Osteoarthritis

Association between thyroid function and osteoarthritis: A population-based cohort study

Osteoarthritis CartilagePublished Prospective population-based cohort study

Main finding · Prevalent knee OA per pmol/L FT4Result — go to the resultOdds ratio 1.04 95% CI 1.01–1.06

Authors' conclusion

Our study indicated that higher FT4 concentrations may increase the risk of knee OA.

Study context

Population
Participants from the Rotterdam Study with baseline thyroid-stimulating hormone (TSH), free thyroxine (FT4) and joint radiographs (mean age 65 years, 56.3% women)
Participants
9,054 participants
Exposure
Higher vs lower TSH and FT4 concentrations
Outcome
Prevalence, severity, incidence and progression of hand, hip or knee OA
Methodological detailsmultivariable regression, stratified by sex, age, body mass index (BMI) and weight-bearing physical activity
  • Multivariable regression
  • Stratified by sex, age, BMI and weight-bearing physical activity

Main finding

Prevalent knee OA per pmol/L FT4

Odds ratio

1.04

95% CI 1.01–1.06

FT4 (per pmol/L)
OR 1.04 (95% CI 1.01–1.06)

Per pmol/L, as printed

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (CI)
Overall progression of knee OA per pmol/L FT41.03 (1.00–1.07)
Prevalent knee OA per pmol/L FT4, BMI ≥30 kg/m² (subgroup)1.05 (1.01–1.08)
Prevalent knee OA per pmol/L FT4, high weight-bearing physical activity (subgroup)1.05 (1.01–1.10)

Original publication

Association between thyroid function and osteoarthritis: A population-based cohort study. Osteoarthritis Cartilage. Published 12 November 2024. doi:10.1016/j.joca.2024.10.017

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