Clinical Hip Osteoarthritis in Current and Former Professional Footballers and Its Effect on Hip Function and Quality of Life

Dennie van den Noort, Emmeline Oltmans, Haruhito Aoki, Gino M.M.J. Kerkhoffs, Vincent Gouttebarge


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Ios-APP Journal of Sports Science and Medicine

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©Journal of Sports Science and Medicine (2021) 20, 284 - 290 DOI: https://doi.org/10.52082/jssm.2021.284

Research article

Clinical Hip Osteoarthritis in Current and Former Professional Footballers and Its Effect on Hip Function and Quality of Life

Dennie van den Noort¹, Emmeline Oltmans¹, Haruhito Aoki^2,3, Gino M.M.J. Kerkhoffs^1,4,5, Vincent Gouttebarge^1,4,5,6,7,

Publish Date

Received: 08-01-2021
Accepted: 28-02-2021
Published (online): 15-03-2021

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ABSTRACT

The objective of the study was to establish the prevalence of clinical hip osteoarthritis in current and former professional footballers and to explore its consequences on hip function and health-related quality of life (HRQoL). A cross-sectional study by means of questionnaire was conducted among current and former professional footballers fulfilling the following inclusion criteria: (1) male (2) active or retired professional footballer (3) member of FIFPRO (Football Players Worldwide) (4) between 18 and 50 years old (5) could read and understand texts in French, Spanish, or English. Controls (matched for: gender, age, body weight and height) were also recruited. The main outcome measures were clinical hip osteoarthritis, hip function and HRQoL. Questionnaires were sent to 2,500 members of which 1,401 participated (1,000 current and 401 former professional footballers). Fifty-two controls were recruited. Prevalence of hip osteoarthritis was 2% among current and 8% among former professional footballers. Hip function was significantly (p ≤ 0.001) lower in both types of footballers with hip osteoarthritis than in footballers without hip osteoarthritis and controls. Current and former professional footballers with hip osteoarthritis reported significantly lower physical health scores (p = 0.032, p = 0.002) than those without. Hip osteoarthritis led to a significantly lower score in the physical (p = 0.004) and mental (p = 0.014) component of HRQoL in former footballers compared to the controls, while in current footballers only the physical component was significantly (p = 0.012) lower compared to the controls. Hip osteoarthritis has a higher prevalence in former than in current professional footballers and impacts hip function and HRQoL negatively.

Key words: Coxarthrosis, osteoarthritis, professional, football, function, quality of life

Key Points

Prevalence of hip OA is 2% among current and 8% among former professional footballers.

Hip function is significantly lower in both current and former professional footballers with hip OA than in those without hip OA.

Former and current professional footballers with hip OA report significantly lower physical health scores than those without hip OA.

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