Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018

Abstract The prevention of osteoarthritis through controlling body measurements has received increasing attention in recent years, but the relationship between lean body mass (LBM) and osteoarthritis remains unclear. Hence, we explored this association through the data from the National Health and N...

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Main Authors: Hongrui Lu, Zifan Zhuang, Gengjian Wang, Mengyun Zhang, Chang Yang, Dongyan Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-98795-2
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author Hongrui Lu
Zifan Zhuang
Gengjian Wang
Mengyun Zhang
Chang Yang
Dongyan Wang
author_facet Hongrui Lu
Zifan Zhuang
Gengjian Wang
Mengyun Zhang
Chang Yang
Dongyan Wang
author_sort Hongrui Lu
collection DOAJ
description Abstract The prevention of osteoarthritis through controlling body measurements has received increasing attention in recent years, but the relationship between lean body mass (LBM) and osteoarthritis remains unclear. Hence, we explored this association through the data from the National Health and Nutrition Examination Survey (2007–2018). The present study enrolled 31,172 participants. To explore the correlation between LBM and osteoarthritis, we utilized logistic regression equations to explore associations between covariates, exposures, and outcomes. We used multivariate regression models to further control confounding factors. Restricted cubic splines were employed to investigate non-linear relationships. And the inflection point was identified by recursive algorithm. Furthermore, stratified analyses of gender and age were conducted. Osteoarthritis was negatively correlated with LBM [0.74 (0.67, 0.80)] in the model adjusting for all confounders. Based on the restricted cubic spline curve, an inflection point of 52.26 kg was found to confirm the non-linear relationship. LBM was negatively correlated with osteoarthritis at 0.56 (0.48, 0.64) before the inflection point, and the association was not statistically significant afterward. This large-scale study revealed that LBM was non-linearly correlated with osteoarthritis in the general American population. Differences in age and gender were further identified.
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spelling doaj-art-fe7cdad1e8014e30a0c40eef53561e952025-08-20T02:55:21ZengNature PortfolioScientific Reports2045-23222025-04-0115111110.1038/s41598-025-98795-2Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018Hongrui Lu0Zifan Zhuang1Gengjian Wang2Mengyun Zhang3Chang Yang4Dongyan Wang5Heilongjiang University of Traditional Chinese MedicineGuang’anmen Hospital, China Academy of Traditional Chinese MedicineThe Second Affiliated Hospital of Heilongjiang University of Traditional Chinese MedicineThe Second Affiliated Hospital of Heilongjiang University of Traditional Chinese MedicineThe Second Affiliated Hospital of Heilongjiang University of Traditional Chinese MedicineThe Second Affiliated Hospital of Heilongjiang University of Traditional Chinese MedicineAbstract The prevention of osteoarthritis through controlling body measurements has received increasing attention in recent years, but the relationship between lean body mass (LBM) and osteoarthritis remains unclear. Hence, we explored this association through the data from the National Health and Nutrition Examination Survey (2007–2018). The present study enrolled 31,172 participants. To explore the correlation between LBM and osteoarthritis, we utilized logistic regression equations to explore associations between covariates, exposures, and outcomes. We used multivariate regression models to further control confounding factors. Restricted cubic splines were employed to investigate non-linear relationships. And the inflection point was identified by recursive algorithm. Furthermore, stratified analyses of gender and age were conducted. Osteoarthritis was negatively correlated with LBM [0.74 (0.67, 0.80)] in the model adjusting for all confounders. Based on the restricted cubic spline curve, an inflection point of 52.26 kg was found to confirm the non-linear relationship. LBM was negatively correlated with osteoarthritis at 0.56 (0.48, 0.64) before the inflection point, and the association was not statistically significant afterward. This large-scale study revealed that LBM was non-linearly correlated with osteoarthritis in the general American population. Differences in age and gender were further identified.https://doi.org/10.1038/s41598-025-98795-2Large-scaleLean body massOsteoarthritisCross-sectional studyStratified analysis
spellingShingle Hongrui Lu
Zifan Zhuang
Gengjian Wang
Mengyun Zhang
Chang Yang
Dongyan Wang
Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018
Scientific Reports
Large-scale
Lean body mass
Osteoarthritis
Cross-sectional study
Stratified analysis
title Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018
title_full Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018
title_fullStr Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018
title_full_unstemmed Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018
title_short Association between lean body mass and osteoarthritis: a cross-sectional study from the NHANES 2007–2018
title_sort association between lean body mass and osteoarthritis a cross sectional study from the nhanes 2007 2018
topic Large-scale
Lean body mass
Osteoarthritis
Cross-sectional study
Stratified analysis
url https://doi.org/10.1038/s41598-025-98795-2
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