High plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritis
Background: Previous studies suggest that the antioxidants vitamins C and E may protect against development of knee osteoarthritis (OA). We examined the association of circulating levels of vitamin C and E with incident whole knee radiographic OA (WKROA). Methods: We performed a nested case-control...
Main Authors: | , , , , , , , , , |
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Format: | Journal article |
Language: | English |
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2014
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author | Chaganti, R Tolstykh, I Javaid, M Neogi, T Torner, J Curtis, J Jacques, P Felson, D Lane, N Nevitt, M |
author_facet | Chaganti, R Tolstykh, I Javaid, M Neogi, T Torner, J Curtis, J Jacques, P Felson, D Lane, N Nevitt, M |
author_sort | Chaganti, R |
collection | OXFORD |
description | Background: Previous studies suggest that the antioxidants vitamins C and E may protect against development of knee osteoarthritis (OA). We examined the association of circulating levels of vitamin C and E with incident whole knee radiographic OA (WKROA). Methods: We performed a nested case-control study of incident WKROA in MOST, a cohort of 3,026 men and women aged 50-79 years with, or at high risk of, knee OA. Incident cases were knees without either tibiofemoral (TF) or patellofemoral (PF) OA at baseline that developed TF and/or PF OA by 30-month follow-up. Two control knees per case were selected from those eligible for WKROA that did not develop it. Vitamin C and E (alpha-tocopherol) assays were done on baseline supernatant plasma (PCA) and serum samples, respectively. We examined the association of gender-specific tertiles of vitamin C and E with incident WKROA using logistic regression with GEE, adjusting for age, gender, and obesity. Results: Subjects without WKROA at baseline who were in the highest tertile of vitamin C had a higher incidence of WKROA [adjusted OR=2.20 (95% CI: 1.12-4.33); P-value=0.021], with similar results for the highest tertile of vitamin E [adjusted OR=1.89 (1.02-3.50); P-value=0.042], compared to those in the lowest tertiles. P-values for the trend of vitamin C and E tertiles and incident WKROA were 0.019 and 0.030, respectively. Conclusions: Higher levels of circulating vitamin C and E did not provide protection against incident radiographic knee OA, and may be associated with an increased risk of knee OA. © 2013 Osteoarthritis Research Society International. |
first_indexed | 2024-03-07T03:27:49Z |
format | Journal article |
id | oxford-uuid:b9aad561-4803-4cae-aad9-f3a5daa9fc76 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T03:27:49Z |
publishDate | 2014 |
record_format | dspace |
spelling | oxford-uuid:b9aad561-4803-4cae-aad9-f3a5daa9fc762022-03-27T05:04:27ZHigh plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b9aad561-4803-4cae-aad9-f3a5daa9fc76EnglishSymplectic Elements at Oxford2014Chaganti, RTolstykh, IJavaid, MNeogi, TTorner, JCurtis, JJacques, PFelson, DLane, NNevitt, MBackground: Previous studies suggest that the antioxidants vitamins C and E may protect against development of knee osteoarthritis (OA). We examined the association of circulating levels of vitamin C and E with incident whole knee radiographic OA (WKROA). Methods: We performed a nested case-control study of incident WKROA in MOST, a cohort of 3,026 men and women aged 50-79 years with, or at high risk of, knee OA. Incident cases were knees without either tibiofemoral (TF) or patellofemoral (PF) OA at baseline that developed TF and/or PF OA by 30-month follow-up. Two control knees per case were selected from those eligible for WKROA that did not develop it. Vitamin C and E (alpha-tocopherol) assays were done on baseline supernatant plasma (PCA) and serum samples, respectively. We examined the association of gender-specific tertiles of vitamin C and E with incident WKROA using logistic regression with GEE, adjusting for age, gender, and obesity. Results: Subjects without WKROA at baseline who were in the highest tertile of vitamin C had a higher incidence of WKROA [adjusted OR=2.20 (95% CI: 1.12-4.33); P-value=0.021], with similar results for the highest tertile of vitamin E [adjusted OR=1.89 (1.02-3.50); P-value=0.042], compared to those in the lowest tertiles. P-values for the trend of vitamin C and E tertiles and incident WKROA were 0.019 and 0.030, respectively. Conclusions: Higher levels of circulating vitamin C and E did not provide protection against incident radiographic knee OA, and may be associated with an increased risk of knee OA. © 2013 Osteoarthritis Research Society International. |
spellingShingle | Chaganti, R Tolstykh, I Javaid, M Neogi, T Torner, J Curtis, J Jacques, P Felson, D Lane, N Nevitt, M High plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritis |
title | High plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritis |
title_full | High plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritis |
title_fullStr | High plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritis |
title_full_unstemmed | High plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritis |
title_short | High plasma levels of vitamin C and E are associated with incident radiographic knee osteoarthritis |
title_sort | high plasma levels of vitamin c and e are associated with incident radiographic knee osteoarthritis |
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