March 25, 2026 · Arthritis & rheumatology (Hoboken, N.J.) · DOI: 10.1002/art.70154

Per- and polyfluoroalkyl substances and knee osteoarthritis: data from the Osteoarthritis Initiative

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The authors aimed to investigate the relationship between specific per- and polyfluoroalkyl substances (PFAS) and the incidence of knee osteoarthritis (KOA) as well as knee pain progression in a cohort from the Osteoarthritis Initiative. They found that higher serum concentrations of perfluorooctanoic acid and perfluorononanoic acid were associated with an increased likelihood of developing symptomatic KOA and experiencing knee pain progression. These findings suggest a potential link between PFAS exposure and adverse knee health outcomes.

Jeffrey B Driban, Lisa B Rokoff, Bing Lu, Timothy E McAlindon, Charles B Eaton, Mary B Roberts, Diana Mathes, Colleen Lestician, Zhijin Carrie Xu, Zhihua Tina Fan, Shawn P O'Leary, Ida K Haugen, Jérémie Sellam, Alice Courties, Abby F Fleisch

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