Understanding the relationship between body weight and osteoarthritis.

Overweight people are at high risk of developing knee osteoarthritis (OA) and may also be at increased risk of hand and hip OA. Furthermore, being overweight accelerates disease progression in knee OA. While the increased joint stress accompanying obesity may explain the strong linkage between obesity and knee OA risk, it does not necessarily explain why obese people have a high risk of disease in the hand nor why obese women are at higher comparative risk of knee disease than obese men. Unfortunately, studies of metabolic factors linked to obesity have not provided an explanation for these findings. There are a paucity of data on weight loss as a treatment for OA, but preliminary information suggests it is especially effective in knee disease and that even small amounts of weight reduction may have favourable effects.

[1]  D. Felson,et al.  Obesity and knee osteoarthritis. The Framingham Study. , 1988, Annals of internal medicine.

[2]  R. A. Willims,et al.  Weight reduction in osteoarthritis using phentermine. , 1981, The Practitioner.

[3]  C. Cooper,et al.  Mechanical and constitutional risk factors for symptomatic knee osteoarthritis: differences between medial tibiofemoral and patellofemoral disease. , 1994, The Journal of rheumatology.

[4]  T. Spector,et al.  Relation between insulin-like growth factor-I concentrations, osteoarthritis, bone density, and fractures in the general population: the Chingford study. , 1996, Annals of the rheumatic diseases.

[5]  A. Svanborg,et al.  Factors associated with radiographic osteoarthritis: results from the population study 70-year-old people in Göteborg. , 1991, The Journal of rheumatology.

[6]  Willims Ra,et al.  Weight reduction in osteoarthritis using phentermine. , 1981 .

[7]  J. Cauley,et al.  Serum sex hormones and severity of osteoarthritis of the hand. , 1993, The Journal of rheumatology.

[8]  M. Sowers,et al.  Obesity as a risk factor for osteoarthritis of the hand and wrist: a prospective study. , 1994, American journal of epidemiology.

[9]  R. Acheson,et al.  New Haven survey of joint diseases. XVII. Relationship between some systemic characteristics and osteoarthrosis in a general population. , 1975, Annals of the rheumatic diseases.

[10]  H. Valkenburg,et al.  Insulin-like growth factor-1: a prognostic factor of knee osteoarthritis. , 1993, British journal of rheumatology.

[11]  D. Felson,et al.  Are risk factors for patellofemoral and tibiofemoral knee osteoarthritis different? , 1996, The Journal of rheumatology.

[12]  J. Kellgren,et al.  Osteoarthrosis in Patients and Populations* , 1961, British medical journal.

[13]  A A Rimm,et al.  The association of obesity with joint pain and osteoarthritis in the HANES data. , 1986, Journal of chronic diseases.

[14]  M. Hochberg,et al.  Obesity and osteoarthritis of the hands in women. , 1993, Osteoarthritis and cartilage.

[15]  J J Anderson,et al.  Factors associated with osteoarthritis of the knee in the first national Health and Nutrition Examination Survey (HANES I). Evidence for an association with overweight, race, and physical demands of work. , 1988, American journal of epidemiology.

[16]  H. Valkenburg,et al.  Osteoarthritis and obesity in the general population. A relationship calling for an explanation. , 1988, The Journal of rheumatology.

[17]  K. Roach,et al.  Biomechanical aspects of occupation and osteoarthritis of the hip: a case-control study. , 1994, The Journal of rheumatology.

[18]  M. Hochberg,et al.  The association of body weight, body fatness and body fat distribution with osteoarthritis of the knee: data from the Baltimore Longitudinal Study of Aging. , 1995, The Journal of rheumatology.

[19]  M. Kliman,et al.  Effect of weight loss on musculoskeletal pain in the morbidly obese. , 1990, The Journal of bone and joint surgery. British volume.

[20]  M. Hochberg,et al.  Factors associated with osteoarthritis of the hand in males: data from the Baltimore Longitudinal Study of Aging. , 1991, American journal of epidemiology.

[21]  M. Hochberg,et al.  Factors associated with hip osteoarthritis: data from the First National Health and Nutrition Examination Survey (NHANES-I). , 1993, American journal of epidemiology.

[22]  J. Neuhaus,et al.  Body fat distribution and osteoarthritis. , 1990, American journal of epidemiology.

[23]  T. Andriacchi,et al.  Interaction between active and passive knee stabilizers during level walking , 1991, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[24]  V. Hascall,et al.  Factors involved in the regulation of proteoglycan metabolism in articular cartilage. , 1989, Arthritis and rheumatism.

[25]  M. Nevitt,et al.  Sex hormones and the risk of osteoarthritis in women: epidemiological evidence. , 1996, Annals of the rheumatic diseases.

[26]  D. Felson,et al.  Epidemiology of hip and knee osteoarthritis. , 1988, Epidemiologic reviews.

[27]  M Lequesne,et al.  Longitudinal radiologic evaluation of osteoarthritis of the knee. , 1992, The Journal of rheumatology.

[28]  J. Kellgren,et al.  Osteo-arthrosis and Disk Degeneration in an Urban Population * , 1958, Annals of the rheumatic diseases.

[29]  E. Barrett-Connor,et al.  The effect of noninsulin dependent diabetes mellitus on the prevalence of clinical osteoarthritis. A population based study. , 1996, The Journal of rheumatology.

[30]  P. Saville,et al.  Age and weight in osteoarthritis of the hip. , 1968, Arthritis and rheumatism.

[31]  R. D'ambrosia,et al.  An epidemiological study of severe osteoarthritis. , 1978, Orthopedics.

[32]  D. Felson,et al.  Weight Loss Reduces the Risk for Symptomatic Knee Osteoarthritis in Women , 1992, Annals of Internal Medicine.

[33]  Eva Vingårrd Work, sports, overweight and osteoarthrosis of the hip: Epidemiological studies , 1992 .

[34]  S. Messier,et al.  Osteoarthritis of the knee and associated factors of age and obesity: effects on gait. , 1994, Medicine and science in sports and exercise.

[35]  D. Felson,et al.  Bone mineral density in elderly men and women: Results from the framingham osteoporosis study , 1992 .

[36]  D. Felson Weight and osteoarthritis. , 1995, The American journal of clinical nutrition.

[37]  T. Spector,et al.  Incidence and progression of osteoarthritis in women with unilateral knee disease in the general population: the effect of obesity. , 1994, Annals of the rheumatic diseases.

[38]  T. Spector,et al.  The association of obesity with osteoarthritis of the hand and knee in women: a twin study. , 1996, The Journal of rheumatology.

[39]  H. Valkenburg,et al.  A 12 year follow up study in the general population on prognostic factors of cartilage loss in osteoarthritis of the knee. , 1992, Annals of the rheumatic diseases.

[40]  A. Aromaa,et al.  Association of overweight, trauma and workload with coxarthrosis. A health survey of 7,217 persons. , 1993, Acta orthopaedica Scandinavica.

[41]  Daniel Levy,et al.  Risk factors for incident radiographic knee osteoarthritis in the elderly: the Framingham Study. , 1997, Arthritis and rheumatism.

[42]  T. Spector,et al.  The relationship of obesity, fat distribution and osteoarthritis in women in the general population: the Chingford Study. , 1993, The Journal of rheumatology.

[43]  P. Björntorp,et al.  Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: 13 year follow up of participants in the study of men born in 1913. , 1984, British medical journal.

[44]  R. Acheson,et al.  New Haven survey of joint diseases. XIV. Social class and behavior in response to symptoms of osteoarthrosis. , 1970, The Milbank Memorial Fund quarterly.

[45]  J. Neuhaus,et al.  The role of metabolic factors and blood pressure in the association of obesity with osteoarthritis of the knee. , 1988, The Journal of rheumatology.

[46]  H. B. Pepinsky,et al.  Observation and inference. , 1954 .