{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T16:19:53Z","timestamp":1792945193347,"version":"4.5.0"},"reference-count":46,"publisher":"National Athletic Trainers' Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,1]]},"abstract":"<jats:sec><jats:title>Objective:\u2003<\/jats:title><jats:p>Information regarding the relative risks of developing knee osteoarthritis (OA) as a result of sport participation is critical for shaping public health messages and for informing knee-OA prevention strategies. The purpose of this systematic review was to investigate the association between participation in specific sports and knee OA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources:\u2003<\/jats:title><jats:p>We completed a systematic literature search in September 2012 using 6 bibliographic databases (PubMed; Ovid MEDLINE; Journals@Ovid; American College of Physicians Journal Club; Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Review, Database of Abstracts of Reviews of Effects; and Ovid HealthStar), manual searches (4 journals), and reference lists (56 articles).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Selection:\u2003<\/jats:title><jats:p>Studies were included if they met the following 4 criteria: (1) an aim was to investigate an association between sport participation and knee OA; (2) the outcome measure was radiographic knee OA, clinical knee OA, total knee replacement, self-reported diagnosis of knee OA, or placement on a waiting list for a total knee replacement; (3) the study design was case control or cohort; and (4) the study was written in English. Articles were excluded if the study population had an underlying condition other than knee OA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Extraction:\u2003<\/jats:title><jats:p>One investigator extracted data (eg, group descriptions, knee OA prevalence, source of nonexposed controls).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Synthesis:\u2003<\/jats:title><jats:p>The overall knee-OA prevalence in sport participants (n = 3759) was 7.7%, compared with 7.3% among nonexposed controls (referent group n = 4730, odds ratio [OR] = 1.1). Specific sports with a significantly higher prevalence of knee OA were soccer (OR = 3.5), elite-level long-distance running (OR = 3.3), competitive weight lifting (OR = 6.9), and wrestling (OR = 3.8). Elite-sport (soccer or orienteering) and nonelite-sport (soccer or American football) participants without a history of knee injury had a greater prevalence of knee OA than nonexposed participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:\u2003<\/jats:title><jats:p>Participants in soccer (elite and nonelite), elite-level long-distance running, competitive weight lifting, and wrestling had an increased prevalence of knee OA and should be targeted for risk-reduction strategies.<\/jats:p><\/jats:sec>","DOI":"10.4085\/1062-6050-50.2.08","type":"journal-article","created":{"date-parts":[[2015,1,9]],"date-time":"2015-01-09T17:48:18Z","timestamp":1420825698000},"page":"497-506","source":"Crossref","is-referenced-by-count":166,"title":["Is Participation in Certain Sports Associated With Knee Osteoarthritis? 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