title: Physical functionality and self-rated health status of adult patients with knee osteoarthritis presenting in a primary care clinic.
abstract: BACKGROUND
  Knee osteoarthritis is a chronic medical condition of public health importance in Nigeria which causes disability and impacts daily activities in the sufferers. This study aimed to describe the physical functionality and self-rated health status of adult patients with clinical knee osteoarthritis presenting at the Family Medicine Department, University College Hospital, Ibadan, Nigeria.
  
  
  METHODS
  This was a cross-sectional study of 400 respondents. Knee osteoarthritis was diagnosed clinically using the criteria of the American College of Rheumatology. Morbidities, self-rated health status and physical functionality of the respondents were also assessed.
  
  
  RESULTS
  Knee osteoarthritis was diagnosed in 46(11.5%) respondents. Respondents with knee osteoarthritis significantly rated their health worse than those without knee osteoarthritis (p <0.0001). Experience of pain, stiffness and performance of daily activities were significantly worse among respondents with knee osteoarthritis. Those who had knee osteoarthritis had significantly higher waist (p <0.0001), hip (p <0.0001) and knee circumferences (p <0.0001) respectively. Logistic regression analysis showed increasing age (OR=1.103; 95% CI=1.022 - 1.191), self-rated health worse than six months ago (OR=12.562; 95% CI=1.178-125.243), experience of stiffness after waking up in the morning (OR=12.758; 95% CI=3.572-45.569), stiffness after sitting/lying down/resting (OR=21.517; 95% CI=2.213-209.220) and waist circumference (OR=1.225;95% CI=1.017-1.477) to be the most significantly associated with knee osteoarthritis.
  
  
  CONCLUSIONS
  Knee osteoarthritis significantly impairs the health and daily activities of adult patients in Ibadan, Nigeria. Healthcare workers need to screen adult patients routinely at first-contact to detect knee osteoarthritis clinically early and manage appropriately.
authors.affiliation: University College Hospital, Ibadan, Nigeria.
authors.forename: A M
authors.initials: AM
authors.lastname: Ogunbode
authors.affiliation: University College Hospital, Ibadan, Nigeria.
authors.forename: L A
authors.initials: LA
authors.lastname: Adebusoye
authors.affiliation: University College Hospital, Ibadan, Nigeria.
authors.forename: O O
authors.initials: OO
authors.lastname: Olowookere
authors.affiliation: University College Hospital, Ibadan, Nigeria.
authors.forename: T O
authors.initials: TO
authors.lastname: Alonge
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000367:Age Factors; D000368:Aged; D000554:Ambulatory Care Facilities; D049628:Body Size; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D007717:Knee / Q000473:pathology*; D007719:Knee Joint / Q000473:pathology*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D016017:Odds Ratio; D020370:Osteoarthritis, Knee / Q000150:complications* / Q000453:epidemiology; D010146:Pain / Q000453:epidemiology / Q000209:etiology*; D011320:Primary Health Care; D011788:Quality of Life; D012720:Severity of Illness Index
keywords: Family practice clinic; Nigeria; functionality; health status; knee osteoarthritis