ArticleOsteoarthritis and cartilage open2026
Association between central obesity and MRI-based biomarkers of knee osteoarthritis independent of BMI: A cross-sectional study from the Osteoarthritis Initiative database.
Article in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate the association between measures of central obesity (waist circumference [WC] and waist-to-height ratio [WHtR]) and MRI-based biomarkers of knee osteoarthritis (KOA), including joint structure, cartilage composition, and synovial inflammation, independent of BMI. Design: A total of 3186 individuals from the Osteoarthritis Initiative (OAI) cohort with radiographic Kellgren-Lawrence grades 0-3 in the right knee were included. Cartilage composition and joint structural abnormalities were assessed using MRI-based T Results: Positive associations between WC and the severity of knee structural abnormalities (WORMS) were found, particularly for cartilage severity scores, even after adjusting for BMI (std. β = 0.093, 95% CI [0.036-0.149], p = 0.001). WC and WHtR were both positively associated with T Conclusions: Central obesity is associated with worse cartilage composition and structural abnormalities, independent of BMI. These findings have clinical implications, supporting the role of monitoring and addressing central obesity in the management of knee OA.
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