Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort

Objective To determine, first, if fat mass index (FMI) or fat‐free mass index (FFMI) and serum adipokines tumor necrosis factor (TNF) and interleukin‐6 (IL‐6) are associated with prevalent (stage 2) foot pain, and, second, if they are predictive of future (stage 3) foot pain. Methods A subset of par...

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Veröffentlicht in:Arthritis care & research (2010) 2016-04, Vol.68 (4), p.526-533
Hauptverfasser: Walsh, Tom P., Gill, Tiffany K., Evans, Angela M., Yaxley, Alison, Shanahan, E. Michael, Hill, Catherine L.
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container_end_page 533
container_issue 4
container_start_page 526
container_title Arthritis care & research (2010)
container_volume 68
creator Walsh, Tom P.
Gill, Tiffany K.
Evans, Angela M.
Yaxley, Alison
Shanahan, E. Michael
Hill, Catherine L.
description Objective To determine, first, if fat mass index (FMI) or fat‐free mass index (FFMI) and serum adipokines tumor necrosis factor (TNF) and interleukin‐6 (IL‐6) are associated with prevalent (stage 2) foot pain, and, second, if they are predictive of future (stage 3) foot pain. Methods A subset of participants ages ≥50 years (n = 1,462) from the North West Adelaide Health Study were used for this study. Participants from this community cohort were asked in stage 2 (2004–2006) and stage 3 (2008–2010) if they had foot pain, aching, or stiffness. In stage 2, serum adipokines and anthropometry were measured, while body composition was analyzed with dual x‐ray absorptiometry. These variables, along with comorbidities and social history, were used in logistic regression analyses to determine if FMI, FFMI, and serum adipokines were associated with foot pain. Results Prevalent foot pain was present in 20.2% of participants, and future foot pain in 36.4%. Following multivariate modeling, the odds of having pain at stage 2 increased by 8% for each FMI unit (odds ratio [OR] 1.08, 95% confidence interval [95% CI] 1.04–1.12), while the odds of having pain at stage 3 increased by 6% for each FMI unit at stage 2 (OR 1.06, 95% CI 1.02–1.11). TNF level, IL‐6 level, and FFMI were not associated with pain. Conclusion Increased FMI, but not body mass index, FFMI, or TNF or IL‐6 level, was associated with both prevalent and future foot pain. These results suggest that body fat may be more important than body weight with respect to foot pain. The role played by other adipokines requires further investigation.
doi_str_mv 10.1002/acr.22719
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Michael ; Hill, Catherine L.</creator><creatorcontrib>Walsh, Tom P. ; Gill, Tiffany K. ; Evans, Angela M. ; Yaxley, Alison ; Shanahan, E. Michael ; Hill, Catherine L.</creatorcontrib><description>Objective To determine, first, if fat mass index (FMI) or fat‐free mass index (FFMI) and serum adipokines tumor necrosis factor (TNF) and interleukin‐6 (IL‐6) are associated with prevalent (stage 2) foot pain, and, second, if they are predictive of future (stage 3) foot pain. Methods A subset of participants ages ≥50 years (n = 1,462) from the North West Adelaide Health Study were used for this study. Participants from this community cohort were asked in stage 2 (2004–2006) and stage 3 (2008–2010) if they had foot pain, aching, or stiffness. In stage 2, serum adipokines and anthropometry were measured, while body composition was analyzed with dual x‐ray absorptiometry. These variables, along with comorbidities and social history, were used in logistic regression analyses to determine if FMI, FFMI, and serum adipokines were associated with foot pain. Results Prevalent foot pain was present in 20.2% of participants, and future foot pain in 36.4%. Following multivariate modeling, the odds of having pain at stage 2 increased by 8% for each FMI unit (odds ratio [OR] 1.08, 95% confidence interval [95% CI] 1.04–1.12), while the odds of having pain at stage 3 increased by 6% for each FMI unit at stage 2 (OR 1.06, 95% CI 1.02–1.11). TNF level, IL‐6 level, and FFMI were not associated with pain. Conclusion Increased FMI, but not body mass index, FFMI, or TNF or IL‐6 level, was associated with both prevalent and future foot pain. These results suggest that body fat may be more important than body weight with respect to foot pain. The role played by other adipokines requires further investigation.</description><identifier>ISSN: 2151-464X</identifier><identifier>EISSN: 2151-4658</identifier><identifier>DOI: 10.1002/acr.22719</identifier><identifier>PMID: 26315271</identifier><language>eng</language><publisher>United States</publisher><subject>Adipokines - blood ; Adiposity ; Aged ; Aged, 80 and over ; Biomarkers - blood ; Body Mass Index ; Cohort Studies ; Comorbidity ; Cross-Sectional Studies ; Disease Progression ; Female ; Foot - innervation ; Foot Diseases - diagnosis ; Foot Diseases - epidemiology ; Foot Diseases - physiopathology ; Humans ; Interleukin-6 - blood ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Pain - diagnosis ; Pain - epidemiology ; Pain - physiopathology ; Pain Measurement ; Prevalence ; Risk Factors ; Severity of Illness Index ; South Australia - epidemiology ; Tumor Necrosis Factor-alpha - blood</subject><ispartof>Arthritis care &amp; research (2010), 2016-04, Vol.68 (4), p.526-533</ispartof><rights>2016, American College of Rheumatology</rights><rights>2016, American College of Rheumatology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3609-75fa77c278a29366c7920bdfa929c2e5991acbbc7c5b0524bb3be8a9ef3f1cfc3</citedby><cites>FETCH-LOGICAL-c3609-75fa77c278a29366c7920bdfa929c2e5991acbbc7c5b0524bb3be8a9ef3f1cfc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Facr.22719$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Facr.22719$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26315271$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walsh, Tom P.</creatorcontrib><creatorcontrib>Gill, Tiffany K.</creatorcontrib><creatorcontrib>Evans, Angela M.</creatorcontrib><creatorcontrib>Yaxley, Alison</creatorcontrib><creatorcontrib>Shanahan, E. Michael</creatorcontrib><creatorcontrib>Hill, Catherine L.</creatorcontrib><title>Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort</title><title>Arthritis care &amp; research (2010)</title><addtitle>Arthritis Care Res (Hoboken)</addtitle><description>Objective To determine, first, if fat mass index (FMI) or fat‐free mass index (FFMI) and serum adipokines tumor necrosis factor (TNF) and interleukin‐6 (IL‐6) are associated with prevalent (stage 2) foot pain, and, second, if they are predictive of future (stage 3) foot pain. Methods A subset of participants ages ≥50 years (n = 1,462) from the North West Adelaide Health Study were used for this study. Participants from this community cohort were asked in stage 2 (2004–2006) and stage 3 (2008–2010) if they had foot pain, aching, or stiffness. In stage 2, serum adipokines and anthropometry were measured, while body composition was analyzed with dual x‐ray absorptiometry. These variables, along with comorbidities and social history, were used in logistic regression analyses to determine if FMI, FFMI, and serum adipokines were associated with foot pain. Results Prevalent foot pain was present in 20.2% of participants, and future foot pain in 36.4%. Following multivariate modeling, the odds of having pain at stage 2 increased by 8% for each FMI unit (odds ratio [OR] 1.08, 95% confidence interval [95% CI] 1.04–1.12), while the odds of having pain at stage 3 increased by 6% for each FMI unit at stage 2 (OR 1.06, 95% CI 1.02–1.11). TNF level, IL‐6 level, and FFMI were not associated with pain. Conclusion Increased FMI, but not body mass index, FFMI, or TNF or IL‐6 level, was associated with both prevalent and future foot pain. These results suggest that body fat may be more important than body weight with respect to foot pain. The role played by other adipokines requires further investigation.</description><subject>Adipokines - blood</subject><subject>Adiposity</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biomarkers - blood</subject><subject>Body Mass Index</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Foot - innervation</subject><subject>Foot Diseases - diagnosis</subject><subject>Foot Diseases - epidemiology</subject><subject>Foot Diseases - physiopathology</subject><subject>Humans</subject><subject>Interleukin-6 - blood</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Pain - diagnosis</subject><subject>Pain - epidemiology</subject><subject>Pain - physiopathology</subject><subject>Pain Measurement</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>South Australia - epidemiology</subject><subject>Tumor Necrosis Factor-alpha - blood</subject><issn>2151-464X</issn><issn>2151-4658</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAQhoMo7rLuwT8gOeqhu_lom-ZYiquiooiit5KkCRttm7Vpkf33RrvuzWFg5vDMM_ACcIrRAiNElkJ1C0IY5gdgSnCCozhNssP9Hr9NwNz7dxSKkiyj_BhMSEpxEm6m4Db33ikreuta6AxciR7eC--haCuYV3bjPmyrPXy1_RqunOvho7AtDC1g4ZpmaG2_Ddvadf0JODKi9nq-mzPwsrp8Lq6ju4ermyK_ixRNEY9YYgRjirBMEE7TVDFOkKyM4IQrohPOsVBSKqYSiRISS0mlzgTXhhqsjKIzcD56N537HLTvy8Z6petatNoNvsSMhT8xzXhAL0ZUdc77Tpty09lGdNsSo_InvjLEV_7GF9iznXaQja725F9YAViOwJet9fZ_U5kXT6PyG9KKeF8</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Walsh, Tom P.</creator><creator>Gill, Tiffany K.</creator><creator>Evans, Angela M.</creator><creator>Yaxley, Alison</creator><creator>Shanahan, E. Michael</creator><creator>Hill, Catherine L.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201604</creationdate><title>Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort</title><author>Walsh, Tom P. ; Gill, Tiffany K. ; Evans, Angela M. ; Yaxley, Alison ; Shanahan, E. Michael ; Hill, Catherine L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3609-75fa77c278a29366c7920bdfa929c2e5991acbbc7c5b0524bb3be8a9ef3f1cfc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adipokines - blood</topic><topic>Adiposity</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biomarkers - blood</topic><topic>Body Mass Index</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Foot - innervation</topic><topic>Foot Diseases - diagnosis</topic><topic>Foot Diseases - epidemiology</topic><topic>Foot Diseases - physiopathology</topic><topic>Humans</topic><topic>Interleukin-6 - blood</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Pain - diagnosis</topic><topic>Pain - epidemiology</topic><topic>Pain - physiopathology</topic><topic>Pain Measurement</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>South Australia - epidemiology</topic><topic>Tumor Necrosis Factor-alpha - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walsh, Tom P.</creatorcontrib><creatorcontrib>Gill, Tiffany K.</creatorcontrib><creatorcontrib>Evans, Angela M.</creatorcontrib><creatorcontrib>Yaxley, Alison</creatorcontrib><creatorcontrib>Shanahan, E. Michael</creatorcontrib><creatorcontrib>Hill, Catherine L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis care &amp; research (2010)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walsh, Tom P.</au><au>Gill, Tiffany K.</au><au>Evans, Angela M.</au><au>Yaxley, Alison</au><au>Shanahan, E. Michael</au><au>Hill, Catherine L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort</atitle><jtitle>Arthritis care &amp; research (2010)</jtitle><addtitle>Arthritis Care Res (Hoboken)</addtitle><date>2016-04</date><risdate>2016</risdate><volume>68</volume><issue>4</issue><spage>526</spage><epage>533</epage><pages>526-533</pages><issn>2151-464X</issn><eissn>2151-4658</eissn><abstract>Objective To determine, first, if fat mass index (FMI) or fat‐free mass index (FFMI) and serum adipokines tumor necrosis factor (TNF) and interleukin‐6 (IL‐6) are associated with prevalent (stage 2) foot pain, and, second, if they are predictive of future (stage 3) foot pain. Methods A subset of participants ages ≥50 years (n = 1,462) from the North West Adelaide Health Study were used for this study. Participants from this community cohort were asked in stage 2 (2004–2006) and stage 3 (2008–2010) if they had foot pain, aching, or stiffness. In stage 2, serum adipokines and anthropometry were measured, while body composition was analyzed with dual x‐ray absorptiometry. These variables, along with comorbidities and social history, were used in logistic regression analyses to determine if FMI, FFMI, and serum adipokines were associated with foot pain. Results Prevalent foot pain was present in 20.2% of participants, and future foot pain in 36.4%. Following multivariate modeling, the odds of having pain at stage 2 increased by 8% for each FMI unit (odds ratio [OR] 1.08, 95% confidence interval [95% CI] 1.04–1.12), while the odds of having pain at stage 3 increased by 6% for each FMI unit at stage 2 (OR 1.06, 95% CI 1.02–1.11). TNF level, IL‐6 level, and FFMI were not associated with pain. Conclusion Increased FMI, but not body mass index, FFMI, or TNF or IL‐6 level, was associated with both prevalent and future foot pain. These results suggest that body fat may be more important than body weight with respect to foot pain. The role played by other adipokines requires further investigation.</abstract><cop>United States</cop><pmid>26315271</pmid><doi>10.1002/acr.22719</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adipokines - blood
Adiposity
Aged
Aged, 80 and over
Biomarkers - blood
Body Mass Index
Cohort Studies
Comorbidity
Cross-Sectional Studies
Disease Progression
Female
Foot - innervation
Foot Diseases - diagnosis
Foot Diseases - epidemiology
Foot Diseases - physiopathology
Humans
Interleukin-6 - blood
Logistic Models
Male
Middle Aged
Multivariate Analysis
Odds Ratio
Pain - diagnosis
Pain - epidemiology
Pain - physiopathology
Pain Measurement
Prevalence
Risk Factors
Severity of Illness Index
South Australia - epidemiology
Tumor Necrosis Factor-alpha - blood
title Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort
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