Osteoarthritis

Comparison between UK Biobank and Shanghai Changfeng suggests distinct hip morphology may contribute to ethnic differences in the prevalence of hip osteoarthritis

Osteoarthritis CartilagePublished Cross-sectional study

Authors' conclusion

rHOA prevalence is lower in Chinese compared with White individuals. Several differences in hip shape were observed, including frequency of cam morphology, FNW, and DFH/FNW ratio.

Study context

Population
Participants of the UK Biobank and Shanghai Changfeng cohorts with left hip iDXA scans; mean ages 63.4 and 63.7 yearscomplete data
Participants
5,924 vs 39,020
Exposure
Chinese Shanghai Changfeng cohort vs predominantly White UK Biobank cohort
  • Shanghai Changfeng (SC)n = 5,924
  • UK Biobank (UKB)n = 39,020reference
Outcome
Prevalence of radiographic hip OA (osteophytes grade ≥1 and joint space narrowing grade ≥1 on left hip iDXA)
Methodological detailscomparison of two cohorts, adjusted for age, height and weight, stratified by sex
  • Comparison of two cohorts
  • Adjusted for age, height and weight
  • Stratified by sex

Main finding

As reported in the abstract

Radiographic HOA (rHOA) prevalence, females

Observational data: associations, not effects.

Further findings

rHOA prevalence, males

Cam morphology, males (rarely seen in females)

Femoral head width (composite Statistical Shape Model (SSM) modes, scaled to same size)

SC participants had a wider femoral head compared to UKB participants

Femoral neck width (FNW), hip axis length (HAL) and diameter of femoral head (DFH)/FNW ratio

FNW and HAL were smaller in SC compared to UKB
DFH/FNW ratio was higher in SC

Original publication

Comparison between UK Biobank and Shanghai Changfeng suggests distinct hip morphology may contribute to ethnic differences in the prevalence of hip osteoarthritis. Osteoarthritis Cartilage. Published 5 November 2023. doi:10.1016/j.joca.2023.10.006

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