M.Tech.

Hand Osteoarthritis (HOA) is the most common joint disease that affects the finger joints of older adults. Individuals with HOA have decreased handgrip strength and hand function. People with this condition have difficulties in grasping, gripping, twisting, and turning objects in daily living. As the disease advances structural changes such as loss of normal joint space, osteophyte formation, and bony nodules in people with HOA are common. Several investigators have examined the relationship between hand or body anthropometrics and handgrip strength and hand function in healthy diverse populations; however, no previous studies have investigated this association in people with HOA. The purpose of this thesis was to investigate the relationship between body and hand anthropometrics with hand strength and function in people with HOA, encompassing 2 papers. The first manuscript in this thesis was to describe the relationship between body and hand anthropometric variables with hand strength in people with HOA. In addition, it sought to establish the relative contribution among those variables for hand grip and pinch strengths in people with HOA. The second manuscript in this thesis was to describe the relationship between body and hand anthropometric variables with hand function in people with HOA. Further, it examines how anthropometric and demographic factors in combination explain hand function and health status in people with HOA. Finally, the thesis addresses the implications for the studies, limitations, and conclusions. / Thesis / Master of Science (MSc)

Hand osteoarthritis (OA) is a degenerative joint disease that causes pain, functional limitation and negatively affects the patients' quality of life. The most severe subtype of this disease is erosive OA. Erosive hand OA is characterized by an abrupt onset, inflammation and is linked to worse outcomes than non-erosive hand OA. Current methods do not allow early diagnosis or to distinguish between patients with different forms at disease onset. This could be changed by the utilization of biomarkers in clinical practice. Biomarkers are molecules released into circulation that reflect biological processes. The main goal of this study was to analyze the levels of circulating biomarkers with the aim to differentiate patients from healthy subjects and patients with erosive OA from patients with non-erosive disease. Serum concentrations of seven biomarkers and the expression of plasma microRNAs were determined. Patients with hand OA showed altered cartilage metabolism, increased levels of adiponectin, decreased levels of clusterin and a dysregulated expression of several microRNAs in comparison to the healthy population. Patients with erosive OA had lower levels of clusterin and decreased expression of miR-151-3p than those with the non-erosive form of the disease. These findings suggest the potential...