Quadriceps muscle strength, radiographic knee osteoarthritis and knee pain: the ROAD study

被引:82
作者
Muraki, Shigeyuki [1 ]
Akune, Toru [2 ]
Teraguchi, Masatoshi [3 ]
Kagotani, Ryohei [3 ]
Asai, Yoshiki [3 ]
Yoshida, Munehito [3 ]
Tokimura, Fumiaki [4 ]
Tanaka, Sakae [5 ]
Oka, Hiroyuki [6 ]
Kawaguchi, Hiroshi [7 ]
Nakamura, Kozo [2 ]
Yoshimura, Noriko [8 ]
机构
[1] Univ Tokyo, Fac Med, 22nd Century Med & Res Ctr, Dept Clin Motor Syst Med,Bunkyo Ku, Tokyo 1138655, Japan
[2] Natl Rehabil Ctr Persons Disabil, Saitama, Japan
[3] Wakayama Med Univ, Dept Orthopaed Surg, Wakayama, Japan
[4] Tokyo Geriatr Med Ctr, Dept Orthopaed Surg, Tokyo, Japan
[5] Univ Tokyo, Fac Med, Dept Orthopaed Surg, Tokyo 113, Japan
[6] Univ Tokyo, Fac Med, 22nd Century Med & Res Ctr, Dept Med Res & Management Musculoskeletal Pain, Tokyo 1138655, Japan
[7] Japan Community Hlth Care Org, Dept Orthopaed Surg, Tokyo Shinjuku Med Ctr, Tokyo, Japan
[8] Univ Tokyo, Fac Med, 22nd Century Med & Res Ctr, Dept Joint Dis Res, Tokyo 1138655, Japan
关键词
Cohort study; Epidemiology; Osteoarthritis; Pain; Muscle; BIOELECTRICAL-IMPEDANCE ANALYSIS; DWELLING ELDERLY SUBJECTS; GRIP STRENGTH; SKELETAL-MUSCLE; ASSOCIATION; MASS; HEALTH; COHORT; JAPAN; DISABILITY;
D O I
10.1186/s12891-015-0737-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The objective of this study was to clarify the association of quadriceps muscle strength with knee pain using a large-scale, population-based cohort of the Research on Osteoarthritis/osteoporosis Against Disability (ROAD) study. Methods: From the 2566 subjects at the third visit of the ROAD study, the present study analyzed 2152 subjects who completed radiographic examinations and measurements of muscle strength and mass (690 men and 1462 women; mean age, 71.6 +/- 12.2 years). Knee pain was assessed by an experienced orthopedist. Knee osteoarthritis (OA) was defined according to Kellgren-Lawrence (KL) grade. Quadriceps muscle strength and muscle mass at the lower limbs were measured by the Quadriceps Training Machine (QTM-05F, Alcare Co., Ltd. Tokyo, Japan) and the Body Composition Analyzer MC-190 (Tanita Corp., Tokyo, Japan), respectively. Results: Quadriceps muscle strength and weight bearing index (WBI: quadriceps muscle strength by weight) were significantly associated with knee pain after adjustment for age and body mass index, whereas grip strength and muscle mass at the lower limbs were not. The significant association of quadriceps muscle strength with knee pain was independent of radiographic knee OA. Conclusion: The present cross-sectional study showed an independent association of quadriceps muscle strength with knee pain.
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页数:10
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