Association of Low Birth Weight and Preterm Birth With the Incidence of Knee and Hip Arthroplasty for Osteoarthritis

被引:31
作者
Hussain, Sultana Monira [1 ,2 ]
Wang, Yuanyuan [1 ,2 ]
Wluka, Anita [1 ,2 ]
Shaw, Jonathan E. [3 ]
Magliano, Dianna J. [3 ]
Graves, Stephen [4 ,5 ]
Cicuttini, Flavia M. [1 ,2 ]
机构
[1] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic 3004, Australia
[2] Monash Univ, Alfred Hosp, Melbourne, Vic 3181, Australia
[3] Baker IDI Heart & Diabet Inst, Melbourne, Vic, Australia
[4] Repatriat Gen Hosp, Daw Pk, Australia
[5] Univ Adelaide, Sch Populat Hlth & Clin Practice, Australian Orthopaed Assoc Natl Joint Replacement, Adelaide, SA 5005, Australia
基金
英国医学研究理事会;
关键词
ACETABULAR DYSPLASIA; METABOLIC SYNDROME; GESTATIONAL-AGE; BONE-RESORPTION; LIFE-STYLE; OBESITY; WOMEN; RISK; MASS; REPLACEMENT;
D O I
10.1002/acr.22475
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
ObjectiveLow birth weight (LBW) and preterm birth have been associated with adverse adult outcomes, including hypertension, insulin resistance, cardiovascular disease, and reduced bone mass. It is unknown whether LBW and preterm birth affect the risk of osteoarthritis (OA). This study aims to examine whether LBW and preterm birth were associated with the incidence of knee and hip arthroplasty for OA. MethodsA total of 3,604 participants of the Australian Diabetes, Obesity and Lifestyle Study who reported their birth weight and history of preterm birth and were age >40 years at the commencement of arthroplasty data collection comprised the study sample. The incidence of knee and hip replacement for OA during 2002-2011 was determined by linking cohort records to the Australian Orthopaedic Association National Joint Replacement Registry. ResultsOne hundred and sixteen participants underwent knee arthroplasty and 75 underwent hip arthroplasty for OA. LBW (yes versus no; hazard ratio [HR] 2.04, 95% confidence interval [95% CI] 1.11-3.75, P = 0.02) and preterm birth (yes versus no; HR 2.50, 95% CI 1.29-4.87, P = 0.007) were associated with increased incidence of hip arthroplasty independent of age, sex, body mass index, education level, hypertension, diabetes mellitus, smoking, and physical activity. No significant association was observed for knee arthroplasty. ConclusionAlthough these findings will need to be confirmed, they suggest that individuals born with LBW or at preterm are at increased risk of hip arthroplasty for OA in adult life. The underlying mechanisms warrant further investigation.
引用
收藏
页码:502 / 508
页数:7
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