Osteoarthritis

Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative

Arthritis RheumatolPublished Cross-sectional study

Authors' conclusion

Strength training is beneficial for future knee health, counteracting long-held assumptions that strength training has adverse effects.

Study context

Population
Osteoarthritis Initiative (OAI) participants with complete data on strength training, knee pain and radiographic evidence of knee osteoarthritis (OA) (male, 44.2%; mean ± SD age 64.3 ± 9.0 years; mean ± SD BMI 28.5 ± 4.9 kg/m²)
Participants
2,607 participants
Exposure
History of strength training any time in life vs no strength training
Outcome
Radiographic OA (ROA), symptomatic radiographic OA (SOA) and frequent knee pain
Methodological detailsretrospective, within the Osteoarthritis Initiative (multicenter prospective longitudinal observational study), four OAI clinical sites, self-administered questionnaire at the 96-month OAI visit
  • Retrospective
  • Within the Osteoarthritis Initiative (multicenter prospective longitudinal observational study)
  • Four OAI clinical sites
  • Self-administered questionnaire at the 96-month OAI visit

Main finding

As reported in the abstract

Frequent knee pain, ROA and SOA (fully adjusted)
Each group vs no strength trainingEstimate (95% CI)
Strength training
aOR (frequent knee pain) 0.82(0.68–0.97)
Strength training
aOR (ROA) 0.83(0.70–0.99)
Strength training
aOR (SOA) 0.77(0.63–0.94)

Observational data: associations, not effects.

Further findings

Strength training in specific age ranges

Findings were similar when looking at the specific age ranges

Original publication

Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative. Arthritis Rheumatol. Published 25 December 2023. doi:10.1002/art.42732

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