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Published on: May 6, 2020
Epidemiology of risk factors for osteoarthritis: systemic factors
1Department of Epidemiology, University of Michigan, Ann Arbor, Michigan 48109-2029, USA. mfsowers@umich.edu
Abstract:
Osteoarthritis (OA) appears to be a mechanically driven but chemically mediated disease process in which there is attempted (or aberrant) repair. Well established risk factors for OA include aging, obesity, gender, and, in selected subgroups, congenital anomalies. This review addresses less well established risk factors for OA that can impact joints through their effect on systemic metabolism rather than their contribution to local joint geometry and structure. These systemic risk factors include obesity; bone and bone density; nutrients, particularly those that function as antioxidants; and genetic factors. There is great opportunity for new prevention and intervention strategies as we expand our understanding of the role of these systemic risk factors.
Insights
Osteoarthritis (OA) is influenced by systemic factors beyond joint mechanics. Understanding these, including metabolism and nutrients, offers new prevention and intervention strategies for this common joint disease.
Area of Science:
- Rheumatology
- Metabolic Medicine
- Orthopedics
Background:
- Osteoarthritis (OA) is a mechanically driven, chemically mediated disease with attempted repair.
- Established OA risk factors include aging, obesity, gender, and congenital anomalies.
Purpose of the Study:
- To review less established OA risk factors impacting joints via systemic metabolism.
- To explore the role of systemic factors beyond local joint geometry.
Main Methods:
- Literature review focusing on systemic metabolic influences on osteoarthritis.
- Analysis of risk factors including obesity, bone density, nutrients, and genetics.
Main Results:
- Obesity, bone density, antioxidant nutrients, and genetic factors are identified as key systemic risk factors.
- These factors influence OA through systemic metabolism, not solely local joint structure.
Conclusions:
- Systemic factors play a significant role in osteoarthritis development and progression.
- Further understanding of these metabolic influences can lead to novel prevention and intervention strategies for OA.
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