Abstract
Background and aims
We investigated body composition in knee osteoarthritis (OA) patients and evaluated its relationship with clinical parameters and radiographic severity.
Methods
Sixty-four patients with knee OA (52 females and 12 males with a mean age of 57.7 ± 8.6 years) and thirty healthy volunteers (20 females and 10 males with a mean age of 56.3 ± 9.5 years) were evaluated. Controls were selected among similar to demographic and hematologic characteristics of patients. Body compositions were assessed via bioelectrical impedance analysis (BIA). Each patient was clinically evaluated by the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). In addition, radiographic severity was classified according to Kellgren–Lawrence’s criteria.
Results
Phase angle, body capacitance, resistance, reactance, lean body mass, and intracellular water values of the patients with knee OA were found to be significantly lower than those of the controls (p < 0.05). Furthermore, fat mass and extracellular water levels were significantly higher in the patients compared to the controls (p < 0.05). Lean body mass was inversely correlated with WOMAC score (r = −0.716, p < 0.001), whereas fat mass was moderately correlated with WOMAC score (r = 0.281, p < 0.05) in bivariate analysis. However, with respect to the body composition, there was no significant difference between early grades and late grades in the knee OA with patients (p > 0.05).
Conclusion
Body composition assessed using BIA might be associated with knee OA, and be a noninvasive tool for diagnosis of knee OA. However, body composition may not be predictive of the progression of knee OA.
Similar content being viewed by others
References
Suri P, Morgenroth DC, Hunter DJ (2012) Epidemiology of osteoarthritis and associated comorbidities. PMR 4(5 Suppl):S10–S19. doi:10.1016/j.pmrj.2012.01.007
Pottie P, Presle N, Terlain B, Netter P, Mainard D, Berenbaum F (2006) Obesity and osteoarthritis: more complex than predicted! Ann Rheum Dis 65:1403–1405
Masuko K, Murata M, Suematsu N, Okamoto K, Yudoh K, Nakamura H, Kato T (2009) A metabolic aspect of osteoarthritis: lipid as a possible contributor to the pathogenesis of cartilage degradation. Clin Exp Rheumatol 27:347–353
Christensen R, Astrup A, Bliddal H (2005) Weight loss: the treatment of choice for knee osteoarthritis? A randomized trial. Osteoarthritis Cartilage 13:20–27
Holliday KL, McWilliams DF, Maciewicz RA, Muir KR, Zhang W, Doherty M (2011) Lifetime body mass index, other anthropometric measures of obesity and risk of knee or hip osteoarthritis in the GOAL case-control study. Osteoarthritis Cartilage 19:37–43
Blagojevic M, Jinks C, Jeffery A, Jordan KP (2010) Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage 18:24–33
Sandmark H, Hogstedt C, Lewold S, Vingård E (1999) Osteoarthrosis of the knee in men and women in association with overweight, smoking, and hormone therapy. Ann Rheum Dis 58:151–155
Wang Y, Simpson JA, Wluka AE, Teichtahl AJ, English DR, Giles GG et al (2009) Relationship between body adiposity measures and risk of primary knee and hip replacement for osteoarthritis: a prospective cohort study. Arthritis Res Ther 11:R31. doi:10.1186/ar2636
Sowers MF, Yosef M, Jamadar D, Jacobson J, Karvonen-Gutierrez C, Jaffe M (2008) BMI vs. body composition and radiographically defined osteoarthritis of the knee in women: a 4-year follow-up study. Osteoarthritis Cartilage 16:367–372
Jiang L, Tian W, Wang Y, Rong J, Bao C, Liu Y et al (2012) Body mass index and susceptibility to knee osteoarthritis: a systematic review and meta-analysis. Joint Bone Spine 79:291–297
Roubenoff R (1996) Applications of bioelectrical impedance analysis for body composition to epidemiologic studies. Am J Clin Nutr 64(3 Suppl):459S–462S
Berry PA, Wluka AE, Davies-Tuck ML, Wang Y, Strauss BJ, Dixon JB et al (2010) The relationship between body composition and structural changes at the knee. Rheumatology (Oxford) 49:2362–2369
Sowers MR, Karvonen-Gutierrez CA (2010) The evolving role of obesity in knee osteoarthritis. Curr Opin Rheumatol 22:533–537
Kyle UG, Schutz Y, Dupertuis YM, Pichard C (2003) Body composition interpretation. Contributions of the fat-free mass index and the body fat mass index. Nutrition 19:597–604
Guida B, Laccetti R, Gerardi C, Trio R, Perrino NR, Strazzullo P et al (2007) Bioelectrical impedance analysis and age-related differences of body composition in the elderly. Nutr Metab Cardiovasc Dis 17(3):175–180
Hemmingsson E, Uddén J, Neovius M (2009) No apparent progress in bioelectrical impedance accuracy: validation against metabolic risk and DXA. Obesity (Silver Spring) 17:183–187
Sert C, Altindag O, Dasdag S, Akdag MZ (2008) Bioelectrical impedance analyses of patients with postmenopausal osteoporosis. J Back Musculoskelet Rehabil 21:29–33
Kahraman A, Hilsenbeck J, Nyga M, Ertle J, Wree A, Plauth M et al (2010) Bioelectrical impedance analysis in clinical practice: implications for hepatitis C therapy BIA and hepatitis C. Virol J 7:191. doi:10.1186/1743-422X-7-191
Altay MA, Ertürk C, Sert C, Oncel F, Işikan UE (2012) Bioelectrical impedance analysis of basal metabolic rate and body composition of patients with femoral neck fractures versus controls. Eklem Hastalik Cerrahisi 23:77–81
Cicuttini FM, Teichtahl AJ, Wluka AE, Davis S, Strauss BJ, Ebeling PR (2005) The relationship between body composition and knee cartilage volume in healthy, middle-aged subjects. Arthritis Rheum 52:461–467
Wang Y, Wluka AE, English DR, Teichtahl AJ, Giles GG, O’Sullivan R et al (2007) Body composition and knee cartilage properties in healthy, community-based adults. Ann Rheum Dis 66:1244–1248
Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K et al (1986) Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 29:1039–1049
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840
Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthrosis. Ann Rheum Dis 16:494–502
Sert C, Altindağ O, Sirmatel F (2009) Determination of basal metabolic rate and body composition with bioelectrical impedance method in children with cerebral palsy. J Child Neurol 24:237–240
Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Gómez JM et al (2004) Bioelectrical impedance analysis–part I: review of principles and methods. Clin Nutr 23(5):1226–1243
Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Manuel Gómez J et al (2004) Bioelectrical impedance analysis-part II: utilization in clinical practice. Clin Nutr 23:1430–1453
Ertürk C, Altay MA, Selek S, Koçyiğit A (2012) Paraoxonase-1 activity and oxidative status in patients with knee osteoarthritis and their relationship with radiological and clinical parameters. Scand J Clin Lab Invest 72:433–439
Hügle T, Geurts J, Nüesch C, Müller-Gerbl M, Valderrabano V (2012) Aging and osteoarthritis: an inevitable encounter? J Aging Res 2012:950192. doi:10.1155/2012/950192
Segal NA, Glass NA (2011) Is quadriceps muscle weakness a risk factor for incident or progressive knee osteoarthritis? Phys Sportsmed 39:44–50
Lewek MD, Rudolph KS, Snyder-Mackler L (2004) Quadriceps femoris muscle weakness and activation failure in patients with symptomatic knee osteoarthritis. J Orthop Res 22:110–115
Baker KR, Xu L, Zhang Y, Nevitt M, Niu J, Aliabadi P et al (2004) Quadriceps weakness and its relationship to tibiofemoral and patellofemoral knee osteoarthritis in Chinese: the Beijing osteoarthritis study. Arthritis Rheum 50:1815–1821
Thorstensson CA, Petersson IF, Jacobsson LT, Boegård TL, Roos EM (2004) Reduced functional performance in the lower extremity predicted radiographic knee osteoarthritis five years later. Ann Rheum Dis 63:402–407
Bedson J, Croft PR (2008) The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature. BMC Musculoskelet Disord 2(9):116. doi:10.1186/1471-2474-9-116
Ertürk C, Altay MA, Işikan UE (2011) Patelloplasty with patellar decompression to relieve anterior knee pain in total knee arthroplasty. Acta Orthop Traumatol Turc. 45:425–430
Amin S, Baker K, Niu J, Clancy M, Goggins J, Guermazi A et al (2009) Quadriceps strength and the risk of cartilage loss and symptom progression in knee osteoarthritis. Arthritis Rheum 60:189–198
Palmieri-Smith RM, Thomas AC, Karvonen-Gutierrez C, Sowers MF (2010) Isometric quadriceps strength in women with mild, moderate, and severe knee osteoarthritis. Am J Phys Med Rehabil 89:541–548
Henriksen M, Christensen R, Danneskiold-Samsøe B, Bliddal H (2012) Changes in lower extremity muscle mass and muscle strength after weight loss in obese patients with knee osteoarthritis: a prospective cohort study. Arthritis Rheum 64:438–442
Beckwée D, Vaes P, Cnudde M, Swinnen E, Bautmans I (2012) Osteoarthritis of the knee: why does exercise work? A qualitative study of the literature. Ageing Res Rev 28(12):226–236
Ishijima M, Watari T, Naito K, Kaneko H, Futami I, Yoshimura-Ishida K et al (2011) Relationships between biomarkers of cartilage, bone, synovial metabolism and knee pain provide insights into the origins of pain in early knee osteoarthritis. Arthritis Res Ther. doi:10.1186/ar3246
Ertürk C, Altay MA, Altay N, Kalender AM, Oztürk IA (2014) Will a single periarticular lidocaine-corticosteroid injection improve the clinical efficacy of intraarticular hyaluronic acid treatment of symptomatic knee osteoarthritis? Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3398-2
Acknowledgments
The authors did not receive any outside funding or grants in support of their research or in preparation of this work.
Conflict of interest
The authors reported no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ertürk, C., Altay, M.A., Sert, C. et al. The body composition of patients with knee osteoarthritis: relationship with clinical parameters and radiographic severity. Aging Clin Exp Res 27, 673–679 (2015). https://doi.org/10.1007/s40520-015-0325-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40520-015-0325-4