The onset of generalized osteoarthritis in older women: A qualitative approach

Objective. This qualitative study aims to investigate which factors are pos sibly associated with the onset of generalized osteoarthritis (OA) in older women. Methods. The study population was recruited from participants of a group co urse, "Coping With Osteoarthritis of the Hip or Knee." Twenty-three women w ith generalized OA were identified, 20 of whom participated in a semistruct ured interview at home. All data were self-reported by the subjects. Results. Hereditary factors were present in 17 women. Metabolic factors (su ch as impairments in carbohydrate and lipid metabolism, diabetes, etc.) wer e not prevalent. Twelve women thought that certain diets influenced their p ain symptoms. Five women spontaneously mentioned their health status during the Second World War as a cause of their OA. Four considered too much stre ss as being a cause, and in 13 women symptoms started after a period of str essful life events or depression. Conclusion. According to the respondents, depression, stress, and diets are associated with the onset and worsening of their generalized OA. Heredity and a low health status at a vulnerable age may also be important. These fi ndings could generate new hypotheses that can be tested in future quantitat ive studies.