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Introduction Les recommandations sur la prise en charge de la gonarthrose et de la coxarthrose insistent sur l’utilite des mesures non pharmacologiques, mais ne sont pas graduees selon l’âge et l’etat du patient. Nous presentons une revue extensive des etudes concernant l’exercice physique et la perte de poids dans la coxarthrose et la gonarthrose du sujet âge.

The identification of clinical phenotypes in patients with osteoarthritis could help define different homogeneous groups of patients. Current and future treatments, which can be curative or preventive, could thus be tailored to each sub-groups. Clinical variables to consider are discussed in this article. Osteoarthritis is a severe disease. Associated with numerous comorbidities, it causes a disability that has a significant impact on cardiovascular risk and mortality.