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A longitudinal study of the association between dietary factors, serum lipids and bone marrow lesions of the knee.
MedLine Citation:
PMID:  22257370     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: INTRODUCTION: Bone marrow lesions (BMLs) play an important role in knee osteoarthritis but their etiology is not well understood. The aim of this longitudinal study was to describe the association between dietary factors, serum lipids and BMLs. METHODS: A total of 394 older males and females (mean age 63 years, range 52 to 79) were measured at baseline and approximately 2.7 years later. BMLs were determined using T2-weighted fat saturation magnetic resonance imaging (MRI) by measuring the maximum area of the lesion. Nutrient intake (total energy, fat, carbohydrate, protein and sugar) and serum lipids were assessed at baseline. RESULTS: Cross-sectionally, dietary factors and lipids were not significantly associated with BMLs. Energy, carbohydrate and sugar intake (but not fat) were positively associated with a change in BML size (beta = 15.44 to 19.27 mm2 per 1 SD increase, all P < 0.05). High-density lipoprotein (HDL) cholesterol tended to be negatively associated with BML change (beta = -11.66 mm2 per 1 SD increase, P = 0.088). CONCLUSIONS: Energy, carbohydrate and sugar intake may be risk factors for BML development and progression. HDL cholesterol seems protective against BMLs. These results suggest macronutrients and lipids may be important in BML etiology and that dietary modification may alter BML natural history.
Authors:
Dawn Dore; Jonathon de Hoog; Graham Giles; Changhai Ding; Flavia Cicuttini; Graeme Jones
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-18
Journal Detail:
Title:  Arthritis research & therapy     Volume:  14     ISSN:  1478-6362     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101154438     Medline TA:  Arthritis Res Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  R13     Citation Subset:  -    
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