Association of low birth weight and preterm birth with the incidence of knee and hip arthroplasty for osteoarthritis

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Abstract

Abstract Objectives: Low birth weight (LBW) and preterm birth have been associated with adverse adult outcomes including hypertension, insulin resistance, cardiovascular disease and reduced bone mass. It is unknown whether LBW and preterm birth affect the risk of osteoarthritis (OA). This study aims to examine whether LBW and preterm birth were associated with the incidence of knee and hip arthroplasty for OA. Methods: 3,604 participants of the Australian Diabetes, Obesity and Lifestyle Study who reported their birth weight and history of preterm birth and were aged more than 40 years at the commencement of arthroplasty data collection. The incidence of knee and hip replacement for osteoarthritis during 2002-2011 was determined by linking cohort records to the Australian Orthopaedic Association National Joint Replacement Registry. Results: One hundred and sixteen participants underwent knee arthroplasty and 75 underwent hip arthroplasty for OA. Low birth weight (yes vs. no, HR 2.04, 95 CI 1.11-3.75, p=0.02) and preterm birth (yes vs. no, HR 2.50, 95 CI 1.29-4.87, p=0.007) were associated with increased incidence of hip arthroplasty independent of age, sex, BMI, education level, hypertension, diabetes, smoking and physical activity. No significant association was observed for knee arthroplasty. Conclusions: Although these findings will need to be confirmed, they suggest that individuals born with LBW or preterm are at increased risk of hip arthroplasty for OA in adult life. The underlying mechanisms warrant further investigation. ? 2014 American College of Rheumatology.
Original languageEnglish
Pages (from-to)502 - 508
Number of pages7
JournalArthritis Care and Research
Volume67
Issue number4
DOIs
Publication statusPublished - 2015

Cite this

@article{25ee9fbde571409dbe57c2e54809efef,
title = "Association of low birth weight and preterm birth with the incidence of knee and hip arthroplasty for osteoarthritis",
abstract = "Abstract Objectives: Low birth weight (LBW) and preterm birth have been associated with adverse adult outcomes including hypertension, insulin resistance, cardiovascular disease and reduced bone mass. It is unknown whether LBW and preterm birth affect the risk of osteoarthritis (OA). This study aims to examine whether LBW and preterm birth were associated with the incidence of knee and hip arthroplasty for OA. Methods: 3,604 participants of the Australian Diabetes, Obesity and Lifestyle Study who reported their birth weight and history of preterm birth and were aged more than 40 years at the commencement of arthroplasty data collection. The incidence of knee and hip replacement for osteoarthritis during 2002-2011 was determined by linking cohort records to the Australian Orthopaedic Association National Joint Replacement Registry. Results: One hundred and sixteen participants underwent knee arthroplasty and 75 underwent hip arthroplasty for OA. Low birth weight (yes vs. no, HR 2.04, 95 CI 1.11-3.75, p=0.02) and preterm birth (yes vs. no, HR 2.50, 95 CI 1.29-4.87, p=0.007) were associated with increased incidence of hip arthroplasty independent of age, sex, BMI, education level, hypertension, diabetes, smoking and physical activity. No significant association was observed for knee arthroplasty. Conclusions: Although these findings will need to be confirmed, they suggest that individuals born with LBW or preterm are at increased risk of hip arthroplasty for OA in adult life. The underlying mechanisms warrant further investigation. ? 2014 American College of Rheumatology.",
author = "Hussain, {Sultana Monira} and YuanYuan Wang and Wluka, {Anita Estelle} and Shaw, {Jonathan Edward} and Magliano, {Dianna Josephine} and Stephen Graves and Cicuttini, {Flavia Maria}",
year = "2015",
doi = "10.1002/acr.22475",
language = "English",
volume = "67",
pages = "502 -- 508",
journal = "Arthritis Care and Research",
issn = "2151-464X",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Association of low birth weight and preterm birth with the incidence of knee and hip arthroplasty for osteoarthritis

AU - Hussain, Sultana Monira

AU - Wang, YuanYuan

AU - Wluka, Anita Estelle

AU - Shaw, Jonathan Edward

AU - Magliano, Dianna Josephine

AU - Graves, Stephen

AU - Cicuttini, Flavia Maria

PY - 2015

Y1 - 2015

N2 - Abstract Objectives: Low birth weight (LBW) and preterm birth have been associated with adverse adult outcomes including hypertension, insulin resistance, cardiovascular disease and reduced bone mass. It is unknown whether LBW and preterm birth affect the risk of osteoarthritis (OA). This study aims to examine whether LBW and preterm birth were associated with the incidence of knee and hip arthroplasty for OA. Methods: 3,604 participants of the Australian Diabetes, Obesity and Lifestyle Study who reported their birth weight and history of preterm birth and were aged more than 40 years at the commencement of arthroplasty data collection. The incidence of knee and hip replacement for osteoarthritis during 2002-2011 was determined by linking cohort records to the Australian Orthopaedic Association National Joint Replacement Registry. Results: One hundred and sixteen participants underwent knee arthroplasty and 75 underwent hip arthroplasty for OA. Low birth weight (yes vs. no, HR 2.04, 95 CI 1.11-3.75, p=0.02) and preterm birth (yes vs. no, HR 2.50, 95 CI 1.29-4.87, p=0.007) were associated with increased incidence of hip arthroplasty independent of age, sex, BMI, education level, hypertension, diabetes, smoking and physical activity. No significant association was observed for knee arthroplasty. Conclusions: Although these findings will need to be confirmed, they suggest that individuals born with LBW or preterm are at increased risk of hip arthroplasty for OA in adult life. The underlying mechanisms warrant further investigation. ? 2014 American College of Rheumatology.

AB - Abstract Objectives: Low birth weight (LBW) and preterm birth have been associated with adverse adult outcomes including hypertension, insulin resistance, cardiovascular disease and reduced bone mass. It is unknown whether LBW and preterm birth affect the risk of osteoarthritis (OA). This study aims to examine whether LBW and preterm birth were associated with the incidence of knee and hip arthroplasty for OA. Methods: 3,604 participants of the Australian Diabetes, Obesity and Lifestyle Study who reported their birth weight and history of preterm birth and were aged more than 40 years at the commencement of arthroplasty data collection. The incidence of knee and hip replacement for osteoarthritis during 2002-2011 was determined by linking cohort records to the Australian Orthopaedic Association National Joint Replacement Registry. Results: One hundred and sixteen participants underwent knee arthroplasty and 75 underwent hip arthroplasty for OA. Low birth weight (yes vs. no, HR 2.04, 95 CI 1.11-3.75, p=0.02) and preterm birth (yes vs. no, HR 2.50, 95 CI 1.29-4.87, p=0.007) were associated with increased incidence of hip arthroplasty independent of age, sex, BMI, education level, hypertension, diabetes, smoking and physical activity. No significant association was observed for knee arthroplasty. Conclusions: Although these findings will need to be confirmed, they suggest that individuals born with LBW or preterm are at increased risk of hip arthroplasty for OA in adult life. The underlying mechanisms warrant further investigation. ? 2014 American College of Rheumatology.

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