No strong relationship between body mass index and clinical hand osteoarthritis: results from a population-based case-control study

K Magnusson, N Østerås, I K Haugen, P Mowinckel, L Nordsletten, B Natvig, K B Hagen

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: The aim of this population-based case-control study was to investigate whether a high body mass index (BMI) is a risk factor for clinical hand osteoarthritis (OA).

METHOD: Persons living in Ullensaker municipality in Norway who were aged 20-52 years in 1990 reported height and weight in 1990, 1994, 2004, and 2010 (n = 1276). Cases (clinical hand OA in 2010, n = 59) were compared to controls (participants without self-reported OA or hand pain in 2010, n = 805) with regard to the prospectively measured BMI by means of a generalized estimating equation (GEE) analysis adjusted for age, sex, time, and education.

RESULTS: The mean age of hand OA cases was 64 (SD = 7.5) years in 2010 and 78% were women. There was no association between total average BMI over the entire period and later clinical hand OA (p = 0.320). Cases had a higher mean BMI in 1990 [unstandardized B = 0.93, 95% confidence interval (CI) 0.07-1.79] and in 1994 (B = 0.75, 95% CI 0.22-1.28) but there were no differences between the groups in 2004 or 2010.

CONCLUSIONS: The study lend support to the hypothesis that having a higher BMI when young or middle-aged might be associated with later hand OA.

Original languageEnglish
Pages (from-to)409-15
Number of pages7
JournalScandinavian Journal of Rheumatology
Volume43
Issue number5
DOIs
Publication statusPublished - 2014
Externally publishedYes

Subject classification (UKÄ)

  • Orthopedics

Free keywords

  • Adult
  • Age Factors
  • Aged
  • Body Mass Index
  • Case-Control Studies
  • Female
  • Hand Joints/physiopathology
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Models, Statistical
  • Norway
  • Obesity/complications
  • Osteoarthritis/epidemiology
  • Prospective Studies
  • Retrospective Studies
  • Risk Factors
  • Surveys and Questionnaires

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