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Physical activity and health-related quality of life in former elite and recreational cricketers from the UK with upper extremity or lower extremity persistent joint pain: a cross-sectional study
  1. Garrett Scott Bullock1,2,
  2. Gary Collins3,
  3. Nicholas Peirce4,5,
  4. Nigel K Arden1,2,
  5. Stephanie R Filbay2
  1. 1 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
  2. 2 Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
  3. 3 Centre for Statistics in Medicine, University of Oxford, Oxford, UK
  4. 4 Centre For Sports Medicine, Nottingham University Hospitals Trust, Nottingham, UK
  5. 5 National Cricket Performance Centre, England and Wales Cricket Board, Loughborough, UK
  1. Correspondence to Dr Garrett Scott Bullock; garrett.bullock{at}wolfson.ox.ac.uk

Abstract

Objective To evaluate and compare physical activity (PA) and health-related quality of life (HRQoL) in former elite and recreational cricketers with upper extremity (UE), lower extremity (LE) or no joint pain.

Study design Cross-sectional cohort.

Setting Despite the high prevalence of joint pain in former athletes, the impact of UE pain and LE pain on PA and HRQoL and potential differences between former recreational and elite athletes are poorly understood.

Participants 703 former cricketers aged ≥18 years (mean age 58.7, SD 12.9, played an average of 30 (IQR 20–40) seasons, 72% of whom had played at a recreational level) were recruited through the Cricket Health and Wellbeing Study and met eligibility requirements (UE pain, LE pain or no joint pain (defined as pain on most days of the past month)).

Primary and secondary outcomes The International Physical Activity Questionnaire-Short Form collected weekly metabolic equivalents (METS), while the Short-Form 8 collected physical (PCS) and mental (MCS) component scores. Kruskal-Wallis tests with Dunn’s post-hoc and multivariable linear regressions were performed.

Results Weekly METS were similar in former cricketers with UE pain (median (IQR) 2560 (722–4398)), LE pain (2215 (527–3903)) and no pain (2449 (695–4203), p=0.39). MCS were similar between groups (UE pain 56.0 (52.1–60.0); LE pain 55.2 (51.1–59.4); no pain 54.7 (50.7–58.7), p=0.38). PCS were more impaired in former cricketers with UE pain (49.8 (44.9–54.8)) or LE pain (46.7 (41.0–51.9)) compared with no pain (54.2 (51.5–56.9), p<0.0001). Former cricketers with LE pain reported worse PCS than those with UE pain (p=0.04). Similar relationships were observed in former elite and recreational cricketers.

Conclusion Despite impaired physical components of HRQoL in former cricketers with UE pain or LE pain, pain was not related to PA levels or mental components of HRQoL. Physical components of HRQoL were most impaired in those with LE pain, and findings were similar among former elite and recreational cricketers.

  • shoulder
  • knee
  • ankle
  • hip
  • hand
  • sport
  • retired athletes

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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Footnotes

  • Twitter @stephfilbay

  • Contributors GSB, GC, NP, NKA, SRF conceived the study idea. GSB, GC, NP, NKA, SRF were involved in methodological design and planning. GSB and SRF wrote the first draft of the manuscript. GSB, GC, SRF contributed to statistical analyses. GSB, GC, NP, NKA, SRF all critically revised the manuscript. GSB, GC, NP, NKA, SRF all approved the final version of the manuscript.

  • Funding This study was funded by the Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis (grant reference 21595). GC was supported by the NIHR Biomedical Research Centre, Oxford.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval This cross-sectional study was approved by the NHS Health Research Authority (NRES), London Stanmore Research Ethics Committee (REC 15/LO/1274).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available upon reasonable request.

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