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Smoking is associated with increased cartilage loss and persistence of bone marrow lesions over 2 years in community-based individuals
Rheumatology, 08/25/09
Davies-Tuck ML et al.Smoking has a detrimental effect on joint cartilage, which may be mediated by impairing bone marrow lesions (BMLs) to resolve.
Methods- 271 had a MRI of the dominant knee at baseline and 2 y later
- Cartilage volume and BMLs were measured
- Smokers had an increased annual loss of medial, but not lateral or patellar carilage volume
- A relationship existed between increasing pack-years and increased medial cartilage volume loss
- BMLs were 11.4 times more likely to persist in smokers than never smokers
Miranda Davies-Tuck, 08/31/09
| This is the first longitudinal study to examine the relationship between smoking and change in cartilage volume in an asymptomatic, community based population. The persistence of the BML was found to partially mediate the relationship between smoking and cartilage loss. The results suggests that the detrimental effect of cigarette smoking on cartilage maybe be partially mediated via the effect of cigarette smoke reducing the capacity of the BML to resolve. |
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