{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T14:22:56Z","timestamp":1761402176885,"version":"build-2065373602"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Our aims were to examine the effects of heeled shoes on incident knee osteoarthritis (OA) and joint pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used longitudinal data from the Chingford 1000 Women Study (Chingford Study), a prospective cohort of women aged 50 years or older. Participants with musculoskeletal disorders and\/or a history of knee\u2010related injury\/surgery were excluded. Participants were followed for up to 5 years for incident outcomes including <jats:italic>1<\/jats:italic>) radiographic knee OA (RKOA) and <jats:italic>2<\/jats:italic>) joint pain (feet, knees, hips, and back). Footwear data, including ever worn heels of 2 inches or more and daytime\/evening hours (per week) spent wearing heeled shoes over five decades (ages &lt;20 years, 20\u201030 years, 30\u201040 years, and &gt;50 years), were available at Year 10 whereas knee radiographs and joint symptom data were also collected at Year 15. Cumulative time spent wearing heeled shoes was calculated for women reporting ever\u2010use of heeled shoes (\u22652 inches). Multiple logistic regression was used to examine the relationship between exposures and outcomes (from Year 10 to Year 15).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 356 women were eligible at Year 10 with a median (interquartile range) age of 60 (56\u201065) years. Compared with non\u2010use, ever\u2010use of heeled shoes (\u22652 inches) was not associated with incident RKOA (1.35; 95% confidence interval: 0.56\u20103.27). No associations were observed between increasing cumulative time spent wearing heels and incident outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with the non\u2010use of heeled shoes, ever\u2010use of heels (\u22652 inches) was not associated with incident RKOA and incident joint symptoms. Further, increasing cumulative time spent wearing heels was not associated with any of our outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr2.11298","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T12:55:09Z","timestamp":1626785709000},"page":"614-621","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effect of Heeled Shoes on Joint Symptoms and Knee Osteoarthritis in Older Adults: A 5\u2010Year Follow\u2010Up Study"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0499-3033","authenticated-orcid":false,"given":"Thomas A.","family":"Perry","sequence":"first","affiliation":[{"name":"University of Oxford Oxford United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Dando","sequence":"additional","affiliation":[{"name":"University of Southampton Southampton United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim D.","family":"Spector","sequence":"additional","affiliation":[{"name":"King's College London London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah J.","family":"Hart","sequence":"additional","affiliation":[{"name":"King's College London London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7252-9515","authenticated-orcid":false,"given":"Catherine","family":"Bowen","sequence":"additional","affiliation":[{"name":"University of Southampton Southampton United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Arden","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford, United Kingdom, and University of Southampton Southampton United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1519\/JPT.0000000000000108"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010053"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2007.12.013"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-202745"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24131"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e328307f58c"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.09.018"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-6-33"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2007.11.012"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)11281-8"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20165"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1123\/jab.28.1.20"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2011.11.013"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/24.2.77"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.09.018"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/32.3.310"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000091827"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2007.10.0168"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1159\/000115850"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.08.015"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2009.05.002"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24733"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9061872"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.53.3.158"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-017-0239-9"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780300811"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2018.01.024"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2020.08.003"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.39848"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2021.01.017"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.10.823"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-308"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2014.5199"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2017.04.034"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2017.03.035"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2012.02.002"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2017.09.034"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2008.03.001"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100020309"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3182465e57"},{"key":"e_1_2_8_43_1","first-page":"61","article-title":"Gait and balance disorders in older adults","volume":"82","author":"Salzman B","year":"2010","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-181484"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200203010-00017"}],"container-title":["ACR Open Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr2.11298","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acr2.11298","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr2.11298","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T17:16:46Z","timestamp":1759425406000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr2.11298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,20]]},"references-count":44,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/acr2.11298"],"URL":"https:\/\/doi.org\/10.1002\/acr2.11298","archive":["Portico"],"relation":{},"ISSN":["2578-5745","2578-5745"],"issn-type":[{"type":"print","value":"2578-5745"},{"type":"electronic","value":"2578-5745"}],"subject":[],"published":{"date-parts":[[2021,7,20]]},"assertion":[{"value":"2021-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}