Pathogenesis and clinical management of obesity-related knee osteoarthritis: Impact of mechanical loading
Obesity-related osteoarthritis (OA) is a complex, multifactorial condition that can cause significant impact on patients’ quality of life. Whilst chronic inflammation, adipocytokines and metabolic factors are considered to be important pathogenic factors in obesity related OA, there has been limited...
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Published in | Journal of orthopaedic translation Vol. 24; pp. 66 - 75 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Singapore
Elsevier (Singapore) Pte Ltd
01.09.2020
Chinese Speaking Orthopaedic Society Elsevier |
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Abstract | Obesity-related osteoarthritis (OA) is a complex, multifactorial condition that can cause significant impact on patients’ quality of life. Whilst chronic inflammation, adipocytokines and metabolic factors are considered to be important pathogenic factors in obesity related OA, there has been limited investigation into the biomechanical impact of obesity on OA development. This review aims to demonstrate that mechanical factors are the major pathological cause of obesity-related OA. The effect of obesity on pathological changes to the osteochondral unit and surrounding connective tissues in OA is summarized, as well as the impact of obesity-related excessive and abnormal joint loading, concomitant joint malalignment and muscle weakness. An integrated therapeutic strategy based on this multi-factorial presentation is presented, to assist in the management of obesity related OA.
Despite the high prevalence of obesity-related OA, there is no specific guideline available for obesity-related OA management. In this review, we demonstrated the pathological changes of obesity-related OA and summarized the impact of biomechanical factors by proposing a hypothetical model of obesity-related OA change. Therapeutic strategies based on adjusting abnormal mechanical effects are presented to assist in the management of obesity-related OA. |
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AbstractList | Obesity-related osteoarthritis (OA) is a complex, multifactorial condition that can cause significant impact on patients' quality of life. Whilst chronic inflammation, adipocytokines and metabolic factors are considered to be important pathogenic factors in obesity related OA, there has been limited investigation into the biomechanical impact of obesity on OA development. This review aims to demonstrate that mechanical factors are the major pathological cause of obesity-related OA. The effect of obesity on pathological changes to the osteochondral unit and surrounding connective tissues in OA is summarized, as well as the impact of obesity-related excessive and abnormal joint loading, concomitant joint malalignment and muscle weakness. An integrated therapeutic strategy based on this multi-factorial presentation is presented, to assist in the management of obesity related OA.
Despite the high prevalence of obesity-related OA, there is no specific guideline available for obesity-related OA management. In this review, we demonstrated the pathological changes of obesity-related OA and summarized the impact of biomechanical factors by proposing a hypothetical model of obesity-related OA change. Therapeutic strategies based on adjusting abnormal mechanical effects are presented to assist in the management of obesity-related OA. Obesity-related osteoarthritis (OA) is a complex, multifactorial condition that can cause significant impact on patients' quality of life. Whilst chronic inflammation, adipocytokines and metabolic factors are considered to be important pathogenic factors in obesity related OA, there has been limited investigation into the biomechanical impact of obesity on OA development. This review aims to demonstrate that mechanical factors are the major pathological cause of obesity-related OA. The effect of obesity on pathological changes to the osteochondral unit and surrounding connective tissues in OA is summarized, as well as the impact of obesity-related excessive and abnormal joint loading, concomitant joint malalignment and muscle weakness. An integrated therapeutic strategy based on this multi-factorial presentation is presented, to assist in the management of obesity related OA.Obesity-related osteoarthritis (OA) is a complex, multifactorial condition that can cause significant impact on patients' quality of life. Whilst chronic inflammation, adipocytokines and metabolic factors are considered to be important pathogenic factors in obesity related OA, there has been limited investigation into the biomechanical impact of obesity on OA development. This review aims to demonstrate that mechanical factors are the major pathological cause of obesity-related OA. The effect of obesity on pathological changes to the osteochondral unit and surrounding connective tissues in OA is summarized, as well as the impact of obesity-related excessive and abnormal joint loading, concomitant joint malalignment and muscle weakness. An integrated therapeutic strategy based on this multi-factorial presentation is presented, to assist in the management of obesity related OA.Despite the high prevalence of obesity-related OA, there is no specific guideline available for obesity-related OA management. In this review, we demonstrated the pathological changes of obesity-related OA and summarized the impact of biomechanical factors by proposing a hypothetical model of obesity-related OA change. Therapeutic strategies based on adjusting abnormal mechanical effects are presented to assist in the management of obesity-related OA.THE TRANSLATIONAL POTENTIAL OF THIS ARTICLEDespite the high prevalence of obesity-related OA, there is no specific guideline available for obesity-related OA management. In this review, we demonstrated the pathological changes of obesity-related OA and summarized the impact of biomechanical factors by proposing a hypothetical model of obesity-related OA change. Therapeutic strategies based on adjusting abnormal mechanical effects are presented to assist in the management of obesity-related OA. Obesity-related osteoarthritis (OA) is a complex, multifactorial condition that can cause significant impact on patients’ quality of life. Whilst chronic inflammation, adipocytokines and metabolic factors are considered to be important pathogenic factors in obesity related OA, there has been limited investigation into the biomechanical impact of obesity on OA development. This review aims to demonstrate that mechanical factors are the major pathological cause of obesity-related OA. The effect of obesity on pathological changes to the osteochondral unit and surrounding connective tissues in OA is summarized, as well as the impact of obesity-related excessive and abnormal joint loading, concomitant joint malalignment and muscle weakness. An integrated therapeutic strategy based on this multi-factorial presentation is presented, to assist in the management of obesity related OA. The translational potential of this article: Despite the high prevalence of obesity-related OA, there is no specific guideline available for obesity-related OA management. In this review, we demonstrated the pathological changes of obesity-related OA and summarized the impact of biomechanical factors by proposing a hypothetical model of obesity-related OA change. Therapeutic strategies based on adjusting abnormal mechanical effects are presented to assist in the management of obesity-related OA. |
Author | Zheng, Jessica Jun Yi Papadimitriou, John Li, Guangyi Zheng, Minghao Chen, Lianzhi Yuan, Jun Jones, Christopher W. Wood, David Ebert, Jay R. Li, Hengyuan Wang, Qingwen |
Author_xml | – sequence: 1 givenname: Lianzhi orcidid: 0000-0003-4372-3068 surname: Chen fullname: Chen, Lianzhi organization: Centre for Orthopaedic Research, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia – sequence: 2 givenname: Jessica Jun Yi surname: Zheng fullname: Zheng, Jessica Jun Yi organization: Sir Charles Gairdner Hospital, Perth, Western Australia, Australia – sequence: 3 givenname: Guangyi surname: Li fullname: Li, Guangyi organization: Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China – sequence: 4 givenname: Jun orcidid: 0000-0001-6542-4654 surname: Yuan fullname: Yuan, Jun organization: Centre for Orthopaedic Research, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia – sequence: 5 givenname: Jay R. orcidid: 0000-0001-5843-6243 surname: Ebert fullname: Ebert, Jay R. organization: School of Human Sciences (Exercise and Sport Science), University of Western Australia, Perth, Western Australia, Australia – sequence: 6 givenname: Hengyuan surname: Li fullname: Li, Hengyuan organization: Department of Orthopedics, Second Affiliated Hospital of Zhejiang University, School of Medicine, Zhejiang, China – sequence: 7 givenname: John surname: Papadimitriou fullname: Papadimitriou, John organization: Centre for Orthopaedic Research, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia – sequence: 8 givenname: Qingwen surname: Wang fullname: Wang, Qingwen organization: Department of Rheumatism and Immunology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China – sequence: 9 givenname: David surname: Wood fullname: Wood, David organization: Centre for Orthopaedic Research, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia – sequence: 10 givenname: Christopher W. surname: Jones fullname: Jones, Christopher W. email: chriswjones@health.wa.gov.au organization: Fiona Stanley Hospital Group, Perth, Western Australia, Australia – sequence: 11 givenname: Minghao orcidid: 0000-0003-1185-4768 surname: Zheng fullname: Zheng, Minghao email: minghao.zheng@uwa.edu.au organization: Centre for Orthopaedic Research, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32695606$$D View this record in MEDLINE/PubMed |
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Keywords | Biomechanics Obesity Clinical management Mechanical loading Pathogenesis Osteoarthritis |
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Title | Pathogenesis and clinical management of obesity-related knee osteoarthritis: Impact of mechanical loading |
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