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

Cooper, D. J. and Scammell, B. E. and Batt, M. E. 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. ISSN 0306-3674

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Abstract

ABSTRACT

Background: Knowledge of 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: 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 the analysis (i.e. aged 40 and older).

Results: The prevalence of hip and knee pain was 22.4% and 26.1%, and hip and knee OA was 11.1% and 14.2%, respectively. Using a multivariable model, injury was associated with OA at the hip (adjusted odds ratio [aOR] 10.85; 95% CI 3.80-30.96), and knee (aOR 4.92; 95% CI 2.58-9.38), and pain at the hip (aOR 5.55; 95% CI 1.83-16.86), and knee (aOR 2.65; 95% CI 1.57-4.46). Widespread pain was associated with pain at the hip (aOR 7.63; 95% CI 1.84-31.72), and knee (aOR 4.77; 95% CI 1.58-14.41). 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.

Keywords: Hip, Knee, Osteoarthritis, Health, Post-Olympic

Item Type: Article
Subjects: A100 Pre-clinical Medicine
A300 Clinical Medicine
B100 Anatomy, Physiology and Pathology
B900 Others in Subjects allied to Medicine
C600 Sports Science
Divisions: Faculty of Health, Education and Life Sciences > School of Health Sciences
UoA Collections > REF2021 UoA 03: Allied Health Professions, Dentistry, Nursing & Pharmacy
UoA Collections > REF2021 UoA24: Sport and Exercise Sciences, Leisure and Tourism
Depositing User: Dale Cooper
Date Deposited: 31 May 2018 15:30
Last Modified: 31 May 2018 15:30
URI: http://www.open-access.bcu.ac.uk/id/eprint/5942

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