膝关节骨性关节炎和跑步:有关联的证据吗?

M. Nair
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引用次数: 0

摘要

膝关节是最常见的下肢关节骨关节炎(OA),这是一种使人衰弱的疾病。膝关节炎与跑步之间的关系并不明确,但它们总是相互关联的。患有生活方式疾病的人数众多,已接近流行病的程度,各国政府不得不花费数百万美元来管理这些疾病。这迫使当局考虑初级预防,而不是在发病后进行管理。公众对体育锻炼的意识正在缓慢而稳定地提高。因此,因健康原因参加活动的人数激增。参加跑步的人数也显著增加。许多人选择慢跑和跑步,因为与其他需要设备或会员资格的运动相比,它更经济、更方便。然而,除此之外,对膝关节损伤的担忧也引起了临床医生和研究人员的注意。人们普遍认为跑步会损伤膝盖。最近的研究表明,这种担心是多余的。现有的科学证据无法建立两者之间的联系,除非是有既往损伤史的关节。有趣的是,一些研究结果表明,跑步者接受OA手术的机会更少。本文回顾了高质量文献的相关性,这些文献着眼于跑步与膝骨关节炎发展之间的联系。
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Knee Osteoarthritis and Running: Is there any Evidence for Association?
The knee is the most common lower limb joint affected with Osteoarthritis (OA), which is a debilitating illness. The relationship between OA knee and running is not clear-cut, yet they are always associated with one another. The multitude of people suffering from lifestyle diseases is approaching epidemic proportions and Governments have to spend millions of dollars to manage these disorders. This has forced authorities to think about primary prevention rather than managing them after their onset. Slowly and steadily, the awareness about physical activity is increasing among the public. Due to this, there has been a surge in the number of people participating in activities for health reasons. The number of people taking part in running has also increased significantly. Many people resort to jogging and running because it is cost effective and convenient when compared to other types of exercises which need equipment or memberships. However, in addition to this, the concerns of damage to the knee joint have attracted the attention of clinicians and researchers. The common notion is that running damages the knees. Recent studies show that this concern is misplaced. The existing scientific evidence could not establish a link between the two, except in joints with a history of previous injury. Interestingly, results of some studies show that the chances of undergoing surgery for OA are less in runners. This article reviews the relevance of high-quality literature that looks at the link between running and the development of knee osteoarthritis.
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