Evidence map›Paper›PMID 41272337›Full record

ArticleClinical rheumatology2026

Gardening/yardwork over a lifetime is associated with less symptomatic knee osteoarthritis: data from the Osteoarthritis Initiative.

Grace H Lo, Sydney T Tran, Julieann C Patarini, Jessica C Lee, Timothy E McAlindon, Andrea M Kriska, Bonny Rockette-Wagner, Charles B Eaton, Marc C Hochberg, C Kent Kwoh and 2 more

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Grace H LoDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA. ghlo@bcm.edu.ORCID http://orcid.org/0000-0003-3142-1839
Sydney T TranDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Julieann C PatariniDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA.
Jessica C LeeDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Timothy E McAlindonDepartment of Medicine, UMass Chan Medical School, Worcester, MA, USA.
Andrea M KriskaDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Bonny Rockette-WagnerDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Charles B EatonDepartment of Family Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Marc C HochbergDepartments of Medicine and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
C Kent KwohDepartment of Medicine, University of Arizona College of Medicine, Tucson, AZ, USA.
Michael C NevittDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Jeffrey B DribanDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA.

Funding

The OAI Collaborative Osteoarthritis Research Enterprise (OAI CORE) KnowledgebaseR24AR085006 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Jeffrey B Driban · 2025 to 2026
$1.0M
Modifiable Risk Factors for Incident and Progressive Early Knee OsteoarthritisK23AR062127 · NIAMS · BAYLOR COLLEGE OF MEDICINE · PI LO, GRACE · 2012 to 2016
$676k
CLINICAL CENTERS FOR THE OSTEOARTHRITIS INITIATIVE-264022259-264022259N01AR022259 · NIAMS · UNIVERSITY OF MARYLAND AT BALT · PI HOCHBERG, MARC C. · 2002 to 2006
–
CLINICAL CENTERS FOR THE OSTEOARTHRITIS INITIATIVE-N01AR22261N01AR022261 · NIAMS · OHIO STATE UNIVERSITY RESEARCH · PI JACKSON, REBECCA · 2002 to 2006
–
CLINICAL CENTER FOR THE OSTEOARTHRITIS-264022262-264022262N01AR022262 · NIAMS · THE MEMORIAL HOSPITAL · PI ASSAF, ANNLOUISE R. · 2002 to 2006
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CLINICAL CENTERS FOR THE OSTEOARTHRITIS INITIATIVE-N01AR22260N01AR022260 · NIAMS · UNIVERSITY OF PITTSBURGH · PI KWOH, KENT · 2002 to 2006
–
DATA COORDINATING CENTER FOR THE OSTEOARTHRITIS INITIATIVE-264022258N01AR022258 · NIAMS · UNIVERSITY OF CALIFORNIA SYS OFFICE/PRES · 2003 to 2003
–
Center for Innovations in Quality, Effectiveness and Safety CIN 13-413NHLBI NIH HHS N01 AR022258NIAMS NIH HHS K23 AR062127NIAMS NIH HHS N01 AR022259NIAMS NIH HHS N01 AR022260NIAMS NIH HHS N01 AR022261NIAMS NIH HHS N01 AR022262NIAMS NIH HHS R24 AR085006
6 · The paper itself

Abstract

objectivesGardening/yardwork is one of the few physical activities with greater participation with age. We aimed to evaluate the relationship of gardening/yardwork with the prevalence of symptomatic knee osteoarthritis in the Osteoarthritis Initiative (OAI), a community-based cohort not recruited based on gardening/yardwork status.

methodThis is a retrospective cross-sectional study of OAI participants. A lifetime physical activity survey defined gardening/yardwork status. Posteroanterior semi-flexed knee radiographs were scored for Kellgren-Lawrence (KL) grade (0-4). Radiographic osteoarthritis (ROA) was defined as KL grade ≥ 2. Person-based definitions were used for frequent knee pain, ROA, and symptomatic ROA (SOA). Logistic regression analyses were performed with gardening/yardwork as the predictor, and the outcomes were frequent knee pain, ROA, and SOA adjusted for age and sex.

resultsOf 2607 participants, 56% were female, the mean age was 64.3 (SD 9.0) years, and the mean BMI was 28.5 (SD 4.9) kg/m

conclusionGardening/yardwork is a common leisure physical activity. Those who participated in gardening/yardwork were less likely to have frequent knee pain, ROA, and SOA, suggesting that it is good for overall knee health. The implications from a public health perspective are potentially substantial. Our findings support a possible recommendation to the general public that participation in gardening/yardwork, an activity already commonly practiced among those at highest risk for OA, might also have benefits from a knee health perspective. Key Points • Those who did gardening/yardwork were less likely to have frequent knee pain, ROA, and SOA. • A higher frequency of activity was associated with improved outcomes. • Participation in gardening/yardwork, an activity already commonly practiced among those at highest risk for the OA, might also have benefits from a knee health perspective.

Indexed as

ExerciseGardeningOsteoarthritis, KneeAgedCross-Sectional StudiesFemaleHumansKnee JointLogistic ModelsMaleMiddle AgedPrevalenceRadiographyRetrospective StudiesEpidemiologyKneeObservational studiesOsteoarthritisRadiology

Identifiers

PMID41272337
PMCPMC13091685

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.