Based upon current evidence, individuals with normal joints and no joint injury should be actively encouraged to exercise regularly both for benefits as they pertain to the joints and other health benefits. There is no strong evidence to suggest that vigorous low-impact exercise is associated with an accelerated rate of development of OA. The current evidence in persons who participate in elite sports activity, particularly in sporting groups susceptible to joint injury, suggests that these groups are at increased risk for OA as a result of their participation, but it is unclear whether par- ticipation in the absence of injury is harmful. When con- sidering the individual risk of OA development it is important to consider the type of sports participation, its intensity and extent of joint impact, the existence of concomitant joint injury, family history of OA and body weight, as well as occupational risk. Exercise has, and will continue to play, an important role in both the pathogenesis and management of OA.
Based upon current evidence, individuals with normal joints and no joint injury should be actively encouraged to exercise regularly both for benefits as they pertain to the joints and other health benefits. There is no strong evidence to suggest that vigorous low-impact exercise is associated with an accelerated rate of development of OA. The current evidence in persons who participate in elite sports activity, particularly in sporting groups susceptible to joint injury, suggests that these groups are at increased risk for OA as a result of their participation, but it is unclear whether par- ticipation in the absence of injury is harmful. When con- sidering the individual risk of OA development it is important to consider the type of sports participation, its intensity and extent of joint impact, the existence of concomitant joint injury, family history of OA and body weight, as well as occupational risk. Exercise has, and will continue to play, an important role in both the pathogenesis and management of OA.
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