The association of folate deficiency with clinical and radiological severity of knee osteoarthritis

Context: Folate deficiency is often observed in patients with inflammatory diseases, raising questions about its role in knee osteoarthritis (OA) progression. Objectives: This study aimed to assess the association of folate deficiency with the clinical and radiological severity of knee OA. Methods: A prospective cross-sectional study was conducted from January 1, 2019 to January 1, 2020. Primary knee OA patients referred to orthopedic clinics in Zabol, Iran were included. Radiographic severity was gauged utilizing the Kellgren–Lawrence (KL) classification. For clinical severity, patients completed the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. IBM SPSS v.27 facilitated the statistical analysis. Results: Forty-nine knee OA patients, averaging 67.45±13.44 years in age, were analyzed. Spearman correlation analysis revealed a negative correlation between folate levels and both WOMAC and KL scores. The correlation was stronger between folate and KL score (Spearman correlation coefficient: −0.75) than between folate and WOMAC total score (Spearman correlation coefficient: −0.46). Additionally, a significantly higher KL score was observed in patients with folate deficiency (p=0.004). Conclusions: Our study highlights a significant correlation between folate deficiency and increased severity of OA, which is evident in radiological and clinical assessments. These findings suggest that folate plays a key role in OA pathogenesis and could be a modifiable factor in its management.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
The association of folate deficiency with clinical and radiological severity of knee osteoarthritis ; volume:124 ; number:5 ; year:2024 ; pages:213-218 ; extent:06
Journal of osteopathic medicine ; 124, Heft 5 (2024), 213-218 (gesamt 06)

Creator
Abedi, Majid
Mollashahi Javan, Hasan
Khosravi, Asal
Rohani, Reza
Mohammadsharifi, Ghasem

DOI
10.1515/jom-2023-0030
URN
urn:nbn:de:101:1-2404231535181.456417906032
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:52 AM CEST

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Associated

  • Abedi, Majid
  • Mollashahi Javan, Hasan
  • Khosravi, Asal
  • Rohani, Reza
  • Mohammadsharifi, Ghasem

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