ArticleFuture science OA2026
Cultural practices and knee osteoarthritis in Central Asia: a case-control study on risk and protective factors.
Article in Future science OA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Cross-Cultural Adaptation and Validation of the Kazakh Version of the WOMAC Index in Patients with Knee Osteoarthritis.International journal of environmental research and public health · 2026Article
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8 authors.
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Abstract
introductionKnee osteoarthritis (KOA) is a degenerative joint disease that leads to pain, stiffness, and disability. While established risk factors such as age, obesity, and joint injury are well-documented, the role of cultural practices remains underexplored. This study investigates the association between traditional cultural practices and KOA prevalence in Central Asia.
methodsA case-control study was conducted between January and March 2025 in Turkestan, Kazakhstan, involving 337 KOA cases and 685 matched controls. Participants completed structured questionnaires assessing demographic characteristics, lifestyle habits, and cultural practices. Unconditional logistic regression analyses identified associations between cultural factors and KOA, adjusting for age, sex, BMI, education level, physical workload, and type of residence.
resultsFrequent floor sitting (OR = 4.25, 95% CI: 3.02-5.99), squat toilet use (OR = 2.32, 95% CI: 1.66-3.23), and rural residence (OR = 7.57, 95% CI: 4.99-11.48) were strongly associated with KOA. Daily prayer postures did not significantly differ between cases and controls.
conclusionsTraditional cultural practices involving prolonged knee flexion were associated with KOA. Public health initiatives should consider culturally appropriate strategies that may help mitigate knee strain. Further longitudinal research is needed to establish causality.
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