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Relationships between physical performance and knee and hip osteoarthritis: findings from the European Project on Osteoarthritis (EPOSA).

Relationships between physical performance and knee and hip osteoarthritis: findings from the European Project on Osteoarthritis (EPOSA).
Relationships between physical performance and knee and hip osteoarthritis: findings from the European Project on Osteoarthritis (EPOSA).
BACKGROUND:

poor physical performance (PP) is known to be associated with disability, lower quality of life and higher mortality rates. Knee and hip osteoarthritis (OA) might be expected to contribute to poor PP, through joint pain and restricted range of movement. Both clinical and self-reported OA are often used for large-scale community and epidemiological studies.
OBJECTIVE:

to examine the relationships between hip and knee OA and PP in a large data set comprising cohorts from six European countries.
METHODS:

a total of 2,942 men and women aged 65-85 years from the Germany, Italy, Netherlands, Spain, Sweden and the UK were recruited. Assessment included an interview and clinical assessment for OA. PP was determined from walking speed, chair rises and balance (range 0-12); low PP was defined as a score of ≤9.
RESULTS:

the mean (SD) age was 74.2 (5.1) years. Rates of self-reported OA were much higher than clinical OA. Advanced age, female gender, lower educational attainment, abstinence from alcohol and higher body mass index were independently associated with low PP. Clinical knee OA, hip OA or both were associated with a higher risk of low PP; OR (95% CI) 2.93 (2.36, 3.64), 3.79 (2.49, 5.76) and 7.22 (3.63, 14.38), respectively, with relationships robust to adjustment for the confounders above as well as pain.
CONCLUSION:

lower limb OA at the hip and knee is associated with low PP, and for clinical diagnosis relationships are robust to adjustment for pain. Those at highest risk have clinical OA at both sites.
0002-0729
806
Edwards, Mark
818201d5-7636-4292-9af8-7dd8bcd1fcb5
van der Pas, Suzan
eeed262d-8106-4a78-8439-826b2d99bc78
Denkinger, M.D.
644bf1fc-72e7-41de-983c-01781b8ec0d5
Parsons, Camille
9730e5c3-0382-4ed7-8eaa-6932ab09ec15
Jameson, Karen
d5fb142d-06af-456e-9016-17497f94e9f2
Schaap, Laura A.
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Zambon, S.
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Castell, Maria Victoria
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Herbolsheimer, Florian
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Nasell, Hans
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Sanchez-Martinez, Mercedes
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Otero, A.
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Nikolaus, T.
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van Schoor, N.
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Pedersen, Nancy L.
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Maggi, S.
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Deeg, Dorly J.H.
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Cooper, Cyrus
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Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1
Edwards, Mark
818201d5-7636-4292-9af8-7dd8bcd1fcb5
van der Pas, Suzan
eeed262d-8106-4a78-8439-826b2d99bc78
Denkinger, M.D.
644bf1fc-72e7-41de-983c-01781b8ec0d5
Parsons, Camille
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Jameson, Karen
d5fb142d-06af-456e-9016-17497f94e9f2
Schaap, Laura A.
b1b7ece4-8c4f-40af-b98a-9d21075fc6ce
Zambon, S.
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Castell, Maria Victoria
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Herbolsheimer, Florian
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Nasell, Hans
b6e48a87-48ad-4aae-bea2-bc43362aa4d5
Sanchez-Martinez, Mercedes
5da348ec-37d3-4c4a-828f-984fed02c3cd
Otero, A.
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Nikolaus, T.
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van Schoor, N.
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Pedersen, Nancy L.
22ca166b-d76d-401c-be51-a81c86bc1f4a
Maggi, S.
119310a6-b806-4850-81b8-855c1d5c6e3e
Deeg, Dorly J.H.
09f588f6-3441-4d48-a7ff-26b4b21ebac2
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1

Edwards, Mark, van der Pas, Suzan, Denkinger, M.D., Parsons, Camille, Jameson, Karen, Schaap, Laura A., Zambon, S., Castell, Maria Victoria, Herbolsheimer, Florian, Nasell, Hans, Sanchez-Martinez, Mercedes, Otero, A., Nikolaus, T., van Schoor, N., Pedersen, Nancy L., Maggi, S., Deeg, Dorly J.H., Cooper, Cyrus and Dennison, Elaine (2014) Relationships between physical performance and knee and hip osteoarthritis: findings from the European Project on Osteoarthritis (EPOSA). Age and Ageing, 43 (6), 806.

Record type: Article

Abstract

BACKGROUND:

poor physical performance (PP) is known to be associated with disability, lower quality of life and higher mortality rates. Knee and hip osteoarthritis (OA) might be expected to contribute to poor PP, through joint pain and restricted range of movement. Both clinical and self-reported OA are often used for large-scale community and epidemiological studies.
OBJECTIVE:

to examine the relationships between hip and knee OA and PP in a large data set comprising cohorts from six European countries.
METHODS:

a total of 2,942 men and women aged 65-85 years from the Germany, Italy, Netherlands, Spain, Sweden and the UK were recruited. Assessment included an interview and clinical assessment for OA. PP was determined from walking speed, chair rises and balance (range 0-12); low PP was defined as a score of ≤9.
RESULTS:

the mean (SD) age was 74.2 (5.1) years. Rates of self-reported OA were much higher than clinical OA. Advanced age, female gender, lower educational attainment, abstinence from alcohol and higher body mass index were independently associated with low PP. Clinical knee OA, hip OA or both were associated with a higher risk of low PP; OR (95% CI) 2.93 (2.36, 3.64), 3.79 (2.49, 5.76) and 7.22 (3.63, 14.38), respectively, with relationships robust to adjustment for the confounders above as well as pain.
CONCLUSION:

lower limb OA at the hip and knee is associated with low PP, and for clinical diagnosis relationships are robust to adjustment for pain. Those at highest risk have clinical OA at both sites.

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More information

Published date: 10 June 2014
Organisations: Epidemiology, Medical Research Council, Human Development & Health

Identifiers

Local EPrints ID: 408806
URI: https://eprints.soton.ac.uk/id/eprint/408806
ISSN: 0002-0729
PURE UUID: 4ea52e4b-8c14-49b9-a33c-a6e0466589da
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961

Catalogue record

Date deposited: 28 May 2017 04:01
Last modified: 29 Aug 2019 00:51

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Contributors

Author: Mark Edwards
Author: Suzan van der Pas
Author: M.D. Denkinger
Author: Camille Parsons
Author: Karen Jameson
Author: Laura A. Schaap
Author: S. Zambon
Author: Maria Victoria Castell
Author: Florian Herbolsheimer
Author: Hans Nasell
Author: Mercedes Sanchez-Martinez
Author: A. Otero
Author: T. Nikolaus
Author: N. van Schoor
Author: Nancy L. Pedersen
Author: S. Maggi
Author: Dorly J.H. Deeg
Author: Cyrus Cooper ORCID iD
Author: Elaine Dennison ORCID iD

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