Is excessive running predictive of degenerative hip disease? Controlled study of former elite athletes.

Marti, Bernard; Knobloch, M.; Tschopp, Alois; Jucker, Andreas H.; Howald, H.

doi:10.1136/bmj.299.6691.91

Cited by 164 publications

(101 citation statements)

References 15 publications

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“…Recent studies of runners (25)(26)(27)(28) reported that those who were highly physically active may face an increased risk of radiographic OA. Several small longitudinal studies (29,30) have shown no increased OA risk in runners.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for incident radiographic knee osteoarthritis in the elderly. The framingham study

Felson

Zhang

Hannan

et al. 1997

Arthritis & Rheumatism

661

396

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Objective. Knee osteoarthritis (OA) is highly prevalent, especially in the elderly. Preventive strategies require a knowledge of risk factors that precede disease onset. The present study was conducted to determine the longitudinal risk factors for knee OA in an elderly population.Methods. A longitudinal study of knee OA involving members of the Framingham Study cohort was performed. Weight-bearing knee radiographs were obtained in 1983-1985 (baseline) index increased the risk of OA (OR = 1.6 per 5-unit increase, 95% CI 1.2-2.2), and weight change was directly correlated with the risk of OA (OR = 1.4 per 10-lb change in weight, 95% CI 1.1-1.8). Physical activity increased the risk of OA (for those in the highest quartile, OR = 3.3, 95% CI 1.4-7.5). Smokers had a lower risk than did nonsmokers (for those who smoked an average of 1 1 0 cigarettedday, OR = 0.4, 95% CI 0.2-0.8). Factors not associated with the risk of OA included chondrocalcinosis and a history of hand OA. Weight-related factors affected the risk of OA only in women.Conclusion. Elderly persons at high risk of developing radiographic knee OA included obese persons, nonsmokers, and those who were physically active. The direction of weight change correlated directly with the risk of developing OA.Osteoarthritis (OA) is the most common joint disease, especially in the elderly. However, partly because of the slow time course of disease development, no substantial longitudinal studies of risk factors for the disease have been performed. Knowledge of the risk factors for knee OA has been derived from crosssectional studies.Similar to many chronic diseases, the pathogenesis of OA is likely to be multifactorial. Risk factors consistently associated with the disease in cross-sectional studies include older age, female sex, and being overweight (1). In cross-sectional studies, the OA could develop first, leading a person to become sedentary and to gain weight. We have reported that higher weight in early life predisposes patients to knee OA (2), and that weight loss lowers the risk of developing symptomatic knee OA (3). Both results were based on a one-time assessment of OA occurrence (3). We (4) and others ( 5 )

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Section: Discussionmentioning

confidence: 99%

Risk factors for incident radiographic knee osteoarthritis in the elderly. The framingham study

Felson

Zhang

Hannan

et al. 1997

Arthritis & Rheumatism

661

396

View full text Add to dashboard Cite

show abstract

“…In a study from Switzerland, the entire national team in long-distance running (27 men) and bobsleigh (9 men) and a control group of 23 men were examined in 1973 and re-examined in 1988 (Marti et al 1989). All were free from arthrosis in 1973 but, 15 years later, 5 of the runners and none of the controls showed radiographic signs of hip arthrosis.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal disorders in former athletes:A cohort study in 114 track and field champions

Vingård

Sandmark

Alfredsson

1995

Acta Orthopaedica Scandinavica

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“…Several studies that have examined former recreational and professional athletes have shown a positive correlation between various sports participation and an increased prevalence of hip OA (33)(34)(35)(36)(37)(38)(39)(40)(41). A retrospective case-control study of regular high-mileage, long-distance male runners who were longitudinally followed for 15 years found radiologic evidence of OA consisting of subchondral sclerosis (59%) and osteophyte formation (29%) in their cohort (39). Additionally, 30% of these runners at age 42 years had symptomatic hip pain, and their long-term, high-intensity, high-mileage running was found to be statistically equivalent to age as a risk factor for the development of radiographic hip OA and symptomatic hip pain.…”

mentioning

confidence: 99%

The incidence of primary hip osteoarthritis in active duty US military servicemembers

Scher

Belmont

Mountcastle

et al. 2009

Arthritis & Rheumatism

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Objective. Although multiple studies have reported the prevalence of primary hip osteoarthritis (OA), little has been reported on incidence rates of hip OA. We sought to determine the incidence rate and demographic risk factors of hip OA in an ethnically diverse and physically active population of US military servicemembers. Methods. A query was performed using the US Defense Medical Epidemiology Database for the International Classification of Diseases, Ninth Revision, Clinical Modification code for hip OA (715.95). Multivariate Poisson regression analysis was used to estimate the rate of hip OA per 100,000 person-years, controlling for sex, race, age, rank, and service. Results. The overall unadjusted incidence rate of hip OA was 35 per 100,000 person-years. Women, compared with men, had a significantly increased adjusted incidence rate ratio for hip OA of 1.87 (95% confidence interval [95% CI] 1.73-2.01). The adjusted incidence rate ratio for black servicemembers when compared with white servicemembers was 1.32 (95% CI 1.23-1.41). The adjusted incidence rate ratio for the >40-year-old age group compared with the 20-year-old group was 22.21 (95% CI 17.54 -28.14). With junior officers as the referent category, junior enlisted, senior enlisted, and senior officers rank groups had a significantly increased adjusted incidence rate ratio for hip OA. With the Air Force as the referent category, each service had a significantly increased adjusted incidence rate ratio for hip OA. Conclusion. Female sex; black race; age >40 years; junior enlisted, senior enlisted, and senior officer rank groups; and military service in the Navy, Army, or Marines were all risk factors for hip OA.

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Is excessive running predictive of degenerative hip disease? Controlled study of former elite athletes.

Abstract: Press, 1984:211-24

Cited by 164 publications

References 15 publications

Risk factors for incident radiographic knee osteoarthritis in the elderly. The framingham study

Risk factors for incident radiographic knee osteoarthritis in the elderly. The framingham study

Musculoskeletal disorders in former athletes:A cohort study in 114 track and field champions

The incidence of primary hip osteoarthritis in active duty US military servicemembers

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