Osteoarthritis

Metabolic syndrome, radiographic osteoarthritis progression and chronic pain of the knee among men and women from the general population: The Rotterdam study

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

Metabolic syndrome and individual metabolic components, such as abdominal obesity and elevated blood pressure, were associated with radiographic progression of knee OA in both men and women, but not independent of BMI. Metabolic syndrome and high triglycerides were associated with incidence of CKP only in men.

Study context

Population
Men and women from the general population, Rotterdam study; median follow-up 5.7 (IQR 5.5) yearsup to 6,138
Participants
6,138 men
Exposure
Metabolic syndrome (MetS) and its components vs their absence
Outcome
Progression of radiographic knee OA and incident chronic knee pain (CKP)
Methodological detailspopulation-based, stratified by sex, generalized estimating equations, generalized linear models and competing risk analysis
  • Population-based
  • Stratified by sex
  • Generalized estimating equations, generalized linear models and competing risk analysis

Main finding

As reported in the abstract

Radiographic knee OA progression
  • MetS and elevated blood pressure associated with increased risk of knee OA progression in both men and women
  • Associations attenuated and no longer significant after BMI adjustment

Observational data: associations, not effects.

Further findings

OutcomeOR (95 % CI)
Incident CKP in men, BMI-adjustedMetSvs No MetSMen1.04 (1.00–1.07)

Incident chronic knee pain (CKP) in men, BMI-adjusted

OR (95 % CI)
High triglyceridesMen1.04 (1.01–1.07)
MetS, abdominal obesity and high triglycerides associated with higher risk of incident CKP in men, not in women

Prevalence of MetS

%

Men
37.6
Women
39

Original publication

Metabolic syndrome, radiographic osteoarthritis progression and chronic pain of the knee among men and women from the general population: The Rotterdam study. Semin Arthritis Rheum. Published 7 September 2024. doi:10.1016/j.semarthrit.2024.152544

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

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