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Risk of total hip arthroplasty after elite sport: linking 3304 former world-class athletes with the Norwegian Arthroplasty Register.
Nilsen, Daniel Hoseth; Furnes, Ove; Kroken, Gard; Robsahm, Trude Eid; Johnsen, Marianne Bakke; Engebretsen, Lars; Nordsletten, Lars; Bahr, Roald; Lie, Stein Atle.
Afiliação
  • Nilsen DH; Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway dnilsen@live.no.
  • Furnes O; Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway.
  • Kroken G; Department of Clinical Medicine, University of Bergen, Bergen, Norway.
  • Robsahm TE; Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway.
  • Johnsen MB; Research Department, Cancer Registry of Norway, Oslo, Norway.
  • Engebretsen L; Department of Rehabilitation Science and Health Technology, Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
  • Nordsletten L; Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
  • Bahr R; Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
  • Lie SA; Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Br J Sports Med ; 2022 Dec 07.
Article em En | MEDLINE | ID: mdl-36588424
ABSTRACT

OBJECTIVES:

At present, there is no cure for osteoarthritis (OA), but severe hip joint degeneration can require total hip arthroplasty (THA). The literature on OA after elite sport is limited. We hypothesise that elite athletic activity increases the risk of receiving a THA later in life.

METHODS:

We linked a cohort of former Norwegian world-class athletes (1402 females and 1902 males, active 1936-2006) to the Norwegian Arthroplasty Register (THA performed 1987-2020). We used standardised incidence ratio (SIR), one-minus Kaplan-Meier and relative Cox regression (relative HR, RHR), with 95% CIs, and funnel plots at age 75, to assess THA risk for different sport disciplines, joint impact categories of sport disciplines and sex. The risk of THA for the corresponding general Norwegian population was used as reference.

RESULTS:

We found an overall increased risk for THA for the former elite athletes (SIR 2.11, 95% CI 1.82 to 2.40) at age 75 years, compared with the general population. THA risk at age 75 years was 11.6% for female athletes and 8.3% for male athletes. SIR was 1.90 (95% CI 1.49 to 2.31) for female and 2.28 (95% CI 1.87 to 2.70) for male athletes. Among males, high joint impact sport disciplines were associated with increased risk compared with low-impact sport disciplines (RHR 1.81, 95% CI 1.06 to 3.08, p=0.029).

CONCLUSION:

Having been an elite athlete was associated with a doubling of THA risk compared with the general population for both sexes. High joint impact sport disciplines were associated with subsequent THA for male athletes.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Risk_factors_studies Idioma: En Revista: Br J Sports Med Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Noruega

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Risk_factors_studies Idioma: En Revista: Br J Sports Med Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Noruega