{"title":"Walking, running, and recreational sports for knee osteoarthritis: An overview of the evidence.","authors":"Dana Voinier, Daniel K White","doi":"10.5152/eurjrheum.2022.21046","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We provided an overview of narrative reviews, systematic reviews, and meta-analyses that summarize primary evidence of how physical activity (PA) relates to structural progression of knee osteoarthritis (OA). This overview can serve as a resource for healthcare providers when recommending PA to patients with, or at risk, for knee OA.</p><p><strong>Methods: </strong>We searched the PubMED database for publications on \"exercise\" [MeSH Terms] and \"knee osteoarthritis\" [MeSH Terms]. We restricted our search to review articles, originally published in English, from 2005 to 2020. We then added several original studies to provide more detailed support of the findings of the review articles, based on the authors familiarity with the literature.</p><p><strong>Results: </strong>We summarized the findings of 20 reviews and an additional 12 original studies. We found consistent evidence that common forms of PA (walking, running, and certain recreational sports) are not related to structural progression of knee OA, and can be safely recommended to patients with, or at risk, for knee OA.</p><p><strong>Conclusion: </strong>Healthcare providers can refer to this overview of the evidence, as well as current PA guidelines, when recommending PA to their patients with, or at risk for, knee OA. Future studies can support PA guidelines that target preserving the structural integrity of the knees.</p>","PeriodicalId":12066,"journal":{"name":"European journal of rheumatology","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of rheumatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5152/eurjrheum.2022.21046","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: We provided an overview of narrative reviews, systematic reviews, and meta-analyses that summarize primary evidence of how physical activity (PA) relates to structural progression of knee osteoarthritis (OA). This overview can serve as a resource for healthcare providers when recommending PA to patients with, or at risk, for knee OA.
Methods: We searched the PubMED database for publications on "exercise" [MeSH Terms] and "knee osteoarthritis" [MeSH Terms]. We restricted our search to review articles, originally published in English, from 2005 to 2020. We then added several original studies to provide more detailed support of the findings of the review articles, based on the authors familiarity with the literature.
Results: We summarized the findings of 20 reviews and an additional 12 original studies. We found consistent evidence that common forms of PA (walking, running, and certain recreational sports) are not related to structural progression of knee OA, and can be safely recommended to patients with, or at risk, for knee OA.
Conclusion: Healthcare providers can refer to this overview of the evidence, as well as current PA guidelines, when recommending PA to their patients with, or at risk for, knee OA. Future studies can support PA guidelines that target preserving the structural integrity of the knees.
目的:我们概述了叙述性综述、系统性综述和荟萃分析,这些综述总结了体育锻炼(PA)与膝关节骨性关节炎(OA)结构进展关系的主要证据。该综述可作为医疗服务提供者在向膝关节OA患者或高危患者推荐体育锻炼时的参考资料:我们在 PubMED 数据库中搜索了有关 "运动"[MeSH 词条] 和 "膝骨关节炎"[MeSH 词条] 的出版物。我们将搜索范围限制在 2005 年至 2020 年间以英文发表的综述文章。然后,我们根据作者对文献的熟悉程度,添加了几项原创研究,为综述文章的研究结果提供更详细的支持:我们总结了 20 篇综述文章和另外 12 项原创研究的结果。我们发现,有一致的证据表明,常见形式的体育锻炼(步行、跑步和某些休闲运动)与膝关节 OA 的结构性进展无关,可以安全地推荐给膝关节 OA 患者或有此风险的患者:结论:医疗保健提供者在向膝关节 OA 患者或有膝关节 OA 风险的患者推荐 PA 时,可参考本证据概述以及当前的 PA 指南。未来的研究将支持以保护膝关节结构完整性为目标的运动疗法指南。