Higher fat mass is associated witha history of knee injury in youth sport

Clodagh M. Toomey, Jackie L. Whittaker, Alberto Nettel-Aguirre, Raylene A. Reimer, Linda J. Woodhouse, Brianna Ghali, Patricia K. Doyle-Baker, Carolyn A. Emery

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)80-87
Number of pages8
JournalJournal of Orthopaedic and Sports Physical Therapy
Volume47
Issue number2
DOIs
Publication statusPublished - Feb 2017

Keywords

  • ACL
  • Adolescent
  • Obesity
  • Osteoarthritis
  • Physical activity
  • Sport injury

Fingerprint

Dive into the research topics of 'Higher fat mass is associated witha history of knee injury in youth sport'. Together they form a unique fingerprint.

Cite this