Evidence map›Paper›PMID 36645831›Full record

ArticleJournal of athletic training2023

Joint Injury, Osteoarthritis, and Cardiovascular Disease Risk Factors in Former National Football League Athletes: An NFL-LONG Study.

Christopher Kuenze, Brian Pietrosimone, Katharine D Currie, Samuel R Walton, Zachary Y Kerr, Benjamin L Brett, Avinash Chandran, J D DeFreese, Rebekah Mannix, Ruben J Echemendia and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of athletic training, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Christopher KuenzeDepartment of Kinesiology, University of Virginia, Charlottesville.
Brian PietrosimoneDepartment of Exercise & Sport Science, University of North Carolina at Chapel Hill.
Katharine D CurrieDepartment of Kinesiology, Michigan State University, East Lansing.
Samuel R WaltonDepartment of Exercise & Sport Science, University of North Carolina at Chapel Hill.
Zachary Y KerrDepartment of Exercise & Sport Science, University of North Carolina at Chapel Hill.
Benjamin L BrettMedical College of Wisconsin, Milwaukee.
Avinash ChandranDepartment of Exercise & Sport Science, University of North Carolina at Chapel Hill.
J D DeFreeseDepartment of Exercise & Sport Science, University of North Carolina at Chapel Hill.
Rebekah MannixBoston Children's Hospital, MA.
Ruben J EchemendiaUniversity of Missouri-Kansas City.
Michael McCreaMedical College of Wisconsin, Milwaukee.
Kevin M GuskiewiczDepartment of Exercise & Sport Science, University of North Carolina at Chapel Hill.
William P MeehanBoston Children's Hospital, MA.
University of North Carolina at Chapel Hill · USMedical College of Wisconsin · USMichigan State University · USBoston Children's Hospital · USDatalys Center for Sports Injury Research and Prevention · USUniversity of Missouri–Kansas City · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextIndividuals with lower extremity osteoarthritis (OA) have a 25% greater risk of cardiovascular disease (CVD) than those without OA. The prevalence of traumatic joint injuries among National Football League (NFL) players exposes these athletes to an elevated risk for OA and potentially a greater risk of cardiovascular risk factors (CRFs) and CVD.

objectivesTo examine the associations between a history of lower extremity joint injury, lower extremity OA, and the prevalence of CRFs and CVD among former NFL athletes.

designCross-sectional study. PATIENTS OR OTHER

participantsFormer NFL players completed a comprehensive health questionnaire that was used in an ongoing study, the Neurologic Function Across the Lifespan: A Prospective, Longitudinal, and Translational Study for Former NFL Players (NFL-LONG). A subsample of 1738 former players reported lifetime medical diagnoses including CVD or CRFs. MAIN OUTCOME MEASURE(S): Crude and adjusted prevalence ratios (PRsadj) characterized the associations between CVD or CRFs and injury, OA diagnosis, or both among athletes who reported (1) no history of lower extremity joint injury or surgery and no diagnosed OA, (2) a history of lower extremity joint injury or surgery and no diagnosed OA, and (3) a history of lower extremity joint injury or surgery and diagnosed OA.

resultsNeither a history of lower extremity joint injury (PRadj = 1.34; 95% CI = 0.86, 2.07) nor a history of lower extremity joint injury and diagnosed OA (PRadj = 1.41; 95% CI = 0.89, 2.25) was significantly associated with CVD. However, CRFs were 30% and 53% more prevalent in former players with lower extremity joint injury and no diagnosed OA (PRadj = 1.30; 95% CI = 1.12, 1.50) and those with lower extremity joint injury and diagnosed OA (PRadj = 1.53; 95% CI = 1.31, 1.78), respectively, versus athletes with no history of either condition.

conclusionsThe prevalence of CRFs was highest among former NFL athletes with a history of lower extremity joint injury and diagnosed OA. These findings provide insight regarding the potential pathways to chronic diseases that may be initiated by joint injury early in life.

Indexed as

Cardiovascular DiseasesFootballOsteoarthritisAthletesCross-Sectional StudiesHeart Disease Risk FactorsHumansProspective Studiesanterior cruciate ligamentdiabetes mellitus IIhyperlipidemiahypertensionknee surgerymyocardial infarctionsleep apnea

Identifiers

PMID36645831
PMCPMC10496448
OpenAlexW4316661295

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.