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Non-linear associations between blood glucose, blood lipids and inflammatory markers and new-onset arthritis in the middle-aged and older population - a cohort study in Europe.

作者信息

Qiu Fanji, Li Jinfeng, Legerlotz Kirsten

机构信息

Movement Biomechanics, Institute of Sport Sciences, Humboldt-Universität zu Berlin, Unter den Linden 6, 10099, Berlin, Germany.

Department of Kinesiology, Iowa State University, Ames, IA, 50011, USA.

出版信息

Lipids Health Dis. 2025 Mar 1;24(1):79. doi: 10.1186/s12944-025-02495-9.


DOI:10.1186/s12944-025-02495-9
PMID:40025473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11872311/
Abstract

OBJECTIVE: The arthritis burden increases with aging, while blood glucose, lipid profiles and inflammatory markers may affect the development of arthritis. This study aims to determine the associations between blood markers and rheumatoid arthritis (RA) and osteoarthritis (OA) for better arthritis management. METHOD: Data from the 6th and 9th wave of the Survey of Health, Ageing, and Retirement in Europe (SHARE) were used. Logistic regression and Cox proportional hazards regression models were used to examine the associations between blood markers and arthritis. Generalized additive models and restricted cubic splines (RCS) were employed to assess non-linear associations. RESULTS: This study included a total of 14,276 participants. The incidence was 5.80% for OA, and 13.92% for RA. The participants with new-onset OA and RA were more likely to be older, female, and with higher body mass index. The generalized additive model detected nonlinear associations between the incidence of OA and glycated hemoglobin A (HbA1c), and between the incidence of RA and high-density lipoprotein (HDL) and triglycerides (TRG). RCS curves (P-nonlinear < 0.05) showed an increased risk of new-onset OA for HbA1c levels between 4.75% and 5.91% in individuals aged ≤ 65. For those aged>65, HDL levels between 44.99 and 67.42 mg/dL and TRG levels between 265.37 and 1125.06 mg/dL were associated with an increased risks of new-onset RA. Furthermore, total cholesterol, HbA1c, HDL and TRG were associated with the prevalence of arthritis. CONCLUSION: Monitoring lipid profiles and HbA1c levels in middle-aged and older adults may help to manage arthritis.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aea/11872311/a3c9f26c302d/12944_2025_2495_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aea/11872311/5cfc0ab55b75/12944_2025_2495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aea/11872311/a3c9f26c302d/12944_2025_2495_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aea/11872311/5cfc0ab55b75/12944_2025_2495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aea/11872311/a3c9f26c302d/12944_2025_2495_Fig2_HTML.jpg

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[1]
Non-linear associations between blood glucose, blood lipids and inflammatory markers and new-onset arthritis in the middle-aged and older population - a cohort study in Europe.

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[7]
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[8]
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[10]
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本文引用的文献

[1]
Revisiting the role of IL-27 in obesity-related metabolic diseases: safeguard or perturbation?

Front Immunol. 2025-1-21

[2]
HDL-C is inversely associated with the incidence of osteoarthritis among the USA: evidence from the NHANES program of 1999-2020.

Sci Rep. 2024-12-28

[3]
Non-linear association of sleep duration with osteoarthritis among U.S. middle-aged and older adults.

BMC Public Health. 2024-12-23

[4]
Obesity and hyperlipidemia were associated with more severe synovitis and structural abnormalities as well as inferior functional outcomes in knee osteoarthritis: a retrospective comparative study.

J Orthop Surg Res. 2024-12-19

[5]
Association of serum folate concentrations with cancer mortality among patients with arthritis: a prospective cohort study.

BMC Public Health. 2024-12-18

[6]
Association Between the Quality of Life Domains with Anthropometric and Adiposity Indices in Rheumatoid Arthritis: A Cross-Sectional Study from a Single Centre in Erbil-Iraq.

Mediterr J Rheumatol. 2023-8-28

[7]
The relationship between non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (NHHR) and hyperuricaemia.

Lipids Health Dis. 2024-6-21

[8]
Arthritis prevalence is associated with metabolic syndrome risk factors but not with physical activity in middle-aged and older patients - a cross-sectional study.

BMC Geriatr. 2024-3-8

[9]
Global, regional, and national burden of rheumatoid arthritis, 1990-2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021.

Lancet Rheumatol. 2023-9-25

[10]
Global, regional, and national burden of osteoarthritis, 1990-2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021.

Lancet Rheumatol. 2023-8-21

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