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      Epidemiology of Osteoarthritis: Literature Update

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          Abstract

          Purpose of review

          The purpose of this review is to highlight recent studies of osteoarthritis epidemiology, including research on prevalence, disease impact, and potential risk factors.

          Recent findings

          Osteoarthritis (OA) is highly prevalent in the US and around the globe. It is a leading cause of disability and can negatively impact people’s physical and mental well-being. Healthcare resources and costs associated with managing the disease can be substantial. There is increasing evidence that there are different OA phenotypes that reflect different mechanisms of the disease. Various person-level risk factors are recognized, including sociodemographic characteristics (e.g., female gender, African-American race), genetic predispositions, obesity, diet-related factors, and high bone density/mass. Joint-level risk factors include specific bone/joint shapes, thigh flexor muscle weakness, joint malalignment, participation in certain occupational/sports activities, and joint injury. Recent studies have enhanced our understanding of pre-radiographic lesions associated with OA.

          Summary

          Application of these new findings may allow us to develop innovative strategies and novel therapies with the purpose of preventing new disease onset and minimizing disease progression.

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          Most cited references78

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          The epidemiology of osteoarthritis.

          Osteoarthritis (OA) is a leading cause of disability and its incidence is rising due to increasing obesity and an ageing population. Risk factors can be divided into person-level factors, such as age, sex, obesity, genetics, race/ethnicity and diet, and joint-level factors including injury, malalignment and abnormal loading of the joints. The interaction of these risk factors is complex and provides a challenge to the managing physician. The purpose of this review is to illustrate how each of these factors interact together to instigate incident OA as well as to outline the need for ongoing epidemiologic studies for the future prevention of both incident and progressive OA. It is only by understanding the impact of this disease and the modifiable risk factors that we will be able to truly target public health prevention interventions appropriately.
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            Number of Persons With Symptomatic Knee Osteoarthritis in the US: Impact of Race and Ethnicity, Age, Sex, and Obesity.

            The prevalence of symptomatic knee osteoarthritis (OA) has been increasing over the past several decades in the US, concurrent with an aging population and the growing obesity epidemic. We quantify the impact of these factors on the number of persons with symptomatic knee OA in the early decades of the 21st century.
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              Association Between Overweight and Obesity and Risk of Clinically Diagnosed Knee, Hip, and Hand Osteoarthritis: A Population-Based Cohort Study.

              Studies of previous cohorts have demonstrated an association between a status of overweight/obesity and the presence of knee and hand osteoarthritis (OA). However, no data on the effect of these factors on the OA burden are available. The aim of the present study was to analyze the effect of being overweight or obese on the incidence of routinely diagnosed knee, hip, and hand OA.
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                Author and article information

                Journal
                9000851
                1774
                Curr Opin Rheumatol
                Curr Opin Rheumatol
                Current opinion in rheumatology
                1040-8711
                1531-6963
                14 February 2018
                March 2018
                01 March 2019
                : 30
                : 2
                : 160-167
                Affiliations
                [a ]Division of Rheumatology, Department of Medicine, University of Arizona, Tucson, Arizona, USA
                [b ]Arthritis Center, University of Arizona, Tucson, Arizona, USA
                Author notes
                Correspondence to: Ernest R. Vina, MD, MS, University of Arizona Arthritis Center, 1501 N. Campbell Ave., PO Box 245093, Tucson, AZ 85724-5093, USA. Tel.#: (520) 626-4206. Fax #: (520) 626-2587. evina@ 123456email.arizona.edu
                Article
                PMC5832048 PMC5832048 5832048 nihpa940925
                10.1097/BOR.0000000000000479
                5832048
                29227353
                58718ce8-4b1a-4fb2-82bd-c8b9f6a85150
                History
                Categories
                Article

                osteoarthritis,impact,risk factors,epidemiology,phenotypes
                osteoarthritis, impact, risk factors, epidemiology, phenotypes

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