{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T13:58:40Z","timestamp":1780063120276,"version":"3.54.0"},"reference-count":28,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Due to restrictions in social gatherings imposed due to the COVID-19 pandemic, physical and other daily activities were limited among the older adults. The present study aimed to estimate the change in osteoarthritis prevalence among older adults during the COVID-19 pandemic in Bangladesh.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>This repeated cross-sectional study was conducted through telephone interviews among older adults aged 60 years and above on two successive occasions (October 2020 and September 2021) during the COVID-19 pandemic in Bangladesh. The prevalence of osteoarthritis was measured by asking the participants if they had osteoarthritis or joint pain problems.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 2077 participants (1032 in 2020-survey and 1045 in 2021-survey) participated in the study. The prevalence of self-reported joint pains or osteoarthritis significantly increased from 45.3% in 2020 to 54.7% in 2021 (<jats:italic>P<\/jats:italic> = 0.006), with an increasing odd in the adjusted analysis (aOR 1.27, 95% CI 1.04\u20131.54). We also found that osteoarthritis prevalence significantly increased among the participants from the Chattogram and Mymensingh divisions, aged 60\u201369 years, males, married, rural residents, and living with a family. A significant increase was also documented among those who received formal schooling, had a family income of 5000\u201310000 BDT, resided with a large family, were unemployed or retired, and lived away from a health facility.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Our study reported a significant increased prevalence of osteoarthritis among older adults from 2020 to 2021 during this pandemic in Bangladesh. This study highlights the need for the development and implementation of initiatives for the screening and management of osteoarthritis through a primary health care approach during any public health emergencies.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0274838","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T17:29:32Z","timestamp":1663694972000},"page":"e0274838","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["A tale of osteoarthritis among older adults during the COVID-19 pandemic in Bangladesh: A repeated cross-sectional study"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6100-6076","authenticated-orcid":true,"given":"Sabuj Kanti","family":"Mistry","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5442-7147","authenticated-orcid":true,"given":"A. 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Available from: https:\/\/covid19.who.int\/."},{"key":"pone.0274838.ref003","doi-asserted-by":"crossref","first-page":"508","DOI":"10.3389\/fpubh.2020.00508","article-title":"A syndemic perspective on the management of non-communicable diseases amid the COVID-19 pandemic in low-and middle-income countries","volume":"8","author":"UN Yadav","year":"2020","journal-title":"Frontiers in public health"},{"issue":"2","key":"pone.0274838.ref004","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1136\/annrheumdis-2020-218372","article-title":"Tackling osteoarthritis during COVID-19 pandemic","volume":"80","author":"FAC da Rocha","year":"2021","journal-title":"Annals of the Rheumatic Diseases"},{"key":"pone.0274838.ref005","doi-asserted-by":"crossref","first-page":"157","DOI":"10.3899\/jrheum.200914","article-title":"Walk at least 10 minutes a day for adults with knee osteoarthritis: recommendation for minimal activity during the COVID-19 pandemic","author":"JT Jakiela","year":"2021","journal-title":"The Journal of Rheumatology"},{"key":"pone.0274838.ref006","first-page":"1","article-title":"Prevalence of osteoarthritis in lower middle-and low-income countries: a systematic review and meta-analysis","author":"I Yahaya","year":"2021","journal-title":"Rheumatology international"},{"issue":"230","key":"pone.0274838.ref007","first-page":"2161","article-title":"Survey on prevalence, risk factors and treatment pattern of osteoarthritis in Bangladesh: retrospective study","volume":"7","author":"I Jahan","year":"2017","journal-title":"Rheumatology (Sunnyvale)"},{"key":"pone.0274838.ref008","doi-asserted-by":"crossref","first-page":"100587","DOI":"10.1016\/j.eclinm.2020.100587","article-title":"Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies","volume":"29","author":"A Cui","year":"2020","journal-title":"EClinicalMedicine"},{"issue":"10264","key":"pone.0274838.ref009","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.1016\/S0140-6736(20)32230-3","article-title":"Osteoarthritis in 2020 and beyond: a Lancet Commission","volume":"396","author":"DJ Hunter","year":"2020","journal-title":"The Lancet"},{"key":"pone.0274838.ref010","first-page":"27","article-title":"COVID-19, osteoarthritis and women\u2019s health","author":"A. Mobasheri","year":"2020","journal-title":"Case reports in women\u2019s health"},{"issue":"6","key":"pone.0274838.ref011","doi-asserted-by":"crossref","first-page":"e048772","DOI":"10.1136\/bmjopen-2021-048772","article-title":"Impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases in the UK: a mixed-methods study","volume":"11","author":"TO Smith","year":"2021","journal-title":"BMJ open"},{"issue":"1","key":"pone.0274838.ref012","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40634-020-00271-5","article-title":"Home-based management of knee osteoarthritis during COVID-19 pandemic: literature review and evidence-based recommendations","volume":"7","author":"T Karasavvidis","year":"2020","journal-title":"Journal of Experimental Orthopaedics"},{"issue":"1","key":"pone.0274838.ref013","article-title":"Examining Bangladesh\u2019s responses to COVID-19 in light of Vietnam: Lessons learned","volume":"3","author":"MN Huda","year":"2021","journal-title":"Global Biosecurity"},{"issue":"1","key":"pone.0274838.ref014","first-page":"1","article-title":"Prevalence of musculoskeletal conditions and related disabilities in Bangladeshi adults: a cross-sectional national survey","volume":"4","author":"A Zahid-Al-Quadir","year":"2020","journal-title":"BMC rheumatology"},{"issue":"4","key":"pone.0274838.ref015","doi-asserted-by":"crossref","first-page":"173","DOI":"10.3329\/kyamcj.v10i4.45714","article-title":"Correlation of Pain, Physical Function and Radiography With Osteoarthritis of The knee","volume":"10","author":"SM Ahmed","year":"2020","journal-title":"KYAMC Journal"},{"issue":"1","key":"pone.0274838.ref016","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0167-4943(03)00019-0","article-title":"Gender and rural\u2013urban differences in reported health status by older people in Bangladesh","volume":"37","author":"ZN Kabir","year":"2003","journal-title":"Archives of gerontology and geriatrics"},{"issue":"4","key":"pone.0274838.ref017","doi-asserted-by":"crossref","first-page":"406","DOI":"10.3329\/jhpn.v29i4.8458","article-title":"Prevalence and patterns of multimorbidity among elderly people in rural Bangladesh: a cross-sectional study","volume":"29","author":"MA Khanam","year":"2011","journal-title":"Journal of health, population, and nutrition"},{"issue":"1","key":"pone.0274838.ref018","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1093\/her\/cym002","article-title":"The impact of health education in managing self-reported arthritis-related illness among elderly persons in rural Bangladesh","volume":"23","author":"A Rana","year":"2008","journal-title":"Health education research"},{"key":"pone.0274838.ref019","article-title":"Osteoarthritis year in review 2021: epidemiology & therapy","author":"JG Quicke","year":"2021","journal-title":"Osteoarthritis and Cartilage"},{"issue":"4","key":"pone.0274838.ref020","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.3390\/ijerph18041779","article-title":"Changes in tobacco use patterns during covid-19 and their correlates among older adults in bangladesh","volume":"18","author":"SK Mistry","year":"2021","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"pone.0274838.ref021","unstructured":"BBS. Elderly Population in Bangladesh: Current features and future perspectives. Dhaka: Banglaedsh Bureau of Statistics, Ministry of Bangladesh, Government of Bangladesh, 2015."},{"key":"pone.0274838.ref022","article-title":"COVID\u201019 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study","author":"C Urzeala","year":"2021","journal-title":"Health Expectations"},{"issue":"2","key":"pone.0274838.ref023","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.jshs.2016.04.001","article-title":"The role of physical activity and exercise in obesity and weight management: Time for critical appraisal","volume":"5","author":"P. Wiklund","year":"2016","journal-title":"Journal of Sport and Health Science"},{"issue":"2","key":"pone.0274838.ref024","first-page":"185","article-title":"Obesity & osteoarthritis","volume":"138","author":"LK King","year":"2013","journal-title":"The Indian journal of medical research"},{"key":"pone.0274838.ref025","unstructured":"BRAC. Demographic and Socioeconomic Changes Induced by the COVID-19 Pandemic in Bangladesh: Dynamics and challenges of new circumstances. 2021 [14\/01\/2022]. Available from: https:\/\/www.brac.net\/images\/news\/2021\/Brief-executive-summary-for-policy-dialogue.pdf."},{"issue":"1","key":"pone.0274838.ref026","first-page":"1","article-title":"Cross-sectional analysis of self-reported sedentary behaviors and chronic knee pain among South Korean adults over 50 years of age in KNHANES 2013\u20132015","volume":"19","author":"S-H Lee","year":"2019","journal-title":"BMC public health"},{"key":"pone.0274838.ref027","article-title":"Quality-Adjusted Life-Years Lost Due to Physical Inactivity in the United States Osteoarthritis Population","author":"E Losina","year":"2019","journal-title":"Arthritis care & research"},{"issue":"3","key":"pone.0274838.ref028","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.4103\/jfmpc.jfmpc_162_18","article-title":"Self-reported health problems, health care seeking behaviour and cost coping mechanism of older people: Implication for primary health care delivery in rural Bangladesh","volume":"8","author":"M Sheikh Jamal Hossain","year":"2019","journal-title":"Journal of family medicine and primary care"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0274838","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T17:30:07Z","timestamp":1663695007000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0274838"}},"subtitle":[],"editor":[{"given":"Md. 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