Match!

Prevalence of knee pain, radiographic osteoarthritis and arthroplasty in retired professional footballers compared with men in the general population: a cross-sectional study

Published on May 1, 2018in British Journal of Sports Medicine11.645
· DOI :10.1136/bjsports-2017-097503
Gwen Sascha Fernandes6
Estimated H-index: 6
,
Sanjay M. Parekh1
Estimated H-index: 1
(Arthritis Research UK)
+ 5 AuthorsMichael Doherty86
Estimated H-index: 86
Sources
Abstract
Objectives To determine the prevalence of knee pain, radiographic knee osteoarthritis (RKOA), total knee replacement (TKR) and associated risk factors in male ex-professional footballers compared with men in the general population (comparison group). Methods 1207 male ex-footballers and 4085 men in the general population in the UK were assessed by postal questionnaire. Current knee pain was defined as pain in or around the knees on most days of the previous month. Presence and severity of RKOA were assessed on standardised radiographs using the Nottingham Line Drawing Atlas (NLDA) in a subsample of 470 ex-footballers and 491 men in the comparison group. The adjusted risk ratio (aRR) and adjusted risk difference (aRD) with 95% CI in ex-footballers compared with the general population were calculated using the marginal model in Stata. Results Ex-footballers were more likely than the comparison group to have current knee pain (aRR 1.91, 95% CI 1.77 to 2.06), RKOA (aRR 2.21, 95% CI 1.92 to 2.54) and TKR (aRR 3.61, 95% CI 2.90 to 4.50). Ex-footballers were also more likely to present with chondrocalcinosis (aRR 3.41, 95% CI 2.44 to 4.77). Prevalence of knee pain and RKOA were higher in ex-footballers at all ages. However, even after adjustment for significant knee injury and other risk factors, there was more than a doubling of risk of these outcomes in footballers. Conclusions The prevalence of all knee osteoarthritis outcomes (knee pain, RKOA and TKR) were two to three times higher in male ex-footballers compared with men in the general population group. Knee injury is the main attributable risk factor. Even after adjustment for recognised risk factors, knee osteoarthritis appear to be an occupational hazard of professional football.
Figures & Tables
  • References (31)
  • Citations (15)
📖 Papers frequently viewed together
3 Citations
2005
6 Authors (Joong-Hwan Seo, ..., Jong-Seo Park)
5 Citations
65 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References31
Newest
#1Rasmus Oestergaard Nielsen (AU: Aarhus University)H-Index: 18
#2Michael Lejbach Bertelsen (AU: Aarhus University)H-Index: 5
Last. Martí Casals (UVic-UCC: University of Vic)H-Index: 13
view all 7 authors...
How do you know if the results of a particular study are important to your team, your patients or your community? A result that is statistically significant is not necessarily a meaningful target for sports injury prevention or a treatment strategy.1–3 And if statistical significance is not enough to determine ‘importance’ or meaningfulness, then what is? ### Box 1 Definition: Minimal important difference (MID) Minimal important difference (MID) is the smallest change in sports injury risk or tr...
10 CitationsSource
#1Gui Tran (University of Leeds)H-Index: 1
#2Toby O. Smith (UEA: University of East Anglia)H-Index: 37
Last. Philip G. Conaghan (Arthritis Research UK)H-Index: 83
view all 6 authors...
Background To assess the relationship between sport and osteoarthritis (OA), and specifically to determine whether previous participation, in terms of level (elite or non-elite), type of sport, intensity or previous injury, was associated with OA. Methods This systematic review was developed using PRISMA guidelines. Databases were searched (to May 2016). Narrative review and meta-analysis (with risk ratio (RR) and 95% CIs) approaches were undertaken where appropriate. Study quality was assessed ...
16 CitationsSource
#1V. Silverwood (Arthritis Research UK)H-Index: 1
#2Milisa Blagojevic-Bucknall (Arthritis Research UK)H-Index: 7
Last. Kelvin P. Jordan (Arthritis Research UK)H-Index: 43
view all 6 authors...
Summary Osteoarthritis (OA) is a leading cause of pain and disability and leads to a reduced quality of life. The aim was to determine the current evidence on risk factors for onset of knee pain/OA in those aged 50 and over. A systematic review and meta-analysis was conducted of cohort studies for risk factors for the onset of knee pain. Two authors screened abstracts and papers and completed data extraction. Where possible, pooled odds ratios (OR) were calculated via random effects meta-analysi...
223 CitationsSource
#1Gustavo Gonçalves Arliani (UNIFESP: Federal University of São Paulo)H-Index: 10
#2Diego Costa Astur (UNIFESP: Federal University of São Paulo)H-Index: 11
Last. Moises Cohen (UNIFESP: Federal University of São Paulo)H-Index: 23
view all 7 authors...
OBJECTIVES: This study aims to compare the prevalence of osteoarthritis in two groups: one comprising former professional soccer players and the other comprising non-professional-athlete participants. METHODS: Twenty-seven male former professional soccer players and 30 male volunteers from different non-sports professional areas participated in the study. All participants underwent bilateral knee radiography and magnetic resonance imaging. In addition, the quality of life, knee pain and joint fu...
18 CitationsSource
#1Edward C. Norton (UM: University of Michigan)H-Index: 43
#2Nathan W. Carroll (UM: University of Michigan)H-Index: 2
Last. Lawrence C. Kleinman (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 19
view all 6 authors...
We demonstrate how to apply regression risk analysis to compute risk ratios and risk differences from logistic regression models using complex survey data. We validate the use of regression risk analysis for complex survey design. First, we derive formulas for adjusted risk ratios (ARRs) and adjusted risk differences (ARDs) adjusted for weighting, stratification, and clustering. Then we use Monte Carlo data to show why correcting statistics for complex survey design is important. We show how to ...
3 CitationsSource
#1Edward C. Norton (UM: University of Michigan)H-Index: 43
#2Morgen M. Miller (UM: University of Michigan)H-Index: 3
Last. Lawrence C. Kleinman (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 19
view all 3 authors...
In this article, we explain how to calculate adjusted risk ratios and risk differences when reporting results from logit, probit, and related nonlinear models. Building on Stata’s margins command, we create a new postestimation command, adjrr, that calculates adjusted risk ratios and adjusted risk differences after running a logit or probit model with a binary, a multinomial, or an ordered outcome. adjrr reports the point estimates, delta-method standard errors, and 95% confidence intervals and ...
79 CitationsSource
65 CitationsSource
#1Hillary J. Braun (Stanford University)H-Index: 17
#2Garry E. Gold (Stanford University)H-Index: 58
Abstract Osteoarthritis (OA) is a chronic, debilitating joint disease characterized by degenerative changes to the bones, cartilage, menisci, ligaments, and synovial tissue. Imaging modalities such as radiography, magnetic resonance imaging (MRI), optical coherence tomography (OCT), and ultrasound (US) permit visualization of these structures and can evaluate disease onset and progression. Radiography is primarily useful for the assessment of bony structures, while OCT is used for evaluation of ...
105 CitationsSource
#1Keith T Palmer (University of Southampton)H-Index: 41
About a quarter of British adults aged ≥55 years have knee pain on most days in a month over the course of a year, and about half of those in pain also have radiographic knee osteoarthritis (OA).1 This common chronic disease of older life causes significant disability and impaired quality of life, and its development often heralds a material reduction in a patient’s capacity to undertake daily activities, including their ability to work. The prevalence of knee OA is rising in parallel with popul...
46 CitationsSource
#1Frances Rees (University of Nottingham)H-Index: 11
#2Sally A. Doherty (University of Nottingham)H-Index: 31
Last. Michael Doherty (University of Nottingham)H-Index: 86
view all 7 authors...
Objective To determine the distribution of clinically palpable hand interphalangeal (IP) nodes at each finger and thumb joint in a population with nodes, the influence of left or right hand dominance and sex on the development of nodes, and the association between nodes and underlying radiographic features of osteoarthritis (OA). Methods We performed a cross-sectional analysis of participants in the Genetics of Osteoarthritis and Lifestyle (GOAL) study who had ≥1 Heberden's nodes or Bouchard's n...
17 CitationsSource
Cited By15
Newest
#1Gwen Sascha Fernandes (Arthritis Research UK)H-Index: 6
#1Gwen Sascha Fernandes (Arthritis Research UK)H-Index: 1
Last. Michael Doherty (Arthritis Research UK)H-Index: 86
view all 8 authors...
Background The long-term risk from knee intra-articular (KIA) injections in professional athletes such as ex-footballers remains unknown. The use of KIA injections is controversial and remains anecdotally prolific as it is perceived as being safe/beneficial. The aim of this study was to determine the number, type and frequency KIA injections administered to retired professional footballers during their playing careers and the associations with post-career knee osteoarthritis (KOA).
Source
#1Ahmad Khosravi (Shahroud University of Medical Sciences)H-Index: 12
#2Rasmus Oestergaard Nielsen (AU: Aarhus University)H-Index: 18
Last. Mohammad Ali Mansournia (Tehran University of Medical Sciences)H-Index: 24
view all 3 authors...
Physical inactivity kills as many people as smoking —a newspaper heading reads1 following a Lancet publication2 suggesting that more than 5 million deaths would be avoided annually if all inactive people exercised. The statistic that provided this data point (5 million deaths) is called the population attributable fraction (PAF) .3 PAF is an estimate of the health impact of an exposure (eg, physical inactivity, high-carbohydrate diet) on a health outcome (eg, death, heart attack, onset of type 2...
Source
#1Annika Prien (VU: VU University Amsterdam)H-Index: 2
#2Sana Boudabous (Geneva College)
Last. Philippe M. TschollH-Index: 7
view all 6 authors...
Purpose To assess knee health in retired female football players, using magnetic resonance imaging (MRI) and self-report. The focus of analysis were degenerative changes of the tibiofemoral joint, and their relationship to osteoarthritis symptoms and previous knee injury.
Source
#1Kehinde Akin-Akinyosoye (Arthritis Research UK)H-Index: 2
#2Aliya Sarmanova (Arthritis Research UK)H-Index: 4
Last. David A. Walsh (Arthritis Research UK)H-Index: 49
view all 12 authors...
Summary OBJECTIVES We investigated whether baseline scores for a self-report trait linked to central mechanisms predict 1 year pain outcomes in the Knee Pain In the Community cohort. METHOD 1471 participants reported knee pain at baseline and responded to a 1-year follow-up questionnaire, of whom 204 underwent pressure pain detection thresholds (PPTs) and radiographic assessment at baseline. Logistic and linear regression models estimated the relative risks (RRs) and associations (β) between sel...
Source
Introduction Transitioning out of professional football is a challenging time in most players’ lives. During these preretirement and postretirement years, professional footballers may struggle with their mental, musculoskeletal, neurocognitive and cardiovascular health. Currently, longitudinal data about these health conditions are lacking. This article presents the design of a prospective cohort study with the primary aim of gathering epidemiological evidence about the onset and course of menta...
1 CitationsSource
#1C. Alejandro Álvarez López (UCIMED: Universidad de Ciencias Medicas)
Last. Yenima de la Caridad García Lorenzo (UCIMED: Universidad de Ciencias Medicas)H-Index: 1
view all 3 authors...
El dolor constituye el sintoma fundamental de la artrosis, sus caracteristicas e interpretacion permiten el diagnostico certero y tambien conocer la magnitud de esa entidad. El objetivo de este trabajo, es profundizar los conocimientos sobre los elementos mas esenciales relacionados con el dolor en la artrosis de la rodilla. Se describen las causas mecanicas y bioquimicas del dolor, entre las que resaltan el dolor oseo, sinovial, asi como los factores bioquimicos relacionados con ese sintoma. Se...
Source
#1Alessio Bricca (University of Southern Denmark)H-Index: 3
#2André Struglics (Lund University)H-Index: 20
Last. Ewa M. Roos (University of Southern Denmark)H-Index: 65
view all 6 authors...
4 CitationsSource
#1Davies Mam. (University of Oxford)H-Index: 2
#1Madeleine A.M. Davies (University of Oxford)H-Index: 1
Last. Brian Pietrosimone (UNC: University of North Carolina at Chapel Hill)H-Index: 21
view all 8 authors...
Background:Osteoarthritis is a substantial cause of disability. Joint replacement prevalence relates to the burden of severe osteoarthritis, and identifying risk factors for end-stage disease may i...
2 CitationsSource
#1Anna-Louise Mackinnon (Arthritis Research UK)
#2Kate Jackson (Arthritis Research UK)
Last. Julia Newton (University of Oxford)H-Index: 13
view all 10 authors...
To examine the prevalence of chronic disease and mental health problems in retired professional, male jockeys compared to an age-matched reference population. A cross-sectional study comparing data from a cohort of retired professional jockeys with an age-matched general population sample. Male participants (age range: 50–89 years old) were used to compare health outcomes of self-reported physician-diagnosed conditions: heart disease, stroke, diabetes, hypertension, osteoporosis, osteoarthritis,...
Source
1 CitationsSource