Osteoarthritis

Gender and age differences in the associations between cortical thickness and hand osteoarthritis severity: data from the Osteoarthritis Initiative

Osteoarthritis CartilagePublished Longitudinal observational study

Authors' conclusion

We found significant HOA-related gender differences in Tcort, suggesting the involvement of female bone loss during and after menopause.

Study context

Population
Osteoarthritis Initiative participants with hand radiographs at baseline and 48 months
Participants
3,575 participants
Exposure
Women vs men, across age groups
  • Fn = 2,039
  • Mn = 1,536reference
Outcome
Association between metacarpal cortical thickness (Tcort) and severity of radiographic hand OA, by gender
Methodological detailsstratified by gender and 5-year age groups, Spearman's rank correlation, logistic regression
  • Stratified by gender and 5-year age groups
  • Spearman's rank correlation
  • Logistic regression

Main finding

As reported in the abstract

Correlation of baseline Tcort with radiographic hand osteoarthritis (HOA) severity

Correlation in women >60 years (rho)

−0.25

95% CI −0.31 to −0.19

Observational data: associations, not effects.

Further findings

OutcomeFMP value
Tcort change and radiographic OA change · 48 months−0.219 (unspecified 0.124)−0.182 (unspecified 0.118)P < 0.01
  • Tcort change and radiographic OA change: per-group values: Tcort change ages 55 to <60

Tcort change and radiographic OA change · 48 months

Significant associations between Tcort change and radiographic OA change in women but not men

Original publication

Gender and age differences in the associations between cortical thickness and hand osteoarthritis severity: data from the Osteoarthritis Initiative. Osteoarthritis Cartilage. Published 18 May 2024. doi:10.1016/j.joca.2024.05.002

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