|
|
Br J Sports Med. 2000 October; 34(5): 332–336. doi: 10.1136/bjsm.34.5.332. | PMCID: PMC1756230 |
Long term health impact of playing professional football in the United Kingdom A. Turner, J. Barlow, and C. Heathcote-Elliott Psychosocial Research Centre, School of Health and Social Sciences, Coventry University, United Kingdom. Email: a.turner/at/coventry.ac.uk Objective—To describe the long term impact of football on the health related quality of life (HRQL) of former professional footballers in the United Kingdom. Method—A cross sectional survey gathered data from 284 former professional players. Respondents reported medical treatments, osteoarthritis (OA) diagnosis, other morbidity, disability status, and work related disability since their football career. The EuroQol (EQ-5D) and global health rating scales were selected to assess HRQL. Results—Medical treatment for football related injuries was a common feature, as was OA, with the knee being the most commonly affected joint. Respondents with OA reported poorer HRQL compared with those without OA. As with medical treatments and problems on each of the five EQ-5D dimensions (pain, mobility, usual activities, anxiety/depression, self care), frequency of disability and work related disability were higher among respondents with OA than those without. Conclusion—This exploratory study suggests that playing professional football can impact on the health of United Kingdom footballers in later life. The development of OA was associated with poorer outcomes on all aspects of HRQL. Key Words: football; retirement; osteoarthritis; knee; health related quality of life The Full Text of this article is available as a PDF (141K). These references are in PubMed. This may not be the complete list of references from this article. - Hawkins RD, Fuller CW. An examination of the frequency and severity of injuries and incidents at three levels of professional football. Br J Sports Med. 1998 Dec;32(4):326–332. [PubMed]
- Hawkins RD, Fuller CW. Risk assessment in professional football: an examination of accidents and incidents in the 1994 World Cup finals. Br J Sports Med. 1996 Jun;30(2):165–170. [PubMed]
- Kujala UM, Kettunen J, Paananen H, Aalto T, Battié MC, Impivaara O, Videman T, Sarna S. Knee osteoarthritis in former runners, soccer players, weight lifters, and shooters. Arthritis Rheum. 1995 Apr;38(4):539–546. [PubMed]
- McGregor JC, Rae A. A review of injuries to professional footballers in a premier football team (1990-93). Scott Med J. 1995 Feb;40(1):16–18. [PubMed]
- Ekstrand J, Gillquist J. The avoidability of soccer injuries. Int J Sports Med. 1983 May;4(2):124–128. [PubMed]
- Rangger C, Kathrein A, Klestil T, Glötzer W. Partial meniscectomy and osteoarthritis. Implications for treatment of athletes. Sports Med. 1997 Jan;23(1):61–68. [PubMed]
- Neyret P, Donell ST, DeJour D, DeJour H. Partial meniscectomy and anterior cruciate ligament rupture in soccer players. A study with a minimum 20-year followup. Am J Sports Med. 1993 May–Jun;21(3):455–460. [PubMed]
- Chantraine A. Knee joint in soccer players: osteoarthritis and axis deviation. Med Sci Sports Exerc. 1985 Aug;17(4):434–439. [PubMed]
- Roos H. Are there long-term sequelae from soccer? Clin Sports Med. 1998 Oct;17(4):819-31–viii. [PubMed]
- Klünder KB, Rud B, Hansen J. Osteoarthritis of the hip and knee joint in retired football players. Acta Orthop Scand. 1980 Dec;51(6):925–927. [PubMed]
- Lindberg H, Roos H, Gärdsell P. Prevalence of coxarthrosis in former soccer players. 286 players compared with matched controls. Acta Orthop Scand. 1993 Apr;64(2):165–167. [PubMed]
- Roos H, Lindberg H, Gärdsell P, Lohmander LS, Wingstrand H. The prevalence of gonarthrosis and its relation to meniscectomy in former soccer players. Am J Sports Med. 1994 Mar–Apr;22(2):219–222. [PubMed]
- Räty HP, Kujala UM, Videman T, Impivaara O, Crites Battié M, Sarna S. Lifetime musculoskeletal symptoms and injuries among former elite male athletes. Int J Sports Med. 1997 Nov;18(8):625–632. [PubMed]
- Sarna S, Kaprio J, Kujala UM, Koskenvuo M. Health status of former elite athletes. The Finnish experience. Aging (Milano). 1997 Feb–Apr;9(1-2):35–41. [PubMed]
- Dekker J, Boot B, van der Woude LH, Bijlsma JW. Pain and disability in osteoarthritis: a review of biobehavioral mechanisms. J Behav Med. 1992 Apr;15(2):189–214. [PubMed]
- Mattsson E, Broström LA. The physical and psychosocial effect of moderate osteoarthrosis of the knee. Scand J Rehabil Med. 1991;23(4):215–218. [PubMed]
- Yelin E, Lubeck D, Holman H, Epstein W. The impact of rheumatoid arthritis and osteoarthritis: the activities of patients with rheumatoid arthritis and osteoarthritis compared to controls. J Rheumatol. 1987 Aug;14(4):710–717. [PubMed]
- Muldoon MF, Barger SD, Flory JD, Manuck SB. What are quality of life measurements measuring? BMJ. 1998 Feb 14;316(7130):542–545. [PubMed]
- Rejeski WJ, Shumaker S. Knee osteoarthritis and health-related quality of life. Med Sci Sports Exerc. 1994 Dec;26(12):1441–1445. [PubMed]
- Hurst NP, Kind P, Ruta D, Hunter M, Stubbings A. Measuring health-related quality of life in rheumatoid arthritis: validity, responsiveness and reliability of EuroQol (EQ-5D). Br J Rheumatol. 1997 May;36(5):551–559. [PubMed]
- Badley EM, Tennant A. Disablement associated with rheumatic disorders in a British population: problems with activities of daily living and level of support. Br J Rheumatol. 1993 Jul;32(7):601–608. [PubMed]
- Dorr LD. Arthritis and athletics. Clin Sports Med. 1991 Apr;10(2):343–357. [PubMed]
- Creamer P, Hochberg MC. Osteoarthritis. Lancet. 1997 Aug 16;350(9076):503–508. [PubMed]
- Hughes SL, Dunlop D, Edelman P, Chang RW, Singer RH. Impact of joint impairment on longitudinal disability in elderly persons. J Gerontol. 1994 Nov;49(6):S291–S300. [PubMed]
- Pincus T, Mitchell JM, Burkhauser RV. Substantial work disability and earnings losses in individuals less than age 65 with osteoarthritis: comparisons with rheumatoid arthritis. J Clin Epidemiol. 1989;42(5):449–457. [PubMed]
- Felson DT. Do occupation-related physical factors contribute to arthritis? Baillieres Clin Rheumatol. 1994 Feb;8(1):63–77. [PubMed]
- Tysvaer AT, Løchen EA. Soccer injuries to the brain. A neuropsychologic study of former soccer players. Am J Sports Med. 1991 Jan–Feb;19(1):56–60. [PubMed]
- Tennant A, Fear J, Pickering A, Hillman M, Cutts A, Chamberlain MA. Prevalence of knee problems in the population aged 55 years and over: identifying the need for knee arthroplasty. BMJ. 1995 May 20;310(6990):1291–1293. [PubMed]
- McAlindon TE, Cooper C, Kirwan JR, Dieppe PA. Determinants of disability in osteoarthritis of the knee. Ann Rheum Dis. 1993 Apr;52(4):258–262. [PubMed]
- Barlow JH, Turner AP, Wright CC. Comparison of clinical and self-reported diagnoses for participants on a community-based arthritis self-management programme. Br J Rheumatol. 1998 Sep;37(9):985–987. [PubMed]
- Rasooly I, Papageorgiou AC, Badley EM. Comparison of clinical and self reported diagnosis for rheumatology outpatients. Ann Rheum Dis. 1995 Oct;54(10):850–852. [PubMed]
- Kolt GS, Kirkby RJ. Epidemiology of injury in elite and subelite female gymnasts: a comparison of retrospective and prospective findings. Br J Sports Med. 1999 Oct;33(5):312–318. [PubMed]
|