Abate Michele, Salini Vincenzo
Department of Medicine and Science of Aging, University G. d'Annunzio, Chieti-Pescara, Via dei Vestini 31, 66013, Chieti Scalo, CH, Italy.
Eur J Orthop Surg Traumatol. 2019 Apr;29(3):697-703. doi: 10.1007/s00590-018-2336-2. Epub 2018 Oct 26.
Running is a very popular modality of physical activity, which may help to lose weight and normalize pathological values of blood parameters in subjects suffering from metabolic disorders. Given that both overuse and metabolic pathologies are responsible for the onset of tendon damage, aim of the present study was to evaluate whether the first group of pathogenetic factors or the latter was more responsible for mid-portion Achilles tendinopathy.
Thirty-six and 28 subjects with and without mid-portion Achilles tendinopathy, who were regular runners and started running for metabolic disorders, were enrolled, respectively. Information about body weight and blood parameters at baseline was collected. The characteristics of running practice, dietary habits and anthropometric measures were registered. An ultrasound evaluation of the tendon was performed, and the blood metabolic parameters were evaluated.
The amount of running years and mileage was equivalent in both groups. A similar weight loss was observed; the subjects with mid-portion Achilles tendinopathy showed a worse metabolic profile (Hb1aC%, p = 0.008; total cholesterol, p = 0.04; HDL cholesterol, p = 0.003; triglycerides, p = 0.009).
These findings suggest that the subjects with less evident positive effects of running on metabolism are more exposed to the onset of mid-portion Achilles tendinopathy.
跑步是一种非常流行的体育活动方式，它可能有助于患有代谢紊乱的受试者减肥并使血液参数的病理值正常化。鉴于过度使用和代谢性疾病均是肌腱损伤发病的原因，本研究的目的是评估第一组致病因素还是后者对跟腱中部肌腱病的发生更具责任。
分别招募了36名和28名患有和未患有跟腱中部肌腱病的受试者，他们均为经常跑步者且因代谢紊乱开始跑步。收集了基线时的体重和血液参数信息。记录了跑步习惯、饮食习惯和人体测量指标的特征。对肌腱进行了超声评估，并评估了血液代谢参数。
两组的跑步年限和里程数相当。观察到体重减轻情况相似；患有跟腱中部肌腱病的受试者的代谢状况较差（糖化血红蛋白百分比，p = 0.008；总胆固醇，p = 0.04；高密度脂蛋白胆固醇，p = 0.003；甘油三酯，p = 0.009）。
这些发现表明，跑步对代谢的积极影响不太明显的受试者更容易发生跟腱中部肌腱病。
