Abate Michele, Oliva Francesco, Schiavone Cosima, Salini Vincenzo
G. d' Annunzio University Foundation, University "G. d' Annunzio" Chieti - Pescara, Chieti Scalo (CH), Italy.
Muscles Ligaments Tendons J. 2012 Jun 17;2(1):44-8. Print 2012 Jan.
Obesity is an important risk factor for Achilles tendinopathy, and running is usually carried out to reduce excess body weight. Aim of this study was to evaluate the prevalence of Achilles tendinopathy in young over-weight amateur runners. MALE RUNNERS AND NON RUNNERS WERE RECRUITED AND, IN EACH CATEGORY, DIVIDED IN TWO GROUPS: normal weight, and overweight. Data about Achilles tendon thickness, vascularisation and structural abnormalities were collected using a Power Doppler Ultrasonography device. Achilles tendon thickness was greater in both normal weight or overweight runners, but the difference was significant only in normal weight subjects. In non - runners, thickness was significantly higher only in over-weight subjects. Sonographic abnormalities were significantly prevalent in overweight runners. Running is associated to a physiologic hypertrophy of Achilles tendon in normal weight subjects. Overweight runners may precociously develop tendon abnormalities, due to the increased stress and the unfavourable milieu of repair.
肥胖是跟腱病的一个重要风险因素，而跑步通常是为了减轻多余体重而进行的。本研究的目的是评估年轻超重业余跑步者中跟腱病的患病率。招募了男性跑步者和非跑步者，并且在每个类别中又分为两组：正常体重组和超重组。使用功率多普勒超声设备收集有关跟腱厚度、血管形成和结构异常的数据。正常体重或超重跑步者的跟腱厚度都更大，但差异仅在正常体重受试者中显著。在非跑步者中，仅超重受试者的跟腱厚度显著更高。超声异常在超重跑步者中显著普遍。在正常体重受试者中，跑步与跟腱的生理性肥大有关。超重跑步者可能由于压力增加和不利的修复环境而过早出现肌腱异常。
