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Exploring the association between Frailty Index and Knee osteoarthritis in middle-aged and older Chinese adults: A cross-sectional analysis of data from the China Health and Retirement Longitudinal St

7 hours ago
  • #Knee Osteoarthritis
  • #Geriatric Health
  • #Frailty Index
  • Study examines link between Frailty Index (FI) and symptomatic Knee Osteoarthritis (KOA) in Chinese adults aged 45+ using CHARLS data.
  • Results show significant positive association (OR 3.63), with a logarithmic non-linear relationship identified via restricted cubic splines.
  • Subgroup analyses indicate interactions by gender, education, residence, alcohol, hypertension, and dyslipidemia.
  • Random Forest machine learning model performed best (AUC 0.90) for predicting KOA, based on calibration and decision curve analysis.
  • Findings suggest higher frailty scores correlate with increased KOA prevalence, highlighting a potential inflection point for targeted interventions.