Prevalence of and factors associated with osteoarthritis and pain in retired Olympians compared with the general population: Part 2 - the spine and upper limb

Debbie Palmer*, Dale Cooper, Jackie L. Whittaker, Carolyn Emery, Mark E. Batt, Lars Engebretsen, Patrick Schamasch, Malav Shroff, Torbjørn Soligard, Kathrin Steffen, Richard Budgett

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives (1) To determine the prevalence of spine and upper limb osteoarthritis (OA) and pain in retired Olympians; (2) identify risk factors associated with their occurrence and (3) compare with a sample of the general population.
Methods 3357 retired Olympians (44.7 years) and 1735 general population controls (40.5 years) completed a cross-sectional survey. The survey captured demographics, general health, self-reported physician-diagnosed OA, current joint/region pain and significant injury (lasting ≥1 month). Adjusted ORs (aORs) compared retired Olympians and the general population.
Results Overall, 40% of retired Olympians reported experiencing current joint pain. The prevalence of lumbar spine pain was 19.3% and shoulder pain 7.4%, with lumbar spine and shoulder OA 5.7% and 2.4%, respectively. Injury was associated with increased odds (aOR, 95% CI) of OA and pain at the lumbar spine (OA=5.59, 4.01 to 7.78; pain=4.90, 3.97 to 6.05), cervical spine (OA=17.83, 1.02 to 31.14; pain=9.41, 6.32 to 14.01) and shoulder (OA=4.91, 3.03 to 7.96; pain=6.04, 4.55 to 8.03) in retired Olympians. While the odds of OA did not differ between Olympians and the general population, the odds of lumbar spine pain (1.44, 1.20 to 1.73), the odds of shoulder OA after prior shoulder injury (2.64, 1.01 to 6.90) and the odds of cervical spine OA in female Olympians (2.02, 1.06 to 3.87) were all higher for Olympians compared with controls.
Conclusions One in five retired Olympians reported experiencing current lumbar spine pain. Injury was associated with lumbar spine, cervical spine and shoulder OA and pain for Olympians. Although overall OA odds did not differ, after adjustment for recognised risk factors, Olympians were more likely to have lumbar spine pain and shoulder OA after shoulder injury, than the general population.
Original languageEnglish
JournalBritish Journal of Sports Medicine
Early online date12 Aug 2022
DOIs
Publication statusE-pub ahead of print - 12 Aug 2022

Keywords

  • pain
  • osteoarthritis
  • lumbar spine
  • cervical spine
  • shoulder
  • injury
  • retired
  • Olympians

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