Osteoarthritis

Cardiovascular health and osteoarthritis risk: a prospective cohort study with proteomic insights from UK Biobank

RMD OpenPublished Prospective cohort study

Main finding · Incident OAResult — go to the resultHazard ratio 0.68 95% CI 0.64–0.71

Authors' conclusion

Higher cardiovascular health is associated with substantially lower OA risk, modified by biological ageing.

Study context

Population
UK Biobank participants without osteoarthritis (OA) at baseline13.1 median years follow-up
Participants
102,794 participants
Exposure
Highest vs lowest LE8 quartile
Outcome
Incident OA, ascertained from medical records
Methodological detailsCox models, proteomic analysis in a subset
  • Cox models
  • Proteomic analysis in a subset

Main finding

Incident OA

Hazard ratio

0.68

95% CI 0.64–0.71

Highest LE8 quartilevs Lowest LE8 quartile
HR 0.68 (95% CI 0.64–0.71)

As reported in the abstract

OA cases
15 984

Observational data: associations, not effects.

Further findings

OutcomeHR
OA by site (highest vs lowest LE8 quartile)Highest LE8 quartile vs Lowest LE8 quartile · knee OA0.56
OA by site (highest vs lowest LE8 quartile)Highest LE8 quartile vs Lowest LE8 quartile · hip OA0.72
OA by site (highest vs lowest LE8 quartile)Highest LE8 quartile vs Lowest LE8 quartile · hand OA0.57

Incident OA per SD increase in LE8

HR per SD increase in LE8 (14% risk reduction), 95% CI 0.84 to 0.87
0.86

Incident OA in individuals with younger phenotypic age (subgroup)

HR, 95% CI 0.84 to 0.88; protective associations stronger
0.86

Proteomics

Associated proteins identified (eg, fibroblast growth factor 21, insulin-like growth factor-binding protein 1)
9
Protein risk score showed graded positive associations with OA

Original publication

Cardiovascular health and osteoarthritis risk: a prospective cohort study with proteomic insights from UK Biobank. RMD Open. Published 13 May 2026. doi:10.1136/rmdopen-2026-006881

Composed by AI from the published abstract and checked against it. How Briefs are made →

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