Osteoarthritis and Mental Health Symptoms in Former Elite Athletes
Overview
This study explores the association between osteoarthritis (OA) and symptoms of common mental disorders (CMD) such as distress, anxiety/depression, sleep disturbance, and adverse alcohol use in former elite male athletes. Findings indicate that former athletes with OA are more likely to report CMD symptoms compared to those without OA, with variations observed across different sports disciplines.
Background
Osteoarthritis is the most prevalent joint disease globally, leading to joint cartilage damage and functional impairment. It affects up to 80% of older adults in Western Europe and is a leading cause of disability worldwide. Beyond physical symptoms, OA negatively impacts mental well-being and quality of life. Former elite athletes have a high prevalence of OA, particularly in weight-bearing joints, which may contribute to increased mental health symptoms post-retirement.
Data Highlights
Sport
OA Prevalence Range (%)
Retired Professional Footballers (Knee)
40 - 80
Retired Professional Footballers (Ankle)
12 - 17
Former Elite Athletes (Hip)
2 - 60
Former Elite Athletes (Knee)
16 - 95
Key Findings
OA diagnosis was self-reported by former elite male athletes aged 50 years or younger from rugby, football, ice hockey, cricket, and Gaelic sports.
Symptoms of CMD assessed included distress, anxiety/depression, sleep disturbance, and adverse alcohol use using validated questionnaires.
Former athletes with OA were significantly more likely to report symptoms of CMD compared to those without OA.
Among retired professional footballers with OA, 37% reported moderate to severe anxiety/depression symptoms.
The association between OA and CMD symptoms varied across different sports disciplines.
Clinical Implications
Clinicians should be aware of the high prevalence of OA and its association with mental health symptoms in former elite athletes. Screening for CMD symptoms in this population is recommended to provide timely psychological support alongside physical management of OA. Tailored interventions addressing both physical and mental health may improve overall quality of life in retired athletes.
Conclusion
Osteoarthritis in former elite athletes is linked to an increased likelihood of common mental disorder symptoms, underscoring the need for integrated care approaches. Further research is warranted to explore sport-specific differences and develop targeted interventions.
References
Various Authors/Multiple Studies -- Osteoarthritis and Mental Health in Former Elite Athletes
