Osteoarthritis

Association Between Change in Body Mass Index and Knee and Hip Replacements: A Survival Analysis of Seven to Ten Years Using Multicohort Data

Arthritis Care Res (Hoboken)Published Cohort study

Study context

Population
Adults (45–79 years of age) with or at risk of clinically significant knee OA, from Osteoarthritis Initiative (OAI), Multicenter Osteoarthritis Study (MOST) and CHECK8,181 (knees)
Exposure
Change in body mass index (BMI) as exposure, for risk of knee and hip replacement
Outcome
Incidence of primary knee and hip replacement
Follow-up
7-10 years'
Methodological detailspooled analysis of 3 cohorts, multicohort (OAI, MOST, CHECK), Cox proportional hazards regression, clustering of both knees and hips per person
  • Pooled analysis of 3 cohorts
  • Multicohort (OAI, MOST, CHECK)
  • Cox proportional hazards regression
  • Clustering of both knees and hips per person

Main finding

As reported in the abstract

Adjusted hazard ratio (95% CI)
Change in BMI: knee replacement16,362 knees
1.03(1.00–1.06)
Change in BMI: hip replacement16,406 hips
1.00(0.95–1.04)

Observational data: associations, not effects.

Further findings

Knee replacement by baseline BMI category (normal, overweight, obese)

Association between change in BMI and knee replacement independent of baseline BMI category

Original publication

Association Between Change in Body Mass Index and Knee and Hip Replacements: A Survival Analysis of Seven to Ten Years Using Multicohort Data. Arthritis Care Res (Hoboken). Published 5 January 2023. doi:10.1002/acr.25021

Composed by AI from the published abstract and checked against it. How Briefs are made →

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