Colleges
Websites
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What factors influence the course of OA?
Theme lead, OA Centre
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Cystic Fibrosis clinics, Southampton
Consultant
Nigel Arden
MBBS, FRCP, MSc, MD
Emeritus Professor in Rheumatic Diseases
- Lead of Musculoskeletal Epidemiology
- Deputy Director: Centre for Sport, Exercise & Osteoarthritis Research Versus Arthritis
- Fellow at the Lady Margaret Hall, University of Oxford
Nigel Arden trained at St Thomas's Hospital, London, where he also completed four years of research into the genetics of osteoporosis. During this time, he gained an MSc in Epidemiology and an MD. He moved to the South Coast in 1996 and in 1998 spent six months as Visiting Assistant Professor in Epidemiology at the University of San Francisco. In February 2000 he commenced as Consultant Rheumatologist at Southampton General Hospital, and Senior Lecturer in Rheumatology at the University of Southampton. In April 2008 Nigel moved to his present post as Professor in Rheumatic Diseases and Consultant Rheumatologist, NDORMS, University of Oxford.
My research interests focus on the Epidemiology of Osteoarthritis and Osteoporosis. I am based in the Botnar Research Centre, at the University of Oxford with additional sessions at the MRC Lifecourse Epidemiology Unit at the University of Southampton.
I lead a large research programme into Osteoarthritis, split between the two university sites, that has several major strands: (a) The risk factors of Osteoarthritis, Osteoporosis and lower limb Arthroplasty; (b) Clinical trials in the management of common musculoskeletal conditions; (c) personalised medicine in the treatment of musculoskeletal disease and (d) The role of sport and physical activity in health, especially musculoskeletal health.
It has already provided new Epidemiological insights into Osteoarthritis from the effect of the early environment to treatments for established disease. We have demonstrated, for the first time, that the early environment programs Osteoarthritis and that these environmental factors interact with the genome. I have performed several large multicentre clinical trials to define the benefit of Intra-Articular Therapies in the treatment of Knee OA. I have also been part of EULAR and OARSI working groups to produce new definitions and treatment guidelines for disease.
Expanding research programmes are based around:
- The complex genetic and environmental influences on Osteoarthritis and more importantly their interaction
- The epidemiology of knee and hip Osteoarthritis
- The epidemiology and survival of total joint replacements in Osteoarthritis
- The role of sport and exercise in Osteoarthritis
- Predicting outcome of patients with Osteoarthritis
- Personalized medicine and prevention of chronic diseases
Key publications
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Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Biomarkers and Frailty.
Journal article
Arden N. et al, (2015), Drugs aging, 32, 525 - 535
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Severe osteoarthritis of the hand associates with common variants within the ALDH1A2 gene and with rare variants at 1p31.
Journal article
Styrkarsdottir U. et al, (2014), Nat genet, 46, 498 - 502
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Common genetic determinants of vitamin D insufficiency: a genome-wide association study.
Journal article
Wang TJ. et al, (2010), Lancet, 376, 180 - 188
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Association between bisphosphonate use and implant survival after primary total arthroplasty of the knee or hip: population based retrospective cohort study.
Journal article
Prieto-Alhambra D. et al, (2011), Bmj, 343
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Identification of new susceptibility loci for osteoarthritis (arcOGEN): a genome-wide association study.
Journal article
arcOGEN Consortium None. et al, (2012), Lancet, 380, 815 - 823
Recent publications
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Characterising flare and pain variability in individuals with symptomatic hand osteoarthritis - primary report from the Hand Osteoarthritis: investigating Pain (HOPE) Cohort
Journal article
Gulati M. et al, (2025), Rheumatology, 64
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Organizational risk profiling and education associated with reduction in professional pitching arm injuries: a natural experiment.
Journal article
Bullock GS. et al, (2023), Jses rev rep tech, 3, 295 - 302
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Description, Prediction, and Causation in Sport and Exercise Medicine Research: Resolving the Confusion to Improve Research Quality and Patient Outcomes.
Journal article
Losciale JM. et al, (2023), J orthop sports phys ther, 0, 1 - 7
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Better post-operative prediction and management of chronic pain in adults after total knee replacement: the multidisciplinary STAR research programme including RCT
Journal article
Gooberman-Hill R. et al, (2023), Programme grants for applied research, 11
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Sexual activity satisfaction in symptomatic hip osteoarthritis patients: A cross-sectional, national web-based study.
Journal article
Fu K. et al, (2023), Int j rheum dis, 26, 1067 - 1075