In:
Orthopaedic Journal of Sports Medicine, SAGE Publications, Vol. 1, No. 1 ( 2013-06-01), p. 232596711348731-
Abstract:
To identify persons at high risk of sustaining running-related injuries, an evidence-based understanding of the risk factors associated with injury is needed. Purpose: To identify demographic and behavioral risk factors associated with running-related injuries. Study Design: Observational prospective cohort study with a 1-year follow-up. Methods: Exposures including sex, age, body mass index (BMI), behavior (Type A Self-Rating Inventory [TASRI]), running experience, other sports activity, previous running-related injuries, and other injuries not related to running were assessed prior to or at baseline. The outcome of interest was a running-related injury, defined as any musculoskeletal complaint of the lower extremity or back caused by running that restricted the amount of running (volume, duration, pace, or frequency) for at least 1 week. All participants quantified their running volume by global positioning system (GPS) and used a neutral running shoe. Time to first injury for each exposure variable was analyzed using a generalized linear model, with cumulative kilometers of the training sessions as the time scale. Results: A total of 930 individuals were included in the study, of which 254 sustained a running-related injury during a total of 155.318 km of running. By calculating the cumulative injury risk differences (cIRDs) [95% confidence intervals] after 500 km of running, the TASRI Type B behavior (cIRD, 11.9% [−0.5%; 23.3%] ; P = .04) was found to be a significant predictor of injury, while age between 45 and 65 years (cIRD, 14.7% [−2.1%; 31.5%]; P = .08) and previous injuries not related to running (cIRD, 11.1% [−0.2%; 22.4%] ; P = .05) were considered clinically interesting, although not statistically significant. In addition, χ 2 test results across 4 BMI groups also revealed a borderline significant relationship ( P = .06). No significant or clinically relevant relationships were found for sex ( P = .42), previous running-related injury ( P = .47), running experience ( P = .30), and other sports activities ( P = .30). Conclusion: The findings of the present study suggest BMI 〉 30 kg/m 2 , age between 45 and 65 years, noncompetitive behavior, and previous injuries not related to running are associated with increased risk of injury among novice runners, while BMI 〈 20 kg/m 2 was protective. Still, the role of the risk factors in the causal mechanism leading to injury needs to be investigated.
Type of Medium:
Online Resource
ISSN:
2325-9671
,
2325-9671
DOI:
10.1177/2325967113487316
Language:
English
Publisher:
SAGE Publications
Publication Date:
2013
detail.hit.zdb_id:
2706251-X
SSG:
31
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