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Longitudinal associations between adiposity and change in knee pain: Tasmanian older adult cohort study


Jin, X and Ding, C and Wang, X and Antony, B and Laslett, LL and Blizzard, L and Cicuttini, F and Jones, G, Longitudinal associations between adiposity and change in knee pain: Tasmanian older adult cohort study, Seminars in Arthritis and Rheumatism, 45, (5) pp. 564-569. ISSN 0049-0172 (2016) [Refereed Article]

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Copyright Statement

Copyright 2016 Elsevier Inc.

DOI: doi:10.1016/j.semarthrit.2015.10.006


Objective: The aim of this study was to describe the longitudinal relationship between adiposity and change in knee pain.,

Methods: A total of 1099 participants aged 5079 were randomly selected from the local community in Southern Tasmania, of which 767 were followed up on average 5.1 years later. Knee pain was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at each time point. Consistent knee pain was defined as knee pain at all three time-points. The five pain subscales were grouped into weight-bearing pain and non-weight-bearing pain according to the nature of pain. Body fat and lean mass were assessed using dual energy x-ray absorptiometry (DXA).

Results: Baseline body mass index (BMI) and body fat mass were deleteriously associated with consistent knee pain over follow-up. BMI was consistently associated with increases in weight-bearing and non-weight-bearing pain. Fat mass was associated with an increase in non-weight-bearing pain. In mixed-model analyses, WOMAC total pain score was associated with BMI (β = 1.27) and body fat mass (β = 1.17). The association of lean mass was not significant after adjustment for fat mass.

Conclusion: BMI is the most consistent correlate of knee pain in older adults. Fat mass is associated with non-weight-bearing knee pain suggesting systemic mechanisms are involved.

Item Details

Item Type:Refereed Article
Keywords:knee pain, body composition
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Rheumatology and arthritis
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Jin, X (Mr Xingzhong Jin)
UTAS Author:Ding, C (Professor Chang-Hai Ding)
UTAS Author:Wang, X (Ms Xia Wang)
UTAS Author:Antony, B (Dr Benny Eathakkattu Antony)
UTAS Author:Laslett, LL (Dr Laura Laslett)
UTAS Author:Blizzard, L (Professor Leigh Blizzard)
UTAS Author:Jones, G (Professor Graeme Jones)
ID Code:104631
Year Published:2016 (online first 2015)
Web of Science® Times Cited:10
Deposited By:Menzies Institute for Medical Research
Deposited On:2015-11-17
Last Modified:2018-03-16
Downloads:190 View Download Statistics

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