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Gardening/yardwork in people with knee osteoarthritis is not associated with symptom or structural progression over 48 months: data from the Osteoarthritis Initiative.
- Source :
-
Clinical Rheumatology . Apr2024, p1-8. - Publication Year :
- 2024
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Abstract
- Objective: To evaluate the relationship of gardening/yardwork with symptomatic and structural progression in those with pre-existing radiographic knee osteoarthritis (OA) in the Osteoarthritis Initiative (OAI), an observational study designed to evaluate potential and known biomarkers and risk factors of knee OA.We conducted a cohort study nested within the OAI, including participants ≥ 50 years old with radiographic OA in at least one knee at the time of OAI enrollment. A participant reported the level of gardening/yardwork activity in a self-administered survey. Logistic regression analyses were used to evaluate the association of gardening/yardwork on new frequent knee pain, Kellgren-Lawrence (KL) worsening, medial joint space narrowing (JSN) worsening, and improved frequent knee pain.Of 1808 knees (1203 participants), over 60% of knees had KL grade = 2, 65% had medial JSN, and slightly more than a third had frequent knee symptoms. Gardeners/yardworkers and non-gardners/yardworkers had similar “worsening” outcomes for new knee pain (29% vs. 29%), KL worsening (19% vs. 18%), and medial JSN (23% vs. 24%). The adjusted odds ratio (OR) for the “worsening” outcomes of new knee pain, KL worsening, and medial JSN worsening were 1.0 (0.7–1.3), 1.0 (0.8–1.3), and 1.1 (0.9–1.4), respectively. The gardeners/yardworkers had an adjusted OR of 1.2 (0.9–1.7) for improved knee pain compared with non-gardners/yardworkers.Gardening/yardwork is not associated with knee OA progression and should not be discouraged in those with knee OA.<bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic><bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic>Methods: To evaluate the relationship of gardening/yardwork with symptomatic and structural progression in those with pre-existing radiographic knee osteoarthritis (OA) in the Osteoarthritis Initiative (OAI), an observational study designed to evaluate potential and known biomarkers and risk factors of knee OA.We conducted a cohort study nested within the OAI, including participants ≥ 50 years old with radiographic OA in at least one knee at the time of OAI enrollment. A participant reported the level of gardening/yardwork activity in a self-administered survey. Logistic regression analyses were used to evaluate the association of gardening/yardwork on new frequent knee pain, Kellgren-Lawrence (KL) worsening, medial joint space narrowing (JSN) worsening, and improved frequent knee pain.Of 1808 knees (1203 participants), over 60% of knees had KL grade = 2, 65% had medial JSN, and slightly more than a third had frequent knee symptoms. Gardeners/yardworkers and non-gardners/yardworkers had similar “worsening” outcomes for new knee pain (29% vs. 29%), KL worsening (19% vs. 18%), and medial JSN (23% vs. 24%). The adjusted odds ratio (OR) for the “worsening” outcomes of new knee pain, KL worsening, and medial JSN worsening were 1.0 (0.7–1.3), 1.0 (0.8–1.3), and 1.1 (0.9–1.4), respectively. The gardeners/yardworkers had an adjusted OR of 1.2 (0.9–1.7) for improved knee pain compared with non-gardners/yardworkers.Gardening/yardwork is not associated with knee OA progression and should not be discouraged in those with knee OA.<bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic><bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic>Results: To evaluate the relationship of gardening/yardwork with symptomatic and structural progression in those with pre-existing radiographic knee osteoarthritis (OA) in the Osteoarthritis Initiative (OAI), an observational study designed to evaluate potential and known biomarkers and risk factors of knee OA.We conducted a cohort study nested within the OAI, including participants ≥ 50 years old with radiographic OA in at least one knee at the time of OAI enrollment. A participant reported the level of gardening/yardwork activity in a self-administered survey. Logistic regression analyses were used to evaluate the association of gardening/yardwork on new frequent knee pain, Kellgren-Lawrence (KL) worsening, medial joint space narrowing (JSN) worsening, and improved frequent knee pain.Of 1808 knees (1203 participants), over 60% of knees had KL grade = 2, 65% had medial JSN, and slightly more than a third had frequent knee symptoms. Gardeners/yardworkers and non-gardners/yardworkers had similar “worsening” outcomes for new knee pain (29% vs. 29%), KL worsening (19% vs. 18%), and medial JSN (23% vs. 24%). The adjusted odds ratio (OR) for the “worsening” outcomes of new knee pain, KL worsening, and medial JSN worsening were 1.0 (0.7–1.3), 1.0 (0.8–1.3), and 1.1 (0.9–1.4), respectively. The gardeners/yardworkers had an adjusted OR of 1.2 (0.9–1.7) for improved knee pain compared with non-gardners/yardworkers.Gardening/yardwork is not associated with knee OA progression and should not be discouraged in those with knee OA.<bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic><bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic>Conclusion: To evaluate the relationship of gardening/yardwork with symptomatic and structural progression in those with pre-existing radiographic knee osteoarthritis (OA) in the Osteoarthritis Initiative (OAI), an observational study designed to evaluate potential and known biomarkers and risk factors of knee OA.We conducted a cohort study nested within the OAI, including participants ≥ 50 years old with radiographic OA in at least one knee at the time of OAI enrollment. A participant reported the level of gardening/yardwork activity in a self-administered survey. Logistic regression analyses were used to evaluate the association of gardening/yardwork on new frequent knee pain, Kellgren-Lawrence (KL) worsening, medial joint space narrowing (JSN) worsening, and improved frequent knee pain.Of 1808 knees (1203 participants), over 60% of knees had KL grade = 2, 65% had medial JSN, and slightly more than a third had frequent knee symptoms. Gardeners/yardworkers and non-gardners/yardworkers had similar “worsening” outcomes for new knee pain (29% vs. 29%), KL worsening (19% vs. 18%), and medial JSN (23% vs. 24%). The adjusted odds ratio (OR) for the “worsening” outcomes of new knee pain, KL worsening, and medial JSN worsening were 1.0 (0.7–1.3), 1.0 (0.8–1.3), and 1.1 (0.9–1.4), respectively. The gardeners/yardworkers had an adjusted OR of 1.2 (0.9–1.7) for improved knee pain compared with non-gardners/yardworkers.Gardening/yardwork is not associated with knee OA progression and should not be discouraged in those with knee OA.<bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic><bold>Key Points</bold>• <italic>Gardening/yardwork is not associated with knee OA symptomatic or structural progression.</italic>• <italic>Gardening/yardwork should not be discouraged in people with knee OA.</italic> [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 07703198
- Database :
- Academic Search Index
- Journal :
- Clinical Rheumatology
- Publication Type :
- Academic Journal
- Accession number :
- 176351803
- Full Text :
- https://doi.org/10.1007/s10067-024-06912-9