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Table 2 The associations of the percentage change in BMI with outcomes of knee and hip osteoarthritis, when percentage change in BMI is either treated as a categorical variable (in the categorical analysis, left), or as a continuous variable (in the continuous analysis, right)

From: Researchers in rheumatology should avoid categorization of continuous predictor variables

Outcomes

Categorical analysis (The percentage change in BMI is treated as a categorical variable)

Continuous analysis (The percentage change in BMI is treated as a continuous variable)

5% or more decrease in BMIa

5% or more increase in BMIa

5% decrease in BMI

5% increase in BMI

Odds ratio (95% confidence interval)

P-value

Knee

 Knee structure

  Progression in overall structural defects

0.68 (0.51 0.91)

0.010

0.95 (0.76 1.20)

0.680

0.93 (0.87 0.99)

0.025

1.02 (0.98 1.06)

0.300

  Progression in medial or lateral JSN

0.58 (0.42 0.81)

0.001

1.01 (0.79 1.28)

0.958

0.90 (0.83 0.98)

0.011

1.11 (1.02 1.20)

0.011

  Progression in medial JSN

0.53 (0.35 0.79)

0.002

1.10 (0.84 1.45)

0.497

0.86 (0.78 0.95)

0.002

1.16 (1.06 1.28)

0.002

  Progression in lateral JSN

0.74 (0.43 1.27)

0.268

0.79 (0.49 1.26)

0.314

1.01 (0.87 1.16)

0.907

0.99 (0.86 1.14)

0.907

  Progression in medial tibia osteophytes

0.89 (0.67 1.18)

0.415

1.19 (0.94 1.51)

0.143

0.94 (0.87 1.02)

0.115

1.06 (0.98 1.15)

0.115

  Progression in lateral tibia osteophytes

1.02 (0.73 1.43)

0.887

0.96 (0.71 1.30)

0.792

1.04 (0.95 1.15)

0.415

0.96 (0.87 1.06)

0.415

  Progression in medial femoral osteophytes

0.66 (0.49 0.91)

0.010

1.22 (0.96 1.55)

0.098

0.85 (0.79 0.93)

 < 0.001

1.17 (1.08 1.27)

 < 0.001

  Progression in lateral femoral osteophytes

0.97 (0.69 1.37)

0.880

0.97 (0.72 1.30)

0.821

0.98 (0.89 1.08)

0.672

1.02 (0.93 1.12)

0.672

  Incidence of total knee replacement

0.94 (0.53 1.64)

0.818

1.15 (0.57 2.35)

0.692

0.99 (0.85 1.16)

0.916

1.01 (0.86 1.18)

0.916

 Pain in knee

  Development of frequent pain

0.98 (0.76 1.26)

0.848

1.41 (1.15 1.73)

0.001

0.90 (0.84 0.96)

0.003

1.11 (1.04 1.19)

0.003

  Development of any pain

0.89 (0.68 1.16)

0.383

1.11 (0.88 1.40)

0.365

0.92 (0.85 0.99)

0.020

1.09 (1.01 1.17)

0.020

  Resolution of frequent pain

1.31 (1.04 1.64)

0.021

0.93 (0.75 1.14)

0.485

1.11 (1.04 1.18)

0.003

0.90 (0.85 0.97)

0.003

  Resolution of any pain

1.41 (1.10 1.82)

0.007

1.00 (0.80 1.27)

0.968

1.10 (1.02 1.18)

0.011

0.91 (0.85 0.98)

0.011

Hip

 Hip structure

  Progression in overall structural defects

0.94 (0.60 1.48)

0.798

1.21 (0.84 1.75)

0.306

0.96 (0.85 1.08)

0.527

1.04 (0.92 1.17)

0.527

  Progression in medial or lateral JSN

1.20 (0.84 1.72)

0.318

1.18 (0.85 1.65)

0.324

0.95 (0.85 1.06)

0.343

1.06 (0.94 1.18)

0.343

  Progression in medial JSN

1.28 (0.84 1.93)

0.248

1.15 (0.77 1.71)

0.495

0.96 (0.84 1.10)

0.549

1.04 (0.91 1.19)

0.549

  Progression in lateral JSN

1.03 (0.61 1.74)

0.902

1.17 (0.74 1.85)

0.502

0.98 (0.84 1.16)

0.852

1.02 (0.87 1.19)

0.852

  Progression in superior acetabular osteophytes

1.80 (0.97 3.34)

0.062

1.62 (0.91 2.89)

0.099

1.09 (0.89 1.34)

0.392

0.91 (0.74 1.12)

0.392

  Progression in inferior acetabular osteophytes progression ~ 

2.70 (1.14 6.41)

0.024

1.75 (0.71 4.32)

0.225

1.18 (0.86 1.62)

0.307

0.85 (0.62 1.16)

0.307

  Progression in superior femoral osteophytes

1.05 (0.64 1.74)

0.841

1.05 (0.66 1.67)

0.826

1.04 (0.89 1.21)

0.658

0.97 (0.83 1.13)

0.658

  Progression in inferior femoral osteophytes

0.74 (0.30 1.81)

0.512

0.78 (0.34 1.83)

0.574

0.99 (0.77 1.28)

0.950

1.01 (0.78 1.30)

0.950

  Incidence of total hip replacement

1.15 (0.57 2.35)

0.692

1.09 (0.55 2.17)

0.806

1.01 (0.82 1.24)

0.947

0.99 (0.81 1.22)

0.947

 Pain in hip

  Development of frequent pain

0.95 (0.71 1.28)

0.754

1.11 (0.88 1.41)

0.387

0.95 (0.87 1.02)

0.160

1.06 (0.98 1.15)

0.160

  Development of any pain

0.86 (0.67 1.10)

0.227

0.94 (0.77 1.16)

0.582

0.99 (0.93 1.06)

0.779

1.01 (0.94 1.08)

0.779

  Resolution of frequent pain

1.06 (0.79 1.42)

0.698

0.87 (0.67 1.14)

0.314

1.03 (0.95 1.12)

0.457

0.97 (0.89 1.05)

0.457

  Resolution of any pain

1.05 (0.83 1.33)

0.697

1.14 (0.93 1.40)

0.201

0.98 (0.92 1.05)

0.541

1.02 (0.96 1.09)

0.541

  1. JSN Joint Space Narrowing. Adjusted for age, gender and Body Mass Index (BMI) at baseline
  2. aCompared to < 5% change in BMI (i.e., stable BMI)