Osteoarthritis

Association of Weight Loss and Weight Gain With Structural Defects and Pain in Hand Osteoarthritis: Data From the Osteoarthritis Initiative

Arthritis Care Res (Hoboken)Published Cohort study

Authors' conclusion

Our study found no evidence of an association between weight change and the odds of incidence or progression of radiographic hand OA over 4 years, nor the development or resolution of hand pain over 8 years.

Study context

Population
Osteoarthritis Initiative participants, excluding those with cancer, RA or BMI under 18.5 kg/m²selected from 4,796
Participants
4,598 participants
Exposure
Weight change, per 5% weight loss
Outcome
Incidence and progression of radiographic hand OA; development and resolution of hand pain
Follow-up
4-year (radiographic); up to 8-year (pain)
Methodological detailsOsteoarthritis Initiative data, multivariable logistic regression, repeated-measure mixed-effects logistic regression
  • Osteoarthritis Initiative data
  • Multivariable logistic regression
  • Repeated-measure mixed-effects logistic regression

Main finding

As reported in the abstract

Radiographic hand OA, per 5% weight loss · 4-year follow-up

Incidence of radiographic hand osteoarthritis (OA), OR

0.90

95% CI 0.67–1.23

Progression of radiographic hand OA, OR

0.92

95% CI 0.84–1.00

Observational data: associations, not effects.

Further findings

Hand pain, per 5% weight loss · 8-year follow-up

Development of hand pain, OR
1.00 (95% CI 0.92-1.09)
Resolution of hand pain, OR
1.07 (95% CI 0.91-1.25)

Original publication

Association of Weight Loss and Weight Gain With Structural Defects and Pain in Hand Osteoarthritis: Data From the Osteoarthritis Initiative. Arthritis Care Res (Hoboken). Published 5 February 2024. doi:10.1002/acr.25284

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