Exploring overweight and obesity beyond body mass index: A body composition analysis in people with and without patellofemoral pain

Ferreira, Amanda Schenatto; Mentiplay, Benjamin F.; Taborda, Bianca; Pazzinatto, Marcella Ferraz; Azevedo, Fábio Mícolis de; Silva, Danilo de Oliveira

doi:10.1016/j.jshs.2021.06.003

Cited by 14 publications

(8 citation statements)

References 79 publications

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“…While the analysis did consider BMI, other aspects of body composition were not measured. Higher body fat and lower skeletal muscle mass have been observed in women with PFP and these factors are associated with pressure hyperalgesia [ 42 , 43 ]. PFP is influenced by a variety of biopsychosocial factors such as catastrophizing and pain-related fear [ 44 ]; the present study considered primarily the biomechanical factors.…”

Section: Discussionmentioning

confidence: 99%

Interaction of Biomechanical, Anthropometric, and Demographic Factors Associated with Patellofemoral Pain in Rearfoot Strike Runners: A Classification and Regression Tree Approach

de Souza Júnior,

Gaudette,

Johnson

et al. 2024

Sports Med - Open

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Background Patellofemoral pain (PFP) is among the most common injuries in runners. While multiple risk factors for patellofemoral pain have been investigated, the interactions of variables contributing to this condition have not been explored. This study aimed to classify runners with patellofemoral pain using a combination of factors including biomechanical, anthropometric, and demographic factors through a Classification and Regression Tree analysis. Results Thirty-eight runners with PFP and 38 healthy controls (CON) were selected with mean (standard deviation) age 33 (16) years old and body mass index 22.3 (2.6) kg/m2. Each ran at self-selected speed, but no between-group difference was identified (PFP = 2.54 (0.2) m/s x CON = 2.55 (0.1) m/s, P = .660). Runners with patellofemoral pain had different patterns of interactions involving braking ground reaction force impulse, contact time, vertical average loading rate, and age. The classification and regression tree model classified 84.2% of runners with patellofemoral pain, and 78.9% of healthy controls. The prevalence ratios ranged from 0.06 (95% confidence interval: 0.02–0.23) to 9.86 (95% confidence interval: 1.16–83.34). The strongest model identified runners with patellofemoral pain as having higher braking ground reaction force impulse, lower contact times, higher vertical average loading rate, and older age. The receiver operating characteristic curve demonstrated high accuracy at 0.83 (95% confidence interval: 0.74–0.93; standard error: 0.04; P < .001). Conclusions The classification and regression tree model identified an influence of multiple factors associated with patellofemoral pain in runners. Future studies may clarify whether addressing modifiable biomechanical factors may address this form of injury.

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Section: Discussionmentioning

confidence: 99%

Interaction of Biomechanical, Anthropometric, and Demographic Factors Associated with Patellofemoral Pain in Rearfoot Strike Runners: A Classification and Regression Tree Approach

de Souza Júnior,

Gaudette,

Johnson

et al. 2024

Sports Med - Open

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“…BMI had significant effect on the treatment of patellofemoral pain syndrome. Ferreira.et.al 24 and Arrebola.et.al 25 stated that increased BMI had significant effect on body composition which ultimately affect the treatment of patellofemoral pain. In present study it was concluded that pre and post comparison of VAS on pain in both groups had highly significant value unlike result was noted in another study in which they stated that participants who had patellar mobilization in comparison to taping had more significant value 24 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Patellar Mobilization and Taping in Patient With Patellofemoral Pain Syndrome

Khan,

Anum,

Shahid

et al. 2024

Pak. J. Rehabil

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Background of the Study: To compare patellar taping and mobilization plus conventional therapy for reducing knee pain in patients with patellofemoral pain syndrome (PFPS). Methodology: Controlled trial with 50 participants divided into two groups who received different treatments for 6 weeks: Group A had patellar taping and iliotibial band stretching, while Group B had patellar mobilization and quadriceps strengthening. Participants received three treatment sessions weekly for six weeks. The VAS was used to conduct pre and post-test pain evaluations for groups A and B. Results: Knee pain decreased in PFPS patients receiving patellar taping (Group A) or mobilization (Group B) using VAS (p<0.05). All treatments are effective for PFPS. The VAS scores after 6 weeks of post A and post B treatments assessed. After 6 weeks of taping, mean = 0.76±0.83. After 6 weeks, mean and SD = 1.20±1.12 from patellar mobilization. No significant difference between means (p = 0.12, α ≤ 0.05). Insignificance. Conclusion: The result of the study indicated that after 6 weeks of treatment for both patellar taping and patellar mobilization were effective in decreasing pain in PFPS. Keywords: Syndrome, mobilization, taping, visual analogue scale, pain, rehabilitation.

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“…Differences in hip muscle strength [ 24 ] and knee joint alignment [ 25 , 26 ] between males and females are known to influence the incidence of knee pain. In addition, unfavorable changes in body composition and BMI might influence the knee injury in young females [ 27 , 28 ]. Ford et al reported that the knee abduction angle was greater in young female athletes than in males, which was associated with higher rates of anterior cruciate ligament injury in females [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Knee pain in young sports players aged 6–15 years: a cross-sectional study in Japan

Iwatsu

Yabe

Sekiguchi

et al. 2023

BMC Sports Sci Med Rehabil

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Background Knee is the most commonly injured part of the body in young athletes. Knee pain in several studies have been seen to be more prevalent in active adolescents compared to inactive, although common in both groups. Nevertheless, few studies with large sample size have been published reporting the difference of the prevalence of knee pain for each sport among young sports players. This study investigated the point prevalence of knee pain among young sports players aged 6–15 years old according to age, sex, and sports discipline. Furthermore, this study investigated the association between knee pain and sports discipline among young sports players. Methods A cross-sectional study was conducted using a self-reported questionnaire on young sports players aged 6–15 years from the Miyagi Amateur Sports Association. Multivariable logistic regression models were used to examine the association between knee pain and sports discipline and were adjusted for age, sex, body mass index (BMI), training days per week, and training hours per weekday and weekend. Results A total of 7234 young sports players were included. The point prevalence of knee pain was 10.9%. Females (13.3%) had more knee pain than males (9.8%). Young, 13-year-old sports players had the highest prevalence of knee pain (19.1%). The multivariable analysis showed that the highest odds ratio [95% confidence interval] was observed for handball players (2.42 [1.01–5.81]). In addition, hand ball, mini-basketball (odds ratio 1.85; 95% CI 1.38–2.47), and basketball (odds ratio 1.66; 95% CI 1.23–2.26) were significantly associated with knee pain, compared with football. The lowest odds ratio was observed for swimming (0.34 [0.05–2.54]), followed by karate (odds ratio 0.38; 95% CI 0.16–0.89) and baseball (odds ratio 0.47; 95% CI 0.35–0.64). Conclusion The prevalence of knee pain among young athletes differed according to age, sex, and sports discipline. Their parents and clinicians should recognize this information to manage knee pain among young sports players.

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Exploring overweight and obesity beyond body mass index: A body composition analysis in people with and without patellofemoral pain

Cited by 14 publications

References 79 publications

Interaction of Biomechanical, Anthropometric, and Demographic Factors Associated with Patellofemoral Pain in Rearfoot Strike Runners: A Classification and Regression Tree Approach

Interaction of Biomechanical, Anthropometric, and Demographic Factors Associated with Patellofemoral Pain in Rearfoot Strike Runners: A Classification and Regression Tree Approach

Comparison of Patellar Mobilization and Taping in Patient With Patellofemoral Pain Syndrome

Knee pain in young sports players aged 6–15 years: a cross-sectional study in Japan

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