Osteoarthritis

Association of Muscle Quantity and Quality With Knee Extension Strength in Knee Osteoarthritis: The Nagahama Study

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Lower-limb muscle quality was associated with knee extension strength, and the association was stronger in patients with knee OA.

Study context

Population
Participants of the Nagahama Prospective Cohort (63.6% women; mean ± SD age 68.0 ± 5.3 years)63.6% women
Participants
1,525 participants
Exposure
Control vs Early Osteoarthritis (OA) vs Advanced OA
Outcome
Association of lower-limb muscle quantity (muscle mass) and quality (ECW-to-ICW ratio, by bioelectric impedance analysis (BIA)) with knee extension strength
Methodological detailsmultiple linear regression, subgroup analyses by OA severity
  • Multiple linear regression
  • Subgroup analyses by OA severity

Main finding

As reported in the abstract

Association with knee extension strength (all participants)
Muscle mass significantly associated with knee extension strength
P < 0.001
Extracellular water (ECW)-to-ICW ratio significantly associated with knee extension strength
P = 0.009

Observational data: associations, not effects.

Further findings

Association with knee extension strength, Control (subgroup)

Muscle mass significantly associated
P < 0.001
No association of ECW-to-ICW ratio
P = 0.731

Association with knee extension strength, Early OA (subgroup)

Muscle mass significantly associated
P < 0.001
ECW-to-ICW ratio significantly associated
P = 0.034

Association with knee extension strength, Advanced OA (subgroup)

Muscle mass significantly associated
P < 0.001
ECW-to-ICW ratio significantly associated
P = 0.015

Original publication

Association of Muscle Quantity and Quality With Knee Extension Strength in Knee Osteoarthritis: The Nagahama Study. Arthritis Care Res (Hoboken). Published 4 September 2024. doi:10.1002/acr.25412

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