The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis.
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Apr 2019 – Jun 2025Where it's discussed
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AI synopsis
What people are saying
The group shows strong agreement that recreational running is generally safe and may protect against osteoarthritis, supported by citing specific statistics like the 3.5% incidence versus 10.2% in sedentary controls. The tone is informative and positive, with many contributions referencing scientific studies and practical implications, indicating both high interest and deep engagement that could impact public perceptions on running and joint health.
Most discussions support the notion that recreational running is not harmful and may even be protective against osteoarthritis, aligning with the study's findings.
There is a high level of interest in the subject, with many discussions emphasizing the health benefits of moderate running and challenging common myths.
Many comments reference research papers, statistics, and practical implications, demonstrating deep engagement with the topic.
The discussions could influence perceptions about running, encouraging more people to consider it as a beneficial activity for joint health.
Abstract in brief
- Running is generally health-promoting, but there is conflicting evidence about its connection to osteoarthritis (OA) of the hips and knees.
- The study analyzed data from 25 research studies involving over 125,000 individuals to assess whether runners, especially competitive ones, are more prone to OA compared to non-runners.
- The findings suggest that competitive runners have a higher prevalence and greater likelihood of developing OA than recreational runners or non-runners, particularly within the first 15 years of running activity.]
Top posts
Most liked on X and BlueskyThe Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis https://t.co/DgveeW67L9
Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiDK #sportskongres https://t.co/QByVljWCHe
What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT https://t.co/OjrWc6Uo4a https://t.co/BnvoH4bMbK
"recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary" A really interesting study from @DrAlentornGeli in @JOSPT Full Paper: https://t.co/jBZySJ58lR https://t.co/ADHKghUPAY
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@Xenius101 @FitFounder Jury's still out imho, but it's starting to look like running is not as bad for knees as we were once told, and moderate running may even be good for your knees. https://t.co/TLqvqz5paB https://t.co/HdjBZp3nLg
適度なランニングがOA発症予防にはよい。 https://t.co/4ApFNGNfHU https://t.co/1H9IUW62eo
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@k8purcellphysio @tomgoom https://t.co/foLfABnq2w
@k8purcellphysio Yep, that is the JOSPT perspectives article for the original https://t.co/M9Me2YLLVw I have both of these graphics ready to go at a moments notice for discussions with patients as well as referrers https://t.co/3DJtoiZfHP
Alentorn-Geli E, et al. „The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis“ 2017 Dhillon J, et al. „Effects of Running on the Development of Knee Osteoarthritis: An Updated Systematic Review at Short-Term Follow-up“ 2023
References: Alentorn-Geli E, et al. “The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis”. 2017.
@camtudor And this one with elite seat hon runners having increased prevalence of hip and knee OA - clearly regular overloading isn’t great for tissue health https://t.co/ThysCrVPWg
Recreational runners have significantly lower occurrence of hip& knee arthritis than non-runners and elite runners Rec Runners 3.5% Non Runners 10.2% Elite Runners 13.3% Recreational running seems to be protective against OA! https://t.co/t3qtVYIuhf
@EuthanizeLibs @thltd_ @captivedreamer7 That’s mostly just competitive runners. If you just do at a casual pace it’s fine https://t.co/V5TrP47n2J
RT @InfoPhysioPT:
@BudsInSask @hjluks Could be another one but that is the one people most often cite https://t.co/VqYhfIWJLQ
@kanwisher @levelsio It's protective of the knees and hips unless you're a competitive runner consistently pushing yourself to extremes. https://t.co/ChUebX1JtO
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
RT @Flawless_Physio: The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta…
The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis https://t.co/DgveeW67L9
RT @DohertyCailbhe: Mythbusting in #SportScience #1 Over the last semester, @ucd_sphpss students had questions about certain myths in heal…
RT @hyderabaddoctor: @shiv_cybersurg There are many research papers on this topic. You can start with this excellent systematic review and…
@shiv_cybersurg There are many research papers on this topic. You can start with this excellent systematic review and meta-analysis. https://t.co/qiqJAktAtU https://t.co/iTW10i1E3Q
RT @DohertyCailbhe: In <60 seconds, the Evidence for How Long-Distance Running is not linked with #kneeOA Full video available here: https…
In <60 seconds, the Evidence for How Long-Distance Running is not linked with #kneeOA Full video available here: https://t.co/C3dgo9oYxK (References in video description) https://t.co/ILh6r1Hpxa
RT @DohertyCailbhe: Mythbusting in #SportScience #1 Over the last semester, @ucd_sphpss students had questions about certain myths in heal…
RT @DohertyCailbhe: Mythbusting in #SportScience #1 Over the last semester, @ucd_sphpss students had questions about certain myths in heal…
Mythbusting in #SportScience #1 Over the last semester, @ucd_sphpss students had questions about certain myths in health & performance science
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RT @Flawless_Physio: @ERabiller @rwilly2003 Here is the paper
RT @Flawless_Physio: @ERabiller @rwilly2003 Here is the paper
@ERabiller @rwilly2003 Here is the paper
Risk of arthritis based on running activity
@alexfeinberg1 Another systematic review showed that very sedentary individuals or highly competitive runners >15 years of high intensity/volume running (i.e both extremes) were associated with hip and knee OA If you’re a recreational runner, you’ll probably be fine https://t.co/NwdRLkXP4f
@FenixAmmunition @scottcarlinpt https://t.co/PJ9ZAVwPvA
@nbrowne80 @JTNeesonJnr @kwarholm What about excessive exposure? https://t.co/mnhRtK9BPu Conclusion Results indicated that a more sedentary lifestyle or long exposure to high-volume and/or high-intensity running are both associated with hip and/or knee OA.
RT @hyderabaddoctor: 9. Recreational #running: The incidence of knee and hip OA is 3.5% in recreational runners as compared to 10.2% in no…
9. Recreational #running: The incidence of knee and hip OA is 3.5% in recreational runners as compared to 10.2% in non-runners. In competitive or elite runners (>92 km running mileage per week), the incidence of OA is higher (13.3%). Ref: https://t.co/qiqJAktAtU
Now what if we look at the association between more sedentary, recreational, or competitive runners (those who are professionals, running for their country etc.)? https://t.co/3braSc7U1O did just that, looking at over 114,000 individuals. Here's what they found:
RT @JFEsculier: @AJagim @OACJournal @MichaelaCMKhan @DrChrisBarton @kaymcrossley @agculvenor @MentiplayB @JoanneLKemp @StuartJWarden @Andre…
RT @JFEsculier: @AJagim @OACJournal @MichaelaCMKhan @DrChrisBarton @kaymcrossley @agculvenor @MentiplayB @JoanneLKemp @StuartJWarden @Andre…
@AJagim @OACJournal @MichaelaCMKhan @DrChrisBarton @kaymcrossley @agculvenor @MentiplayB @JoanneLKemp @StuartJWarden @AndreaBruder @LaTrobeSEM @tsewmot It depends - if “not running” also means being sedentary, that’s probably not good for joints, as suggested by this review in @JOSPT https://t.co/q9JyE8NOnM If not running but active with other recreational sports, then it’s likely positive.
I don’t think running is “bad” for knees. But are patients not THAT wrong here? My understanding is sedentary folks and high volume runners have about equal knee OA risk? https://t.co/cVWCKGQniv https://t.co/naaubdR7K6
Related to this evening's @physiotalk topic. Does running *cause* osteoarthritis? A good read, taken in context as some of the literature https://t.co/HW03XTqcXI Suggests that there is a sweat spot when it comes to the "amount" of running. #physiotalk #osteoarthritis
If you're worried about running damaging your joints, worry no more. Run-for-fun runners have lower rates of hip & knee #arthritis - and moderate levels of running seem to be the sweet spot for healthy knees and hips https://t.co/MM37bCjKhV
@JerryCap It's very tough competition obviously, but this is up there among the stupidest things he has said: "Recreational runners had a lower occurrence of OA compared with competitive runners and controls." https://t.co/NGqvADdEjf
ASOCIACIÓN ENTRE CORRER Y DESARROLLAR OSTEOARTRITIS DE CADERA Y RODILLA 13% en corredores competitivos 3% en corredores recreativos 10% en personas sedentarias Entendiendo los mil beneficios de la actividad física y el impacto de una vida sedentaria. https://t.co/XGaOZPrbuQ
RT @BhamMovement: How many times have you heard someone say running is bad for your knees? 114000 runners were included in the study. If…
How many times have you heard someone say running is bad for your knees? 114000 runners were included in the study. If you’re a recreational runner the risk of OA was 3.5%, Non-runners were 10.2% and competitive runners 13.3% https://t.co/YhR0uFv1Yq #keeponrunning https://t.co/BduqITRMun
@YFCphysio @Retlouping @GregLehman @jwhittak_physio @yegphysio @HinmanRana Goldilocks- not too much, not too little https://t.co/Hn5lNYlFzm
Is Recreational Running Associated with Knee OA? No. It is protective vs. a sedentary lifestyle Systematic Review and MA of 17 studies: Incidence of Knee OA: ⚫️ recreational runners: 3.5% ⚫️ sedentary controls: 10.2 % #activeaging #bloomington https://t.co/qpVMLxvTci
#PhysioPhactPhriday is back and this one is a must ready! Check it out! —— https://t.co/OCUpDTL1Nw —— #Run #Running #SportsPhysicalTherapy #SportsPT #PhysicalTherapy #PT #DPT #DPTStudent #ExercisePhysiology https://t.co/YiRl23AEjq
@a_petrie @ParadiseDivided @RunningMrJones @UKRunChat Nah, impact is good, it’s what builds osteophytes, stimulates growth etc etc. A large study of runners over 60 had 1/3 less need for total knee replacements…. Lower BMI, live longer, less OA etc etc https://t.co/nrNZ8ZOjlY and https://t.co/z1vaFPawpE
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
RT @mboydphysio: "recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary"…
"recreational running" may be beneficial for hip and knee OA but "competitive running" may be as bad as being "sedentary" A really interesting study from @DrAlentornGeli in @JOSPT Full Paper: https://t.co/jBZySJ58lR https://t.co/ADHKghUPAY
The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis. Recreational runners had a lower occurrence of OA compared with competitive runners and controls https://t.co/tGXNDKoh28 https://t.co/DzqPFdGR5t
If you're worried about running damaging your joints, worry no more. Run-for-fun runners have lower rates of hip & knee #arthritis. Moderate levels of running seem to be the sweet spot for healthy knees and hips https://t.co/MM37bCjKhV
@JayCatton Running is great for your knees mate! Keep it going!
RT @novicephysio: @DerekGriffin86 Marathon runners appear to have a higher prevalence of knee OA https://t.co/HKSMLM3k3s https://t.co/0e1dt…
RT @novicephysio: @DerekGriffin86 Marathon runners appear to have a higher prevalence of knee OA https://t.co/HKSMLM3k3s https://t.co/0e1dt…
@DerekGriffin86 Marathon runners appear to have a higher prevalence of knee OA https://t.co/HKSMLM3k3s https://t.co/0e1dtxF5DL
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
@rosshm16 @BiomechMax @JasonTuoriPT @JFEsculier @ClinicRunning @cmbeaven @mattdriller @blaisedubois Indeed, apologies
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
RT @JOSPT: Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiD…
Articular cartilage likes load. Ideal running load is great for knees! SR to which Dr Esculier refers to: https://t.co/X318IuDiDK #sportskongres https://t.co/QByVljWCHe
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
RT @BJSM_BMJ: What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT h…
What is the association between recreational and competitive running with hip and knee OA? A #classic of paper in @JOSPT https://t.co/OjrWc6Uo4a https://t.co/BnvoH4bMbK
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
RT @JOSPT: https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
https://t.co/v0BnOgYenf #running #resolutions #safe #justnottoomuch https://t.co/J1mTRXyT0i
@honest_physio @paulawoods5 @JackAChew @function2fitnes @CorKinetic @GregLehman @DerekGriffin86 It's open access
RT @jefftaylorhaas: @hjluks @tomgoom Great papers on this topic https://t.co/g3uAxi4ONZ https://t.co/Wr1zz17sq8 https://t.co/aRiDLce0kn…
RT @jefftaylorhaas: @hjluks @tomgoom Great papers on this topic https://t.co/g3uAxi4ONZ https://t.co/Wr1zz17sq8 https://t.co/aRiDLce0kn…
@hjluks @tomgoom Great papers on this topic https://t.co/g3uAxi4ONZ https://t.co/Wr1zz17sq8 https://t.co/aRiDLce0kn https://t.co/Akf0Kid1Ao
@AdamMeakins Thoughts on why competitive runners appear to have more knee OA? https://t.co/0e1dtxF5DL
@YanLibin1 大型研究在这里https://t.co/f41ZgDKVTa 肥胖人士也可以跑,关键是姿势和肌肉训练https://t.co/gu1O5yTBfq 如果已经有膝患,先看医生,康复期间可以先锻炼一下相关肌肉
GV