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Association between osteoarthritis and social isolation: Data from the EPOSA Study

Association between osteoarthritis and social isolation: Data from the EPOSA Study
Association between osteoarthritis and social isolation: Data from the EPOSA Study

OBJECTIVE

To determine whether there is an association between osteoarthritis (OA) and incident social isolation using data from the European Project on OSteoArthritis (EPOSA) study.

DESIGN

Prospective, observational study with 12 to 18 months of follow‐up.

SETTING

Community dwelling.

PARTICIPANTS

Older people living in six European countries.

MEASUREMENTS

Social isolation was assessed using the Lubben Social Network Scale and the Maastricht Social Participation Profile. Clinical OA of the hip, knee, and hand was assessed according to American College of Rheumatology criteria. Demographic characteristics, including age, sex, multijoint pain, and medical comorbidities, were assessed.

RESULTS

Of the 1967 individuals with complete baseline and follow‐up data, 382 (19%) were socially isolated and 1585 were nonsocially isolated at baseline; of these individuals, 222 (13.9%) experienced social isolation during follow‐up. Using logistic regression analyses, after adjustment for age, sex, and country, four factors were significantly associated with incident social isolation: clinical OA, cognitive impairment, depression, and worse walking time. Compared to those without OA at any site or with only hand OA, clinical OA of the hip and/or knee, combined or not with hand OA, led to a 1.47 times increased risk of social isolation (95% confidence interval = 1.03‐2.09).

CONCLUSION

Clinical OA, present in one or two sites of the hip and knee, or in two or three sites of the hip, knee, and hand, increased the risk of social isolation, adjusting for cognitive impairment and depression and worse walking times. Clinicians should be aware that individuals with OA may be at greater risk of social isolation.
0002-8614
Siviero, Paolo
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Veronese, Nicola
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Smith, Toby
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Stubbs, Brendon
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Limongi, Federica
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Zambon, Sabina
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Dennison, Elaine
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Edwards, Mark
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Cooper, Cyrus
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Timmermans, Erik J.
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van Schoor, Natasja M.
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van der Pas, Suzan
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Schaap, Laura A.
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Denkinger, Michael D.
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Peter, Richard
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Herbolsheimer, Florian
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Otero, Ángel
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Castell, Maria Victoria
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Pedersen, Nancy L.
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Deeg, Dorly J.H.
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Maggi, Stefania
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EPOSA Research Group
Siviero, Paolo
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Veronese, Nicola
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Smith, Toby
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Stubbs, Brendon
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Limongi, Federica
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Zambon, Sabina
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Dennison, Elaine
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Edwards, Mark
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Cooper, Cyrus
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Timmermans, Erik J.
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van Schoor, Natasja M.
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van der Pas, Suzan
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Schaap, Laura A.
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Denkinger, Michael D.
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Peter, Richard
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Herbolsheimer, Florian
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Otero, Ángel
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Castell, Maria Victoria
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Pedersen, Nancy L.
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Deeg, Dorly J.H.
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Maggi, Stefania
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Siviero, Paolo, Veronese, Nicola, Smith, Toby, Stubbs, Brendon, Limongi, Federica, Zambon, Sabina, Dennison, Elaine, Edwards, Mark, Cooper, Cyrus, Timmermans, Erik J., van Schoor, Natasja M., van der Pas, Suzan, Schaap, Laura A., Denkinger, Michael D., Peter, Richard, Herbolsheimer, Florian, Otero, Ángel, Castell, Maria Victoria, Pedersen, Nancy L., Deeg, Dorly J.H. and Maggi, Stefania , EPOSA Research Group (2019) Association between osteoarthritis and social isolation: Data from the EPOSA Study. Journal of the American Geriatrics Society. (doi:10.1111/jgs.16159).

Record type: Article

Abstract


OBJECTIVE

To determine whether there is an association between osteoarthritis (OA) and incident social isolation using data from the European Project on OSteoArthritis (EPOSA) study.

DESIGN

Prospective, observational study with 12 to 18 months of follow‐up.

SETTING

Community dwelling.

PARTICIPANTS

Older people living in six European countries.

MEASUREMENTS

Social isolation was assessed using the Lubben Social Network Scale and the Maastricht Social Participation Profile. Clinical OA of the hip, knee, and hand was assessed according to American College of Rheumatology criteria. Demographic characteristics, including age, sex, multijoint pain, and medical comorbidities, were assessed.

RESULTS

Of the 1967 individuals with complete baseline and follow‐up data, 382 (19%) were socially isolated and 1585 were nonsocially isolated at baseline; of these individuals, 222 (13.9%) experienced social isolation during follow‐up. Using logistic regression analyses, after adjustment for age, sex, and country, four factors were significantly associated with incident social isolation: clinical OA, cognitive impairment, depression, and worse walking time. Compared to those without OA at any site or with only hand OA, clinical OA of the hip and/or knee, combined or not with hand OA, led to a 1.47 times increased risk of social isolation (95% confidence interval = 1.03‐2.09).

CONCLUSION

Clinical OA, present in one or two sites of the hip and knee, or in two or three sites of the hip, knee, and hand, increased the risk of social isolation, adjusting for cognitive impairment and depression and worse walking times. Clinicians should be aware that individuals with OA may be at greater risk of social isolation.

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More information

Accepted/In Press date: 8 August 2019
e-pub ahead of print date: 17 September 2019

Identifiers

Local EPrints ID: 434659
URI: http://eprints.soton.ac.uk/id/eprint/434659
ISSN: 0002-8614
PURE UUID: b020967a-7e2e-48fd-8fd5-fb2926114ab7
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 04 Oct 2019 16:30
Last modified: 09 Jan 2022 07:45

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Contributors

Author: Paolo Siviero
Author: Nicola Veronese
Author: Toby Smith
Author: Brendon Stubbs
Author: Federica Limongi
Author: Sabina Zambon
Author: Elaine Dennison ORCID iD
Author: Mark Edwards
Author: Cyrus Cooper ORCID iD
Author: Erik J. Timmermans
Author: Natasja M. van Schoor
Author: Suzan van der Pas
Author: Laura A. Schaap
Author: Michael D. Denkinger
Author: Richard Peter
Author: Florian Herbolsheimer
Author: Ángel Otero
Author: Maria Victoria Castell
Author: Nancy L. Pedersen
Author: Dorly J.H. Deeg
Author: Stefania Maggi
Corporate Author: EPOSA Research Group

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