Further evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.

Investigators have suggested a link between birth weight and both hand and lumbar spine osteoarthritis (OA). In this study, we sought to extend these observations by investigating relationships between growth in early life, and clinical and radiological diagnoses of OA at the hand, knee and hip, amo...

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Main Authors: Clynes, M, Parsons, C, Edwards, M, Jameson, K, Harvey, N, Sayer, A, Cooper, C, Dennison, E
Format: Journal article
Language:English
Published: 2014
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author Clynes, M
Parsons, C
Edwards, M
Jameson, K
Harvey, N
Sayer, A
Cooper, C
Dennison, E
author_facet Clynes, M
Parsons, C
Edwards, M
Jameson, K
Harvey, N
Sayer, A
Cooper, C
Dennison, E
author_sort Clynes, M
collection OXFORD
description Investigators have suggested a link between birth weight and both hand and lumbar spine osteoarthritis (OA). In this study, we sought to extend these observations by investigating relationships between growth in early life, and clinical and radiological diagnoses of OA at the hand, knee and hip, among participants from the Hertfordshire Cohort Study. Data were available for 222 men and 222 women. Clinical OA was defined based on American College of Rheumatology criteria. Radiographs were taken of the knees and hips, and graded for the presence of osteophytes and overall Kellgren and Lawrence (KL) score. Lower weight at year one was associated with higher rates of clinical hand OA (OR 1.396, 95% CI 1.05, 1.85, P=0.021). Individuals with lower birth weights were more likely to have hip osteophytes (OR 1.512, 95% CI 1.14, 2.00, P=0.004) and this remained robust after adjustment for confounders. Furthermore, a low weight at one year was also associated with a higher osteophyte number in the lateral compartment of the knee, after adjustment for confounders (OR 1.388, 95% CI 1.01, 1.91, P=0.043). We have found further evidence of a relationship between early life factors and adult OA. These findings accord with previous studies.
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spelling oxford-uuid:525d7d58-3c5c-4a80-9488-71cb80bd7f732022-03-26T16:25:11ZFurther evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:525d7d58-3c5c-4a80-9488-71cb80bd7f73EnglishSymplectic Elements at Oxford2014Clynes, MParsons, CEdwards, MJameson, KHarvey, NSayer, ACooper, CDennison, EInvestigators have suggested a link between birth weight and both hand and lumbar spine osteoarthritis (OA). In this study, we sought to extend these observations by investigating relationships between growth in early life, and clinical and radiological diagnoses of OA at the hand, knee and hip, among participants from the Hertfordshire Cohort Study. Data were available for 222 men and 222 women. Clinical OA was defined based on American College of Rheumatology criteria. Radiographs were taken of the knees and hips, and graded for the presence of osteophytes and overall Kellgren and Lawrence (KL) score. Lower weight at year one was associated with higher rates of clinical hand OA (OR 1.396, 95% CI 1.05, 1.85, P=0.021). Individuals with lower birth weights were more likely to have hip osteophytes (OR 1.512, 95% CI 1.14, 2.00, P=0.004) and this remained robust after adjustment for confounders. Furthermore, a low weight at one year was also associated with a higher osteophyte number in the lateral compartment of the knee, after adjustment for confounders (OR 1.388, 95% CI 1.01, 1.91, P=0.043). We have found further evidence of a relationship between early life factors and adult OA. These findings accord with previous studies.
spellingShingle Clynes, M
Parsons, C
Edwards, M
Jameson, K
Harvey, N
Sayer, A
Cooper, C
Dennison, E
Further evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.
title Further evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.
title_full Further evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.
title_fullStr Further evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.
title_full_unstemmed Further evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.
title_short Further evidence of the developmental origins of osteoarthritis: results from the Hertfordshire Cohort Study.
title_sort further evidence of the developmental origins of osteoarthritis results from the hertfordshire cohort study
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