Prevalence of osteoarthritis in former elite athletes: a systematic overview of the recent literature

Gouttebarge, Vincent; Inklaar, Han; Backx, Frank; Kerkhoffs, Gino M. M. J.

doi:10.1007/s00296-014-3093-0

Cited by 63 publications

(57 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is difficult to assess because of the confounding factor of higher rates of traumatic joint injury in athletes owing to their sports participation, as well as great heterogeneity between studies related to this topic [123, 124]. Two mechanisms may predispose athletes to increased risk: firstly, increased high-impact joint loading as described for heavy manual workers; secondly, increased prevalence of cam morphology which may be caused by high levels of physical activity during a critical period during adolescence while osseous development is still occurring [125].…”

Section: Etiology and Risk Factors For Hip Oamentioning

confidence: 99%

Hip Osteoarthritis: Etiopathogenesis and Implications for Management

2016

View full text Add to dashboard Cite

Highly prevalent among the elderly, hip osteoarthritis (OA) carries a heavy burden of disease. Guidelines for the management of hip OA are often extrapolated from knee OA research, despite clear differences in the etiopathogenesis and response to treatments of OA at these sites. We propose that hip OA requires specific attention separate from other OA phenotypes. Our understanding of the etiopathogenesis of hip OA has seen significant advance over the last 15 years, since Ganz and colleagues proposed femoroacetabular impingement (FAI) as an important etiological factor. This narrative review summarizes the current understanding of the etiopathogenesis of hip OA and identifies areas requiring further research. Therapeutic approaches for hip OA are considered in light of the condition’s etiopathogenesis. The evidence for currently adopted management strategies is considered, especially those approaches that may have disease-modifying potential. We propose that shifting the focus of hip OA research and public health intervention to primary prevention and early detection may greatly improve the current management paradigm.

show abstract

Section: Etiology and Risk Factors For Hip Oamentioning

confidence: 99%

Hip Osteoarthritis: Etiopathogenesis and Implications for Management

2016

View full text Add to dashboard Cite

show abstract

“…While several risk factors have been identified, the causes of knee osteoarthritis are not well established. Age, obesity, and being overweight (body mass index, > 26), work-related activities, playing sports at high levels, and malalignment of the knee joint are the most prominent risk factors [1], [2], [3], [4]. There is probably also a genetic component and evidence suggests sex as a possible risk factor, with studies reporting higher prevalence of knee osteoarthritis in women over the age of 45 years [1].…”

Section: Introductionmentioning

confidence: 99%

Occupational Exposure to Knee Loading and the Risk of Osteoarthritis of the Knee: A Systematic Review and a Dose-Response Meta-Analysis

Verbeek

Mischke

Robinson

et al. 2017

Safety and Health at Work

View full text Add to dashboard Cite

BackgroundOsteoarthritis of the knee is considered to be related to knee straining activities at work. The objective of this review is to assess the exposure dose-response relation between kneeling or squatting, lifting, and climbing stairs at work, and knee osteoarthritis.MethodsWe included cohort and case–control studies. For each study that reported enough data, we calculated the odds ratio (OR) per 5,000 hours of cumulative kneeling and per 100,000 kg of cumulative lifting. We pooled these incremental ORs in a random effects meta-analysis.ResultsWe included 15 studies (2 cohort and 13 case–control studies) of which nine assessed risks in more than two exposure categories. We considered all but one study at high risk of bias. The incremental OR per 5,000 hours of kneeling was 1.26 (95% confidence interval 1.17–1.35, 5 studies, moderate quality evidence) for a log-linear exposure dose-response model. For lifting, there was no exposure dose-response per 100,000 kg of lifetime lifting (OR 1.00, 95% confidence interval 1.00–1.01). For climbing, an exposure dose-response could not be calculated.ConclusionThere is moderate quality evidence that longer cumulative exposure to kneeling or squatting at work leads to a higher risk of osteoarthritis of the knee. For other exposure, there was no exposure dose-response or there were insufficient data to establish this. More reliable exposure measurements would increase the quality of the evidence.

show abstract

“…Clinically shoulder joints, for example, seldom seem to be affected in modern young individuals [87]. However, shoulder osteoarthritis has more often been reported among young elite athletes (particularly professional tennis players), suggesting that the repetitive strains introduced by certain exercises at a young age can cause micro-trauma in the cartilage [17]. Previous bioarchaeological studies also suggest that the high prevalence of shoulder osteoarthritis in male hunter-gatherers and agriculturalists is associated with excessive use of the joint during their daily activities [26,74,75,88].…”

Section: Discussionmentioning

confidence: 99%

“…Previous clinical and osteoarchaeological studies demonstrate that osteoarthritis can be caused by many factors such as age, sex, genetics, hormones, nutrition, systemic inflammation, and body mass among others [8–12]. It is well-established that intensive physical demands and mechanical strains can prompt the development of osteoarthritis [13–17]. Some studies have also shown that an etiological relationship can be determined between certain osteoarthritis patterns and specific occupational or habitual practices [18–21].…”

Section: Introductionmentioning

confidence: 99%

Osteoarthritis, labour division, and occupational specialization of the Late Shang China - insights from Yinxu (ca. 1250 - 1046 B.C.)

Zhang¹,

Merrett²,

Jing³

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

This research investigates the prevalence of human osteoarthritis at Yinxu, the last capital of the Late Shang dynasty (ca. 1250–1046 B.C.), to gain insights about lifeways of early urban populations in ancient China. A total of 167 skeletal remains from two sites (Xiaomintun and Xin’anzhuang) were analyzed to examine osteoarthritis at eight appendicular joints and through three spinal osseous indicators. High osteoarthritis frequencies were found in the remains with males showing significantly higher osteoarthritis on the upper body (compared to that of the females). This distinctive pattern becomes more obvious for males from Xiaomintun. Furthermore, Xiaomintun people showed significantly higher osteoarthritis in both sexes than those from Xin’anzhuang. Higher upper body osteoarthritis is speculated to be caused by repetitive lifting and carrying heavy-weight objects, disproportionately adding more stress and thus more osseous changes to the upper than the lower body. Such lifting-carrying could be derived from intensified physical activities in general and specialized occupations in particular. Higher osteoarthritis in males may reveal a gendered division of labour, with higher osteoarthritis in Xiaomintun strongly indicating an occupational difference between the two sites. The latter speculation can be supported by the recovery of substantially more bronze-casting artifacts in Xiaomintun. It is also intriguing that relatively higher osteoarthritis was noticed in Xiaomintun females, which seems to suggest that those women might have also participated in bronze-casting activities as a “family business.” Such a family-involved occupation, if it existed, may have contributed to establishment of occupation-oriented neighborhoods as proposed by many Shang archaeologists.

show abstract

Prevalence of osteoarthritis in former elite athletes: a systematic overview of the recent literature

Cited by 63 publications

References 55 publications

Hip Osteoarthritis: Etiopathogenesis and Implications for Management

Hip Osteoarthritis: Etiopathogenesis and Implications for Management

Occupational Exposure to Knee Loading and the Risk of Osteoarthritis of the Knee: A Systematic Review and a Dose-Response Meta-Analysis

Osteoarthritis, labour division, and occupational specialization of the Late Shang China - insights from Yinxu (ca. 1250 - 1046 B.C.)

Contact Info

Product

Resources

About