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    <title>UTas ePrints - Knee Structural Alteration and BMI: A Cross-sectional Study</title>
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    <meta content="Ding, Changhai" name="eprints.creators_name" />
<meta content="Cicuttini, Flavia" name="eprints.creators_name" />
<meta content="Scott, Fiona" name="eprints.creators_name" />
<meta content="Cooley, Helen" name="eprints.creators_name" />
<meta content="Jones, Graeme" name="eprints.creators_name" />
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<meta content="Knee Structural Alteration and BMI: A Cross-sectional Study " name="eprints.title" />
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<meta content="knee, cartilage defects, volume, thickness, bone area" name="eprints.keywords" />
<meta content="Objective: To describe the associations among BMI, knee cartilage morphology, and bone size in adults. 

Research Methods and Procedures: A cross-sectional convenience sample of 372 male and female subjects (mean age, 45 years; range, 26 to 61 years) was studied. Knee articular cartilage defect score (0 to 4) and prevalence (defect score of 2), volume, and thickness, as well as bone surface area and/or volume, were determined at the patellar, tibial, and femoral sites using T1-weighted fat-saturation magnetic resonance imaging. Height, weight, BMI, and radiographic osteoarthritis were measured by standard protocols. 

Results: In multivariate analysis in the whole group, BMI was significantly associated with knee cartilage defect scores (beta: +0.016/kg/m2 to +0.083/kg/m2, all p < 0.05) and prevalence (odds ratio: 1.05 to 1.12/kg/m2, all p < 0.05 except for the lateral tibiofemoral compartment). In addition, BMI was negatively associated with patellar cartilage thickness only (beta = -0.021 mm/kg/m2; p = 0.039) and was positively associated with tibial bone area (medial: beta = +7.1 mm2/kg/m2, p = 0.001; lateral: beta = +3.2 mm2/kg/m2, p = 0.037). Those who were obese also had higher knee cartilage defect severity and prevalence and larger medial tibial bone area but no significant change in cartilage volume or thickness compared with those of normal weight. 

Discussion: This study suggests that knee cartilage defects and tibial bone enlargement are the main structural changes associated with increasing BMI particularly in women. Preventing these changes may prevent knee osteoarthritis in overweight and obese subjects
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<meta content="Ding, Changhai and Cicuttini, Flavia and Scott, Fiona and Cooley, Helen and Jones, Graeme (2005) Knee Structural Alteration and BMI: A Cross-sectional Study. Obesity Research, 13 (2). pp. 350-361. ISSN 1930-7381" name="eprints.citation" />
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<meta content="Objective: To describe the associations among BMI, knee cartilage morphology, and bone size in adults. 

Research Methods and Procedures: A cross-sectional convenience sample of 372 male and female subjects (mean age, 45 years; range, 26 to 61 years) was studied. Knee articular cartilage defect score (0 to 4) and prevalence (defect score of 2), volume, and thickness, as well as bone surface area and/or volume, were determined at the patellar, tibial, and femoral sites using T1-weighted fat-saturation magnetic resonance imaging. Height, weight, BMI, and radiographic osteoarthritis were measured by standard protocols. 

Results: In multivariate analysis in the whole group, BMI was significantly associated with knee cartilage defect scores (beta: +0.016/kg/m2 to +0.083/kg/m2, all p < 0.05) and prevalence (odds ratio: 1.05 to 1.12/kg/m2, all p < 0.05 except for the lateral tibiofemoral compartment). In addition, BMI was negatively associated with patellar cartilage thickness only (beta = -0.021 mm/kg/m2; p = 0.039) and was positively associated with tibial bone area (medial: beta = +7.1 mm2/kg/m2, p = 0.001; lateral: beta = +3.2 mm2/kg/m2, p = 0.037). Those who were obese also had higher knee cartilage defect severity and prevalence and larger medial tibial bone area but no significant change in cartilage volume or thickness compared with those of normal weight. 

Discussion: This study suggests that knee cartilage defects and tibial bone enlargement are the main structural changes associated with increasing BMI particularly in women. Preventing these changes may prevent knee osteoarthritis in overweight and obese subjects
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    <h1 class="ep_tm_pagetitle">Knee Structural Alteration and BMI: A Cross-sectional Study</h1>
    <p style="margin-bottom: 1em" class="not_ep_block"><span class="person_name">Ding, Changhai</span> and <span class="person_name">Cicuttini, Flavia</span> and <span class="person_name">Scott, Fiona</span> and <span class="person_name">Cooley, Helen</span> and <span class="person_name">Jones, Graeme</span> (2005) <xhtml:em>Knee Structural Alteration and BMI: A Cross-sectional Study.</xhtml:em> Obesity Research, 13 (2). pp. 350-361. ISSN 1930-7381</p><p style="margin-bottom: 1em" class="not_ep_block"></p><table style="margin-bottom: 1em" class="not_ep_block"><tr><td valign="top" style="text-align:center"><a href="http://eprints.utas.edu.au/941/1/Obesity_Res__paper.pdf"><img alt="[img]" src="http://eprints.utas.edu.au/style/images/fileicons/application_pdf.png" class="ep_doc_icon" border="0" /></a></td><td valign="top"><a href="http://eprints.utas.edu.au/941/1/Obesity_Res__paper.pdf"><span class="ep_document_citation">PDF</span></a> - Full text restricted - Requires a PDF viewer<br />221Kb</td></tr></table><p style="margin-bottom: 1em" class="not_ep_block">Official URL: <a href="http://www.obesityresearch.org/cgi/content/full/13/2/350">http://www.obesityresearch.org/cgi/content/full/13/2/350</a></p><div class="not_ep_block"><h2>Abstract</h2><p style="padding-bottom: 16px; text-align: left; margin: 1em auto 0em auto">Objective: To describe the associations among BMI, knee cartilage morphology, and bone size in adults. 

Research Methods and Procedures: A cross-sectional convenience sample of 372 male and female subjects (mean age, 45 years; range, 26 to 61 years) was studied. Knee articular cartilage defect score (0 to 4) and prevalence (defect score of 2), volume, and thickness, as well as bone surface area and/or volume, were determined at the patellar, tibial, and femoral sites using T1-weighted fat-saturation magnetic resonance imaging. Height, weight, BMI, and radiographic osteoarthritis were measured by standard protocols. 

Results: In multivariate analysis in the whole group, BMI was significantly associated with knee cartilage defect scores (beta: +0.016/kg/m2 to +0.083/kg/m2, all p &lt; 0.05) and prevalence (odds ratio: 1.05 to 1.12/kg/m2, all p &lt; 0.05 except for the lateral tibiofemoral compartment). In addition, BMI was negatively associated with patellar cartilage thickness only (beta = -0.021 mm/kg/m2; p = 0.039) and was positively associated with tibial bone area (medial: beta = +7.1 mm2/kg/m2, p = 0.001; lateral: beta = +3.2 mm2/kg/m2, p = 0.037). Those who were obese also had higher knee cartilage defect severity and prevalence and larger medial tibial bone area but no significant change in cartilage volume or thickness compared with those of normal weight. 

Discussion: This study suggests that knee cartilage defects and tibial bone enlargement are the main structural changes associated with increasing BMI particularly in women. Preventing these changes may prevent knee osteoarthritis in overweight and obese subjects
</p></div><table style="margin-bottom: 1em" cellpadding="3" class="not_ep_block" border="0"><tr><th valign="top" class="ep_row">Item Type:</th><td valign="top" class="ep_row">Article</td></tr><tr><th valign="top" class="ep_row">Keywords:</th><td valign="top" class="ep_row">knee, cartilage defects, volume, thickness, bone area</td></tr><tr><th valign="top" class="ep_row">Subjects:</th><td valign="top" class="ep_row"><a href="http://eprints.utas.edu.au/view/subjects/321028.html">320000 Medical and Health Sciences &gt; 321000 Clinical Sciences &gt; 321028 Rheumatology and Arthritis</a></td></tr><tr><th valign="top" class="ep_row">ID Code:</th><td valign="top" class="ep_row">941</td></tr><tr><th valign="top" class="ep_row">Deposited By:</th><td valign="top" class="ep_row"><span class="ep_name_citation"><span class="person_name">Dr Changhai / C Ding</span></span></td></tr><tr><th valign="top" class="ep_row">Deposited On:</th><td valign="top" class="ep_row">03 May 2007</td></tr><tr><th valign="top" class="ep_row">Last Modified:</th><td valign="top" class="ep_row">09 Jan 2008 02:30</td></tr><tr><th valign="top" class="ep_row">ePrint Statistics:</th><td valign="top" class="ep_row"><a target="ePrintStats" href="/es/index.php?action=show_detail_eprint;id=941;">View statistics for this ePrint</a></td></tr></table><p align="right">Repository Staff Only: <a href="http://eprints.utas.edu.au/cgi/users/home?screen=EPrint::View&amp;eprintid=941">item control page</a></p>
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