TY - JOUR
T1 - Higher fat mass is associated witha history of knee injury in youth sport
AU - Toomey, Clodagh M.
AU - Whittaker, Jackie L.
AU - Nettel-Aguirre, Alberto
AU - Reimer, Raylene A.
AU - Woodhouse, Linda J.
AU - Ghali, Brianna
AU - Doyle-Baker, Patricia K.
AU - Emery, Carolyn A.
N1 - Publisher Copyright:
© 2017 Journal of Orthopaedic & Sports Physical Therapy.
PY - 2017/2
Y1 - 2017/2
N2 - STUDY DESIGN: Historical cohort study. BACKGROUND: History of a knee joint injury and increased fat mass are risk factors for joint disease. OBJECTIVE: The objective of this study was to examine differences in adiposity, physical activity, and cardiorespiratory ftness between youths with a 3-to 10-year history of sport-related intraarticular knee injury and uninjured controls. METHODS: One hundred young adults (aged 15-26 years; 55% female) with a sport-related intra-articular knee injury sustained 3 to 10 years previously and 100 controls matched for age, sex, and sport, who had no history of intra-articular knee injury, were recruited. Fat mass index (FMI) and abdominal fat (fat mass at the L1 to L4 vertebral levels) were derived using dual-energy X-ray absorptiometry. Physical activity and cardiorespiratory ftness were measured using the Godin Leisure-Time Exercise Questionnaire and the multistage 20-meter shuttle run test for aerobic ftness, respectively. RESULTS: Previously injured participants demonstrated higher FMI (within-pair difference, 1.05 kg/m2; 95% confdence interval [CI]: 0.53, 1.57) and abdominal fat (461 g; 95% CI: 228, 694) than uninjured controls. In multivariable linear regression analysis, previous injury was signifcantly associated with increased FMI. This increase was attenuated in those who participated in higher levels of physical activity or had higher estimated maximum volume of oxygen. CONCLUSION: As a risk factor for osteoarthritis in an already susceptible group, excess adiposity is an undesirable trait in the potential pathway to joint disease. Increasing physical activity in this population may be a potential intervention to reduce adiposity thus impede disease initiation and/or progression.
AB - STUDY DESIGN: Historical cohort study. BACKGROUND: History of a knee joint injury and increased fat mass are risk factors for joint disease. OBJECTIVE: The objective of this study was to examine differences in adiposity, physical activity, and cardiorespiratory ftness between youths with a 3-to 10-year history of sport-related intraarticular knee injury and uninjured controls. METHODS: One hundred young adults (aged 15-26 years; 55% female) with a sport-related intra-articular knee injury sustained 3 to 10 years previously and 100 controls matched for age, sex, and sport, who had no history of intra-articular knee injury, were recruited. Fat mass index (FMI) and abdominal fat (fat mass at the L1 to L4 vertebral levels) were derived using dual-energy X-ray absorptiometry. Physical activity and cardiorespiratory ftness were measured using the Godin Leisure-Time Exercise Questionnaire and the multistage 20-meter shuttle run test for aerobic ftness, respectively. RESULTS: Previously injured participants demonstrated higher FMI (within-pair difference, 1.05 kg/m2; 95% confdence interval [CI]: 0.53, 1.57) and abdominal fat (461 g; 95% CI: 228, 694) than uninjured controls. In multivariable linear regression analysis, previous injury was signifcantly associated with increased FMI. This increase was attenuated in those who participated in higher levels of physical activity or had higher estimated maximum volume of oxygen. CONCLUSION: As a risk factor for osteoarthritis in an already susceptible group, excess adiposity is an undesirable trait in the potential pathway to joint disease. Increasing physical activity in this population may be a potential intervention to reduce adiposity thus impede disease initiation and/or progression.
KW - ACL
KW - Adolescent
KW - Obesity
KW - Osteoarthritis
KW - Physical activity
KW - Sport injury
UR - http://www.scopus.com/inward/record.url?scp=85012074228&partnerID=8YFLogxK
U2 - 10.2519/jospt.2017.7101
DO - 10.2519/jospt.2017.7101
M3 - Article
C2 - 28142363
AN - SCOPUS:85012074228
SN - 0190-6011
VL - 47
SP - 80
EP - 87
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
IS - 2
ER -