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Published in: European Journal of Orthopaedic Surgery & Traumatology 3/2019

01-04-2019 | Original Article • ANKLE - GENERAL ORTHOPAEDICS

Mid-portion Achilles tendinopathy in runners with metabolic disorders

Authors: Michele Abate, Vincenzo Salini

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2019

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Abstract

Introduction

Running is a very popular modality of physical activity, which may help to lose weight and normalize pathological values of blood parameters in subjects suffering from metabolic disorders. Given that both overuse and metabolic pathologies are responsible for the onset of tendon damage, aim of the present study was to evaluate whether the first group of pathogenetic factors or the latter was more responsible for mid-portion Achilles tendinopathy.

Method

Thirty-six and 28 subjects with and without mid-portion Achilles tendinopathy, who were regular runners and started running for metabolic disorders, were enrolled, respectively. Information about body weight and blood parameters at baseline was collected. The characteristics of running practice, dietary habits and anthropometric measures were registered. An ultrasound evaluation of the tendon was performed, and the blood metabolic parameters were evaluated.

Results

The amount of running years and mileage was equivalent in both groups. A similar weight loss was observed; the subjects with mid-portion Achilles tendinopathy showed a worse metabolic profile (Hb1aC%, p = 0.008; total cholesterol, p = 0.04; HDL cholesterol, p = 0.003; triglycerides, p = 0.009).

Conclusions

These findings suggest that the subjects with less evident positive effects of running on metabolism are more exposed to the onset of mid-portion Achilles tendinopathy.
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Metadata
Title
Mid-portion Achilles tendinopathy in runners with metabolic disorders
Authors
Michele Abate
Vincenzo Salini
Publication date
01-04-2019
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-018-2336-2

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