Association between Depression and Postural Balance in Older Adults with Knee Osteoarthritis in Saudi Arabia: A Cross-Sectional Study

ORIGINAL ARTICLE
Mona A. Alfawd, Fahad H. Alshehri, Sultan Aldhafri, Afnan Sharawi, Rawan Alwafi, Suha Alzahrani, Ahmad T. Khiyami, Bayan Alilyyani, Hosam Alzahrani, Hatem H. Allam, Rania N Almeheyawi

 
For citation: Alfawd MA, Alshehri FH, Aldhafri S, Sharawi A, Alwafi R, Alzahrani S, Khiyami AT, Alilyyani B, Alzahrani H, Allam HH, Almeheyawi RN. Association between Depression and Postural Balance in Older Adults with Knee Osteoarthritis in Saudi Arabia: A Cross-Sectional Study. International Journal of Biomedicine. 2024;14(3):497-502. doi:10.21103/Article14(3)_OA18
 
Originally published September 6, 2024

Abstract: 

Background: Several studies examined the reciprocal relationship between knee osteoarthritis (KOA), depression, and postural balance separately; however, few studies have investigated the relationship between them. Therefore, this study aimed to identify the relationship between postural balance and depression among patients with KOA in Saudi Arabia.
Methods and Results: A total of 71 patients with KOA were recruited (36 males, 35 females) with a mean age of 55.0±8.6 years, mean knee pain of 7.2±1.0, and mean Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) of 44.9±11.6. Depression was measured using the Hospital Anxiety and Depression Scale (HADS). The participants were asked to complete the HADS, rate their pain in both knees using the Visual Analogue Scale (VAS) and the WOMAC, and undergo the Berg Balance Scale (BBS) to assess the postural balance.
A significantly strong negative correlation was observed between postural balance and anxiety and depression in all the participants (BBS and HADS: r= −0.920, P<0.001), as well as a significant negative correlation between knee pain and postural balance (VAS and BBS: r=−0.26, P=0.029)
Conclusion: Decrease in postural balance was associated with a higher level of anxiety and depression in addition to knee pain among patients with KOA.

Keywords: 
knee pain • osteoarthritis • balance • depression • older adults
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Received June 12, 2024.
Accepted August 29, 2024.
©2024 International Medical Research and Development Corporation.