Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults

Objectives: Little data exists on the effects of body mass index on the incidence of shoulder adhesive capsulitis. This study investigated the association between body mass index and incident adhesive capsulitis in Germany. Study design: Retrospective analysis of data from 522,830 adults in 677 gene...

Full description

Bibliographic Details
Authors: Kostev K, Gyasi RM, Yon DK, Konrad M, Jacob L
Format: article
Status:Published version
Publication Date:2026
Country:España
Institution:Fundació Sant Joan de Déu
Repository:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:dnet:r-fsjd______::890d7c8d1a04a76de4bc6b38e09ec21a
Online Access:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=30352
Access Level:Open access
Keyword:Body mass index
Germany
Obesity
Overweight
Shoulder adhesive capsulitis
id ES_ff0772d5beca2b00f376e84f2acf7643
oai_identifier_str oai:dnet:r-fsjd______::890d7c8d1a04a76de4bc6b38e09ec21a
network_acronym_str ES
network_name_str España
repository_id_str
spelling Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adultsKostev KGyasi RMYon DKKonrad MJacob LBody mass indexGermanyObesityOverweightShoulder adhesive capsulitisObjectives: Little data exists on the effects of body mass index on the incidence of shoulder adhesive capsulitis. This study investigated the association between body mass index and incident adhesive capsulitis in Germany. Study design: Retrospective analysis of data from 522,830 adults in 677 general practices in Germany over the period 2005-2023. Main outcome measures: The index date corresponded to the first documentation of body mass index. The diagnosis of shoulder adhesive capsulitis was assessed in the 10 years following the index date using the International Classification of Diseases, 10th revision. Participants were aged >= 18 years at the index date, had an observation period of at least 12 months prior to the index date, and had no history of adhesive capsulitis prior to or at the index date. Associations were studied using Kaplan-Meier curves and Cox regression analyses. Results: The mean (standard deviation) age of the population was 53.5 (17.3) years, while the proportion of women was 53.1%. The 10-year cumulative incidence of adhesive capsulitis was 0.63%, 0.65%, 1.05%, and 1.25% in people with underweight, normal weight, overweight, and obesity, respectively (p <0.001). These associations were corroborated in the adjusted Cox regression analyses focusing on categorical body mass index (normal weight reference; underweight hazard ratio 0.92 [95% confidence interval 0.68-1.26]; overweight hazard ratio 1.52 [1.39-1.67]; obesity hazard ratio 1.77 [1.61-1.95]) and continuous body mass index (1.03 [1.02-1.04]). Conclusions: Overweight and obesity were associated with an increased risk of adhesive capsulitis. More data are needed on the mediating factors involved in the relationship between body mass index and adhesive capsulitis.ELSEVIER IRELAND LTD2026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=30352MATURITASISSN: 03785122ISSNe: 18734111reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:dnet:r-fsjd______::890d7c8d1a04a76de4bc6b38e09ec21a2026-05-27T12:37:41Z
dc.title.none.fl_str_mv Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
title Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
spellingShingle Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
Kostev K
Body mass index
Germany
Obesity
Overweight
Shoulder adhesive capsulitis
title_short Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
title_full Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
title_fullStr Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
title_full_unstemmed Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
title_sort Association between body mass index and incident shoulder adhesive capsulitis in Germany: A retrospective cohort study of 522,830 adults
dc.creator.none.fl_str_mv Kostev K
Gyasi RM
Yon DK
Konrad M
Jacob L
author Kostev K
author_facet Kostev K
Gyasi RM
Yon DK
Konrad M
Jacob L
author_role author
author2 Gyasi RM
Yon DK
Konrad M
Jacob L
author2_role author
author
author
author
dc.subject.none.fl_str_mv Body mass index
Germany
Obesity
Overweight
Shoulder adhesive capsulitis
topic Body mass index
Germany
Obesity
Overweight
Shoulder adhesive capsulitis
description Objectives: Little data exists on the effects of body mass index on the incidence of shoulder adhesive capsulitis. This study investigated the association between body mass index and incident adhesive capsulitis in Germany. Study design: Retrospective analysis of data from 522,830 adults in 677 general practices in Germany over the period 2005-2023. Main outcome measures: The index date corresponded to the first documentation of body mass index. The diagnosis of shoulder adhesive capsulitis was assessed in the 10 years following the index date using the International Classification of Diseases, 10th revision. Participants were aged >= 18 years at the index date, had an observation period of at least 12 months prior to the index date, and had no history of adhesive capsulitis prior to or at the index date. Associations were studied using Kaplan-Meier curves and Cox regression analyses. Results: The mean (standard deviation) age of the population was 53.5 (17.3) years, while the proportion of women was 53.1%. The 10-year cumulative incidence of adhesive capsulitis was 0.63%, 0.65%, 1.05%, and 1.25% in people with underweight, normal weight, overweight, and obesity, respectively (p <0.001). These associations were corroborated in the adjusted Cox regression analyses focusing on categorical body mass index (normal weight reference; underweight hazard ratio 0.92 [95% confidence interval 0.68-1.26]; overweight hazard ratio 1.52 [1.39-1.67]; obesity hazard ratio 1.77 [1.61-1.95]) and continuous body mass index (1.03 [1.02-1.04]). Conclusions: Overweight and obesity were associated with an increased risk of adhesive capsulitis. More data are needed on the mediating factors involved in the relationship between body mass index and adhesive capsulitis.
publishDate 2026
dc.date.none.fl_str_mv 2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=30352
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=30352
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER IRELAND LTD
publisher.none.fl_str_mv ELSEVIER IRELAND LTD
dc.source.none.fl_str_mv MATURITAS
ISSN: 03785122
ISSNe: 18734111
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869425737940860928
score 15.812429

Similar Items