{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:29:59Z","timestamp":1793312999598,"version":"4.5.0"},"reference-count":33,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2015,7,8]]},"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Obesity is suggested to be a risk factor for knee osteoarthritis (OA). This meta-analysis aimed to examine the relationship between body mass index (BMI) and the risk of knee OA in published prospective studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Studies reviewed<\/jats:title>\n                    <jats:p>An extensive literature review was performed, and relevant studies published in English were retrieved from the computerised databases MEDLINE, EMBASE and Cochrane.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The effect estimate (RR or HR) and its 95% CI are investigated on the basis of the evaluation of differences of knee OR risk in overweight or obesity versus those with normal weight. Category-specific risk estimates were further transformed into estimates of the RR in terms of per increase of 5 in BMI by using the generalised least-squares method for trend estimation. Studies were independently reviewed by two investigators. Subgroup analysis was performed. Heterogeneity and publication bias were assessed. Data from eligible studies were extracted, and the meta-analysis was performed by using the STATA software V.12.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      14 studies were finally included in the analysis. The results showed that overweight and obesity were significantly associated with higher knee OA risks of 2.45 (95% CI 1.88 to 3.20, p&lt;0.001) and 4.55 (95% CI 2.90 to 7.13, p&lt;0.001), respectively. The risk of knee OA increases by 35% (95% CI 1.18 to 1.53, p&lt;0.001) with a 5\u2005kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      increase in BMI. Subgroup analysis showed that obesity was an independent predictor of knee OA risk regardless of the study country, sample size, gender proportion of participants, duration of follow-up, presence of adjusted knee injury and assessed study quality above or below an NOS score of 8. No publication bias was detected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Obesity was a robust risk factor for knee OA. Professionals should take a possible weight reduction into account for the treatment of knee OA whenever a patient is significantly overweight.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2014-007568","type":"journal-article","created":{"date-parts":[[2015,12,11]],"date-time":"2015-12-11T23:18:43Z","timestamp":1449875923000},"page":"e007568","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":334,"title":["Body mass index and risk of knee osteoarthritis: systematic review and meta-analysis of prospective studies"],"prefix":"10.1136","volume":"5","author":[{"given":"Huaqing","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Jiangyin Traditional Chinese Medical Hospital, Jiangyin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changhong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jiangyin Traditional Chinese Medical Hospital, Jiangyin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,12,11]]},"reference":[{"key":"2025121601284807000_5.12.e007568.1","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1302\/0301-620X.96B11.33726","article-title":"Low grading of the severity of knee osteoarthritis pre-operatively is associated with a lower functional level after total knee replacement: a prospective cohort study with 12 months\u2019 follow-up","volume":"96-B","author":"Riis","year":"2014","journal-title":"Bone Joint J"},{"key":"2025121601284807000_5.12.e007568.2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22504"},{"key":"2025121601284807000_5.12.e007568.3","first-page":"646","article-title":"Burden of major musculoskeletal conditions","volume":"81","author":"Woolf","year":"2003","journal-title":"Bull World Health Organ"},{"key":"2025121601284807000_5.12.e007568.4","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199805)41:5<778::AID-ART4>3.0.CO;2-V"},{"key":"2025121601284807000_5.12.e007568.5","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg438"},{"key":"2025121601284807000_5.12.e007568.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69703-1"},{"key":"2025121601284807000_5.12.e007568.7","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1002\/art.38913","article-title":"The mediating effect of leptin on the relationship between body weight and knee osteoarthritis in older adults","volume":"67","author":"Fowler-Brown","year":"2015","journal-title":"Arthritis Rheumatol"},{"key":"2025121601284807000_5.12.e007568.8","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2008.089748"},{"key":"2025121601284807000_5.12.e007568.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60814-3"},{"key":"2025121601284807000_5.12.e007568.10","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-109-1-18"},{"key":"2025121601284807000_5.12.e007568.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2009.08.010"},{"key":"2025121601284807000_5.12.e007568.12","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"2025121601284807000_5.12.e007568.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)04149-5"},{"key":"2025121601284807000_5.12.e007568.14","doi-asserted-by":"publisher","DOI":"10.1539\/joh.45.335"},{"key":"2025121601284807000_5.12.e007568.15","unstructured":"Wells GA , Shea B , O'Connell D , et al . 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