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American Journal of Public Health logoLink to American Journal of Public Health
. 1999 Mar;89(3):391–394. doi: 10.2105/ajph.89.3.391

Body mass index, weight change, and incidence of self-reported physician-diagnosed arthritis among women.

N R Sahyoun 1, M C Hochberg 1, C G Helmick 1, T Harris 1, E R Pamuk 1
PMCID: PMC1508625  PMID: 10076492

Abstract

OBJECTIVES: This study examined the relationship between body mass index (BMI), weight change, and arthritis in women. METHODS: Data were taken from the 1982-1984 National Health and Nutrition Examination Survey Epidemiologic Follow-Up Study of 3617 women, aged 25 to 74 years. RESULTS: Women with a BMI greater than 32 at initial interview were at significantly higher risk of developing arthritis than women with a BMI of 19 to 21.9. Compared with stable-weight women with a BMI of less than 25, women who were obese at initial interview (BMI > 29) and who subsequently maintained their weight or gained more than 10% of their body weight were at significantly higher risk of developing arthritis. CONCLUSIONS: Attaining and maintaining a healthy weight may reduce the risk of developing arthritis.

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Selected References

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  1. Altman R. D. Classification of disease: osteoarthritis. Semin Arthritis Rheum. 1991 Jun;20(6 Suppl 2):40–47. doi: 10.1016/0049-0172(91)90026-v. [DOI] [PubMed] [Google Scholar]
  2. Anderson J. J., Felson D. T. Factors associated with osteoarthritis of the knee in the first national Health and Nutrition Examination Survey (HANES I). Evidence for an association with overweight, race, and physical demands of work. Am J Epidemiol. 1988 Jul;128(1):179–189. doi: 10.1093/oxfordjournals.aje.a114939. [DOI] [PubMed] [Google Scholar]
  3. Carman W. J., Sowers M., Hawthorne V. M., Weissfeld L. A. Obesity as a risk factor for osteoarthritis of the hand and wrist: a prospective study. Am J Epidemiol. 1994 Jan 15;139(2):119–129. doi: 10.1093/oxfordjournals.aje.a116974. [DOI] [PubMed] [Google Scholar]
  4. Davis M. A., Neuhaus J. M., Ettinger W. H., Mueller W. H. Body fat distribution and osteoarthritis. Am J Epidemiol. 1990 Oct;132(4):701–707. doi: 10.1093/oxfordjournals.aje.a115711. [DOI] [PubMed] [Google Scholar]
  5. Felson D. T., Anderson J. J., Naimark A., Hannan M. T., Kannel W. B., Meenan R. F. Does smoking protect against osteoarthritis? Arthritis Rheum. 1989 Feb;32(2):166–172. doi: 10.1002/anr.1780320209. [DOI] [PubMed] [Google Scholar]
  6. Felson D. T., Anderson J. J., Naimark A., Walker A. M., Meenan R. F. Obesity and knee osteoarthritis. The Framingham Study. Ann Intern Med. 1988 Jul 1;109(1):18–24. doi: 10.7326/0003-4819-109-1-18. [DOI] [PubMed] [Google Scholar]
  7. Felson D. T., Zhang Y., Anthony J. M., Naimark A., Anderson J. J. Weight loss reduces the risk for symptomatic knee osteoarthritis in women. The Framingham Study. Ann Intern Med. 1992 Apr 1;116(7):535–539. doi: 10.7326/0003-4819-116-7-535. [DOI] [PubMed] [Google Scholar]
  8. Furner S. E., Rudberg M. A., Cassel C. K. Medical conditions differentially affect the development of IADL disability: implications for medical care and research. Gerontologist. 1995 Aug;35(4):444–450. doi: 10.1093/geront/35.4.444. [DOI] [PubMed] [Google Scholar]
  9. Hannan M. T., Anderson J. J., Pincus T., Felson D. T. Educational attainment and osteoarthritis: differential associations with radiographic changes and symptom reporting. J Clin Epidemiol. 1992 Feb;45(2):139–147. doi: 10.1016/0895-4356(92)90006-9. [DOI] [PubMed] [Google Scholar]
  10. Hartz A. J., Fischer M. E., Bril G., Kelber S., Rupley D., Jr, Oken B., Rimm A. A. The association of obesity with joint pain and osteoarthritis in the HANES data. J Chronic Dis. 1986;39(4):311–319. doi: 10.1016/0021-9681(86)90053-6. [DOI] [PubMed] [Google Scholar]
  11. Hochberg M. C., Lethbridge-Cejku M., Scott W. W., Jr, Reichle R., Plato C. C., Tobin J. D. The association of body weight, body fatness and body fat distribution with osteoarthritis of the knee: data from the Baltimore Longitudinal Study of Aging. J Rheumatol. 1995 Mar;22(3):488–493. [PubMed] [Google Scholar]
  12. Hubert H. B., Bloch D. A., Fries J. F. Risk factors for physical disability in an aging cohort: the NHANES I Epidemiologic Followup Study. J Rheumatol. 1993 Mar;20(3):480–488. [PubMed] [Google Scholar]
  13. Leigh J. P., Fries J. F. Correlations between education and arthritis in the 1971-1975 NHANES I. Soc Sci Med. 1994 Feb;38(4):575–583. doi: 10.1016/0277-9536(94)90254-2. [DOI] [PubMed] [Google Scholar]
  14. Manson J. E., Willett W. C., Stampfer M. J., Colditz G. A., Hunter D. J., Hankinson S. E., Hennekens C. H., Speizer F. E. Body weight and mortality among women. N Engl J Med. 1995 Sep 14;333(11):677–685. doi: 10.1056/NEJM199509143331101. [DOI] [PubMed] [Google Scholar]
  15. Tepper S., Hochberg M. C. Factors associated with hip osteoarthritis: data from the First National Health and Nutrition Examination Survey (NHANES-I). Am J Epidemiol. 1993 May 15;137(10):1081–1088. doi: 10.1093/oxfordjournals.aje.a116611. [DOI] [PubMed] [Google Scholar]
  16. Verbrugge L. M., Gates D. M., Ike R. W. Risk factors for disability among U.S. adults with arthritis. J Clin Epidemiol. 1991;44(2):167–182. doi: 10.1016/0895-4356(91)90264-a. [DOI] [PubMed] [Google Scholar]
  17. Verbrugge L. M., Lepkowski J. M., Imanaka Y. Comorbidity and its impact on disability. Milbank Q. 1989;67(3-4):450–484. [PubMed] [Google Scholar]

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