抽象像跑步一样，运动对整体健康尤其是对我们的心脏，肺部，肌肉，骨骼和大脑都有益。但是，有些人担心跑步对长期关节健康的影响。跑步会导致膝盖和臀部的关节炎发生率更高吗？尽管许多研究人员发现跑步可以保护骨骼健康，但其他人担心这项运动对与年龄和年龄有关的臀部和膝盖变化构成高风险。刊登在2017年6月的JOSPT上的一项研究表明，这些结果的差异取决于跑步的频率和强度。 J Orthop运动物理杂志2017; 47（6）：391。doi：10.2519 / jospt.2017.0505 您可能已经听说过“运动就是医学”。这是因为运动（如跑步）对整体健康特别是对我们的心脏，肺部，肌肉，骨骼和大脑都有益。跑步还可以帮助减轻体重，降低胆固醇水平，增强免疫系统，抵抗抑郁，减轻压力并改善情绪。难怪全世界有数百万人通过跑步锻炼。但是，有些人担心跑步对长期关节健康的影响。跑步会导致膝盖和臀部的关节炎发生率更高吗？尽管许多研究人员发现跑步可以保护骨骼健康，但其他人担心这项运动对与年龄和年龄有关的臀部和膝盖变化构成高风险。一项研究发表在2017年6月的JOSPT上 提示这些结果的差异取决于跑步的频率和强度。 新见解研究人员回顾了25项研究，包括125810人，最终选择了17项研究，总计114829人。这项研究的作者发现，只有3.5％的休闲跑步者患有髋关节炎或膝关节炎。男女选手都是如此。久坐不动且未跑步的研究对象的髋部或膝盖关节炎发生率更高（10.2％）。研究人员评估的大多数研究表明，跑步集中于精英，精英或专业水平的跑步者，会增加患关节炎的风险。这些参加国际比赛的专业或精英运动员或个人的膝或髋关节炎发生率最高，为13.3％。目前的研究并未评估肥胖，职业工作量， 实用建议与非跑步者/中小学生和竞技跑步者相比，休闲跑步者患膝盖和髋关节炎的机会较小。研究人员得出的结论是，可以安全地建议在娱乐级别跑步很多年（长达15年甚至更长），作为一项全面的健康锻炼，有益于臀部和膝盖关节的健康。他们的发现表明，与定期的休闲跑步相比，久坐和放弃的运动会增加膝盖和髋关节炎的发生率。但是，高强度和高强度的训练也会增加患关节炎的风险。其他发现高强度和高强度跑步者与膝盖和髋关节炎之间存在联系的研究人员将高强度跑步定义为每周跑步超过57英里（92公里）。跑步的好处很多。
本《JOSPT患者观点》基于Alentorn-Geli等人的文章，题为“髋关节和膝关节骨关节炎的娱乐性和竞争性跑步协会：系统评价和荟萃分析”（《J Orthop运动物理学》 2017年； 47（ 6）：373–390。doi：10.2519 / jospt.2017.7137）。 本文是由JOSPT的编辑委员会和工作人员团队撰写的。Deydre S. Teyhen，PT，博士，编辑，Jeanne Robertson，插画家。 JOSPT不同视角病人是一个公共服务骨科及运动物理治疗®。此处包含的信息和建议是对所引用研究文章的摘要，不能替代寻求适当的医疗保健以诊断和治疗该病的方法。有关此病的更多管理信息，请联系您的物理治疗师或其他专门研究肌肉骨骼疾病的医疗保健提供者。乔普物理治疗师和其他卫生保健提供者可以非商业方式复印患者的观点，与患者分享。作为美国物理疗法协会（APTA）骨科和运动物理疗法科的官方杂志，以及超过35个国际合作伙伴的公认期刊，JOSPT致力于提供高质量的研究，立即可用的临床材料以及有用的补充资料有关肌肉骨骼和运动相关的健康，伤害和康复的信息。版权所有©2017 骨科与体育物理疗法杂志® Running and Osteoarthritis: Does Recreational or Competitive Running Increase the Risk? Journal of Orthopaedic & Sports Physical Therapy Published Online:May 31, 2017Volume47Issue6Pages391-391 https://www./doi/10.2519/jospt.2017.0505 · Abstract · Abstract Tools Share Abstract Exercise, like running, is good for overall health and, specifically, our hearts, lungs, muscles, bones, and brains. However, some people are concerned about the impact of running on longterm joint health. Does running lead to higher rates of arthritis in knees and hips? While many researchers find that running protects bone health, others are concerned that this exercise poses a high risk for age-related changes to hips and knees. A study published in the June 2017 issue of JOSPT suggests that the difference in these outcomes depends on the frequency and intensity of running. J Orthop Sports Phys Ther 2017;47(6):391. doi:10.2519/jospt.2017.0505 You may have heard the phrase “exercise is medicine.” That's because exercise, like running, is good for overall health and, specifically, our hearts, lungs, muscles, bones, and brains. Running can also help with weight loss, lower cholesterol levels, boost the immune system, fight depression, reduce stress, and improve mood. No wonder millions of people around the world exercise by running. However, some people are concerned about the impact of running on long-term joint health. Does running lead to higher rates of arthritis in knees and hips? While many researchers find that running protects bone health, others are concerned that this exercise poses a high risk for age-related changes to hips and knees. A study published in the June 2017 issue of JOSPT suggests that the difference in these outcomes depends on the frequency and intensity of running. New Insights The researchers reviewed 25 studies that included 125810 people, and ultimately selected 17 studies with a total of 114829 people. This study's authors found that only 3.5% of recreational runners had hip or knee arthritis; this was true for both male and female runners. Individuals in the studies who were sedentary and did not run had a higher rate (10.2%) of hip or knee arthritis. Most of the studies the researchers evaluated that showed an increased risk of arthritis from running focused on runners who were at the elite, ex-elite, or professional level. These professional or elite athletes or individuals who participated in international competition had the highest rate of knee or hip arthritis at 13.3%. The current study did not assess the impact of obesity, occupational workload, or prior injury on the future risk of hip and knee arthritis in runners. Practical Advice Recreational runners had less chance of developing knee and hip arthritis compared to nonrunners/sedentary individuals and competitive runners. The researchers concluded that running at a recreational level for many years—up to 15 years and possibly more—may be safely recommended as a general health exercise, and benefits hip and knee joint health. Their findings indicate that remaining sedentary and forgoing exercise increases your rate of knee and hip arthritis, compared with regular recreational running. However, high-volume and high-intensity training also may increase your risk for arthritis. Other researchers who found a link between high-volume and -intensity runners with knee and hip arthritis defined high-volume running as running more than 57 miles (92 km) per week. The benefits of running are numerous. This study allows you to be confident that recreational running will not harm, and may improve, your hip or knee joint health. Download FigureDownload PowerPoint BENEFITS OF RECREATIONAL RUNNING. Recreational running is not only good for your overall health, but also benefits your knees and hips—just 3.5% of these runners develop hip or knee arthritis. A sedentary lifestyle—not running—or competing as an elite runner increases the risk of hip or knee arthritis by 10.2% and 13.3%, respectively. This JOSPT Perspectives for Patients is based on an article by Alentorn-Geli et al, titled “The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis” (J Orthop Sports Phys Ther 2017;47(6):373–390. doi:10.2519/jospt.2017.7137). This Perspectives article was written by a team of JOSPT's editorial board and staff. Deydre S. Teyhen, PT, PhD, Editor, and Jeanne Robertson, Illustrator. JOSPT PERSPECTIVES FOR PATIENTS is a public service of the Journal of Orthopaedic & Sports Physical Therapy®. The information and recommendations contained here are a summary of the referenced research article and are not a substitute for seeking proper health care to diagnose and treat this condition. For more information on the management of this condition, contact your physical therapist or other health care provider specializing in musculoskeletal disorders. JOSPT Perspectives for Patients may be photocopied noncommercially by physical therapists and other health care providers to share with patients. The official journal of the Orthopaedic Section and the Sports Physical Therapy Section of the American Physical Therapy Association (APTA) and a recognized journal of more than 35 international partners, JOSPT strives to offer high-quality research, immediately applicable clinical material, and useful supplemental information on musculoskeletal and sports-related health, injury, and rehabilitation. Copyright ©2017 Journal of Orthopaedic & Sports Physical Therapy® |
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