Is higher serum cholesterol associated with altered tendon structure or tendon pain? A systematic review
Identifieur interne : 000156 ( Main/Exploration ); précédent : 000155; suivant : 000157Is higher serum cholesterol associated with altered tendon structure or tendon pain? A systematic review
Auteurs : Benjamin J. Tilley [Australie] ; Jill L. Cook [Australie] ; Sean I. Docking [Australie] ; James E. Gaida [Australie]Source :
- British Journal of Sports Medicine [ 0306-3674 ] ; 2015.
Abstract
Tendon pain occurs in individuals with extreme cholesterol levels (familial hypercholesterolaemia). It is unclear whether the association with tendon pain is strong with less extreme elevations of cholesterol.
To determine whether lipid levels are associated with abnormal tendon structure or the presence of tendon pain.
We conducted a systematic review and meta-analysis. Relevant articles were found through an electronic search of 6 medical databases—MEDLINE, Cochrane, AMED, EMBASE, Web of Science and Scopus. We included all case–control or cross-sectional studies with data describing (1) lipid levels or use of lipid-lowering drugs and (2) tendon structure or tendon pain.
17 studies (2612 participants) were eligible for inclusion in the review. People with altered tendon structure or tendon pain had significantly higher total cholesterol, low-density lipoprotein cholesterol and triglycerides, as well as lower high-density lipoprotein cholesterol; with mean difference values of 0.66, 1.00, 0.33, and −0.19 mmol/L, respectively.
The results of this review indicate that a relationship exists between an individual’s lipid profile and tendon health. However, further longitudinal studies are required to determine whether a cause and effect relationship exists between tendon structure and lipid levels. This could lead to advancement in the understanding of the pathoaetiology and thus treatment of tendinopathy.
Url:
DOI: 10.1136/bjsports-2015-095100
PubMed: 26474596
PubMed Central: 4680137
Affiliations:
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Cook</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Physiotherapy</addr-line>,<institution>Monash University</institution>,<addr-line>Melbourne, Victoria</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Australian Centre of Research into Injury in Sport and its Prevention (ACRISP), Federation University, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Centre of Research into Injury in Sport and its Prevention (ACRISP), Federation University, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Docking, Sean I" sort="Docking, Sean I" uniqKey="Docking S" first="Sean I" last="Docking">Sean I. 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A systematic review</title><author><name sortKey="Tilley, Benjamin J" sort="Tilley, Benjamin J" uniqKey="Tilley B" first="Benjamin J" last="Tilley">Benjamin J. Tilley</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Physiotherapy</addr-line>,<institution>Monash University</institution>,<addr-line>Melbourne, Victoria</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cook, Jill L" sort="Cook, Jill L" uniqKey="Cook J" first="Jill L" last="Cook">Jill L. Cook</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Physiotherapy</addr-line>,<institution>Monash University</institution>,<addr-line>Melbourne, Victoria</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Australian Centre of Research into Injury in Sport and its Prevention (ACRISP), Federation University, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Centre of Research into Injury in Sport and its Prevention (ACRISP), Federation University, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Docking, Sean I" sort="Docking, Sean I" uniqKey="Docking S" first="Sean I" last="Docking">Sean I. Docking</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Physiotherapy</addr-line>,<institution>Monash University</institution>,<addr-line>Melbourne, Victoria</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Australian Centre of Research into Injury in Sport and its Prevention (ACRISP), Federation University, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Centre of Research into Injury in Sport and its Prevention (ACRISP), Federation University, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Gaida, James E" sort="Gaida, James E" uniqKey="Gaida J" first="James E" last="Gaida">James E. Gaida</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Physiotherapy</addr-line>,<institution>Monash University</institution>,<addr-line>Melbourne, Victoria</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Discipline of Physiotherapy</addr-line>,<institution>University of Canberra</institution>,<addr-line>Canberra, Australian Capital Territory</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af4">University of Canberra, Research Institute for Sport and Exercise (UCRISE) Canberra, Australian Capital Territory, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>University of Canberra, Research Institute for Sport and Exercise (UCRISE) Canberra, Australian Capital Territory</wicri:regionArea><wicri:noRegion>Australian Capital Territory</wicri:noRegion></affiliation></author></analytic><series><title level="j">British Journal of Sports Medicine</title><idno type="ISSN">0306-3674</idno><idno type="eISSN">1473-0480</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Tendon pain occurs in individuals with extreme cholesterol levels (familial hypercholesterolaemia). It is unclear whether the association with tendon pain is strong with less extreme elevations of cholesterol.</p></sec><sec><title>Objective</title><p>To determine whether lipid levels are associated with abnormal tendon structure or the presence of tendon pain.</p></sec><sec><title>Methods</title><p>We conducted a systematic review and meta-analysis. Relevant articles were found through an electronic search of 6 medical databases—MEDLINE, Cochrane, AMED, EMBASE, Web of Science and Scopus. We included all case–control or cross-sectional studies with data describing (1) lipid levels or use of lipid-lowering drugs and (2) tendon structure or tendon pain.</p></sec><sec><title>Results</title><p>17 studies (2612 participants) were eligible for inclusion in the review. People with altered tendon structure or tendon pain had significantly higher total cholesterol, low-density lipoprotein cholesterol and triglycerides, as well as lower high-density lipoprotein cholesterol; with mean difference values of 0.66, 1.00, 0.33, and −0.19 mmol/L, respectively.</p></sec><sec><title>Conclusions</title><p>The results of this review indicate that a relationship exists between an individual’s lipid profile and tendon health. However, further longitudinal studies are required to determine whether a cause and effect relationship exists between tendon structure and lipid levels. This could lead to advancement in the understanding of the pathoaetiology and thus treatment of tendinopathy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cook, Jl" uniqKey="Cook J">JL Cook</name></author><author><name sortKey="Khan, Km" uniqKey="Khan K">KM Khan</name></author><author><name sortKey="Maffulli, N" uniqKey="Maffulli N">N Maffulli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khan, Km" uniqKey="Khan K">KM Khan</name></author><author><name sortKey="Cook, Jl" uniqKey="Cook J">JL Cook</name></author><author><name sortKey="Taunton, Je" uniqKey="Taunton J">JE Taunton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kujala, Um" uniqKey="Kujala U">UM Kujala</name></author><author><name sortKey="Sarna, S" uniqKey="Sarna S">S Sarna</name></author><author><name sortKey="Kaprio, J" uniqKey="Kaprio J">J 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uniqKey="Manley G">G Manley</name></author><author><name sortKey="Hawksworth, J" uniqKey="Hawksworth J">J Hawksworth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Linton, Mf" uniqKey="Linton M">MF Linton</name></author><author><name sortKey="Fazio, S" uniqKey="Fazio S">S Fazio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benjamin, M" uniqKey="Benjamin M">M Benjamin</name></author><author><name sortKey="Qin, S" uniqKey="Qin S">S Qin</name></author><author><name sortKey="Ralphs, Jr" uniqKey="Ralphs J">JR Ralphs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adams, Cw" uniqKey="Adams C">CW Adams</name></author><author><name sortKey="Bayliss, Ob" uniqKey="Bayliss O">OB Bayliss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Volker, W" uniqKey="Volker W">W Volker</name></author><author><name sortKey="Schmidt, A" uniqKey="Schmidt A">A Schmidt</name></author><author><name sortKey="Oortmann, W" uniqKey="Oortmann W">W Oortmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Egger, M" uniqKey="Egger M">M Egger</name></author><author><name sortKey="Zellweger Zahner, T" uniqKey="Zellweger Zahner T">T Zellweger-Zahner</name></author><author><name sortKey="Schneider, M" uniqKey="Schneider M">M Schneider</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langsted, A" uniqKey="Langsted A">A Langsted</name></author><author><name sortKey="Freiberg, Jj" uniqKey="Freiberg J">JJ Freiberg</name></author><author><name sortKey="Nordestgaard, Bg" uniqKey="Nordestgaard B">BG Nordestgaard</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Tilley, Benjamin J" sort="Tilley, Benjamin J" uniqKey="Tilley B" first="Benjamin J" last="Tilley">Benjamin J. Tilley</name></noRegion><name sortKey="Cook, Jill L" sort="Cook, Jill L" uniqKey="Cook J" first="Jill L" last="Cook">Jill L. Cook</name><name sortKey="Cook, Jill L" sort="Cook, Jill L" uniqKey="Cook J" first="Jill L" last="Cook">Jill L. Cook</name><name sortKey="Docking, Sean I" sort="Docking, Sean I" uniqKey="Docking S" first="Sean I" last="Docking">Sean I. Docking</name><name sortKey="Docking, Sean I" sort="Docking, Sean I" uniqKey="Docking S" first="Sean I" last="Docking">Sean I. Docking</name><name sortKey="Gaida, James E" sort="Gaida, James E" uniqKey="Gaida J" first="James E" last="Gaida">James E. Gaida</name><name sortKey="Gaida, James E" sort="Gaida, James E" uniqKey="Gaida J" first="James E" last="Gaida">James E. Gaida</name><name sortKey="Gaida, James E" sort="Gaida, James E" uniqKey="Gaida J" first="James E" last="Gaida">James E. Gaida</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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