Osteoarthritis

Genetic Influence on Osteoarthritis Versus Other Rheumatic Diseases

Arthritis RheumatolPublished Twin study

Authors' conclusion

OA has relatively large heritability as compared with other RMDs. The coexistence of OA and shoulder pain, as well as back pain, was common and could often be explained by genetic factors.

Study context

Population
Swedish twins aged 35 years or older; Rheumatic/musculoskeletal diseases (RMDs) diagnosed in specialist and inpatient care
Participants
59,970 Swedish twins
Outcome
Heritability of OA vs other RMDs and genetic share of OA–RMD covariance
Methodological detailsbivariate classical twin models, population-based
  • Bivariate classical twin models
  • Population-based

Main finding

As reported in the abstract

Heritability (variance explained by genetic factors)

Any-site osteoarthritis (OA) heritability

50%

Hip OA heritability

64%

Fibromyalgia heritability (lowest)

23%

Spondyloarthritis (SpA) heritability (highest)

63%

Observational data: associations, not effects.

Further findings

Phenotypic correlation, OA (any joint site) and shoulder pain

R
0.33 (95% CI 0.31-0.35)
Explained by shared genetics
70% (95% CI 52-88)

Phenotypic correlation, OA and back/neck pain

R
0.25
Explained by genetics
25% to 75%

Phenotypic correlation, OA and each other RMD

R
≈0.1 to r ≈0.2
  • Inconclusive sources of variation

Original publication

Genetic Influence on Osteoarthritis Versus Other Rheumatic Diseases. Arthritis Rheumatol. Published 4 January 2024. doi:10.1002/art.42696

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