Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study
Background: Knowledge of the 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 hi...
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| Format: | Article |
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BMJ Publishing Group
2018
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| Online Access: | https://eprints.nottingham.ac.uk/51766/ |
| _version_ | 1848798569661726720 |
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| author | Cooper, Dale J. Scammell, Brigitte E. Batt, Mark E. Palmer, Debbie |
| author_facet | Cooper, Dale J. Scammell, Brigitte E. Batt, Mark E. Palmer, Debbie |
| author_sort | Cooper, Dale J. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: Knowledge of the 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: This is 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 analysis (ie, aged 40 and older).
Results: The prevalence of hip and knee pain was 22.4% and 26.1%, and of hip and knee OA was 11.1% and 14.2%, respectively. Using a multivariable model, injury was associated with OA at the hip (adjusted OR (aOR) 10.85; 95% CI 3.80 to 30.96) and knee (aOR 4.92; 95% CI 2.58 to 9.38), and pain at the hip (aOR 5.55; 95% CI 1.83 to 16.86) and knee (aOR 2.65; 95% CI 1.57 to 4.46). Widespread pain was associated with pain at the hip (aOR 7.63; 95% CI 1.84 to 31.72) and knee (aOR 4.77; 95% CI 1.58 to 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. |
| first_indexed | 2025-11-14T20:21:52Z |
| format | Article |
| id | nottingham-51766 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:21:52Z |
| publishDate | 2018 |
| publisher | BMJ Publishing Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-517662020-05-04T19:36:17Z https://eprints.nottingham.ac.uk/51766/ Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study Cooper, Dale J. Scammell, Brigitte E. Batt, Mark E. Palmer, Debbie Background: Knowledge of the 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: This is 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 analysis (ie, aged 40 and older). Results: The prevalence of hip and knee pain was 22.4% and 26.1%, and of hip and knee OA was 11.1% and 14.2%, respectively. Using a multivariable model, injury was associated with OA at the hip (adjusted OR (aOR) 10.85; 95% CI 3.80 to 30.96) and knee (aOR 4.92; 95% CI 2.58 to 9.38), and pain at the hip (aOR 5.55; 95% CI 1.83 to 16.86) and knee (aOR 2.65; 95% CI 1.57 to 4.46). Widespread pain was associated with pain at the hip (aOR 7.63; 95% CI 1.84 to 31.72) and knee (aOR 4.77; 95% CI 1.58 to 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. BMJ Publishing Group 2018-09-30 Article PeerReviewed Cooper, Dale J., Scammell, Brigitte E., Batt, Mark E. and Palmer, Debbie (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, 52 (17). pp. 1101-1108. ISSN 1473-0480 Hip; Knee; Osteoarthritis; Health; Post-olympic http://bjsm.bmj.com/content/early/2018/05/14/bjsports-2017-098315 doi:10.1136/bjsports-2017-098315 doi:10.1136/bjsports-2017-098315 |
| spellingShingle | Hip; Knee; Osteoarthritis; Health; Post-olympic Cooper, Dale J. Scammell, Brigitte E. Batt, Mark E. Palmer, Debbie Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study |
| title | Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study |
| title_full | Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study |
| title_fullStr | Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study |
| title_full_unstemmed | Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study |
| title_short | Factors associated with pain and osteoarthritis at the hip and knee in Great Britain's Olympians: a cross sectional study |
| title_sort | factors associated with pain and osteoarthritis at the hip and knee in great britain's olympians: a cross sectional study |
| topic | Hip; Knee; Osteoarthritis; Health; Post-olympic |
| url | https://eprints.nottingham.ac.uk/51766/ https://eprints.nottingham.ac.uk/51766/ https://eprints.nottingham.ac.uk/51766/ |