Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
BMJ Open. 2019 Nov 11;9(11):e032606. doi: 10.1136/bmjopen-2019-032606.
To evaluate and compare physical activity (PA) and health-related quality of life (HRQoL) in former elite and recreational cricketers with upper extremity (UE), lower extremity (LE) or no joint pain.
Cross-sectional cohort.
Despite the high prevalence of joint pain in former athletes, the impact of UE pain and LE pain on PA and HRQoL and potential differences between former recreational and elite athletes are poorly understood.
703 former cricketers aged ≥18 years (mean age 58.7, SD 12.9, played an average of 30 (IQR 20-40) seasons, 72% of whom had played at a recreational level) were recruited through the Cricket Health and Wellbeing Study and met eligibility requirements (UE pain, LE pain or no joint pain (defined as pain on most days of the past month)).
The International Physical Activity Questionnaire-Short Form collected weekly metabolic equivalents (METS), while the Short-Form 8 collected physical (PCS) and mental (MCS) component scores. Kruskal-Wallis tests with Dunn's post-hoc and multivariable linear regressions were performed.
Weekly METS were similar in former cricketers with UE pain (median (IQR) 2560 (722-4398)), LE pain (2215 (527-3903)) and no pain (2449 (695-4203), p=0.39). MCS were similar between groups (UE pain 56.0 (52.1-60.0); LE pain 55.2 (51.1-59.4); no pain 54.7 (50.7-58.7), p=0.38). PCS were more impaired in former cricketers with UE pain (49.8 (44.9-54.8)) or LE pain (46.7 (41.0-51.9)) compared with no pain (54.2 (51.5-56.9), p<0.0001). Former cricketers with LE pain reported worse PCS than those with UE pain (p=0.04). Similar relationships were observed in former elite and recreational cricketers.
Despite impaired physical components of HRQoL in former cricketers with UE pain or LE pain, pain was not related to PA levels or mental components of HRQoL. Physical components of HRQoL were most impaired in those with LE pain, and findings were similar among former elite and recreational cricketers.
评估和比较上肢（UE）、下肢（LE）或无关节疼痛的前精英和娱乐板球运动员的身体活动（PA）和与健康相关的生活质量（HRQoL）。
横断面队列研究。
尽管前运动员的关节疼痛发生率很高，但 UE 疼痛和 LE 疼痛对 PA 和 HRQoL 的影响以及前娱乐和精英运动员之间的潜在差异仍知之甚少。
通过板球健康与幸福感研究招募了 703 名年龄≥18 岁（平均年龄 58.7，SD 12.9，平均运动 30（IQR 20-40）个赛季，其中 72%的人处于娱乐水平）的前板球运动员，并符合入选标准（UE 疼痛、LE 疼痛或无关节疼痛（定义为过去一个月大多数日子的疼痛））。
国际体力活动问卷-短表收集每周代谢当量（METS），而简短形式 8 收集身体（PCS）和精神（MCS）分量表分数。进行了 Kruskal-Wallis 检验，并用 Dunn 事后检验和多变量线性回归。
UE 疼痛（中位数（IQR）2560（722-4398））、LE 疼痛（2215（527-3903））和无疼痛（2449（695-4203）的前板球运动员每周 METS 相似，p=0.39）。组间 MCS 相似（UE 疼痛 56.0（52.1-60.0）；LE 疼痛 55.2（51.1-59.4）；无疼痛 54.7（50.7-58.7），p=0.38）。与无疼痛（49.8（44.9-54.8））或 LE 疼痛（46.7（41.0-51.9））相比，UE 疼痛或 LE 疼痛的前板球运动员的 PCS 受损更为严重（p<0.0001）。LE 疼痛的前板球运动员报告的 PCS 比 UE 疼痛的前板球运动员差（p=0.04）。在精英和娱乐前板球运动员中也观察到类似的关系。
尽管 UE 疼痛或 LE 疼痛的前板球运动员的身体活动 HRQoL 的身体成分受损，但疼痛与 PA 水平或心理 HRQoL 成分无关。LE 疼痛患者的身体活动 HRQoL 身体成分受损最严重，在精英和娱乐前板球运动员中发现的结果相似。
