Osteoarthritis

Evaluation of Dynamic Effects of Depressive Symptoms on Physical Function in Knee Osteoarthritis

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

The negative effect of depressive symptoms on physical function may decrease over time as knee OA progresses.

Study context

Population
Participants from the Osteoarthritis Initiative with radiographic knee osteoarthritis (OA) and complete data
Participants
2,212 participants
Outcome
Physical function: 20-meter gait speed (m/s), by time-varying depressive symptoms (CES-D)
Follow-up
First four visits
Methodological detailsmarginal structural models, time-varying exposure
  • Marginal structural models
  • Time-varying exposure

Main finding

As reported in the abstract

Gait speed per higher CES-D score, time-adjusted (main effect)

Higher CES-D scores significantly associated with slower gait speed: estimate

−0.0048

95% CI −0.0082 to −0.0014

Observational data: associations, not effects.

Further findings

Gait speed per higher CES-D score, time-specific, first follow-up interval (largest)

Time-specific association of CES-D with gait speed
−0.0082 (95% CI −0.0128 to −0.0035)

Gait speed, subsequent follow-up time points

Influence of depressive symptoms on gait speed diminished

Original publication

Evaluation of Dynamic Effects of Depressive Symptoms on Physical Function in Knee Osteoarthritis. Arthritis Care Res (Hoboken). Published 31 January 2024. doi:10.1002/acr.25295

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

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