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Adipokine Hormones and Hand Osteoarthritis Radiographic Severity and Pain 英文参考文献
AdipokineHormonesandHandOsteoarthritis:
RadiographicSeverityandPain
MeiMassengale1,6,8*,BingLu1,6,JohnJ.Pan7,JeffreyN.Katz1,3,4,5,6,DanielH.Solomon1,2,6
1Division
of Rheumatology, Immunology, and Allergy, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America, 2Division of
Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital/Harvard Medical School, Boston, Massachusetts, United States of America,
3DepartmentofOrthopedicSurgery,BrighamandWomen’sHospital,Boston,Massachusetts,UnitedStatesofAmerica,4OrthopaedicandArthritisCenterforOutcomes
Research,Brigham and Women’s Hospital, Boston, Massachusetts,United States ofAmerica, 5Department ofEpidemiology, Harvard School of Public Health, Boston,
Massachusetts,UnitedStatesofAmerica,6HarvardMedicalSchool,Boston,Massachusetts,UnitedStatesofAmerica,7DivisionofMusculoskeletalRadiology,Department
of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America, 8Center for Regenerative Medicine, Massachusetts General Hospital,
Boston,Massachusetts,UnitedStatesofAmerica
Abstract
Introduction:Obesity’sassociationwithhandosteoarthritiscannotbefullyexplainedbymechanicalloading.Weexamined
therelationshipbetweenadipokinesandradiographichandosteoarthritisseverityandpain.
Methods:Inapilotstudyof44handosteoarthritispatients(39womenand5men),serumadipokineconcentrationsand
handx-rayKallman-scoreswereanalyzedusinglinearregressionmodels.Secondaryanalysesexaminedcorrelatesofhand
pain.
Results:Thecohorthadameanageof63.5yearsforwomenand72.6formen;mean(standarddeviation)Kallman-scores
were43.3(17.4)forwomenand46.2(10.8)formen.Meanbody-mass-indexwas30kg/m2forwomenandmen.Meanleptin
concentrationwas32.2ng/ml(women)and18.5ng/ml(men);meanadiponectin-totalwas7.9ng/ml(women)and5.3ng/
ml(men);meanresistinwas7.3ng/ml(women)and9.4ng/ml(men).NoassociationwasfoundbetweenKallman-scores
and adipokine concentrations (R2=0.00–0.04 unadjusted analysis, all p-values.0.22). Secondary analyse
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