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Research ArticleArticle

The Influence of Weather Conditions on Joint Pain in Older People with Osteoarthritis: Results from the European Project on OSteoArthritis

Erik J. Timmermans, Laura A. Schaap, Florian Herbolsheimer, Elaine M. Dennison, Stefania Maggi, Nancy L. Pedersen, Maria Victoria Castell, Michael D. Denkinger, Mark H. Edwards, Federica Limongi, Mercedes Sánchez-Martínez, Paola Siviero, Rocio Queipo, Richard Peter, Suzan van der Pas and Dorly J.H. Deeg for the EPOSA Research Group
The Journal of Rheumatology October 2015, 42 (10) 1885-1892; DOI: https://doi.org/10.3899/jrheum.141594
Erik J. Timmermans
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  • For correspondence: ej.timmermans@vumc.nl
Laura A. Schaap
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Florian Herbolsheimer
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Elaine M. Dennison
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Stefania Maggi
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Nancy L. Pedersen
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Maria Victoria Castell
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Michael D. Denkinger
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Mark H. Edwards
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Federica Limongi
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Mercedes Sánchez-Martínez
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Paola Siviero
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Rocio Queipo
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Richard Peter
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Suzan van der Pas
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Dorly J.H. Deeg
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    Figure 1.

    The association between joint pain and daily average humidity in older persons with osteoarthritis in relatively cold and warm weather conditions.

Tables

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    Table 1.

    Characteristics of the study sample (n = 810)*. Values are n (%) unless otherwise specified.

    VariablesValues
    Age, yrs, mean (SD)74.0 (5.0)
    Female556 (68.6)
    Country
      Germany84 (10.4)
      Italy167 (20.6)
      The Netherlands127 (15.7)
      Spain162 (20.0)
      Sweden158 (19.5)
      United Kingdom112 (13.8)
    Depression, HADS-D score ≥ 8 at baseline and/or at 12–18 mos followup198 (24.3)
    No. days of medication use, median (IQR)19.0 (10.0–28.0)
    • ↵* Descriptive statistics are weighted, except age, sex, and country. The number of participants are nonweighted. HADS-D: Hospital Anxiety Depression Scale-Depression; IQR: interquartile range.

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    Table 2.

    Average joint pain in older people with osteoarthritis across countries and seasons*. Values are joint pain intensity, 0–10, mean (SD) (based on no. participants/no. pain reports).

    SeasonAll Countries, n = 810Germany, n = 84Italy, n = 167The Netherlands, n = 127Spain, n = 162Sweden, n = 158United Kingdom, n = 112p
    Overall3.7 (2.7) (810/25,891)3.3 (2.2) (84/2882)4.3 (2.8) (167/5203)3.9 (2.3) (127/4165)5.1 (2.9) (162/3900)2.5 (2.3) (158/5893)3.8 (2.6) (112/3848)< 0.001
    Spring3.8 (2.7) (561/7895)3.1 (2.1) (63/815)4.3 (2.8) (118/1620)4.0 (2.3) (92/1259)5.1 (2.8) (119/1816)2.5 (2.3) (117/1781)3.0 (2.7) (52/604)< 0.001
    Summer3.8 (2.7) (479/6884)3.0 (2.1) (54/592)4.3 (2.8) (88/1227)4.0 (2.2) (77/1012)4.8 (2.9) (82/966)2.4 (2.3) (83/1188)4.0 (2.7) (95/1899)< 0.001
    Autumn3.6 (2.6) (442/6983)3.7 (2.4) (61/884)4.4 (2.8) (103/1615)4.3 (2.5) (69/858)4.8 (2.9) (26/314)2.6 (2.2) (126/2576)3.8 (2.6) (57/736)< 0.001
    Winter3.9 (2.8) (316/4129)3.4 (2.2) (50/591)4.0 (3.0) (68/741)3.4 (2.4) (59/1036)5.5 (3.0) (62/804)2.7 (2.5) (31/348)4.0 (2.5) (46/609)< 0.001
    • ↵* The number of participants and pain reports are nonweighted. Descriptive statistics are weighted.

    • View popup
    Table 3.

    Associations between daily average weather variables and joint pain intensity in older persons with osteoarthritis.

    ModelsB95% CIpEffect Size
    Model 1
      Temperature, °C−0.006−0.010 to −0.003< 0.001−0.060
      Precipitation, mm−0.001−0.003–0.0030.98−0.003
      Atmospheric pressure, hPa−0.002−0.004–0.0010.14−0.022
      Relative humidity, %0.0040.003–0.006< 0.0010.089
      Wind speed, m/s0.011−0.004–0.0270.150.025
    Model 2
      Temperature, °C0.002−0.003–0.0070.450.009
      Precipitation, mm−0.004−0.009–0.0020.18−0.018
      Atmospheric pressure, hPa−0.003−0.007–0.0020.21−0.023
      Relative humidity, %0.0040.002–0.007< 0.010.063
      Wind speed, m/s−0.020−0.046–0.0060.13−0.032
    Model 3
      Precipitation, mm−0.006−0.012 to −0.0010.03−0.034
      Relative humidity, %0.0050.002–0.008< 0.010.068
      Wind speed, m/s−0.012−0.040 to −0.0170.42−0.027
    • Model 1: unadjusted model. Model 2: adjusted for sex (reference category: men), age, country (reference category: Sweden), depression (reference category: not depressed; HADS-D < 8), and medication use (reference category: no medication use). Model 3 includes all pain-weather associations that reached a p value below 0.20 in Model 2; in addition, this model includes sex (reference category: men), age, country (reference category: Sweden), depression (reference category: not depressed (HADS-D < 8), and medication use (reference category: no medication use). B: unstandardized coefficient; HADS-D: Hospital Anxiety Depression Scale-Depression.

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    Table 4.

    Associations between 3-day average weather variables and joint pain intensity in older persons with osteoarthritis.

    ModelsB95% CIpEffect Size
    Model 1
      Temperature, °C−0.005−0.009 to −0.002< 0.01−0.051
      Precipitation, mm0.003−0.002–0.0080.190.016
      Atmospheric pressure, hPa−0.003−0.005 to < 0.0010.07−0.025
      Relative humidity, %0.0070.005–0.009< 0.0010.130
      Wind speed, m/s0.014−0.007–0.0340.180.028
    Model 2
      Temperature, °C0.003−0.002–0.0080.290.021
      Precipitation, mm−0.001−0.009–0.0070.81−0.002
      Atmospheric pressure, hPa−0.005−0.009 to −0.0010.05−0.034
      Relative humidity, %0.0040.001–0.0070.010.054
      Wind speed, m/s−0.015−0.046–0.0170.36−0.021
    Model 3
      Atmospheric pressure, hPa−0.003−0.008 to −0.0020.290.018
      Relative humidity, %0.004−0.001–0.0070.020.052
    • Model 1: unadjusted model. Model 2: adjusted for sex (reference category: men), age, country (reference category: Sweden), depression (reference category: not depressed (HADS-D < 8), and medication use (reference category: no medication use). Model 3 includes all pain-weather associations that reached a p value below 0.20 in Model 2; in addition, this model includes sex (reference category: men), age, country (reference category: Sweden), depression (reference category: not depressed; HADS-D < 8,) and medication use (reference category: no medication use). B: unstandardized coefficient; HADS-D: Hospital Anxiety Depression Scale-Depression.

    • View popup
    Table 5.

    Associations of day-to-day differences in weather variables between 2 consecutive days with joint pain on the second day and day-to-day differences in joint pain intensity in older persons with osteoarthritis.

    ModelsB95% CIpEffect Size
    Joint pain on the second day
      Model 1
        Temperature, °C0.003−0.013–0.0180.73−0.006
        Precipitation, mm0.001−0.004–0.0050.76−0.008
        Atmospheric pressure, hPa−0.002−0.009–0.0050.56−0.003
        Relative humidity, %< 0.001−0.004–0.0040.92−0.010
        Wind speed, m/s0.002−0.022–0.0270.860.003
      Model 2
        Temperature, °C−0.001−0.017–0.0150.91−0.002
        Precipitation, mm−0.002−0.007–0.0020.29−0.015
        Atmospheric pressure, hPa0.003−0.004–0.0090.440.012
        Relative humidity, %0.001−0.003–0.0050.590.008
        Wind speed, m/s−0.005−0.034–0.0230.72−0.007
    Day-to-day differences in joint pain
      Model 1
        Temperature, °C0.006−0.003–0.0140.210.001
        Precipitation, mm−0.001−0.004–0.0010.32−0.002
        Atmospheric pressure, hPa−0.001−0.004–0.0030.840.008
        Relative humidity, %−0.002−0.004 to < 0.0010.08−0.004
        Wind speed, m/s−0.0040.018–0.0090.530.002
      Model 2
        Temperature, °C0.004−0.007–0.0160.440.003
        Precipitation, mm−0.002−0.005–0.0010.14−0.007
        Atmospheric pressure, hPa−0.001−0.005–0.0040.790.009
        Relative humidity, %−0.002−0.005 to < 0.0010.08−0.011
        Wind speed, m/s0.001−0.008–0.0020.900.001
      Model 3
        Precipitation, mm−0.001−0.004–0.0020.49−0.002
        Relative humidity, %−0.003−0.006 to < 0.0010.080.015
    • Model 1: unadjusted model. Model 2: adjusted for sex (reference category: men), age, country (reference category: Sweden), depression (reference category: not depressed (HADS-D < 8), and medication use (reference category: no medication use). Model 3 includes all pain-weather associations that reached a p value below 0.20 in Model 2; in addition, this model includes sex (reference category: men), age, country (reference category: Sweden), depression (reference category: not depressed (HADS-D < 8), and medication use (reference category: no medication use). B: unstandardized coefficient; HADS-D: Hospital Anxiety Depression Scale-Depression.

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The Journal of Rheumatology
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1 Oct 2015
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The Influence of Weather Conditions on Joint Pain in Older People with Osteoarthritis: Results from the European Project on OSteoArthritis
Erik J. Timmermans, Laura A. Schaap, Florian Herbolsheimer, Elaine M. Dennison, Stefania Maggi, Nancy L. Pedersen, Maria Victoria Castell, Michael D. Denkinger, Mark H. Edwards, Federica Limongi, Mercedes Sánchez-Martínez, Paola Siviero, Rocio Queipo, Richard Peter, Suzan van der Pas, Dorly J.H. Deeg
The Journal of Rheumatology Oct 2015, 42 (10) 1885-1892; DOI: 10.3899/jrheum.141594

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The Influence of Weather Conditions on Joint Pain in Older People with Osteoarthritis: Results from the European Project on OSteoArthritis
Erik J. Timmermans, Laura A. Schaap, Florian Herbolsheimer, Elaine M. Dennison, Stefania Maggi, Nancy L. Pedersen, Maria Victoria Castell, Michael D. Denkinger, Mark H. Edwards, Federica Limongi, Mercedes Sánchez-Martínez, Paola Siviero, Rocio Queipo, Richard Peter, Suzan van der Pas, Dorly J.H. Deeg
The Journal of Rheumatology Oct 2015, 42 (10) 1885-1892; DOI: 10.3899/jrheum.141594
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Keywords

JOINT PAIN
OLDER POPULATION
OSTEOARTHRITIS
WEATHER
WEATHER SENSITIVITY

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