Does running increase the risk for osteoarthritis?

NewsBot · May 16, 2022

Elderly Runners and Osteoarthritis: A Systematic Review
Migliorini, Filippo et al
Sports Medicine and Arthroscopy Review: June 2022 - Volume 30 - Issue 2 - p 92-96

Purpose:
The impact of running on the onset of osteoarthritis (OA) is controversial. This study compared the incidence of OA in elderly runners versus nonrunners.

Material and Methods:
This systematic review was conducted according to the PRISMA guidelines. PubMed, Google scholar, Embase, and Web of Science databases were accessed in January 2022. All the published clinical studies investigating OA onset in runners versus non-runners were considered. Studies reporting data on OA and participants in other sports were excluded. Only studies investigating patients with a mean age older than 55 years were considered. The methodological quality of the articles was evaluated using the Newcastle-Ottawa Scale (NOS).

Results:
Data from 3001 participants and 6674 joints were retrieved. The mean age was 59.4±2.7 years. The mean body mass index was 24.6±2.5 kg/m2. The 5 included articles (963 runners, 2038 nonrunners) did not report significant differences in runners compared with controls.

Conclusion:
Middle aged runners did not present greater imaging or clinical signs of OA compared with nonrunner controls. Running at elite or recreational level did not increase the rate of OA progression in individuals older than 50 years
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NewsBot · May 18, 2022

Osteoarthritis in Athletes Versus Nonathletes: A Systematic Review
Migliorini, Filippo et al
Sports Medicine and Arthroscopy Review: June 2022 - Volume 30 - Issue 2 - p 78-86

Introduction:
Joint overload and sport-related injuries may accelerate the development of osteoarthritis (OA). A systematic review of the literature was performed to establish the risk of athletes to develop premature OA compared with nonathletes.

Materials and Methods:
This systematic review was conducted according to the PRISMA guidelines. PubMed, Google scholar, Embase, and Web of Science databases were accessed in June 2021. All the published clinical studies investigating OA onset in athletes versus nonathletes were considered. Studies reporting data on secondary and/or post-traumatic OA were excluded.

Results:
Data from 32 articles (20,288 patients) were retrieved. The mean age was 67.8±10.0 years and the mean body mass index was 25.0±2.5 kg/m2. 74% (6859 patients) of the athletes suffered from premature OA. Of them, 21% were active in soccer, 11% in handball, 11% in ice-hockey, 3% in football, and 0.3% in rugby. 26% of the athletes reported no significant differences in OA progression compared with healthy controls. Of these athletes, 47% were runners, 5% dancers, and 1% triathletes.

Conclusion:
Certain sports, such as soccer, handball, ice-hockey, and rugby are more likely to be associated with premature knee and hip OA. Conversely, runners and ballet dancers do not evidence significant increase in OA. Moderate and recreational exposure to aerobic sports does not accelerate the development of OA.
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NewsBot · Nov 20, 2022

Is running good or bad for your knees? A systematic review and meta-analysis of cartilage morphology and composition changes in the tibiofemoral and patellofemoral joints
Sally L. Coburn et al
November 16, 2022

Background
The general health benefits of running are well-established, yet concern exists regarding the development and progression of osteoarthritis.
Aim
To systematically review the immediate (within 20 minutes) and delayed (20 minutes to 48 hours) effect of running on hip and knee cartilage, as assessed using magnetic resonance imaging (MRI).
Method
Studies using MRI to measure change in hip or knee cartilage within 48 hours pre- and post-running were identified. Risk of bias was assessed using a modified Newcastle-Ottawa Scale. Percentage change in cartilage outcomes were estimated using random-effects meta-analysis. Certainty of evidence was evaluated with the Grading of Recommendations Assessment, Development and Evaluation tool.
Results
Twenty-four studies were included, evaluating 446 knees only. One third of studies were low risk of bias. Knee cartilage thickness and volume decreased immediately after running, with declines ranging from 3.3% (95% confidence interval [CI]: 2.6%, 4.1%) for weight-bearing femoral cartilage volume to 4.9% (95% CI: 4.43.6%, 6.2%) for patellar cartilage volume. T1ρ and T2 relaxation times were also reduced immediately after running, with the largest decline being 13.1% (95% CI: -14.4%, -11.7%) in femoral trochlear cartilage. Tibiofemoral cartilage T2 relaxation times recovered to baseline levels within 91 minutes. Existing cartilage defects were unchanged within 48 hours post-run.
Conclusions
There is very low certainty evidence that running immediately decreases the thickness, volume, and relaxation times of patellofemoral and tibiofemoral cartilage. Hip cartilage changes are unknown, but knee changes are small and appear transient suggesting that a single bout of running is not detrimental to knee cartilage.
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NewsBot · Nov 20, 2022

EDITORIAL
Recreational running is not bad for healthy people’s joints — it is time to study the safety of running in people with osteoarthritis

NewsBot · Jan 19, 2023

Effects of Running in Minimal and Conventional Footwear on Medial Tibiofemoral Cartilage Failure Probability in Habitual and Non-Habitual Users
Jonathan Sinclair et al
J Clin Med. 2022 Dec 9;11(24):7335

This study examined the effects of minimal and conventional running footwear on medial tibiofemoral cartilage mechanics and longitudinal failure probability. The current investigation examined twenty males who habitually ran in minimal footwear and 20 males who habitually ran in conventional footwear. Kinematic data during overground running were collected using a motion-capture system and ground reaction forces using a force plate. Medial tibiofemoral loading was examined using musculoskeletal simulation and cartilage failure probability via probabilistic modelling. In habitual minimal footwear users, peak medial tibiofemoral cartilage force, stress and strain were significantly greater in conventional (force = 7.43 BW, stress = 5.12 MPa and strain = 0.30), compared to minimal footwear (force = 7.11 BW, stress 4.65 MPa and strain = 0.28), though no significant differences in these parameters were evident in non-habitual minimal footwear users (conventional: force = 7.50 BW, stress = 5.05 MPa and strain = 0.30; minimal: force = 7.40 BW, stress = 4.77 MPa and strain = 0.29). However, in both habitual and non-habitual minimal footwear users, the probability of medial tibiofemoral cartilage failure was significantly greater in conventional (habitual = 47.19% and non-habitual = 50.00%) compared to minimal footwear (habitual = 33.18% and non-habitual = 32.81%) users. The observations from this investigation show that compared to minimal footwear, conventional footwear appears to have a negative influence on medial tibiofemoral cartilage health.
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NewsBot · Feb 14, 2023

The association between running volume and knee osteoarthritis prevalence: A systematic review and meta-analysis
M. Burfield, M. Sayers, R. Buhmann
Physical Therapy in Sport 13 February 2023

There is conflicting evidence regarding whether regular running is associated with knee osteoarthritis prevalence. Previous evidence reports lower knee osteoarthritis prevalence in recreational runners compared with professionals (with a higher training volume) and controls (who have a lower training volume). The aim of this systematic review and meta-analysis was to determine if weekly running volume is associated with knee osteoarthritis prevalence. Four databases (PubMed, Web of Science, Scopus and SPORTDiscus) were searched from earliest record to November 2021. Included studies must i) recruit participants who ran regularly and recorded weekly running volume; ii) include a control group (running <8 km per week); iii) record knee osteoarthritis prevalence (either by radiological imaging or self-reported diagnosis from a doctor or physiotherapist). Study bias was assessed using the Newcastle-Ottawa Scale (NOS). Pooled effects were estimated using a random effects model. Odds ratios with 95% prediction and confidence intervals are reported. Nine observational case control studies with a total of 12,273 participants (1272 runners) were included in the meta-analysis. Most of the included studies were rated as having a very high (n = 2) or high (n = 3) risk of bias on the Newcastle Ottawa Scale. There was no difference in knee osteoarthritis prevalence between runners and controls (OR = 0.97, 95% CI = 0.56 to 1.68). Runners undertaking 8–32.1 km (OR = 1.17, 95% CI = 0.77 to 1.80), 32.2–48 km (OR = 1.04, 95% CI = 0.48 to 2.31) or > 48 km per week (OR = 0.62, 95% CI = 0.35 to 1.10) did not exhibit higher knee osteoarthritis prevalence compared with controls. It is unclear whether running volume is associated with increased knee osteoarthritis prevalence, future large-scale, high quality prospective studies are required.
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NewsBot · Apr 13, 2023

Rates of radiographic knee osteoarthritis similar between runners, non-runners

NewsBot · Sep 17, 2023

A Pilot Study: Do Children Who Run Marathons Have More Osteoarthritis in the Lower Extremities as Adults
Roberts, William et al
Clinical Journal of Sport Medicine ():10.1097/JSM.0000000000001190, September 15, 2023. | DOI: 10.1097/JSM.0000000000001190

Objective:
To compare self-reported osteoarthritis of the knee and hip in adults who ran at least 1 marathon as a child with adults who ran high-school cross country (HSCC).

Design:
Subject self-recall retrospective survey.

Setting:
Electronic survey.

Participants:
319 adults who either ran a marathon under age 18 or ran HSCC recruited from running clubs, marathon participants, and on-line interest groups.

Interventions:
Survey.

Main Outcome Measures:
Self-reported history of osteoarthritis (OA), joint pain, anterior cruciate ligament injury, still running or running marathons, and number of marathons as an adult.

Results:
One hundred twenty-three respondents ran a marathon under age 18 (26% female) and were 40 years old (sd 16) and 196 ran HSCC (53% female) and were 36 years old (sd 13). The mean age of first marathon was 15 (sd 2.3, range 5-17); 50% ran 1% and 50% ran >1 marathon. Child marathoners reported a family history of OA in knees or hips (26%) or a joint replacement (30%) compared with 24% and 28% of HSCC runners. 10% of child marathoners and 7% of HSCC reported OA and 24% and 21% reported daily or weekly joint pain. 91% of all respondents are still running; 78% of child marathoners (mean 17, range 1-91) and 80% HSCC ran ≥1 marathons as adults (mean 10, range 1-80).

Conclusions:
Adults who ran marathons as children compared with adults who ran HSCC self-report similar rates of the knee and hip OA, chose to participate of their own accord, continue to run as adults, played other sports, and did not “specialize” in marathons.
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NewsBot · Feb 20, 2024

Regular Running Is Related to the Knee Joint Cartilage Structure in Healthy Adults
Jandacka, Daniel et al
Medicine & Science in Sports & Exercise ():10.1249/MSS.0000000000003386, January 18, 2024

Purpose
The purpose of this study was to determine whether regular running distance and biomechanics are related to medial central femur cartilage (MCFC) structure.

Methods
The cross-sectional study sample consisted of 1164 runners and non-runners aged 18-65 years. Participants completed questionnaires on physical activity and their running history. We performed quantitative magnetic resonance imaging of knee cartilage - T2 relaxation time (T2) mapping (high T2 indicate cartilage degeneration), and a running biomechanical analysis using a 3-D motion capture system. A 14-day monitoring of the physical activity was conducted.

Results
Those aged 35-49 years were at a 84% higher odds of having MCFC T2 in the highest level (85th percentile, P < 0.05) compared to youngest adults indicating that MCFC structures may be altered with ageing. Being male was associated with a 34% lower odds of having T2 at the highest level (P < 0.05) compared to females. Non-runners and runners with the highest weekly running distance were more likely to have a high T2 compared to runners with running distance of 6-20 km per week (P < 0.05). In addition, the maximal knee internal adduction moment was associated with a 19% lower odds of having T2 at the highest level (P < 0.05).

Conclusions
Female compared to males and a middle-aged cohort compared to the younger cohort appeared to be associated with the degeneration of MCFC structures. Runners who ran 6-20 km/week were associated with a higher quality of their MCFC compared to highly active individuals and non-runners. Knee frontal plane biomechanics was related to MCFC structure indicating a possibility of modifying the medial knee collagen fibril network through regular running.
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Does running increase the risk for osteoarthritis?

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Minimalist Running Does NOT Increase Arch Strength

Years of running does not influence kinematics and kinetics

Superficial plantar cutaneous sensation does not trigger barefoot running adaptations

Tibial rotation in running: does rearfoot adduction matter?

How does the foot leave the ground during running ?

The world's first woolen running shoe that doesn't require socks

Running shoe cushioning does not affect injury rate

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Does running increase the risk for osteoarthritis?

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NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Minimalist Running Does NOT Increase Arch Strength

Years of running does not influence kinematics and kinetics

Superficial plantar cutaneous sensation does not trigger barefoot running adaptations

Tibial rotation in running: does rearfoot adduction matter?

How does the foot leave the ground during running ?

The world's first woolen running shoe that doesn't require socks

Running shoe cushioning does not affect injury rate

Share This Page

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