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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Veröffentlicht in:Arthritis & rheumatology (Hoboken, N.J.) N.J.), 2024-03, Vol.76 (3), p.377-383
Hauptverfasser: 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.
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container_issue 3
container_start_page 377
container_title Arthritis & rheumatology (Hoboken, N.J.)
container_volume 76
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
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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 &amp; 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 &amp; 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. 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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 &amp; 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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