# LONGITUDINAL OSTEOARTHRITIS STUDY IN AN ELDERLY COHORT

> **NIH NIH R01** · BOSTON UNIVERSITY MEDICAL CAMPUS · 1992 · $456,819

## Abstract

DESCRIPTION:  (Adapted from Applicant's Abstract) Osteoarthritis (OA) is
the most common joint disorder.  Radiographic changes of OA occur in most
people by 65 years of age and are present in more than 80% of people over
age 85.  OA is most common in the hands and is also common in the knees
where symptoms are often severe.  Studies looking at the causes of OA and
the increase in OA with age have in general been cross-sectional.  There
have been few attempts to follow individuals over time to assess disease
development.

The objective of this project is to examine the long term course and risk
factors for osteoarthritis.  Specifically, we will look at the natural
history of OA in a population based group of elderly, the Framingham Heart
Study cohort.  This group obtained hand X-rays 25 years ago and knee x-rays
8 years ago as part of the Framingham OA Study.  The investigators propose
to do a follow-up study.  The specific aims of this project are to look at
the natural history of disease and risk factors for OA.

This study would involve interviews with subjects along with physical
examinations and x-rays of the knees and hands.  The analyses would focus
on whether OA has developed or progressed since the first exam.  For those
with new or progressive knee OA or hand OA, the investigators propose to
examine what risk factors might have caused disease.  They will focus on
age, sex, obesity, chondrocalcinosis, and osteopenia as identified by bone
mass studies also being performed in the group.  They would also
investigate potential new risk factors including walking activity, knee
alignment, and hormones (including gonadal hormones and insulin-like growth
factor I).  Also, they would look at whether there is a generalized disease
process in subjects after controlling for known causes of disease and
investigate whether subjects with hand or knee OA tend to develop OA in the
other site more frequently.

Because it is longitudinal, the investigators believe that the project
offers potentially new and important insights into all aspects of OA
epidemiology.  They state that the study of natural history may identify
subgroups in whom disease is likely to develop or progress.  They also
state that the study of risk factors will be uniquely valuable because it
is longitudinal and the proposed inquiry into potential unstudied risk
factors may yield major new insights into causes of disease.

## Key facts

- **NIH application ID:** 3121135
- **Project number:** 5R01AG009300-02
- **Recipient organization:** BOSTON UNIVERSITY MEDICAL CAMPUS
- **SAM.gov UEI:** FBYMGMHW4X95
- **Principal Investigator:** DAVID Tobin FELSON
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1992
- **Award amount:** $456,819
- **Award type:** 5
- **Project period:** 1991-06-01 → 1996-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3121135

## Citation

> US National Institutes of Health, RePORTER application 3121135, LONGITUDINAL OSTEOARTHRITIS STUDY IN AN ELDERLY COHORT (5R01AG009300-02). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3121135. Licensed CC0.

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