Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative

IF 11.4 1区医学 Q1 RHEUMATOLOGY

Arthritis & Rheumatology Pub Date : 2023-10-23 DOI:10.1002/art.42732

Grace H. Lo, Michael J. Richard, Timothy E. McAlindon, Andrea M. Kriska, Lori Lyn Price, Bonny Rockette-Wagner, Charles B. Eaton, Marc C. Hochberg, C. Kent Kwoh, Michael C. Nevitt, Jeffrey B. Driban

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引用次数: 0

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.

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力量训练与少膝骨关节炎的相关性：来自骨关节炎倡议的数据。

目的：评估力量训练史与膝骨关节炎（OA）症状和结构结果的关系。方法：本研究是骨关节炎倡议（OAI）的一项回顾性横断面研究，这是一项多中心前瞻性纵向观察研究。数据在四个OAI临床地点收集：罗德岛纪念医院、俄亥俄州立大学、匹兹堡大学和马里兰大学/约翰斯·霍普金斯大学。2607名参与者具有完整的力量训练、膝盖疼痛和膝关节骨性关节炎影像学证据（男性=44.2%；年龄=64.3±9.0 年；体重指数=28.5±4.9kg/m2）。在为期96个月的OAI访视中，我们使用了一份自填问卷来评估参与者一生中四个时间段（12-18岁、19-34岁、35-49岁和>50岁）参与力量训练的情况岁）。结果（因变量）为放射学OA（ROA）、症状性放射学OA（SOA）和频繁的膝关节疼痛。结果：在一生中任何时候参加力量训练的人中，频繁膝关节疼痛、ROA和SOA的完全调整优势比（95%置信区间）分别为0.82（0.68-0.97）、0.83（0.70-0.99）和0.77（0.63-0.94）。从具体的年龄范围来看，结果是相似的。结论：力量训练有利于未来的膝盖健康，抵消了长期以来关于力量训练有不良影响的假设。这篇文章受版权保护。保留所有权利。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthritis & Rheumatology RHEUMATOLOGY-

CiteScore

20.90

自引率

3.00%

发文量

371

期刊介绍： Arthritis & Rheumatology is the official journal of the American College of Rheumatology and focuses on the natural history, pathophysiology, treatment, and outcome of rheumatic diseases. It is a peer-reviewed publication that aims to provide the highest quality basic and clinical research in this field. The journal covers a wide range of investigative areas and also includes review articles, editorials, and educational material for researchers and clinicians. Being recognized as a leading research journal in rheumatology, Arthritis & Rheumatology serves the global community of rheumatology investigators and clinicians.