高冲击体力活动会影响髋、膝骨关节炎的关节置换风险吗?一项大规模纵向中介研究

High-Impact Physical Activity and Joint Replacement Risk in Hip and Knee Osteoarthritis: A Large-Scale Longitudinal Mediation Study

High-impact physical activity in patients with hip osteoarthritis is associated with a reduced 12-month risk of total hip replacement, without increasing knee replacement risk in knee OA patients. Functional capacity partly mediates this benefit, challenging traditional guidelines favoring only low-impact exercise.