High sensitivity C-reactive protein is associated with lower tibial cartilage volume but not lower patella cartilage volume in healthy women at mid-life
2008

High sensitivity C-reactive protein and knee cartilage volume in mid-life women

Sample size: 176 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hanna Fahad S, Bell Robin J, Cicuttini Flavia M, Davison Sonia L, Wluka Anita E, Davis Susan R

Primary Institution: Monash University

Hypothesis

Are serum levels of high sensitivity C-reactive protein associated with tibial and patella cartilage volumes in women without evidence of osteoarthritis?

Conclusion

Serum high sensitivity C-reactive protein is negatively associated with tibial cartilage volume but not with patella cartilage volume in asymptomatic women.

Supporting Evidence

  • hsCRP levels were found to be independently associated with tibial cartilage volume.
  • The study included a relatively large number of participants for a community-based study.
  • Participants were asymptomatic women, which helps isolate the effects of hsCRP on cartilage volume.

Takeaway

This study found that a protein in the blood, which indicates inflammation, is linked to less cartilage in the knee's tibial area in healthy women, but not in the patella area.

Methodology

Participants were women aged 40 to 67 years without significant knee pain or injury, and their cartilage volumes were measured using MRI while hsCRP levels were assessed in serum.

Potential Biases

Potential bias due to the exclusion of women with any knee issues and reliance on self-reported health status.

Limitations

hsCRP was only measured once, and the study's cross-sectional design limits causal inferences.

Participant Demographics

Women aged 40 to 67 years, mean age 52.3 years, with no significant knee pain or injury.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar2380

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