. J Phys Educ Sport. 2015;2(4):1-6. https://doi.org/10.9790/6737-0240106

Maulik S, Iqbal R, De A, Chandra AM. Evaluation of the working posture and prevalence of musculoskeletal symptoms among medical laboratory technicians. J Back Musculoskelet Rehabil. 2014;27(4):453-61. https://doi.org/10.3233/BMR-140466

Dahaghin S, Tehrani-Banihashemi SA, Faezi ST, Jamshidi AR, Davatchi F. Squatting, sitting on the Floor, or Cycling: Are Life-Long Daily Activities Risk Factors for Clinical Knee Osteoarthritis? Stage III Results of a Community-Based Study. Arthritis Rheum. 2009;61(10):1337-42. https://doi.org/10.1002/Art.24737

Leite AA, Costa AJG, Lima BAM, Padilha AVL, Albuquerque ECA, Marques CDL. Comorbidades em pacientes com osteoartrite: frequência e impacto na dor e na função física. Rev Bras Reumatol. 2011;51(2):113-23.

Alfieri FM, Vieira FS, Leopoldo HJP, Oliveira NC. Qualidade de vida em indivíduos com osteoartrite de joelho. Lifestyle J. 2016;3(1):85-98.