{"id":850,"date":"2017-03-15T01:58:24","date_gmt":"2017-03-15T01:58:24","guid":{"rendered":"https:\/\/seniorfitness.blog\/?p=850"},"modified":"2017-03-16T22:21:20","modified_gmt":"2017-03-16T22:21:20","slug":"q-a-oedelaegger-man-sine-knae-ved-at-loebe","status":"publish","type":"post","link":"https:\/\/seniorfitness.blog\/?p=850","title":{"rendered":"Q &#038; A: \u00d8del\u00e6gger man sine kn\u00e6 ved at l\u00f8be?"},"content":{"rendered":"<p>Den amerikanske l\u00e6ge Kenneth Cooper var manden, der introducerede begrebet <em>aerobics<\/em>, og fandt p\u00e5 Cooper testen (l\u00f8b s\u00e5 langt du kan p\u00e5 12 minutter), som stadig bruges den dag i dag. Da bestselleren <em>Aerobics<\/em> udkom i 1968 indf\u00f8rte Cooper et pointsystem for at s\u00e6tte tal p\u00e5 effektiviteten af forskellige typer tr\u00e6ning &#8211; og her scorede jogging og l\u00f8b som noget af det bedste. Cooper var helt klart med til at grundl\u00e6gge den l\u00f8bekultur, som sidenhen er blevet mere popul\u00e6r end nogensinde.<\/p>\n<p>Andre stemmer er dog langt fra enige i, at l\u00f8b er blandt de bedste motionsformer. Eksempelvis har forfatterne bag styrketr\u00e6ningsbogen <em>Body By Science<\/em> (John Little og\u00a0Doug McGuff) ikke mange positive ord til overs for Cooper: &#8220;I fremtiden vil han frem for at v\u00e6re kendt som &#8216;manden der reddede amerikanernes hjerter&#8217;, blive husket som &#8216;manden, der \u00f8delagde amerikanernes kn\u00e6&#8217;.&#8221; Andre styrketr\u00e6ningsproponenter stemmer i; eksempelvis\u00a0Frederick Hahn\u00a0i <em>The Slow Burn Fitness Revolution<\/em>:\u00a0&#8220;Selv hvis de ikke f\u00e5r andre skader ender l\u00f8bere med at f\u00e5 d\u00e5rlige kn\u00e6, beskadigede hofter og svag ryg &#8211; alt sammen skader,\u00a0der opst\u00e5r ved den\u00a0p\u00e5virkning som kroppen\u00a0uds\u00e6ttes for\u00a0n\u00e5r du l\u00f8ber.&#8221;\u00a0Som var det en fastnaglet konklusion\u00a0er der ingen af de ovenn\u00e6vnte forfattere, som gjorde sig den ulejlighed at underbygge deres udsagn og dokumentere, at l\u00f8betr\u00e6ning fremmer udviklingen af slidgigt i kn\u00e6.<\/p>\n<h3>Jagten p\u00e5 et svar<\/h3>\n<p>Faktisk er det ikke trivielt at\u00a0finde frem til\u00a0den konklusion, at l\u00f8bere\u00a0har st\u00f8rre tendens til at udvikle slidgigt. Der findes videnskabelige studier, som\u00a0har rapporteret en \u00f8get risiko for at udvikle slidgigt i kn\u00e6 og hofter, men en del af disse omfatter studier omfattende eliteatleter eller l\u00f8bere med h\u00f8jvolumen tr\u00e6ning (1, 2, 3). Et af studierne inkluderede data fra over 16.000 deltagere med en gennemsnitlig opf\u00f8lgningstid p\u00e5 10 \u00e5r.\u00a0Dataindsamlingen foregik dog ved selvrapportering, da det var praktisk umuligt at foretage radiologiske unders\u00f8gelser af s\u00e5 mange personer (3).\u00a0Hvor der var en signifikant sammenh\u00e6ng mellem et h\u00f8jt tr\u00e6ningsniveau og slidgigt hos yngre m\u00e6nd s\u00e5s det ikke hos kvinder eller \u00e6ldre m\u00e6nd, hvilket g\u00f8r en endelig konklusion lidt vanskelig.\u00a0Det skal nok\u00a0tages til indt\u00e6gt, at en del studier lider af designm\u00e6ssige svagheder\u00a0bl.a. ved at kunne v\u00e6re <em>biased<\/em> mod, at de sundeste personer befinder sig i &#8216;l\u00f8begruppen&#8217; eller at kun f\u00e5 personer indg\u00e5r i studiet.\u00a0Der er dog masser af unders\u00f8gelser, der ikke kan konkludere, at l\u00f8betr\u00e6ning, endda langdistancel\u00f8b, \u00f8ger\u00a0risikoen for slidgigt i kn\u00e6 og hofter sammenlignet med inaktive personer (4,\u00a05, 6,\u00a07,<span lang=\"EN-US\"> 8, 9, reviews: 10, 11, 12<\/span>)\u00a0. Et studie viste endda, at atleter, som havde v\u00e6gttr\u00e6net havde st\u00f8rre tendens til at udvikle slidgigt end l\u00f8bere (13). En ting, der skal holdes in mente er dog, at akutte kn\u00e6skader kan lede til \u00f8get risiko for at udvikle slidgigt senere i livet (14, 15).<\/p>\n<h3>Opsummering<\/h3>\n<ul>\n<li>Sammenlignet med inaktive personer har personer, der l\u00f8betr\u00e6ner regelm\u00e6ssigt generelt ikke en \u00f8get risiko for at udvikle slidgigt i kn\u00e6. Nogle studier peger endda p\u00e5 en beskyttende effekt.<\/li>\n<li>Har man haft en akut kn\u00e6skade kan det dog lede til en forh\u00f8jet risiko for udvikling af slidgigt senere i livet.<\/li>\n<\/ul>\n<h3>Kommentar<\/h3>\n<p>Det er endnu ikke endeligt afklaret\u00a0hvorvidt der er er en form for positiv\u00a0selektion i retning af, at de som l\u00f8ber regelm\u00e6ssigt, g\u00f8r det fordi de har bedre kn\u00e6, og de som har svagere kn\u00e6 lader v\u00e6re. Dette vil kunne f\u00f8re til en bias i konklusionen af en hel del af de videnskabelige studier, som er udf\u00f8rt. Det som i sidste ende betyder noget er dog: <em>hvis du l\u00f8ber regelm\u00e6ssigt er du en del af statistikken, og har ikke en st\u00f8rre risiko for at udvikle slidgigt i kn\u00e6ene!<\/em><\/p>\n<hr \/>\n<p>Referencer:<\/p>\n<p>1. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8651993\">Risk of<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis<span class=\"Apple-converted-space\">\u00a0<\/span>associated with long-term weight-bearing sports: a radiologic survey of the hips and knees in female ex-athletes and population controls.<\/a><b>\u00a0<\/b>Spector<span class=\"Apple-converted-space\">\u00a0<\/span>TD, Harris PA, Hart DJ, Cicuttini FM, Nandra D, Etherington J, Wolman RL, Doyle DV. <span class=\"jrnl\" title=\"Arthritis and rheumatism\">Arthritis Rheum<\/span>.<span class=\"Apple-converted-space\">\u00a0<\/span>1996<span class=\"Apple-converted-space\">\u00a0<\/span>Jun;39(6):988-95.<\/p>\n<p class=\"title\">2. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/2504343\">Is excessive running predictive of degenerative hip disease? Controlled study of former elite athletes.<\/a><strong>\u00a0<\/strong>Marti<span class=\"Apple-converted-space\">\u00a0<\/span>B, Knobloch M, Tschopp A, Jucker A, Howald H. <span class=\"jrnl\" title=\"BMJ (Clinical research ed.)\">BMJ<\/span>.<span class=\"Apple-converted-space\">\u00a0<\/span>1989<span class=\"Apple-converted-space\">\u00a0<\/span>Jul 8;299(6691):91-3.<\/p>\n<p class=\"title\">3. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10760643\">Physical activity and self-reported, physician-diagnosed<strong><span class=\"Apple-converted-space\">\u00a0<\/span><\/strong>osteoarthritis: is physical activity a risk factor?<\/a><b>\u00a0<\/b>Cheng<span class=\"Apple-converted-space\">\u00a0<\/span>Y, Macera CA, Davis DR, Ainsworth BE, Troped PJ, Blair SN. <span class=\"jrnl\" title=\"Journal of clinical epidemiology\">J Clin Epidemiol<\/span>.<span class=\"Apple-converted-space\">\u00a0<\/span>2000<span class=\"Apple-converted-space\">\u00a0<\/span>Mar 1;53(3):315-22.<\/p>\n<p class=\"title\">4. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19077939\">Is Running Associated with<span class=\"Apple-converted-space\">\u00a0<\/span>Osteoarthritis? An Eight-Year Follow-up Study.<\/a><b>\u00a0<\/b>Panush<span class=\"Apple-converted-space\">\u00a0<\/span>RS, Hanson CS, Caldwell JR, Longley S, Stork J, Thoburn R. <span class=\"jrnl\" title=\"Journal of clinical rheumatology : practical reports on rheumatic &amp; musculoskeletal diseases\">J Clin Rheumatol<\/span>. 1995 Feb;1(1):35-9.<\/p>\n<p class=\"title\">5. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/2403186\">Long distance running and osteoarthrosis.<\/a>\u00a0Konradsen<span class=\"Apple-converted-space\">\u00a0<\/span>L, Hansen EM, S\u00f8ndergaard L. <span class=\"jrnl\" title=\"The American journal of sports medicine\">Am J Sports Med<\/span>. 1990 Jul-Aug;18(4):379-81.<\/p>\n<p class=\"title\">6. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9489830\">The relationship of running to<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis<span class=\"Apple-converted-space\">\u00a0<\/span>of the knee and hip and bone mineral density of the lumbar spine: a 9 year longitudinal study.<\/a>\u00a0Lane<span class=\"Apple-converted-space\">\u00a0<\/span>NE, Oehlert JW, Bloch DA, Fries JF. <span class=\"jrnl\" title=\"The Journal of rheumatology\">J Rheumatol<\/span>.<span class=\"Apple-converted-space\">\u00a0<\/span>1998<span class=\"Apple-converted-space\">\u00a0<\/span>Feb;25(2):334-41.<\/p>\n<p class=\"title\">7. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7718008\">Knee<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis<span class=\"Apple-converted-space\">\u00a0<\/span>in former runners, soccer players, weight lifters, and shooters.<\/a>\u00a0Kujala<span class=\"Apple-converted-space\">\u00a0<\/span>UM, Kettunen J, Paananen H, Aalto T, Batti\u00e9 MC, Impivaara O, Videman T, Sarna S. <span class=\"jrnl\" title=\"Arthritis and rheumatism\">Arthritis Rheum<\/span>.<span class=\"Apple-converted-space\">\u00a0<\/span>1995<span class=\"Apple-converted-space\">\u00a0<\/span>Apr;38(4):539-46.<\/p>\n<p class=\"title\">8. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18550323\">Long distance running and knee<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis. A prospective study.<\/a>\u00a0Chakravarty<span class=\"Apple-converted-space\">\u00a0<\/span>EF, Hubert HB, Lingala VB, Zatarain E, Fries JF. <span class=\"jrnl\" title=\"American journal of preventive medicine\">Am J Prev Med<\/span>. 2008 Aug;35(2):133-8. doi: 10.1016\/j.amepre.2008.03.032.<\/p>\n<p class=\"title\">9. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27333572\">Is There an Association Between a History of<span class=\"Apple-converted-space\">\u00a0<\/span>Running<span class=\"Apple-converted-space\">\u00a0<\/span>and Symptomatic Knee Osteoarthritis? A Cross-Sectional Study From the Osteoarthritis Initiative.<\/a>\u00a0Lo GH, Driban JB, Kriska AM, McAlindon TE, Souza RB, Petersen NJ, Storti KL, Eaton CB, Hochberg MC, Jackson RD, Kent Kwoh C, Nevitt MC, Suarez-Almazor ME. <span class=\"jrnl\" title=\"Arthritis care &amp; research\">Arthritis<span class=\"Apple-converted-space\">\u00a0<\/span>Care Res (Hoboken)<\/span>. 2017 Feb;69(2):183-191. doi: 10.1002\/acr.22939.<\/p>\n<p class=\"title\">10. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16790540\">Does long-distance running cause<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis?<\/a>\u00a0Cymet<span class=\"Apple-converted-space\">\u00a0<\/span>TC,<span class=\"Apple-converted-space\">\u00a0<\/span>Sinkov<span class=\"Apple-converted-space\">\u00a0<\/span>V. <span class=\"jrnl\" title=\"The Journal of the American Osteopathic Association\">J Am Osteopath Assoc<\/span>. 2006 Jun;106(6):342-5<\/p>\n<p class=\"title\">11. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19752252\">Exercise and knee<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis: benefit or hazard?<\/a>\u00a0Bosomworth<span class=\"Apple-converted-space\">\u00a0<\/span>NJ. <span class=\"jrnl\" title=\"Canadian family physician Medecin de famille canadien\">Can Fam Physician<\/span>. 2009 Sep;55(9):871-8.<\/p>\n<p class=\"title\">12. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22632690\">Does running cause<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis<span class=\"Apple-converted-space\">\u00a0<\/span>in the hip or knee?<\/a>\u00a0Hansen<span class=\"Apple-converted-space\">\u00a0<\/span>P, English M,<span class=\"Apple-converted-space\">\u00a0<\/span>Willick<span class=\"Apple-converted-space\">\u00a0<\/span>SE. <span class=\"jrnl\" title=\"PM &amp; R : the journal of injury, function, and rehabilitation\">PM R<\/span>. 2012 May;4(5 Suppl):S117-21. doi: 10.1016\/j.pmrj.2012.02.011<\/p>\n<p class=\"title\">13. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7718008\">Knee<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis<span class=\"Apple-converted-space\">\u00a0<\/span>in former runners, soccer players, weight lifters, and shooters.<\/a>\u00a0Kujala<span class=\"Apple-converted-space\">\u00a0<\/span>UM, Kettunen J, Paananen H, Aalto T, Batti\u00e9 MC, Impivaara O, Videman T, Sarna S. <span class=\"jrnl\" title=\"Arthritis and rheumatism\">Arthritis Rheum<\/span>.<span class=\"Apple-converted-space\">\u00a0<\/span>1995<span class=\"Apple-converted-space\">\u00a0<\/span>Apr;38(4):539-46.<\/p>\n<p class=\"title\">14. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8772279\">Does running exercise cause<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis?<\/a>\u00a0Lahr<span class=\"Apple-converted-space\">\u00a0<\/span>DD. <span class=\"jrnl\" title=\"Maryland medical journal (Baltimore, Md. : 1985)\">Md Med J<\/span>. 1996 Aug;45(8):641-4.<\/p>\n<p class=\"title\">15. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16978252\">Knee injuries<span class=\"Apple-converted-space\">\u00a0<\/span>account for the sports-related increased risk of<span class=\"Apple-converted-space\">\u00a0<\/span>knee<span class=\"Apple-converted-space\">\u00a0<\/span>osteoarthritis.<\/a>\u00a0Thelin<span class=\"Apple-converted-space\">\u00a0<\/span>N, Holmberg S,<span class=\"Apple-converted-space\">\u00a0<\/span>Thelin<span class=\"Apple-converted-space\">\u00a0<\/span>A. <span class=\"jrnl\" title=\"Scandinavian journal of medicine &amp; science in sports\">Scand J Med Sci Sports<\/span>. 2006 Oct;16(5):329-33.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Den amerikanske l\u00e6ge Kenneth Cooper var manden, der introducerede begrebet aerobics, og fandt p\u00e5 Cooper testen (l\u00f8b s\u00e5 langt du kan p\u00e5 12 minutter), som <a class=\"mh-excerpt-more\" href=\"https:\/\/seniorfitness.blog\/?p=850\" title=\"Q &#038; A: \u00d8del\u00e6gger man sine kn\u00e6 ved at l\u00f8be?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":856,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":true,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[71],"tags":[130,132,135,131,134,44,133],"class_list":["post-850","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-q-a","tag-cooper","tag-doug-mcguff","tag-jogging","tag-john-little","tag-loeb","tag-slidgigt","tag-traening"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/seniorfitness.blog\/wp-content\/uploads\/2017\/03\/2017-03-knees.jpg?fit=549%2C263&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p8lpEz-dI","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=\/wp\/v2\/posts\/850","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=850"}],"version-history":[{"count":8,"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=\/wp\/v2\/posts\/850\/revisions"}],"predecessor-version":[{"id":927,"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=\/wp\/v2\/posts\/850\/revisions\/927"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=\/wp\/v2\/media\/856"}],"wp:attachment":[{"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/seniorfitness.blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}