Sports Participation, Demographic Factors and Knee Symptom Severity in Riyadh, Saudi Arabia

Aims: to explore the prevalence of knee symptoms in the general population of Riyadh, Saudi Arabia, and evaluate the impact of sports participation and other demographic variables on the progression of knee symptoms in Riyadh, Saudi Arabia.

Study design: Cross-sectional study

Place and duration of study: A self-administered online survey was conducted in Riyadh, Saudi Arabia between September 2020 to March 2021.

Methodology: A total of 589 participants age 18 or older who reported concerns of knee symptoms and provided written informed consent were enrolled in the study. We excluded respondents who had undergone knee surgery (n = 16) and those diagnosed with rheumatoid arthritis or other types of arthritis (n = 25). We collected demographic information (eg, age, gender, types of engaged sports, sports participation hours, and frequency of participation per week) and knee symptoms and severity using the Lequesne index tool.

Results: Advanced age was significantly associated with a higher severity score (P < .001). We found a statistically significant association between body mass index and knee symptom severity. We noted no severe knee symptoms in participants engaging in weightlifting. Most participants (64.7%) reported that walking was their most frequent exercise, and knee symptoms were common. Of respondents who walk as their primary sport, 10.6% of them are considered disabled with a severe form of knee pain according to the Lequesne index (which uses the term “handicapped” rather than disabled).

Conclusion: Older and overweight respondents had a high prevalence of knee symptoms. Interestingly, the prevalence rates of individuals without knee symptoms did not differ regarding sport participation. Sports participation frequency did not change the prevalence or severity of knee symptoms, while longer exercise duration was associated with lower knee symptom severity rates.