Nature vs. nurture in knee osteoarthritis - the importance of age, sex and body mass index. Magnusson, K., Turkiewicz, A., & Englund, M. Osteoarthritis and Cartilage, 27(4):586–592, 2019.
Nature vs. nurture in knee osteoarthritis - the importance of age, sex and body mass index [link]Paper  doi  abstract   bibtex   
OBJECTIVE: 1) To estimate the life-time genetic contribution for knee osteoarthritis (OA) surgery and 2) to explore any differences in the genetic contribution across age, sex and body mass index (BMI). METHODS: We studied the sex-specific genetic contribution to knee OA surgery in a prospective cohort study of 62 490 twins aged 35 years or older with a follow-up period of up to 47 years (10 092 identical and 21 153 non-identical twin pairs, 54% women). To study interactions with age, we graphed the heritabilities over the lifespan for men and women. We also studied the sex-specific heritability across strata of the median BMI to explore any interactions with BMI. RESULTS: The overall heritability of knee OA surgery was 0.53 (95% CI=0.31-0.75), with higher heritability among women (H2=0.80 (95% CI=0.73-0.87)) than men (H2=0.39 (95% CI=0.10-0.69)). For men, the heritability started to rise after age 68.The genetic contribution was particularly low in men above median BMI (H2≥23.7 kg/m2 =0.08, 95% CI=-0.32-0.48). For women, the heritability was consistently high from age 50 to death, independently of BMI (H2≥22.5 kg/m2 =0.77, 95% CI=0.66-0.87). CONCLUSION: There is a higher and more consistent genetic contribution for knee OA surgery in women than men. In men the genetic contribution was relatively low and varied with age and BMI.
@article{magnusson_nature_2019,
	title = {Nature vs. nurture in knee osteoarthritis - the importance of age, sex and body mass index},
	volume = {27},
	issn = {1522-9653},
	url = {https://doi.org/10.1016%2Fj.joca.2018.12.018},
	doi = {10.1016/j.joca.2018.12.018},
	abstract = {OBJECTIVE: 1) To estimate the life-time genetic contribution for knee osteoarthritis (OA) surgery and 2) to explore any differences in the genetic contribution across age, sex and body mass index (BMI).
METHODS: We studied the sex-specific genetic contribution to knee OA surgery in a prospective cohort study of 62 490 twins aged 35 years or older with a follow-up period of up to 47 years (10 092 identical and 21 153 non-identical twin pairs, 54\% women). To study interactions with age, we graphed the heritabilities over the lifespan for men and women. We also studied the sex-specific heritability across strata of the median BMI to explore any interactions with BMI.
RESULTS: The overall heritability of knee OA surgery was 0.53 (95\% CI=0.31-0.75), with higher heritability among women (H2=0.80 (95\% CI=0.73-0.87)) than men (H2=0.39 (95\% CI=0.10-0.69)). For men, the heritability started to rise after age 68.The genetic contribution was particularly low in men above median BMI (H2≥23.7 kg/m2 =0.08, 95\% CI=-0.32-0.48). For women, the heritability was consistently high from age 50 to death, independently of BMI (H2≥22.5 kg/m2 =0.77, 95\% CI=0.66-0.87).
CONCLUSION: There is a higher and more consistent genetic contribution for knee OA surgery in women than men. In men the genetic contribution was relatively low and varied with age and BMI.},
	language = {eng},
	number = {4},
	journal = {Osteoarthritis and Cartilage},
	author = {Magnusson, Karin and Turkiewicz, Aleksandra and Englund, Martin},
	year = {2019},
	pmid = {30634033},
	keywords = {Knee osteoarthritis, gene-environment interaction, genetics, heritability},
	pages = {586--592},
}

Downloads: 0