Cooper, DJ ORCID: https://orcid.org/0000-0001-9815-956X, Scammell, BE, Batt, ME and Palmer, D (2018) Factors associated with pain and osteoarthritis at the hip and knee in Great Britain’s Olympians: a cross-sectional study. British Journal of Sports Medicine, 52 (17). 1101 - 1108.

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Abstract

<jats:sec><jats:title>Background</jats:title><jats:p>Knowledge of the epidemiology and potentially modifiable factors associated with musculoskeletal disease is an important first step in injury prevention among elite athletes.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>This study investigated the prevalence and factors associated with pain and osteoarthritis (OA) at the hip and knee in Great Britain’s (GB) Olympians aged 40 and older.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This is a cross-sectional study. A survey was distributed to 2742 GB Olympians living in 30 countries. Of the 714 (26.0%) who responded, 605 were eligible for analysis (ie, aged 40 and older).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The prevalence of hip and knee pain was 22.4% and 26.1%, and of hip and knee OA was 11.1% and 14.2%, respectively. Using a multivariable model, injury was associated with OA at the hip (adjusted OR (aOR) 10.85; 95% CI 3.80 to 30.96) and knee (aOR 4.92; 95% CI 2.58 to 9.38), and pain at the hip (aOR 5.55; 95% CI 1.83 to 16.86) and knee (aOR 2.65; 95% CI 1.57 to 4.46). Widespread pain was associated with pain at the hip (aOR 7.63; 95% CI 1.84 to 31.72) and knee (aOR 4.77; 95% CI 1.58 to 14.41). Older age, obesity, knee malalignment, comorbidities, hypermobility and weight-bearing exercise were associated with hip and knee OA and/or pain.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>This study detected an association between several factors and hip and knee pain/OA in retired GB Olympic athletes. These associations require further substantiation in retired athletes from other National Olympic Committees, and through comparison with the general population. Longitudinal follow-up is needed to investigate the factors associated with the onset and progression of OA/pain, and to determine if modulation of such factors can reduce the prevalence of pain and OA in this population.</jats:p></jats:sec>

Item Type: Article
Additional Information: The final version of this manuscript and all relevant information related to it, including copyrights, can be found online at; https://bjsm.bmj.com/content/52/17/1101
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine and Health Sciences > School of Allied Health Professions
Depositing User: Symplectic
Date Deposited: 16 Sep 2021 15:34
Last Modified: 16 Sep 2021 15:34
URI: https://eprints.keele.ac.uk/id/eprint/9968

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