Association between Cardiovascular Diseases and Knee Osteoarthritis

CONTEXT: Cardiovascular diseases (CVDs) such as ischemic heart diseases, heart failure, and stroke are the leading causes of morbidity and mortality (almost 30% of deaths) worldwide. Sociodemographic and clinical factors, such as obesity, diabetes, depressive symptoms, and physical inactivity, as factors behind the risk of CVDs. AIMS: This study aims to identify the factors behind the risk of CVDs in people with or at high risk for Knee Osteoarthritis (OA). SETTINGS & DESIGN: The baseline data (2004–2006) of a total of 4674 persons with or at high risk for knee OA aged 45–79 years from the Osteoarthritis Initiative (OAI). METHODS & MATERIAL: This study adopted a cross-sectional study. Baseline data (2004–2006) from the Osteoarthritis Initiative were analyzed to determine the sociodemographic and clinical factors behind CVDs in 4674 persons. STATISTICAL ANALYSIS USED: The Kolmogorov-Smirnov test was used to assess the data normality for continuous parameters. RESULTS: The results indicate 178 (62%) participants with age ≥65 years also had CVDs (p <.0001). Male gender had OR = 2.97 for heart attack and OR = 2.53 for heart failure making the implied probability of 33.7% and 39.5% respectively (p < 0.05). The OR and implied probability of diabetes and obesity for heart failure were 1.81 (55.2%) and 2.20 (45.5%) respectively (p<0.05). CONCLUSIONS: These findings provide a rationale for further investigation of those factors behind the risk of CVDs in cross-sectional studies among this population.

[1]  Y. Park,et al.  Association between knee osteoarthritis and the risk of cardiovascular disease and the synergistic adverse effects of lack of exercise , 2023, Scientific Reports.

[2]  O. Bruyère,et al.  Knee osteoarthritis and adverse health outcomes: an umbrella review of meta-analyses of observational studies , 2022, Aging Clinical and Experimental Research.

[3]  F. Cicuttini,et al.  Depression in patients with knee osteoarthritis: risk factors and associations with joint symptoms , 2020, BMC Musculoskeletal Disorders.

[4]  L. Appel,et al.  The Relationship of COVID-19 Severity with Cardiovascular Disease and Its Traditional Risk Factors: A Systematic Review and Meta-Analysis , 2020, medRxiv.

[5]  B. Abramoff,et al.  Osteoarthritis: Pathology, Diagnosis, and Treatment Options. , 2020, The Medical clinics of North America.

[6]  A. Gelber,et al.  Osteoarthritis , 2020, Annals of Internal Medicine.

[7]  N. Lane,et al.  Knee Osteoarthritis, Potential Mediators, and Risk of All‐Cause Mortality: Data From the Osteoarthritis Initiative , 2020, Arthritis care & research.

[8]  A. Jan,et al.  BMI Classification Percentile And Cut Off Points , 2019 .

[9]  Robert Carey,et al.  Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline , 2018, Annals of Internal Medicine.

[10]  N. Veronese,et al.  Knee Osteoarthritis and Risk of Hypertension: A Longitudinal Cohort Study. , 2017, Rejuvenation research.

[11]  C. Cooper,et al.  Association between lower limb osteoarthritis and incidence of depressive symptoms: data from the osteoarthritis initiative , 2017, Age and ageing.

[12]  J. Reginster,et al.  Osteoarthritis Increases the Risk of Cardiovascular Disease: Data from the Osteoarthritis Initiative , 2017, The journal of nutrition, health & aging.

[13]  Joon-Shik Shin,et al.  Association between Knee Osteoarthritis, Cardiovascular Risk Factors, and the Framingham Risk Score in South Koreans: A Cross-Sectional Study , 2016, PloS one.

[14]  A. Hall,et al.  Association between osteoarthritis and cardiovascular disease: Systematic review and meta-analysis , 2016, European journal of preventive cardiology.

[15]  S. Hogg-Johnson,et al.  Sex Variations in the Effects of Arthritis and Activity Limitation on First Heart Disease Event Occurrence in the Canadian General Population: Results From the Longitudinal National Population Health Survey , 2016, Arthritis care & research.

[16]  G. Sergi,et al.  Association of Osteoarthritis With Increased Risk of Cardiovascular Diseases in the Elderly: Findings From the Progetto Veneto Anziano Study Cohort , 2016, Arthritis & rheumatology.

[17]  P. Grant,et al.  Diabetes and cardiovascular disease: pathophysiology of a life-threatening epidemic , 2016, Herz.

[18]  Ewa M. Roos,et al.  Strategies for the prevention of knee osteoarthritis , 2016, Nature Reviews Rheumatology.

[19]  A. Valdes,et al.  Cardiovascular disease and osteoarthritis: common pathways and patient outcomes , 2015, European journal of clinical investigation.

[20]  F. Toledo,et al.  Links between osteoarthritis and diabetes: implications for management from a physical activity perspective. , 2015, Clinics in geriatric medicine.

[21]  Franco M Impellizzeri,et al.  Validity and reproducibility of the Physical Activity Scale for the Elderly (PASE) questionnaire for the measurement of the physical activity level in patients after total knee arthroplasty , 2014, BMC Musculoskeletal Disorders.

[22]  O. Franco,et al.  Disability and not osteoarthritis predicts cardiovascular disease: a prospective population-based cohort study , 2014, Annals of the rheumatic diseases.

[23]  René Rizzoli,et al.  Health economics in the field of osteoarthritis: an expert's consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). , 2013, Seminars in arthritis and rheumatism.

[24]  J. Pankow,et al.  Validity and reliability of self-reported diabetes in the Atherosclerosis Risk in Communities Study. , 2012, American journal of epidemiology.

[25]  A. Davis,et al.  A longitudinal study to explain the pain‐depression link in older adults with osteoarthritis , 2011, Arthritis care & research.

[26]  Charles E McCulloch,et al.  Patellar cartilage: T2 values and morphologic abnormalities at 3.0-T MR imaging in relation to physical activity in asymptomatic subjects from the osteoarthritis initiative. , 2010, Radiology.

[27]  A. Atherly,et al.  Evaluating alternative risk-adjustment strategies for surgery. , 2004, American journal of surgery.

[28]  S. Vesely,et al.  Stability and convergent validity of the Physical Activity Scale for the Elderly (PASE). , 2004, The Journal of sports medicine and physical fitness.

[29]  C. Wright,et al.  Dimensions of the Center of Epidemiological Studies–Depression Scale for People with Arthritis from the UK , 1998, Psychological reports.

[30]  C. Helmick,et al.  Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. , 1998, Arthritis and rheumatism.

[31]  D B Allison,et al.  Body mass index as a measure of adiposity among children and adolescents: a validation study. , 1998, The Journal of pediatrics.

[32]  P. Lewinsohn,et al.  Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. , 1997, Psychology and aging.

[33]  G. Samsa,et al.  Lack of association between patients' measured burden of disease and risk for hospital readmission. , 1994, Journal of clinical epidemiology.

[34]  A. Jette,et al.  The Physical Activity Scale for the Elderly (PASE): development and evaluation. , 1993, Journal of clinical epidemiology.

[35]  V. Parin [On the pathogenesis of hypertension]. , 1961, Sovetskaia meditsina.

[36]  A. Krensky THE NATIONAL INSTITUTE OF HEALTH , 1930 .