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Association between cumulative joint loading from occupational activities and knee osteoarthritis
Allison M Ezzat1, Jolanda Cibere, Mieke Koehoorn
1School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
High cumulative occupational physical load (COPL) is linked to increased knee osteoarthritis (OA) risk. Dose-response relationships were observed for symptomatic OA and MRI-defined OA, highlighting the impact of physical work on knee health.
Area of Science:
- Occupational health
- Rheumatology
- Biomedical engineering
Background:
- Knee osteoarthritis (OA) is a significant cause of disability.
- Occupational physical load is a potential risk factor for knee OA.
- Understanding the relationship between physical work and knee OA is crucial for prevention strategies.
Purpose of the Study:
- To investigate the association between cumulative occupational physical load (COPL) and knee osteoarthritis (OA).
- To examine this association across three different definitions of knee OA: radiographic OA (ROA), symptomatic OA (SOA), and MRI-defined OA.
Main Methods:
- Cross-sectional analysis of two population-based cohorts (n=327).
- Self-reported COPL was calculated and categorized into quarters.
- Knee OA was defined using Kellgren/Lawrence grades for ROA and SOA, and MRI criteria for MRI-OA.
- Logistic regression models adjusted for population weights were used to assess associations.
Main Results:
- Higher quartiles of COPL were associated with increased odds of ROA.
- Significant dose-response relationships were found between higher COPL quartiles and increased odds of SOA and MRI-OA.
- For example, the highest COPL quartile (QCOPL-4) showed substantially elevated odds ratios for SOA and MRI-OA compared to the lowest quartile (QCOPL-1).
Conclusions:
- Occupational physical activity is significantly associated with knee OA.
- A clear dose-response relationship exists between cumulative occupational physical load and symptomatic and MRI-defined knee OA.
- These findings underscore the importance of considering occupational factors in the etiology and prevention of knee OA.
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