期刊
JOURNAL OF RHEUMATOLOGY
卷 42, 期 10, 页码 1885-1892出版社
J RHEUMATOL PUBL CO
DOI: 10.3899/jrheum.141594
关键词
JOINT PAIN; OLDER POPULATION; OSTEOARTHRITIS; WEATHER; WEATHER SENSITIVITY
类别
资金
- European Union [2005121]
- Ministry of Science, Baden-Wurttemberg
- Dutch Ministry of Health, Welfare and Sports
- National Fund for Health Research (Fondo de Investigaciones en Salud) of Spain [FIS PI 05/1898, FIS RETICEF RD06/0013/1013, FIS PS09/02143]
- Swedish Ministry of Higher Education
- Medical Research Council of Great Britain
- British Heart Foundation
- International Osteoporosis Foundation
- Arthritis Research UK
- MRC [MC_U147585827, G0400491, MC_U147585819] Funding Source: UKRI
- Medical Research Council [U1475000001, MC_UU_12011/1, MC_UP_A620_1014, MC_U147585827, MC_U147585824, G0400491, MC_U147585819] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0508-10082, NF-SI-0513-10085, CL-2014-26-001, CL-2006-18-006] Funding Source: researchfish
Objective. This study examined whether daily weather conditions, 3-day average weather conditions, and changes in weather conditions influence joint pain in older people with osteoarthritis (OA) in 6 European countries. Methods. Data from the population-based European Project on OSteoArthritis were used. The American College of Rheumatology classification criteria were used to diagnose OA in older people (65-85 yrs). After the baseline interview, at 6 months, and after the 12-18 months followup interview, joint pain was assessed using 2-week pain calendars. Daily values for temperature, precipitation, atmospheric pressure, relative humidity, and wind speed were obtained from local weather stations. Multilevel regression modelling was used to examine the pain-weather associations, adjusted for several confounders. Results. The study included 810 participants with OA in the knee, hand, and/or hip. After adjustment, there were significant associations of joint pain with daily average humidity (B = 0.004, p < 0.01) and 3-day average humidity (B = 0.004, p = 0.01). A significant interaction effect was found between daily average humidity and temperature on joint pain. The effect of humidity on pain was stronger in relatively cold weather conditions. Changes in weather variables between 2 consecutive days were not significantly associated with reported joint pain. Conclusion. The associations between pain and daily average weather conditions suggest that a causal relationship exist between joint pain and weather variables, but the associations between day-to-day weather changes and pain do not confirm causation. Knowledge about the relationship between joint pain in OA and weather may help individuals with OA, physicians, and therapists to better understand and manage fluctuations in pain.
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