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. 2020 Jan 31;28(12):3827–3842. doi: 10.1007/s00167-020-05859-z

Table 1.

Endogenous and exogenous risk factors for KOA

Endogenous Exogenous
Age Previous joint injuries
 Incidence rates increase linearly in the 50–80 age range
Sex Body mass
 Females have been reported to have a greater incidence rate compared to males

Overweight and obese people are significantly associated with higher KOA risk

The risk increases by 35% with every 5 kg/m2 increase in BMI

Heredity Excessive joint stress and increased mechanical forces
Genetics Repetitive loading (kneeling and squatting)
Joint laxity Occupation
Physical work activities (kneeling/squatting/lifting and climbing) contribute to the occurrence/progression of KOA
Ethnic origin Resective joint surgery
 More common in individuals of European descent
 Post-menopausal changes Muscle weakness
 Malalignment Lifestyle factors (alcohol, tobacco use)

Adapted from: Adatia et al. [64] and supplemented by Palmer [65]