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

Cooper, Dale J. and Scammell, Brigitte E. and Batt, Mark E. and Palmer, Debbie (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). pp. 1101-1108. ISSN 1473-0480

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Abstract

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.

Item Type: Article
RIS ID: https://nottingham-repository.worktribe.com/output/932137
Additional Information: Copyright © 2018 by the BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine
Keywords: Hip; Knee; Osteoarthritis; Health; Post-olympic
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Rheumatology, Orthopaedics and Dermatology
Identification Number: https://doi.org/10.1136/bjsports-2017-098315
Depositing User: Eprints, Support
Date Deposited: 14 May 2018 10:27
Last Modified: 04 May 2020 19:36
URI: http://eprints.nottingham.ac.uk/id/eprint/51766

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