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Mid-portion Achilles tendinopathy in runners with metabolic disorders

  • Original Article • ANKLE - GENERAL ORTHOPAEDICS
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

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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Authors and Affiliations

  1. Department of Medicine and Science of Aging, University G. d’Annunzio, Chieti-Pescara, Via dei Vestini 31, 66013, Chieti Scalo, CH, Italy

    Michele Abate & Vincenzo Salini

Authors
  1. Michele Abate
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  2. Vincenzo Salini
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Correspondence to Michele Abate.

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Conflict of interest

The authors disclose any conflicts of interest related to the research or the manuscript or to any previous presentation of the research, manuscript or abstract. They assure that authorship has been granted only to those individuals who have contributed substantially to the research or manuscript.

Ethical approval

The procedure followed was in accordance with the Declaration of Helsinki, and the written informed consent was obtained from each patient.

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Abate, M., Salini, V. Mid-portion Achilles tendinopathy in runners with metabolic disorders. Eur J Orthop Surg Traumatol 29, 697–703 (2019). https://doi.org/10.1007/s00590-018-2336-2

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  • DOI: https://doi.org/10.1007/s00590-018-2336-2

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