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ACL injury, physical activity, and overweight/obesity: a vicious cycle?

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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Abbreviations

ACL:

Anterior cruciate ligament

ACLR:

Anterior cruciate ligament reconstruction

FITT:

Frequency, intensity, time, and type

MVPA:

Moderate-to-vigorous physical activity

PA:

Physical activity

References

  1. Chenoweth D, Leutzinger J (2006) The economic cost of physical inactivity and excess weight in american adults. J Phys Act Health 3:148–163

    Article  Google Scholar 

  2. Colditz GA (1999) Economic costs of obesity and inactivity. Med Sci Sports Exerc 31:S663–S667

    Article  CAS  Google Scholar 

  3. World Health Organization (2014) Global status report on noncommunicable diseases 2014. WHO, Geneva

    Google Scholar 

  4. Warburton DE, Nicol CW, Bredin SS (2006) Health benefits of physical activity: the evidence. CMAJ 174:801–809

    Article  Google Scholar 

  5. Bojicic KM, Beaulieu ML, Imaizumi Krieger DY, Ashton-Miller JA, Wojtys EM (2017) Association between lateral posterior tibial slope, body mass index, and ACL injury risk. Orthop J Sports Med 5:2325967116688664

    Article  Google Scholar 

  6. Evans KN, Kilcoyne KG, Dickens JF, Rue JP, Giuliani J, Gwinn D, Wilckens JH (2012) Predisposing risk factors for non-contact ACL injuries in military subjects. Knee Surg Sports Traumatol Arthrosc 20:1554–1559

    Article  Google Scholar 

  7. Uhorchak JM, Scoville CR, Williams GN, Arciero RA, St Pierre P, Taylor DC (2003) Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med 31:831–842

    Article  Google Scholar 

  8. Australia's physical activity and sedentary behaviour guidelines (2014) More than half of all Australian adults are not active enough. Department of Health. Available from: https://www.health.gov.au/internet/main/publishing.nsf/content/F01F92328EDADA5BCA257BF0001E720D/$File/brochure%20PA%20Guidelines_A5_18-64yrs.PDF. Accessed 15 July 2019

  9. Bell DR, Pfeiffer KA, Cadmus-Bertram LA, Trigsted SM, Kelly A, Post EG, Hart JM, Cook DB, Dunn WR, Kuenze C (2017) Objectively measured physical activity in patients after anterior cruciate ligament reconstruction. Am J Sports Med 45:1893–1900

    Article  Google Scholar 

  10. Myer GD, Faigenbaum AD, Foss KB, Xu Y, Khoury J, Dolan LM, McCambridge TM, Hewett TE (2014) Injury initiates unfavourable weight gain and obesity markers in youth. Br J Sports Med 48:1477–1481

    Article  Google Scholar 

  11. Frobell RB, Roos HP, Roos EM, Roemer FW, Ranstam J, Lohmander LS (2013) Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. BMJ 346:f232

    Article  Google Scholar 

  12. Thorstensson CA, Lohmander LS, Frobell RB, Roos EM, Gooberman-Hill R (2009) Choosing surgery: patients' preferences within a trial of treatments for anterior cruciate ligament injury a qualitative study. BMC Musculoskelet Disord 10:100

    Article  Google Scholar 

  13. Ardern CL, Taylor NF, Feller JA, Webster KE (2014) Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 48:1543–1552

    Article  Google Scholar 

  14. Zadro JR, Pappas E (2019) Time for a different approach to anterior cruciate ligament injuries: educate and create realistic expectations. Sports Med 49:357–363

    Article  Google Scholar 

  15. Ardern CL, Osterberg A, Sonesson S, Gauffin H, Webster KE, Kvist J (2016) Satisfaction with knee function after primary anterior cruciate ligament reconstruction is associated with self-efficacy, quality of life, and returning to the preinjury physical activity. Arthroscopy 32:1631–1638.e3

    Article  Google Scholar 

  16. Duquin TR, Wind WM, Fineberg MS, Smolinski RJ, Buyea CM (2009) Current trends in anterior cruciate ligament reconstruction. J Knee Surg 22:7–12

    Article  Google Scholar 

  17. McRae SM, Chahal J, Leiter JR, Marx RG, Macdonald PB (2011) Survey study of members of the Canadian Orthopaedic Association on the natural history and treatment of anterior cruciate ligament injury. Clin J Sport Med 21:249–258

    Article  Google Scholar 

  18. Filbay SR, Crossley KM, Ackerman IN (2016) Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: a qualitative study. J Physiother 62:103–110

    Article  Google Scholar 

  19. Filbay SR, Culvenor AG, Ackerman IN, Russell TG, Crossley KM (2015) Quality of life in anterior cruciate ligament-deficient individuals: a systematic review and meta-analysis. Br J Sports Med 49:1033–1041

    Article  CAS  Google Scholar 

  20. Mamlin LA, Melfi CA, Parchman ML, Gutierrez B, Allen DI, Katz BP, Dittus RS, Heck DA, Freund DA (1998) Management of osteoarthritis of the knee by primary care physicians. Arch Fam Med 7:563–567

    Article  CAS  Google Scholar 

  21. Burns EA, Collins AD, Jack RA 2nd, McCulloch PC, Lintner DM, Harris JD (2018) Trends in the body mass index of pediatric and adult patients undergoing anterior cruciate ligament reconstruction. Orthop J Sports Med 6:2325967118767398

    Article  Google Scholar 

  22. Thoma L, White D, Risberg M, Snyder-Mackler L (2018) Body weight status and status change over 5 years after ACL rupture by age, sex, and region: the Delaware-Oslo cohort. Osteoarthr Cartil 26:S203–S204

    Article  Google Scholar 

  23. Kyritsis P, Bahr R, Landreau P, Miladi R, Witvrouw E (2016) Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. Br J Sports Med 50:946–951

    Article  Google Scholar 

  24. Nagelli CV, Hewett TE (2017) Should return to sport be delayed until 2 years after anterior cruciate ligament reconstruction? biological and functional considerations. Sports Med 47:221–232

    Article  Google Scholar 

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Funding

FCLO receives a postdoctoral fellowship from the Fonds de recherche de Québec-Santé (FRQS) (Grant No. 261781). JSR is supported by salary awards from the Canadian Institutes of Health Research (CIHR). No specific grant for this study from any funding agency in the public, commercial or not-for-profit sectors.

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FCLO drafted and wrote the manuscript. JSR contributed substantially to the conception and writing. EP conceived the idea, designed and conceptualised the paper. All authors provided critical revision of the manuscript for important intellectual content and provided detailed suggestions for revisions. All authors approved the final version of this document.

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Correspondence to Fábio Carlos Lucas de Oliveira.

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This article does not contain any studies with human participants performed by any of the authors.

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de Oliveira, F.C.L., Roy, JS. & Pappas, E. ACL injury, physical activity, and overweight/obesity: a vicious cycle?. Knee Surg Sports Traumatol Arthrosc 28, 667–669 (2020). https://doi.org/10.1007/s00167-019-05807-6

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