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Regular Running Is Related to the Knee Joint Cartilage Structure in Healthy Adults
D. Jandacka, V. Casula, J. Hamill, D. Vilimek, VK. Jandackova, S. Elavsky, J. Uchytil, J. Plesek, J. Skýpala, M. Golian, M. Burda, MT. Nieminen
Language English Country United States
Document type Journal Article
- MeSH
- Running * physiology MeSH
- Biomechanical Phenomena MeSH
- Adult MeSH
- Femur physiology anatomy & histology diagnostic imaging MeSH
- Cartilage, Articular * physiology anatomy & histology diagnostic imaging MeSH
- Knee Joint * physiology diagnostic imaging MeSH
- Middle Aged MeSH
- Humans MeSH
- Magnetic Resonance Imaging * MeSH
- Adolescent MeSH
- Young Adult MeSH
- Cross-Sectional Studies MeSH
- Aged MeSH
- Sex Factors MeSH
- Age Factors MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
PURPOSE: The purpose of this study was to determine whether regular running distance and biomechanics are related to medial central femur cartilage (MCFC) structure. METHODS: The cross-sectional study sample consisted of 1164 runners and nonrunners aged 18-65 yr. Participants completed questionnaires on physical activity and their running history. We performed quantitative magnetic resonance imaging of knee cartilage-T2 relaxation time (T2) mapping (high T2 indicates cartilage degeneration)-and a running biomechanical analysis using a three-dimensional motion capture system. A 14-d monitoring of the physical activity was conducted. RESULTS: Those aged 35-49 yr were at 84% higher odds of having MCFC T2 in the highest level (85th percentile, P < 0.05) compared with youngest adults indicating that MCFC structures may be altered with aging. Being male was associated with 34% lower odds of having T2 at the highest level ( P < 0.05) compared with females. Nonrunners and runners with the highest weekly running distance were more likely to have a high T2 compared with runners with running distance of 6-20 km·wk -1 ( P < 0.05). In addition, the maximal knee internal adduction moment was associated with a 19% lower odds of having T2 at the highest level ( P < 0.05). CONCLUSIONS: Females compared with males and a middle-aged cohort compared with the younger cohort seemed to be associated with the degeneration of MCFC structures. Runners who ran 6-20 km·wk -1 were associated with a higher quality of their MCFC compared with highly active individuals and nonrunners. Knee frontal plane biomechanics was related to MCFC structure indicating a possibility of modifying the medial knee collagen fibril network through regular running.
Department of Human Movement Studies University of Ostrava Ostrava CZECH REPUBLIC
Research Unit of Health Sciences and Technology University of Oulu Oulu FINLAND
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