Osteoarthritis

Cartilage tissue turnover increases with high- compared to low-intensity resistance training in patients with knee osteoarthritis (OA)

Arthritis Res TherPublished Randomised controlled trial

Authors' conclusion

Cartilage tissue turnover and cartilage degradation appear to increase in response to a 3-month exercise-related joint loading training program and at 6-month follow-up, with no evident difference in type II collagen formation. Aggrecan remodeling increased more with high-intensity resistance training than with low-intensity exercise.

Study context

Population
Patients with knee OA
Comparison
High-intensity vs low-intensity resistance training
Primary endpoint
Cartilage tissue turnover biomarkers (huARGS, C2M, PRO-C2) measured by ELISA
Methodological detailsexploratory biomarker analysis, linear mixed models with baseline values as covariates
  • Exploratory biomarker analysis
  • Linear mixed models with baseline values as covariates

Primary result

As reported in the abstract

huARGS level · after resistance training and at follow-up
  • huARGS and C2M levels increased after training and at follow-up in both groups
  • No changes in PRO-C2
  • High-intensity vs Low-intensity: P = 0.029
  • High-intensity vs Low-intensity: P = 0.003

Original publication

Cartilage tissue turnover increases with high- compared to low-intensity resistance training in patients with knee OA. Arthritis Res Ther. Published 10 February 2023. doi:10.1186/s13075-023-03000-2

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