Association of a femoral neck T score with knee joint osteophyte formation but not with skeletal muscle mass
Background Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations....
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Published in | Clinical rheumatology Vol. 42; no. 3; pp. 917 - 922 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Cham
Springer International Publishing
01.03.2023
Springer Nature B.V |
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Abstract | Background
Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations. The aim of this study was to identify relationships of osteophyte formation with bone mineral density and muscle mass.
Methods
A cross sectional study of knee osteoarthritis was conducted. Cases were classified as patients with osteophyte formation, while controls were those without osteophytes. All subjects underwent a knee x-ray and bone mineral density and body composition evaluation. General patient characteristics, covariates, and the results of biochemical analyses were also recorded. Statistical analysis was conducted using SPSS Version 22.0. Logistic regression and the chi-square test were utilized to analyze the relationships between the presence of knee osteophytes and the study variables.
Results
A total of 228 patients were enrolled, including 78 with osteophytes in the knee joint and 150 without. A total of 162/228 are females; knee OA is commonly explained among females. (
p
= 0.001). The mean age was 73.23 ± 11.10 years in the osteophyte group and 71.86 ± 12.23 in the no osteophyte group (
p
= 0.409). The mean body mass index was 24.15 ± 3.27 kg/m
2
in the osteophyte group and 23.37 ± 3.48 kg/m
2
in the no osteophyte group (
p
= 0.433). More patients in the osteophyte group had hypertension (
p
= 0.002), so the age group 73 years expected to have OA and hypertension along other metabolic diseases, and the femoral neck
T
score was higher in the osteophyte group (
p
= 0.044). Logistic regression analysis showed that the male gender was associated with less osteophyte formation (
p
= 0.001, odds ratio (
OR
) 0.11 (0.03–0.37)), and hypertension was associated with increased muscle loss (
p
= 0.005). Femoral neck
T
score was associated with the presence of osteophyte formation (
p
= 0.011, OR 1.98 (1.17–3.36)).
Conclusions
The results demonstrated an association of knee osteophyte formation with the femoral neck
T
score and hypertension, but no association with muscle mass. We speculated that in patients with osteophytosis and increased bone mass, metabolic factors such as hypertension should be considered. Further study of the molecular mechanisms regulating these processes is needed in the future.
Key Points
• Associations of knee osteophyte formation with the femoral neck T score, but not with muscle mass.
• Those with osteophytosis and an increased bone mass and metabolic factors such as hypertension need to be assessed. |
---|---|
AbstractList | Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations. The aim of this study was to identify relationships of osteophyte formation with bone mineral density and muscle mass.BACKGROUNDOsteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations. The aim of this study was to identify relationships of osteophyte formation with bone mineral density and muscle mass.A cross sectional study of knee osteoarthritis was conducted. Cases were classified as patients with osteophyte formation, while controls were those without osteophytes. All subjects underwent a knee x-ray and bone mineral density and body composition evaluation. General patient characteristics, covariates, and the results of biochemical analyses were also recorded. Statistical analysis was conducted using SPSS Version 22.0. Logistic regression and the chi-square test were utilized to analyze the relationships between the presence of knee osteophytes and the study variables.METHODSA cross sectional study of knee osteoarthritis was conducted. Cases were classified as patients with osteophyte formation, while controls were those without osteophytes. All subjects underwent a knee x-ray and bone mineral density and body composition evaluation. General patient characteristics, covariates, and the results of biochemical analyses were also recorded. Statistical analysis was conducted using SPSS Version 22.0. Logistic regression and the chi-square test were utilized to analyze the relationships between the presence of knee osteophytes and the study variables.A total of 228 patients were enrolled, including 78 with osteophytes in the knee joint and 150 without. A total of 162/228 are females; knee OA is commonly explained among females. (p = 0.001). The mean age was 73.23 ± 11.10 years in the osteophyte group and 71.86 ± 12.23 in the no osteophyte group (p = 0.409). The mean body mass index was 24.15 ± 3.27 kg/m2 in the osteophyte group and 23.37 ± 3.48 kg/m2 in the no osteophyte group (p = 0.433). More patients in the osteophyte group had hypertension (p = 0.002), so the age group 73 years expected to have OA and hypertension along other metabolic diseases, and the femoral neck T score was higher in the osteophyte group (p = 0.044). Logistic regression analysis showed that the male gender was associated with less osteophyte formation (p = 0.001, odds ratio (OR) 0.11 (0.03-0.37)), and hypertension was associated with increased muscle loss (p = 0.005). Femoral neck T score was associated with the presence of osteophyte formation (p = 0.011, OR 1.98 (1.17-3.36)).RESULTSA total of 228 patients were enrolled, including 78 with osteophytes in the knee joint and 150 without. A total of 162/228 are females; knee OA is commonly explained among females. (p = 0.001). The mean age was 73.23 ± 11.10 years in the osteophyte group and 71.86 ± 12.23 in the no osteophyte group (p = 0.409). The mean body mass index was 24.15 ± 3.27 kg/m2 in the osteophyte group and 23.37 ± 3.48 kg/m2 in the no osteophyte group (p = 0.433). More patients in the osteophyte group had hypertension (p = 0.002), so the age group 73 years expected to have OA and hypertension along other metabolic diseases, and the femoral neck T score was higher in the osteophyte group (p = 0.044). Logistic regression analysis showed that the male gender was associated with less osteophyte formation (p = 0.001, odds ratio (OR) 0.11 (0.03-0.37)), and hypertension was associated with increased muscle loss (p = 0.005). Femoral neck T score was associated with the presence of osteophyte formation (p = 0.011, OR 1.98 (1.17-3.36)).The results demonstrated an association of knee osteophyte formation with the femoral neck T score and hypertension, but no association with muscle mass. We speculated that in patients with osteophytosis and increased bone mass, metabolic factors such as hypertension should be considered. Further study of the molecular mechanisms regulating these processes is needed in the future. Key Points • Associations of knee osteophyte formation with the femoral neck T score, but not with muscle mass. • Those with osteophytosis and an increased bone mass and metabolic factors such as hypertension need to be assessed.CONCLUSIONSThe results demonstrated an association of knee osteophyte formation with the femoral neck T score and hypertension, but no association with muscle mass. We speculated that in patients with osteophytosis and increased bone mass, metabolic factors such as hypertension should be considered. Further study of the molecular mechanisms regulating these processes is needed in the future. Key Points • Associations of knee osteophyte formation with the femoral neck T score, but not with muscle mass. • Those with osteophytosis and an increased bone mass and metabolic factors such as hypertension need to be assessed. BackgroundOsteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations. The aim of this study was to identify relationships of osteophyte formation with bone mineral density and muscle mass.MethodsA cross sectional study of knee osteoarthritis was conducted. Cases were classified as patients with osteophyte formation, while controls were those without osteophytes. All subjects underwent a knee x-ray and bone mineral density and body composition evaluation. General patient characteristics, covariates, and the results of biochemical analyses were also recorded. Statistical analysis was conducted using SPSS Version 22.0. Logistic regression and the chi-square test were utilized to analyze the relationships between the presence of knee osteophytes and the study variables.ResultsA total of 228 patients were enrolled, including 78 with osteophytes in the knee joint and 150 without. A total of 162/228 are females; knee OA is commonly explained among females. (p = 0.001). The mean age was 73.23 ± 11.10 years in the osteophyte group and 71.86 ± 12.23 in the no osteophyte group (p = 0.409). The mean body mass index was 24.15 ± 3.27 kg/m2 in the osteophyte group and 23.37 ± 3.48 kg/m2 in the no osteophyte group (p = 0.433). More patients in the osteophyte group had hypertension (p = 0.002), so the age group 73 years expected to have OA and hypertension along other metabolic diseases, and the femoral neck T score was higher in the osteophyte group (p = 0.044). Logistic regression analysis showed that the male gender was associated with less osteophyte formation (p = 0.001, odds ratio (OR) 0.11 (0.03–0.37)), and hypertension was associated with increased muscle loss (p = 0.005). Femoral neck T score was associated with the presence of osteophyte formation (p = 0.011, OR 1.98 (1.17–3.36)).ConclusionsThe results demonstrated an association of knee osteophyte formation with the femoral neck T score and hypertension, but no association with muscle mass. We speculated that in patients with osteophytosis and increased bone mass, metabolic factors such as hypertension should be considered. Further study of the molecular mechanisms regulating these processes is needed in the future.Key Points• Associations of knee osteophyte formation with the femoral neck T score, but not with muscle mass.• Those with osteophytosis and an increased bone mass and metabolic factors such as hypertension need to be assessed. Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations. The aim of this study was to identify relationships of osteophyte formation with bone mineral density and muscle mass. A cross sectional study of knee osteoarthritis was conducted. Cases were classified as patients with osteophyte formation, while controls were those without osteophytes. All subjects underwent a knee x-ray and bone mineral density and body composition evaluation. General patient characteristics, covariates, and the results of biochemical analyses were also recorded. Statistical analysis was conducted using SPSS Version 22.0. Logistic regression and the chi-square test were utilized to analyze the relationships between the presence of knee osteophytes and the study variables. A total of 228 patients were enrolled, including 78 with osteophytes in the knee joint and 150 without. A total of 162/228 are females; knee OA is commonly explained among females. (p = 0.001). The mean age was 73.23 ± 11.10 years in the osteophyte group and 71.86 ± 12.23 in the no osteophyte group (p = 0.409). The mean body mass index was 24.15 ± 3.27 kg/m in the osteophyte group and 23.37 ± 3.48 kg/m in the no osteophyte group (p = 0.433). More patients in the osteophyte group had hypertension (p = 0.002), so the age group 73 years expected to have OA and hypertension along other metabolic diseases, and the femoral neck T score was higher in the osteophyte group (p = 0.044). Logistic regression analysis showed that the male gender was associated with less osteophyte formation (p = 0.001, odds ratio (OR) 0.11 (0.03-0.37)), and hypertension was associated with increased muscle loss (p = 0.005). Femoral neck T score was associated with the presence of osteophyte formation (p = 0.011, OR 1.98 (1.17-3.36)). The results demonstrated an association of knee osteophyte formation with the femoral neck T score and hypertension, but no association with muscle mass. We speculated that in patients with osteophytosis and increased bone mass, metabolic factors such as hypertension should be considered. Further study of the molecular mechanisms regulating these processes is needed in the future. Key Points • Associations of knee osteophyte formation with the femoral neck T score, but not with muscle mass. • Those with osteophytosis and an increased bone mass and metabolic factors such as hypertension need to be assessed. BACKGROUND: Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations. The aim of this study was to identify relationships of osteophyte formation with bone mineral density and muscle mass. METHODS: A cross sectional study of knee osteoarthritis was conducted. Cases were classified as patients with osteophyte formation, while controls were those without osteophytes. All subjects underwent a knee x-ray and bone mineral density and body composition evaluation. General patient characteristics, covariates, and the results of biochemical analyses were also recorded. Statistical analysis was conducted using SPSS Version 22.0. Logistic regression and the chi-square test were utilized to analyze the relationships between the presence of knee osteophytes and the study variables. RESULTS: A total of 228 patients were enrolled, including 78 with osteophytes in the knee joint and 150 without. A total of 162/228 are females; knee OA is commonly explained among females. (p = 0.001). The mean age was 73.23 ± 11.10 years in the osteophyte group and 71.86 ± 12.23 in the no osteophyte group (p = 0.409). The mean body mass index was 24.15 ± 3.27 kg/m² in the osteophyte group and 23.37 ± 3.48 kg/m² in the no osteophyte group (p = 0.433). More patients in the osteophyte group had hypertension (p = 0.002), so the age group 73 years expected to have OA and hypertension along other metabolic diseases, and the femoral neck T score was higher in the osteophyte group (p = 0.044). Logistic regression analysis showed that the male gender was associated with less osteophyte formation (p = 0.001, odds ratio (OR) 0.11 (0.03–0.37)), and hypertension was associated with increased muscle loss (p = 0.005). Femoral neck T score was associated with the presence of osteophyte formation (p = 0.011, OR 1.98 (1.17–3.36)). CONCLUSIONS: The results demonstrated an association of knee osteophyte formation with the femoral neck T score and hypertension, but no association with muscle mass. We speculated that in patients with osteophytosis and increased bone mass, metabolic factors such as hypertension should be considered. Further study of the molecular mechanisms regulating these processes is needed in the future. Key Points • Associations of knee osteophyte formation with the femoral neck T score, but not with muscle mass. • Those with osteophytosis and an increased bone mass and metabolic factors such as hypertension need to be assessed. Background Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed relationships of osteophyte formation with a high bone mineral density and a high muscle mass, while others showed no correlations. The aim of this study was to identify relationships of osteophyte formation with bone mineral density and muscle mass. Methods A cross sectional study of knee osteoarthritis was conducted. Cases were classified as patients with osteophyte formation, while controls were those without osteophytes. All subjects underwent a knee x-ray and bone mineral density and body composition evaluation. General patient characteristics, covariates, and the results of biochemical analyses were also recorded. Statistical analysis was conducted using SPSS Version 22.0. Logistic regression and the chi-square test were utilized to analyze the relationships between the presence of knee osteophytes and the study variables. Results A total of 228 patients were enrolled, including 78 with osteophytes in the knee joint and 150 without. A total of 162/228 are females; knee OA is commonly explained among females. ( p = 0.001). The mean age was 73.23 ± 11.10 years in the osteophyte group and 71.86 ± 12.23 in the no osteophyte group ( p = 0.409). The mean body mass index was 24.15 ± 3.27 kg/m 2 in the osteophyte group and 23.37 ± 3.48 kg/m 2 in the no osteophyte group ( p = 0.433). More patients in the osteophyte group had hypertension ( p = 0.002), so the age group 73 years expected to have OA and hypertension along other metabolic diseases, and the femoral neck T score was higher in the osteophyte group ( p = 0.044). Logistic regression analysis showed that the male gender was associated with less osteophyte formation ( p = 0.001, odds ratio ( OR ) 0.11 (0.03–0.37)), and hypertension was associated with increased muscle loss ( p = 0.005). Femoral neck T score was associated with the presence of osteophyte formation ( p = 0.011, OR 1.98 (1.17–3.36)). Conclusions The results demonstrated an association of knee osteophyte formation with the femoral neck T score and hypertension, but no association with muscle mass. We speculated that in patients with osteophytosis and increased bone mass, metabolic factors such as hypertension should be considered. Further study of the molecular mechanisms regulating these processes is needed in the future. Key Points • Associations of knee osteophyte formation with the femoral neck T score, but not with muscle mass. • Those with osteophytosis and an increased bone mass and metabolic factors such as hypertension need to be assessed. |
Author | Wu, Re-Wen Huang, Chung Cheng Wu, Kuan-Ting Wang, Yu-Wei Chen, Ying-Chou |
Author_xml | – sequence: 1 givenname: Kuan-Ting surname: Wu fullname: Wu, Kuan-Ting organization: Department of Orthopaedics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine – sequence: 2 givenname: Yu-Wei surname: Wang fullname: Wang, Yu-Wei organization: Department of Rheumatology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine – sequence: 3 givenname: Re-Wen surname: Wu fullname: Wu, Re-Wen organization: Department of Orthopaedics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine – sequence: 4 givenname: Chung Cheng surname: Huang fullname: Huang, Chung Cheng organization: Department of Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine – sequence: 5 givenname: Ying-Chou orcidid: 0000-0002-9404-2900 surname: Chen fullname: Chen, Ying-Chou email: r820713@ms13.hinet.net organization: Department of Rheumatology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36316608$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
Copyright | The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR) 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. 2022. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR). |
Copyright_xml | – notice: The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR) 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. – notice: 2022. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR). |
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Keywords | Femoral neck Knee score Osteophyte Musclemass T score |
Language | English |
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publication-title: J Rheumatol Suppl – volume: 98 start-page: 9 issue: 1 year: 2014 end-page: 14 ident: CR16 article-title: Sarcopenia and its relationship with osteoarthritis: risk factor or direct consequence? publication-title: Musculoskelet Surg doi: 10.1007/s12306-014-0311-6 – volume: 11 start-page: 3586 issue: 4 year: 2014 end-page: 3598 ident: CR36 article-title: Hypertension in obese type 2 diabetes patients is associated with increases in insulin resistance and IL-6 cytokine levels: potential targets for an efficient preventive intervention publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph110403586 – volume: 35 start-page: 813 issue: 9 year: 1996 end-page: 818 ident: CR7 article-title: Inverse relationship osteoarthritis-osteoporosis: what is the evidence? 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in Germany and the corresponding effect of osteoarthritis in females 70 years and older living in the community: results of the FORMoSA study publication-title: Clin Interv Aging doi: 10.2147/CIA.S89585 – volume: 9 start-page: e94563 issue: 4 year: 2014 ident: CR18 article-title: Prevalence of radiographic osteoarthritis of the knee and its relationship to self-reported pain publication-title: PLoS ONE doi: 10.1371/journal.pone.0094563 – volume: 52 start-page: 380 issue: 1 year: 2013 end-page: 388 ident: CR20 article-title: The high bone mass phenotype is characterised by a combined cortical and trabecular bone phenotype: findings from a pQCT case-control study publication-title: Bone doi: 10.1016/j.bone.2012.10.021 – volume: 54 start-page: 155 issue: 3 year: 2010 end-page: 157 ident: CR29 article-title: Prevalence of knee osteoarthritis amongst perimenopausal women in an urban resettlement colony in South Delhi publication-title: Indian J Public Health doi: 10.4103/0019-557X.75739 – volume: 13 start-page: 462 issue: 3 year: 2006 end-page: 466 ident: CR11 article-title: Osteoporosis and bone metabolism in postmenopausal women with osteoarthritis of the hand publication-title: Menopause doi: 10.1097/01.gme.0000179048.08371.8e – volume: 98 start-page: 818 issue: 2 year: 2013 end-page: 828 ident: CR22 article-title: Analysis of body composition in individuals with high bone mass reveals a marked increase in fat mass in women but not men publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2012-3342 – volume: 36 start-page: 1671 issue: 12 year: 1993 end-page: 1680 ident: CR5 article-title: Bone mineral density and knee osteoarthritis in elderly men and women publication-title: The Framingham Study Arthritis Rheum doi: 10.1002/art.1780361205 – volume: 61 start-page: 641 issue: 5 year: 2009 end-page: 647 ident: CR28 article-title: The high prevalence of knee osteoarthritis in a rural Chinese population: the Wuchuan osteoarthritis study publication-title: Arthritis 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Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies... Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies revealed... BackgroundOsteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some studies... BACKGROUND: Osteophyte formation is an important radiographic sign of osteoarthritis (OA) and limited joint motion in knee osteoarthritis patients. Some... |
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SubjectTerms | Aged Aged, 80 and over Arthritis Body composition Body mass index Bone composition Bone density Bone growth Bone mass Bone mineral density chi-square distribution Cross-Sectional Studies Female Femur Femur Neck - diagnostic imaging Humans Hypertension Knee Knee Joint - diagnostic imaging Male males Medicine Medicine & Public Health Metabolic disorders Metabolism Middle Aged Molecular modelling Muscle, Skeletal - diagnostic imaging muscles odds ratio Original Article Osteoarthritis Osteoarthritis, Knee - diagnostic imaging Osteophyte - diagnostic imaging Osteophytes patients radiography Regression analysis Rheumatology Skeletal muscle Statistical analysis X-radiation |
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Title | Association of a femoral neck T score with knee joint osteophyte formation but not with skeletal muscle mass |
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