Ambulatory activity interacts with common risk factors for osteoarthritis to modify increases in MRI-detected osteophytes

Z. Zhu, D. Aitken, F. Cicuttini, G. Jones, C. Ding

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Objective: To investigate the longitudinal association between objectively measured ambulatory activity (AA) and knee MRI-detected osteophytes (OPs), and to test whether this relationship was modified by common risk factors for OA including sex, obesity, disease severity and knee injury history. Methods: 408 community-dwelling adults aged 51–81 years were assessed at baseline and 2.7 years. T1-weighted fat-suppressed MRI was used to evaluate knee OPs at both time points. AA was assessed at baseline by pedometers and categorized as: less active (≤7499 steps per day), moderately active (7500–9999 steps per day) and highly active (≥10,000 steps per day). Results: Statistically significant interactions were detected between knee OA risk factors and AA on increases in MRI-detected OPs (all P < 0.05). In stratified analyses, being moderately active, compared to being less active, was protective against an increase in MRI-detected OPs (score change of ≥1) in females (relative risk (RR) = 0.42, 95%CI, 0.25–0.70, P < 0.01), those who were obese (RR = 0.50, 95%CI, 0.30–0.83, P < 0.01), those with radiographic OA (ROA) (RR = 0.68, 95%CI, 0.47–0.97, P = 0.02) and those with a history of knee injury (RR = 0.27, 95%CI, 0.08–0.88, P = 0.02) in almost every knee compartment, after adjustment for confounders. No statistically significant associations were found in males, non-obese, non-ROA or non-injury groups. Conclusions: Being moderately active is protective against an increase in MRI-detected OPs in females, those with ROA, those who are obese and those with a history of knee injury. These findings suggest that being moderately active is beneficial for individuals who are at higher risk of knee OA.

Original languageEnglish
Pages (from-to)650-658
Number of pages9
JournalOsteoarthritis and Cartilage
Volume27
Issue number4
DOIs
Publication statusPublished - Apr 2019

Keywords

  • Ambulatory activity
  • Magnetic Resonance Imaging
  • Osteoarthritis
  • Osteophytes
  • Risk factors

Cite this

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title = "Ambulatory activity interacts with common risk factors for osteoarthritis to modify increases in MRI-detected osteophytes",
abstract = "Objective: To investigate the longitudinal association between objectively measured ambulatory activity (AA) and knee MRI-detected osteophytes (OPs), and to test whether this relationship was modified by common risk factors for OA including sex, obesity, disease severity and knee injury history. Methods: 408 community-dwelling adults aged 51–81 years were assessed at baseline and 2.7 years. T1-weighted fat-suppressed MRI was used to evaluate knee OPs at both time points. AA was assessed at baseline by pedometers and categorized as: less active (≤7499 steps per day), moderately active (7500–9999 steps per day) and highly active (≥10,000 steps per day). Results: Statistically significant interactions were detected between knee OA risk factors and AA on increases in MRI-detected OPs (all P < 0.05). In stratified analyses, being moderately active, compared to being less active, was protective against an increase in MRI-detected OPs (score change of ≥1) in females (relative risk (RR) = 0.42, 95{\%}CI, 0.25–0.70, P < 0.01), those who were obese (RR = 0.50, 95{\%}CI, 0.30–0.83, P < 0.01), those with radiographic OA (ROA) (RR = 0.68, 95{\%}CI, 0.47–0.97, P = 0.02) and those with a history of knee injury (RR = 0.27, 95{\%}CI, 0.08–0.88, P = 0.02) in almost every knee compartment, after adjustment for confounders. No statistically significant associations were found in males, non-obese, non-ROA or non-injury groups. Conclusions: Being moderately active is protective against an increase in MRI-detected OPs in females, those with ROA, those who are obese and those with a history of knee injury. These findings suggest that being moderately active is beneficial for individuals who are at higher risk of knee OA.",
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Ambulatory activity interacts with common risk factors for osteoarthritis to modify increases in MRI-detected osteophytes. / Zhu, Z.; Aitken, D.; Cicuttini, F.; Jones, G.; Ding, C.

In: Osteoarthritis and Cartilage, Vol. 27, No. 4, 04.2019, p. 650-658.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Ambulatory activity interacts with common risk factors for osteoarthritis to modify increases in MRI-detected osteophytes

AU - Zhu, Z.

AU - Aitken, D.

AU - Cicuttini, F.

AU - Jones, G.

AU - Ding, C.

PY - 2019/4

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N2 - Objective: To investigate the longitudinal association between objectively measured ambulatory activity (AA) and knee MRI-detected osteophytes (OPs), and to test whether this relationship was modified by common risk factors for OA including sex, obesity, disease severity and knee injury history. Methods: 408 community-dwelling adults aged 51–81 years were assessed at baseline and 2.7 years. T1-weighted fat-suppressed MRI was used to evaluate knee OPs at both time points. AA was assessed at baseline by pedometers and categorized as: less active (≤7499 steps per day), moderately active (7500–9999 steps per day) and highly active (≥10,000 steps per day). Results: Statistically significant interactions were detected between knee OA risk factors and AA on increases in MRI-detected OPs (all P < 0.05). In stratified analyses, being moderately active, compared to being less active, was protective against an increase in MRI-detected OPs (score change of ≥1) in females (relative risk (RR) = 0.42, 95%CI, 0.25–0.70, P < 0.01), those who were obese (RR = 0.50, 95%CI, 0.30–0.83, P < 0.01), those with radiographic OA (ROA) (RR = 0.68, 95%CI, 0.47–0.97, P = 0.02) and those with a history of knee injury (RR = 0.27, 95%CI, 0.08–0.88, P = 0.02) in almost every knee compartment, after adjustment for confounders. No statistically significant associations were found in males, non-obese, non-ROA or non-injury groups. Conclusions: Being moderately active is protective against an increase in MRI-detected OPs in females, those with ROA, those who are obese and those with a history of knee injury. These findings suggest that being moderately active is beneficial for individuals who are at higher risk of knee OA.

AB - Objective: To investigate the longitudinal association between objectively measured ambulatory activity (AA) and knee MRI-detected osteophytes (OPs), and to test whether this relationship was modified by common risk factors for OA including sex, obesity, disease severity and knee injury history. Methods: 408 community-dwelling adults aged 51–81 years were assessed at baseline and 2.7 years. T1-weighted fat-suppressed MRI was used to evaluate knee OPs at both time points. AA was assessed at baseline by pedometers and categorized as: less active (≤7499 steps per day), moderately active (7500–9999 steps per day) and highly active (≥10,000 steps per day). Results: Statistically significant interactions were detected between knee OA risk factors and AA on increases in MRI-detected OPs (all P < 0.05). In stratified analyses, being moderately active, compared to being less active, was protective against an increase in MRI-detected OPs (score change of ≥1) in females (relative risk (RR) = 0.42, 95%CI, 0.25–0.70, P < 0.01), those who were obese (RR = 0.50, 95%CI, 0.30–0.83, P < 0.01), those with radiographic OA (ROA) (RR = 0.68, 95%CI, 0.47–0.97, P = 0.02) and those with a history of knee injury (RR = 0.27, 95%CI, 0.08–0.88, P = 0.02) in almost every knee compartment, after adjustment for confounders. No statistically significant associations were found in males, non-obese, non-ROA or non-injury groups. Conclusions: Being moderately active is protective against an increase in MRI-detected OPs in females, those with ROA, those who are obese and those with a history of knee injury. These findings suggest that being moderately active is beneficial for individuals who are at higher risk of knee OA.

KW - Ambulatory activity

KW - Magnetic Resonance Imaging

KW - Osteoarthritis

KW - Osteophytes

KW - Risk factors

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