Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/102322
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Type: Journal article
Title: Association of fat mass and adipokines with foot pain in a community cohort
Author: Walsh, T.
Gill, T.
Evans, A.
Yaxley, A.
Shanahan, E.
Hill, C.
Citation: Arthritis Care and Research, 2016; 68(4):526-533
Publisher: Wiley-Blackwell
Issue Date: 2016
ISSN: 2151-464X
2151-4658
Statement of
Responsibility: 
Tom P. Walsh, Tiffany K. Gill, Angela M. Evans, Alison Yaxley, E. Michael Shanahan and Catherine L. Hill
Abstract: Objective. To determine, first, if fat mass index (FMI) or fat-free mass index (FFMI) and serum adipokines tumor necrosis factor (TNF) and interleukin-6 (IL-6) are associated with prevalent (stage 2) foot pain, and, second, if they are predictive of future (stage 3) foot pain. Methods. A subset of participants ages ‡50 years (n51,462) from the North West Adelaide Health Study were used for this study. Participants from this community cohort were asked in stage 2 (2004–2006) and stage 3 (2008–2010) if they had foot pain, aching, or stiffness. In stage 2, serum adipokines and anthropometry were measured, while body composition was analyzed with dual x-ray absorptiometry. These variables, along with comorbidities and social history, were used in logistic regression analyses to determine if FMI, FFMI, and serum adipokines were associated with foot pain. Results. Prevalent foot pain was present in 20.2% of participants, and future foot pain in 36.4%. Following multivariate modeling, the odds of having pain at stage 2 increased by 8% for each FMI unit (odds ratio [OR] 1.08, 95% confidence interval [95% CI] 1.04–1.12), while the odds of having pain at stage 3 increased by 6% for each FMI unit at stage 2 (OR 1.06, 95% CI 1.02–1.11). TNF level, IL-6 level, and FFMI were not associated with pain. Conclusion. Increased FMI, but not body mass index, FFMI, or TNF or IL-6 level, was associated with both prevalent and future foot pain. These results suggest that body fat may be more important than body weight with respect to foot pain. The role played by other adipokines requires further investigation.
Keywords: Adipokines
Rights: © 2016, American College of Rheumatology
RMID: 0030030394
DOI: 10.1002/acr.22719
Grant ID: http://purl.org/au-research/grants/nhmrc/1013552
Appears in Collections:Medicine publications

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