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Factors associated with pain and osteoarthritis at the hip and knee in Great Britain’s Olympians: a cross-sectional study

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journal contribution
posted on 01.06.2020, 13:53 by Dale J Cooper, Brigitte E Scammell, Mark E Batt, Debbie Palmer
Background
Knowledge of the epidemiology and potentially modifiable factors associated with musculoskeletal disease is an important first step in injury prevention among elite athletes.
Aim
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.
Methods
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).
Results
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.
Conclusions
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.

Funding

This work was supported by Arthritis Research UK [grant number 20194], funding gratefully received from Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis

History

Citation

Cooper DJ, Scammell BE, Batt ME, et alFactors associated with pain and osteoarthritis at the hip and knee in Great Britain’s Olympians: a cross-sectional studyBritish Journal of Sports Medicine 2018;52:1101-1108.

Version

AM (Accepted Manuscript)

Published in

British Journal of Sports Medicine

Volume

52

Issue

17

Pagination

1101 - 1108

Publisher

BMJ

issn

0306-3674

eissn

1473-0480

Acceptance date

24/04/2018

Copyright date

2018

Spatial coverage

GB

Language

en

Publisher version

https://bjsm.bmj.com/content/52/17/1101.abstract

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