Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative
Objective We aimed to evaluate the relationship of a history of strength training with symptomatic and structural outcomes of knee osteoarthritis (OA). Methods This study was a retrospective, cross‐sectional study within the Osteoarthritis Initiative (OAI), a multicenter prospective longitudinal obs...
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creator | Lo, Grace H. Richard, Michael J. McAlindon, Timothy E. Kriska, Andrea M. Price, Lori Lyn Rockette‐Wagner, Bonny Eaton, Charles B. Hochberg, Marc C. Kwoh, C. Kent Nevitt, Michael C. Driban, Jeffrey B. |
description | Objective
We aimed to evaluate the relationship of a history of strength training with symptomatic and structural outcomes of knee osteoarthritis (OA).
Methods
This study was a retrospective, cross‐sectional study within the Osteoarthritis Initiative (OAI), a multicenter prospective longitudinal observational study. Data were collected at four OAI clinical sites: Memorial Hospital of Rhode Island, the Ohio State University, the University of Pittsburgh, and the University of Maryland/Johns Hopkins. The study included 2,607 participants with complete data on strength training, knee pain, and radiographic evidence of knee OA (male, 44.2%; mean ± SD age 64.3 ± 9.0 years; mean ± SD body mass index 28.5 ± 4.9 kg/m2). We used a self‐administered questionnaire at the 96‐month OAI visit to evaluate the exposure of strength training participation during four time periods throughout a participant's lifetime (ages 12–18, 19–34, 35–49, and ≥50 years old). The outcomes (dependent variables) were radiographic OA (ROA), symptomatic radiographic OA (SOA), and frequent knee pain.
Results
The fully adjusted odds ratios (95% confidence interval) for frequent knee pain, ROA, and SOA among those who participated in strength training any time in their lives were 0.82 (0.68–0.97), 0.83 (0.70–0.99), and 0.77 (0.63–0.94), respectively. Findings were similar when looking at the specific age ranges.
Conclusion
Strength training is beneficial for future knee health, counteracting long‐held assumptions that strength training has adverse effects. |
doi_str_mv | 10.1002/art.42732 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2880823534</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2880823534</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3532-90448e9e1955d68b66a02365ab28bf5b46240cf9e3d3f8c437d315c710574a903</originalsourceid><addsrcrecordid>eNp1kE1PAjEQhhujEYIc_AOmiRc9AP3Y7m69ERQlkpAoxmPT3Z2FEtjFtmj491YBDyTOZSaZJ8-0L0KXlHQpIaynre9GLOHsBDUZZ3FHMCJODzOVtIHazi1IKJmQmIhz1OBJmhBKZROVr95CNfNzPLXaVKaa4ZHDfefq3GgPBX43YTcG5_BzBYAnzkMdTs6t8cbd4XvtNR7aeoX9_HiLR1Vo2ptPuEBnpV46aO97C70NH6aDp8548jga9MednAvOOpJEUQoSqBSiiNMsjjVhPBY6Y2lWiiyKWUTyUgIveJnmEU8KTkWeUCKSSEvCW-hm513b-mMDzquVcTksl7qCeuMUS1OSsnArCuj1EbqoN7YKr1NMcsaDjfFA3e6o3NbOWSjV2pqVtltFifrJX4Xvqt_8A3u1N26yFRR_5CHtAPR2wJdZwvZ_k-q_THfKb2yajVA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2932390323</pqid></control><display><type>article</type><title>Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Lo, Grace H. ; Richard, Michael J. ; McAlindon, Timothy E. ; Kriska, Andrea M. ; Price, Lori Lyn ; Rockette‐Wagner, Bonny ; Eaton, Charles B. ; Hochberg, Marc C. ; Kwoh, C. Kent ; Nevitt, Michael C. ; Driban, Jeffrey B.</creator><creatorcontrib>Lo, Grace H. ; Richard, Michael J. ; McAlindon, Timothy E. ; Kriska, Andrea M. ; Price, Lori Lyn ; Rockette‐Wagner, Bonny ; Eaton, Charles B. ; Hochberg, Marc C. ; Kwoh, C. Kent ; Nevitt, Michael C. ; Driban, Jeffrey B.</creatorcontrib><description>Objective
We aimed to evaluate the relationship of a history of strength training with symptomatic and structural outcomes of knee osteoarthritis (OA).
Methods
This study was a retrospective, cross‐sectional study within the Osteoarthritis Initiative (OAI), a multicenter prospective longitudinal observational study. Data were collected at four OAI clinical sites: Memorial Hospital of Rhode Island, the Ohio State University, the University of Pittsburgh, and the University of Maryland/Johns Hopkins. The study included 2,607 participants with complete data on strength training, knee pain, and radiographic evidence of knee OA (male, 44.2%; mean ± SD age 64.3 ± 9.0 years; mean ± SD body mass index 28.5 ± 4.9 kg/m2). We used a self‐administered questionnaire at the 96‐month OAI visit to evaluate the exposure of strength training participation during four time periods throughout a participant's lifetime (ages 12–18, 19–34, 35–49, and ≥50 years old). The outcomes (dependent variables) were radiographic OA (ROA), symptomatic radiographic OA (SOA), and frequent knee pain.
Results
The fully adjusted odds ratios (95% confidence interval) for frequent knee pain, ROA, and SOA among those who participated in strength training any time in their lives were 0.82 (0.68–0.97), 0.83 (0.70–0.99), and 0.77 (0.63–0.94), respectively. Findings were similar when looking at the specific age ranges.
Conclusion
Strength training is beneficial for future knee health, counteracting long‐held assumptions that strength training has adverse effects.</description><identifier>ISSN: 2326-5191</identifier><identifier>EISSN: 2326-5205</identifier><identifier>DOI: 10.1002/art.42732</identifier><identifier>PMID: 37870119</identifier><language>eng</language><publisher>Boston, USA: Wiley Periodicals, Inc</publisher><subject>Aged ; Arthritis ; Body mass index ; Body size ; Cross-Sectional Studies ; Dependent variables ; Humans ; Knee ; Knee Joint - diagnostic imaging ; Longitudinal Studies ; Male ; Middle Aged ; Observational studies ; Osteoarthritis ; Osteoarthritis, Knee - diagnostic imaging ; Pain ; Pain - etiology ; Physical training ; Prospective Studies ; Resistance Training ; Retrospective Studies ; Sports training ; Strength training ; Training</subject><ispartof>Arthritis & rheumatology (Hoboken, N.J.), 2024-03, Vol.76 (3), p.377-383</ispartof><rights>2023 American College of Rheumatology</rights><rights>2023 American College of Rheumatology.</rights><rights>2024 American College of Rheumatology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-90448e9e1955d68b66a02365ab28bf5b46240cf9e3d3f8c437d315c710574a903</citedby><cites>FETCH-LOGICAL-c3532-90448e9e1955d68b66a02365ab28bf5b46240cf9e3d3f8c437d315c710574a903</cites><orcidid>0000-0003-3142-1839 ; 0000-0002-4096-917X ; 0000-0002-5031-1021 ; 0000-0003-0664-8978 ; 0000-0001-9617-9989 ; 0000-0002-7723-9461 ; 0000-0002-3522-0869 ; 0000-0001-7705-5593 ; 0000-0001-6098-4273</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fart.42732$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fart.42732$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37870119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lo, Grace H.</creatorcontrib><creatorcontrib>Richard, Michael J.</creatorcontrib><creatorcontrib>McAlindon, Timothy E.</creatorcontrib><creatorcontrib>Kriska, Andrea M.</creatorcontrib><creatorcontrib>Price, Lori Lyn</creatorcontrib><creatorcontrib>Rockette‐Wagner, Bonny</creatorcontrib><creatorcontrib>Eaton, Charles B.</creatorcontrib><creatorcontrib>Hochberg, Marc C.</creatorcontrib><creatorcontrib>Kwoh, C. Kent</creatorcontrib><creatorcontrib>Nevitt, Michael C.</creatorcontrib><creatorcontrib>Driban, Jeffrey B.</creatorcontrib><title>Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative</title><title>Arthritis & rheumatology (Hoboken, N.J.)</title><addtitle>Arthritis Rheumatol</addtitle><description>Objective
We aimed to evaluate the relationship of a history of strength training with symptomatic and structural outcomes of knee osteoarthritis (OA).
Methods
This study was a retrospective, cross‐sectional study within the Osteoarthritis Initiative (OAI), a multicenter prospective longitudinal observational study. Data were collected at four OAI clinical sites: Memorial Hospital of Rhode Island, the Ohio State University, the University of Pittsburgh, and the University of Maryland/Johns Hopkins. The study included 2,607 participants with complete data on strength training, knee pain, and radiographic evidence of knee OA (male, 44.2%; mean ± SD age 64.3 ± 9.0 years; mean ± SD body mass index 28.5 ± 4.9 kg/m2). We used a self‐administered questionnaire at the 96‐month OAI visit to evaluate the exposure of strength training participation during four time periods throughout a participant's lifetime (ages 12–18, 19–34, 35–49, and ≥50 years old). The outcomes (dependent variables) were radiographic OA (ROA), symptomatic radiographic OA (SOA), and frequent knee pain.
Results
The fully adjusted odds ratios (95% confidence interval) for frequent knee pain, ROA, and SOA among those who participated in strength training any time in their lives were 0.82 (0.68–0.97), 0.83 (0.70–0.99), and 0.77 (0.63–0.94), respectively. Findings were similar when looking at the specific age ranges.
Conclusion
Strength training is beneficial for future knee health, counteracting long‐held assumptions that strength training has adverse effects.</description><subject>Aged</subject><subject>Arthritis</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cross-Sectional Studies</subject><subject>Dependent variables</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observational studies</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - diagnostic imaging</subject><subject>Pain</subject><subject>Pain - etiology</subject><subject>Physical training</subject><subject>Prospective Studies</subject><subject>Resistance Training</subject><subject>Retrospective Studies</subject><subject>Sports training</subject><subject>Strength training</subject><subject>Training</subject><issn>2326-5191</issn><issn>2326-5205</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PAjEQhhujEYIc_AOmiRc9AP3Y7m69ERQlkpAoxmPT3Z2FEtjFtmj491YBDyTOZSaZJ8-0L0KXlHQpIaynre9GLOHsBDUZZ3FHMCJODzOVtIHazi1IKJmQmIhz1OBJmhBKZROVr95CNfNzPLXaVKaa4ZHDfefq3GgPBX43YTcG5_BzBYAnzkMdTs6t8cbd4XvtNR7aeoX9_HiLR1Vo2ptPuEBnpV46aO97C70NH6aDp8548jga9MednAvOOpJEUQoSqBSiiNMsjjVhPBY6Y2lWiiyKWUTyUgIveJnmEU8KTkWeUCKSSEvCW-hm513b-mMDzquVcTksl7qCeuMUS1OSsnArCuj1EbqoN7YKr1NMcsaDjfFA3e6o3NbOWSjV2pqVtltFifrJX4Xvqt_8A3u1N26yFRR_5CHtAPR2wJdZwvZ_k-q_THfKb2yajVA</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Lo, Grace H.</creator><creator>Richard, Michael J.</creator><creator>McAlindon, Timothy E.</creator><creator>Kriska, Andrea M.</creator><creator>Price, Lori Lyn</creator><creator>Rockette‐Wagner, Bonny</creator><creator>Eaton, Charles B.</creator><creator>Hochberg, Marc C.</creator><creator>Kwoh, C. Kent</creator><creator>Nevitt, Michael C.</creator><creator>Driban, Jeffrey B.</creator><general>Wiley Periodicals, Inc</general><general>Wiley Subscription Services, Inc</general><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>7QL</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3142-1839</orcidid><orcidid>https://orcid.org/0000-0002-4096-917X</orcidid><orcidid>https://orcid.org/0000-0002-5031-1021</orcidid><orcidid>https://orcid.org/0000-0003-0664-8978</orcidid><orcidid>https://orcid.org/0000-0001-9617-9989</orcidid><orcidid>https://orcid.org/0000-0002-7723-9461</orcidid><orcidid>https://orcid.org/0000-0002-3522-0869</orcidid><orcidid>https://orcid.org/0000-0001-7705-5593</orcidid><orcidid>https://orcid.org/0000-0001-6098-4273</orcidid></search><sort><creationdate>202403</creationdate><title>Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative</title><author>Lo, Grace H. ; Richard, Michael J. ; McAlindon, Timothy E. ; Kriska, Andrea M. ; Price, Lori Lyn ; Rockette‐Wagner, Bonny ; Eaton, Charles B. ; Hochberg, Marc C. ; Kwoh, C. Kent ; Nevitt, Michael C. ; Driban, Jeffrey B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-90448e9e1955d68b66a02365ab28bf5b46240cf9e3d3f8c437d315c710574a903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Arthritis</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Cross-Sectional Studies</topic><topic>Dependent variables</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observational studies</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - diagnostic imaging</topic><topic>Pain</topic><topic>Pain - etiology</topic><topic>Physical training</topic><topic>Prospective Studies</topic><topic>Resistance Training</topic><topic>Retrospective Studies</topic><topic>Sports training</topic><topic>Strength training</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lo, Grace H.</creatorcontrib><creatorcontrib>Richard, Michael J.</creatorcontrib><creatorcontrib>McAlindon, Timothy E.</creatorcontrib><creatorcontrib>Kriska, Andrea M.</creatorcontrib><creatorcontrib>Price, Lori Lyn</creatorcontrib><creatorcontrib>Rockette‐Wagner, Bonny</creatorcontrib><creatorcontrib>Eaton, Charles B.</creatorcontrib><creatorcontrib>Hochberg, Marc C.</creatorcontrib><creatorcontrib>Kwoh, C. Kent</creatorcontrib><creatorcontrib>Nevitt, Michael C.</creatorcontrib><creatorcontrib>Driban, Jeffrey B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis & rheumatology (Hoboken, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lo, Grace H.</au><au>Richard, Michael J.</au><au>McAlindon, Timothy E.</au><au>Kriska, Andrea M.</au><au>Price, Lori Lyn</au><au>Rockette‐Wagner, Bonny</au><au>Eaton, Charles B.</au><au>Hochberg, Marc C.</au><au>Kwoh, C. Kent</au><au>Nevitt, Michael C.</au><au>Driban, Jeffrey B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative</atitle><jtitle>Arthritis & rheumatology (Hoboken, N.J.)</jtitle><addtitle>Arthritis Rheumatol</addtitle><date>2024-03</date><risdate>2024</risdate><volume>76</volume><issue>3</issue><spage>377</spage><epage>383</epage><pages>377-383</pages><issn>2326-5191</issn><eissn>2326-5205</eissn><abstract>Objective
We aimed to evaluate the relationship of a history of strength training with symptomatic and structural outcomes of knee osteoarthritis (OA).
Methods
This study was a retrospective, cross‐sectional study within the Osteoarthritis Initiative (OAI), a multicenter prospective longitudinal observational study. Data were collected at four OAI clinical sites: Memorial Hospital of Rhode Island, the Ohio State University, the University of Pittsburgh, and the University of Maryland/Johns Hopkins. The study included 2,607 participants with complete data on strength training, knee pain, and radiographic evidence of knee OA (male, 44.2%; mean ± SD age 64.3 ± 9.0 years; mean ± SD body mass index 28.5 ± 4.9 kg/m2). We used a self‐administered questionnaire at the 96‐month OAI visit to evaluate the exposure of strength training participation during four time periods throughout a participant's lifetime (ages 12–18, 19–34, 35–49, and ≥50 years old). The outcomes (dependent variables) were radiographic OA (ROA), symptomatic radiographic OA (SOA), and frequent knee pain.
Results
The fully adjusted odds ratios (95% confidence interval) for frequent knee pain, ROA, and SOA among those who participated in strength training any time in their lives were 0.82 (0.68–0.97), 0.83 (0.70–0.99), and 0.77 (0.63–0.94), respectively. Findings were similar when looking at the specific age ranges.
Conclusion
Strength training is beneficial for future knee health, counteracting long‐held assumptions that strength training has adverse effects.</abstract><cop>Boston, USA</cop><pub>Wiley Periodicals, Inc</pub><pmid>37870119</pmid><doi>10.1002/art.42732</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3142-1839</orcidid><orcidid>https://orcid.org/0000-0002-4096-917X</orcidid><orcidid>https://orcid.org/0000-0002-5031-1021</orcidid><orcidid>https://orcid.org/0000-0003-0664-8978</orcidid><orcidid>https://orcid.org/0000-0001-9617-9989</orcidid><orcidid>https://orcid.org/0000-0002-7723-9461</orcidid><orcidid>https://orcid.org/0000-0002-3522-0869</orcidid><orcidid>https://orcid.org/0000-0001-7705-5593</orcidid><orcidid>https://orcid.org/0000-0001-6098-4273</orcidid></addata></record> |
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subjects | Aged Arthritis Body mass index Body size Cross-Sectional Studies Dependent variables Humans Knee Knee Joint - diagnostic imaging Longitudinal Studies Male Middle Aged Observational studies Osteoarthritis Osteoarthritis, Knee - diagnostic imaging Pain Pain - etiology Physical training Prospective Studies Resistance Training Retrospective Studies Sports training Strength training Training |
title | Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative |
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