Osteoarthritis

Associations between testosterone and knee and hand osteoarthritis among males and females from the general population

Osteoarthritis CartilagePublished Prospective cohort study

Authors' conclusion

Our findings suggest a protective effect of free testosterone for CKP only in females.

Study context

Population
Rotterdam Study cohort, males and females aged 45 and older from the general populationmore than 8600 individuals
Exposure
Higher vs lower testosterone levels
Outcome
Prevalence, incidence and progression of radiographic OA and chronic pain outcomes in the knee and hand joints
Methodological detailspopulation-based, generalized linear models and generalized estimating equations, adjusted for age, body mass index (BMI), lifestyle factors and co-morbidities
  • Population-based
  • Generalized linear models and generalized estimating equations
  • Adjusted for age, BMI, lifestyle factors and co-morbidities

Main finding

As reported in the abstract

Prevalence of radiographic knee OA, females
Females; not significant in males
Relative risk (95% CI)
Higher total testosterone
0.84(0.69–1.00)
Higher free testosterone
0.85(0.70–1.00)

Observational data: associations, not effects.

Further findings

Incidence of chronic knee pain, females

RR (95% CI)
Higher free testosteroneNot in males0.85 (0.71–0.98)

Severity of hand osteoarthritis (OA), males

RR (95% CI)
Higher free testosteroneNot in females1.07 (1.02–1.11)
Higher total testosteroneNot in females1.08 (1.03–1.13)

Original publication

Associations between testosterone and knee and hand osteoarthritis among males and females from the general population. Osteoarthritis Cartilage. Published 10 April 2025. doi:10.1016/j.joca.2025.03.006

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