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Effect of heeled shoes on joint symptoms and knee osteoarthritis (OA) in older adults: a 5-year follow-up study

Effect of heeled shoes on joint symptoms and knee osteoarthritis (OA) in older adults: a 5-year follow-up study
Effect of heeled shoes on joint symptoms and knee osteoarthritis (OA) in older adults: a 5-year follow-up study
Objective: our aims were to examine the effects of heeled shoes on incident knee OA and joint pain. Methods: we used longitudinal data from the Chingford 1000 Women Study (Chingford Study); a prospective cohort of women aged ≥50 years. Participants with musculoskeletal disorders and/or a history of knee-related injury/surgery were excluded. Participants were followed for up to 5-years for incident outcomes including; i) radiographic knee OA (RKOA) and ii) joint pain (feet, knees, hips and back). Footwear data including ever worn heels ≥2 inches and, daytime/evening hours (per week) spent wearing heeled shoes over five-decades (ages <20, 20-30, 30-40, >50 years) were available at Year 10 whilst knee radiographs and joint symptom data were also collected at Year 15. Cumulative time spent wearing heeled shoes was calculated for women reporting ever use of heeled shoes (≥2 inches). Multiple logistic regression was used to examine the relationship between exposures and outcomes (from years 10 to 15). Results: 356 women were eligible at Year 10 with the median (IQR) age 60 (56 to 65) years. Compared to non-use, ever use of heeled shoes (≥2 inches) was not associated with incident RKOA (1.35, 95% CI 0.56 to 3.27). No association was observed between increasing cumulative time spent wearing heels and incident outcomes. Conclusion: compared to the non-use of heeled shoes, ever use of heels (≥2 inches) was not associated with incident RKOA and incident joint symptoms, respectively. Further, increasing cumulative time spent wearing heels was not associated with any of our outcomes.
0893-7524
Perry, Thomas A
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Dando, Charlotte
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Spector, T. D.
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Hart, Deborah J
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Arden, Nigel
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Bowen, Catherine
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Perry, Thomas A
8fab46ef-6422-43e4-82b9-b8ea3983f34a
Dando, Charlotte
d25a5d95-2f34-4fe6-af90-4a1569ca60fc
Spector, T. D.
29debf10-949d-4094-8f5f-9a8614511ccb
Hart, Deborah J
305f270d-b7bd-4b29-a0ad-41675190202d
Arden, Nigel
a68fc3b0-25c1-41a4-8b67-b7ad0945712e
Bowen, Catherine
fd85c3c5-96d9-49b8-86c6-caa94e1a222b

Perry, Thomas A, Dando, Charlotte, Spector, T. D., Hart, Deborah J, Arden, Nigel and Bowen, Catherine (2021) Effect of heeled shoes on joint symptoms and knee osteoarthritis (OA) in older adults: a 5-year follow-up study. Arthritis Care & Research. (In Press)

Record type: Article

Abstract

Objective: our aims were to examine the effects of heeled shoes on incident knee OA and joint pain. Methods: we used longitudinal data from the Chingford 1000 Women Study (Chingford Study); a prospective cohort of women aged ≥50 years. Participants with musculoskeletal disorders and/or a history of knee-related injury/surgery were excluded. Participants were followed for up to 5-years for incident outcomes including; i) radiographic knee OA (RKOA) and ii) joint pain (feet, knees, hips and back). Footwear data including ever worn heels ≥2 inches and, daytime/evening hours (per week) spent wearing heeled shoes over five-decades (ages <20, 20-30, 30-40, >50 years) were available at Year 10 whilst knee radiographs and joint symptom data were also collected at Year 15. Cumulative time spent wearing heeled shoes was calculated for women reporting ever use of heeled shoes (≥2 inches). Multiple logistic regression was used to examine the relationship between exposures and outcomes (from years 10 to 15). Results: 356 women were eligible at Year 10 with the median (IQR) age 60 (56 to 65) years. Compared to non-use, ever use of heeled shoes (≥2 inches) was not associated with incident RKOA (1.35, 95% CI 0.56 to 3.27). No association was observed between increasing cumulative time spent wearing heels and incident outcomes. Conclusion: compared to the non-use of heeled shoes, ever use of heels (≥2 inches) was not associated with incident RKOA and incident joint symptoms, respectively. Further, increasing cumulative time spent wearing heels was not associated with any of our outcomes.

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Effect of heeled shoes
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Accepted/In Press date: 16 June 2021

Identifiers

Local EPrints ID: 450120
URI: http://eprints.soton.ac.uk/id/eprint/450120
ISSN: 0893-7524
PURE UUID: b06c2031-9335-41f3-9657-4cebc02136eb
ORCID for Catherine Bowen: ORCID iD orcid.org/0000-0002-7252-9515

Catalogue record

Date deposited: 12 Jul 2021 16:30
Last modified: 13 Jul 2021 01:38

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Contributors

Author: Thomas A Perry
Author: Charlotte Dando
Author: T. D. Spector
Author: Deborah J Hart
Author: Nigel Arden
Author: Catherine Bowen ORCID iD

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