Osteoarthritis

Association of Change in Body Mass Index With Incidence and Progression of the Structural Defects of Hip Osteoarthritis: Data From the Osteoarthritis Initiative and the Cohort Hip and Cohort Knee study

Arthritis Care Res (Hoboken)Published Cohort study

Authors' conclusion

Weight loss may not be an effective strategy for preventing, slowing, or delaying the structural defects of hip osteoarthritis over 4-5 years.

Study context

Population
Hips from the Osteoarthritis Initiative (OAI) and the Cohort Hip and Cohort Knee (CHECK) studyhips analysed, not persons
Exposure
Change in body mass index (BMI) from baseline to 4-5 years' follow-up
Outcome
Incidence (grade ≥2 at follow-up in hips with grade <2 at baseline) and progression (grade increase of ≥1 in hips with grade ≥2 at baseline) of radiographic structural defects of hip OA (modified Croft grade in OAI; Kellgren/Lawrence grade in CHECK)
Follow-up
4-5 years
Methodological details2 independent cohorts (OAI and CHECK), incidence and progression cohorts
  • 2 independent cohorts (OAI and CHECK)
  • Incidence and progression cohorts

Main finding

As reported in the abstract

Incidence and progression of definite structural defects of hip OA

OAI incidence cohort, hips

5,896

CHECK incidence cohort, hips

1,377

OAI progression cohort, hips

303

CHECK progression cohort, hips

129

Observational data: associations, not effects.

Original publication

Association of Change in Body Mass Index With Incidence and Progression of the Structural Defects of Hip Osteoarthritis: Data From the Osteoarthritis Initiative and the Cohort Hip and Cohort Knee study. Arthritis Care Res (Hoboken). Published 14 February 2023. doi:10.1002/acr.25057

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