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Karchynskaya V, Kopcakova J, Madarasova Geckova A, Bakalár P, de Winter AF, Reijneveld SA. Are adolescents' physical activity and body-related factors associated with medically attended injuries? Front Pediatr 2022; 10:901011. [PMID: 36389351 PMCID: PMC9663458 DOI: 10.3389/fped.2022.901011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 10/11/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Injuries are the major cause of disability and death during adolescence, representing a significant public health burden among youth. Body-related factors such as body composition and cardiovascular fitness (CVF) may affect adolescents' vulnerability to injuries. As evidence is lacking, we aimed to explore the associations of medically attended injuries with adolescents' physical activity (PA) and body-related factors, and whether these associations are modified by age, gender and family affluence. METHODS We used data on 888 11- to 15-year-old adolescents (mean age = 13.5, 56% boys) from the Health Behaviour in School-aged Children study conducted in 2018 in Slovakia. We used binary logistic regression analysis to assess the association of medically attended injuries with adolescents' PA and body-related factors (body composition, CVF), considering age, gender and family affluence. RESULTS Adolescents were more likely to report medically attended injuries if they were physically very active (odds ratio/confidence interval OR/CI:2.76/1.83-4.15) or active (OR/CI:1.91/1.27-2.87) rather than inactive. Body-related factors were not associated with medically attended injuries among adolescents. Moreover, age, gender and family affluence did not modify the association of medically attended injuries with adolescents' PA and body-related factors. The only exception was the modifying effect of gender: the association of medically attended injuries with being very active was stronger in boys (OR/CI: 3.04/1.32-6.99). CONCLUSION Very physically active adolescent boys are the most vulnerable group of adolescents in terms of injuries. PA promotion programmes should further consider gender-specific strategies aimed at preventing injuries.
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Affiliation(s)
- Viktoryia Karchynskaya
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Jaroslava Kopcakova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | - Peter Bakalár
- Department of Sports Educology and Humanistics, Faculty of Sports, University of Presov, Presov, Slovakia
| | - Andrea F de Winter
- Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Sijmen A Reijneveld
- Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
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2
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Allahabadi S, Calthorpe L, Pandya N. Financial and medical burdens of youth sports specialization - survey of pediatric sports patients. J Sports Med Phys Fitness 2021; 62:716-721. [PMID: 33768778 DOI: 10.23736/s0022-4707.21.12304-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The trend towards youth sports specialization has led to increased costs from higher injury rate and from private club fees. The objectives were to characterize the financial and medical burdens of sports specialization with single sport participation or club sports involvement. METHODS An 18-item survey on sports participation and musculoskeletal injury was administered to parents of patients visiting the clinic of a pediatric sports medicine orthopaedic surgeon over a three-month period. Comparisons were made between groups to identify differences in medical and financial burdens. Logistic regressions were performed to evaluate odds ratios for binary outcomes. RESULTS Club athletes were significantly younger than non-club athletes (12.9 ± 3.1 years versus 14.9 ± 2.8 years, p = .0002) with club athletes starting sports at average of 7.2 ± 3.1 years. Club sports participation (adjusted OR 5.88, 95% CI: 1.10, 31.4) and female sex (adjusted OR 3.47, 95% CI: 1.12, 10.74) were significant predictors of spending > $1000 USD on sports annually. Multisport participation (OR 5.72, 95% CI: 1.21, 26.96) and spending > $1000 on sports annually (OR 17.21, 95% CI: 1.49, 199.25) were significant predictors of presenting to clinic for a sports-related injury. Single sport athletes had a higher number of medical appointments for sports injuries (18.6 ± 23.0 versus 9.3 ± 10.0 for multisport, p = .0042). CONCLUSIONS Youth sports specialization is of substantial financial and medical burden to families. This data can help identify areas of intervention to mitigate injury risk and reduce financial barriers to youth sports participation.
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Affiliation(s)
- Sachin Allahabadi
- Department of Orthopaedic Surgery, University of California, San Francisco, CA, USA
| | - Lucia Calthorpe
- School of Medicine, University of California, San Francisco, CA, USA
| | - Nirav Pandya
- Department of Orthopaedic Surgery, University of California, San Francisco, CA, USA -
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3
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Doyle-Baker PK, Emery CA. Self-Reported Physical Activity, Injury, and Illness in Canadian Adolescent Ski Racers. Front Sports Act Living 2020; 2:32. [PMID: 33345024 PMCID: PMC7739776 DOI: 10.3389/fspor.2020.00032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Accepted: 03/17/2020] [Indexed: 11/13/2022] Open
Abstract
Youth ski racers spend a considerable amount of time on snow and this may detract from other activities known to influence fundamental movement skills and overall health related outcomes. Parents of racers (n = 52 F; n = 44 M; age range 9–14 years) registered in the Canadian club system completed a baseline medical questionnaire during preseason testing in 2017. We describe physical activity volume and sport participation outside of physical education classes over the previous 12 months and report on injuries, medication use and health care utilization. The mean number of activities participated was five (range 1–14) with cycling, hiking, and swimming as the preferred choice and a cumulative mean of just under 400 h of activity was reported (range F 27–1,015; M 62–869 h/year) in the past year. During the past 12 months 16% of the athletes reported being injured and injury severity impacted return to sport with range of reported days missed from 1 to 365 days. Thirteen non-concussive injuries were reported in alpine skiing and females (12%, 6/52) reported more lower limb injuries than males (7%, 3/44). More males were concussed over their lifetime, with alpine skiing accounting for 46% and mountain biking 15%. Most athletes (85%) did not take medication on a regular basis and those that did had a medical diagnosis. The frequency of respiratory conditions was 13% (12/96) with males reporting slightly more cases than females. No difference in emergency visits occurred (25%) between males and females in the past 12 months, however females reported more (n = 102) allied health care, sport medicine and x-rays appointments when compared to males (n = 65). In summary, a high volume of physical activity (an hour plus per day) over the previous 12 months was reported with racers participating in several activities outside of skiing, likely honing their fundamental movement skills. Close proximity to the mountains may have influenced their choices of activity outside of ski racing, and their injuries and a variety of health conditions were typical of their age group. Future research employing wearable technology to objectively quantify the volume and intensity of physical activity participation is recommended.
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Affiliation(s)
- Patricia K Doyle-Baker
- Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, AB, Canada.,School of Architecture, Planning and Landscape, University of Calgary, Calgary, AB, Canada.,The Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada
| | - Carolyn A Emery
- Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, AB, Canada.,The Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada.,Departments of Pediatrics and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
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4
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Gebert A, Gerber M, Pühse U, Gassmann P, Stamm H, Lamprecht M. Costs resulting from nonprofessional soccer injuries in Switzerland: A detailed analysis. JOURNAL OF SPORT AND HEALTH SCIENCE 2020; 9:240-247. [PMID: 32444148 PMCID: PMC7242620 DOI: 10.1016/j.jshs.2018.08.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Revised: 03/29/2018] [Accepted: 05/02/2018] [Indexed: 06/11/2023]
Abstract
BACKGROUND Soccer injuries constitute an important public health problem and cause a high economic burden. Nevertheless, comprehensive data regarding injury costs in nonprofessional soccer are missing. The aim of this study was to determine which groups of nonprofessional soccer athletes, injury types, and injury situations caused high injury costs. METHODS A cross-sectional, retrospective telephone survey was carried out with a random sample of persons who had sustained a soccer injury between July 2013 and June 2014 and who had reported this accident to the Swiss National Accident Insurance Fund (Suva). One year after the corresponding accident, every injury was linked to its costs and to the answers obtained in the interview about injury setting, injury characteristics, and injury causes. Finally, the costs of 702 injuries were analyzed. RESULTS The average cost of an injury in nonprofessional soccer amounted to €4030 (bias-corrected and accelerated 95% confidence interval (BCa 95%CI): 3427-4719). Persons aged 30 years and older experienced 35% of soccer injuries but accounted for 49% of all costs. A total of 58% of all costs were the result of injuries that occurred during amateur games. In particular, game injuries sustained by players in separate leagues for players aged 30+/40+ years led to high average costs of €8190 (BCa 95%CI: 5036-11,645). Knee injuries accounted for 25% of all injuries and were responsible for 53% of all costs. Although contact and foul play did not lead to above-average costs, twisting or turning situations were highly cost relevant, leading to an average sum of €7710 (BCa 95%CI: 5376-10,466) per injury. CONCLUSION Nonprofessional soccer players aged 30 years and older and particularly players in 30+/40+ leagues had above-average injury costs. Furthermore, the prevention of knee injuries, noncontact and nonfoul play injuries, and injuries caused by twisting and turning should be of highest priority in decreasing health care costs.
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Affiliation(s)
- Angela Gebert
- Lamprecht und Stamm Sozialforschung und Beratung, Zurich CH, 8032, Switzerland; Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel CH, 4052, Switzerland.
| | - Markus Gerber
- Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel CH, 4052, Switzerland
| | - Uwe Pühse
- Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel CH, 4052, Switzerland
| | - Philippe Gassmann
- Suva (Swiss National Accident Insurance Fund), CH, 6002 Luzern, Switzerland
| | - Hanspeter Stamm
- Lamprecht und Stamm Sozialforschung und Beratung, Zurich CH, 8032, Switzerland
| | - Markus Lamprecht
- Lamprecht und Stamm Sozialforschung und Beratung, Zurich CH, 8032, Switzerland
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5
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Physical activity-related injuries of college students in southern China: A 1-year prospective study. Sci Rep 2020; 10:7186. [PMID: 32346048 PMCID: PMC7189240 DOI: 10.1038/s41598-020-64317-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 04/15/2020] [Indexed: 02/05/2023] Open
Abstract
This prospective study was to describe the incidence and characteristics of physical activity-related injuries (PARI) among college students in southern China. Online questionnaires and telephone interviews were combined to investigate the physical activity (PA) participation and PARI occurrences every two weeks. Totally, 84 college students (men: 49; women: 35) with a mean age of 19.4 years completed the entire 1-year follow-up. Overall, 14250.3 PA exposure hours were collected and 36 PARI episodes were reported by 26 students, with an injury incidence density of 2.53 injuries per 1000 PA exposure hours and an injury risk of 0.43 injuries/student/year. July to September accounted for a highest proportion of injuries and half of the injuries happened in the evening. The majority of injuries occurred outdoors, happened in non-contact activities, were acute and involved the lower limbs, with sprains and strains being the primary injury types. Of all injuries, 80.6% resulted in PA withdrawal immediately and 58.3% led to absence from the next planned PA. No significant difference was found between men and women. This study reveals the problem of PARI among college students, which provides the direction for the prevention of PARI in this population.
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6
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Cai W, Gao L, Li L, Gao Y, Jia C, Yang W, Duan S, Zhang H. Epidemiology of physical activity-related injuries in Chinese university students. Scand J Med Sci Sports 2019; 29:1331-1339. [PMID: 31034635 DOI: 10.1111/sms.13440] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 03/11/2019] [Accepted: 04/18/2019] [Indexed: 02/05/2023]
Abstract
Knowledge gaps of the physical activity-related injury (PARI) problem among general undergraduates exist. We conducted a study in four universities, where 1421 students graded 1-3 were interviewed face-to-face during April and May after their completion of the baseline survey in March and April 2017, aiming to describe the incidence and characteristics of PARI. PARI experience and physical activity (PA) participation in the past 12 months were collected. Injury incidence density (IID) and risk, and injury characteristics were evaluated for the overall sample and by gender. Pearson chi-square or Fisher's exact tests and independent-sample t tests were used to test between-group differences. We found that 486 PARIs were reported totally by 289 participants, with an overall IID of 0.57 per 1000 hours of exposure (males: 1.07, females: 0.45) and an injury risk of 0.34 injuries/student/y (males: 0.52; females: 0.28). Higher IIDs were found in roller skating, football, and basketball. The majority of injuries occurred outdoors and involved the lower extremities, with sprain and strain being the primary injury types. Moreover, most injuries were new, acute, and happened in non-contact situations. Of all injuries, 52.1% required medical attention and 64.6% resulted in inactivity of one or more days. Some significant differences were observed between males and females. Our study indicates that PARI is a public health concern among Chinese university students, which can provide direction for targeted prophylactic interventions to underpin the sex-specific injury mechanism to reduce PARI.
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Affiliation(s)
- Weicong Cai
- Injury Prevention Research Center, Shantou University Medical College, Shantou, China
| | - Lijie Gao
- Department of Epidemiology, Shandong University School of Public Health, Jinan, China
| | - Liping Li
- Injury Prevention Research Center, Shantou University Medical College, Shantou, China
| | - Yang Gao
- Department of Sport and Physical Education, Hong Kong Baptist University, Kowloon Tong, China
| | - Cunxian Jia
- Department of Epidemiology, Shandong University School of Public Health, Jinan, China
| | - Wenda Yang
- Injury Prevention Research Center, Shantou University Medical College, Shantou, China
| | - Shiwei Duan
- Medical Genetics Center, School of Medicine, Ningbo University, Ningbo, China
| | - Hongjuan Zhang
- School of Physical Education, Shanxi Normal University, Linfen, China
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7
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Ristolainen L, Toivo K, Parkkari J, Kokko S, Alanko L, Heinonen OJ, Korpelainen R, Savonen K, Selänne H, Vasankari T, Kannas L, Villberg J, Kujala UM. Acute and overuse injuries among sports club members and non-members: the Finnish Health Promoting Sports Club (FHPSC) study. BMC Musculoskelet Disord 2019; 20:32. [PMID: 30660197 PMCID: PMC6339310 DOI: 10.1186/s12891-019-2417-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Accepted: 01/11/2019] [Indexed: 12/19/2022] Open
Abstract
Background Physical activity in adolescence is promoted for its multi-dimensional health benefits. However, too intensive sports participation is associated with an increased injury risk. Our aim was to compare the occurrence of acute and overuse injuries in Finnish sports club members and non-members and to report training and competing habits associated with a higher injury risk in sports club members. Methods In this cross-sectional survey targeted at 14–16-year-old adolescents, a structured questionnaire was completed by 1077 sports club members and 812 non-members. The main outcome measures were self-reported acute and overuse injuries, their location and type. Results At least one acute injury in the past year was reported by 44.0% of sports club members and 19.8% of non-members (P < 0.001). The sex-adjusted odds ratio (OR) for acute injury in sports club members compared to non-members was 3.13 (95% confidence interval (95% CI) 2.54–3.87). Thirty-five percent of sports club members and 17.4% of non-members (P < 0.001) reported at least one overuse injury during the past year. The overuse injury OR for sports club members was 2.61 (95% CI 2.09–3.26). Sports club members who trained 7–14 h per week during training (OR 1.61, 95% CI 1.21–2.12, P = 0.001) or competition season (OR 1.55, 95% CI 1.18–2.06, P = 0.002) were more likely to report an injury compared to members who trained 3–6 h per week. Those sports club members who participated in forty competitions or more compared to 7–19 competitions per year were more likely to report an acute injury (OR 1.55, 95% CI 1.05–2.08, P = 0.028) or for an overuse injury (OR 1.53, 95% CI 1.02–2.30, P = 0.038). Conclusions Both acute and overuse injuries are common among youth sports club members, and the number increases along with increasing amounts of training and competitions. More effective injury prevention is needed both for adolescents engaging in sports club activities and for other adolescents. Electronic supplementary material The online version of this article (10.1186/s12891-019-2417-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- L Ristolainen
- Orton Orthopaedic Hospital, Orton, Helsinki, Finland.
| | - K Toivo
- Tampere Research Center of Sports Medicine, Tampere, Finland
| | - J Parkkari
- Tampere Research Center of Sports Medicine, Tampere, Finland
| | - S Kokko
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - L Alanko
- Sports Medicine Clinic, Foundation for Sports and Exercise Clinic, Helsinki, Finland
| | - O J Heinonen
- Paavo Nurmi Centre & Department of Physical Activity and Health, University of Turku, Turku, Finland
| | - R Korpelainen
- Oulu Deaconess Institute, Department of Sports and Exercise Medicine, Oulu, Finland.,Medical Research Center Oulu Oulu University Hospital and University of Oulu, Oulu, Finland.,Center for Life Course Health Research, University of Oulu, Oulu, Finland
| | - K Savonen
- Kuopio Research Institute of Exercise Medicine, Kuopio, Finland.,Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Finland
| | - H Selänne
- Department of Psychology, University of Jyväskylä, Jyväskylä, Finland
| | - T Vasankari
- UKK Institute of Health Promotion Research, Tampere, Finland
| | - L Kannas
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - J Villberg
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - U M Kujala
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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8
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Gao Y, Cai W, Gao L, Wang J, Liang J, Kwok H, Jia C, Li L. Physical activity-related injuries among university students: a multicentre cross-sectional study in China. BMJ Open 2018; 8:e021845. [PMID: 30244210 PMCID: PMC6157521 DOI: 10.1136/bmjopen-2018-021845] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Revised: 06/26/2018] [Accepted: 08/15/2018] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVES This study aimed to investigate the epidemiological characteristics and preliminarily explore possible risk factors of physical activity-related injury (PARI) occurrences among Chinese university students via a multicentre mixed survey. DESIGN Cross-sectional study. PARTICIPANTS A total of 4758 undergraduates graded 1-3 in nine universities in three Chinese cities were enrolled via cluster random sampling and completed the self-administered online questionnaires during March and April 2017. MAIN OUTCOME MEASURES PARI in the past 12 months. RESULTS Of the 4758 participants, 1081 sustained PARI in the past 12 months, with an overall PARI incidence rate of 22.7% (27.3% (367/1343) in males and 20.9%(714/3415) in females). Around one-quarter of the injured (26.4%) suffered from PARI over at least three episodes. More than half of the injured subjects experienced physical activity (PA) absenteeism and sought medical attention. All PA indicators were significantly and positively associated with PARI, with a frequency of sports and leisure-time vigorous-intensity PA (VPA) participation being the strongest (adjusted OR: 1.079, 95% CI: 1.018 to 1.144). Moreover, males (OR=1.199), Shantou students (OR=4.239), year 1 students (OR=1.287), university and other sports team members (OR=1.717-2.360) and those with insufficient sleep time (OR=1.262-1.333) were also at a higher risk of PARI. CONCLUSIONS PARI is prevalent among university students in China. The frequency of sports and leisure-time VPA participation was most strongly associated with PARI among all PA indicators. These data can inform future programmes for injury intervention among university students. Safety issues should also be emphasised when promoting PA among the public to reduce PARI.
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Affiliation(s)
- Yang Gao
- Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong, China
| | - Weicong Cai
- Injury Prevention Research Center, Shantou University Medical College, Shantou, China
| | - Lijie Gao
- Department of Epidemiology, Shandong University School of Public Health, Shandong, China
| | - Jingjing Wang
- Mass Sports Research Center, China Institute of Sport Science, Beijing, China
| | - Jiehui Liang
- Injury Prevention Research Center, Shantou University Medical College, Shantou, China
| | - Heather Kwok
- Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong, China
| | - Cunxian Jia
- Department of Epidemiology, Shandong University School of Public Health, Shandong, China
| | - Liping Li
- Injury Prevention Research Center, Shantou University Medical College, Shantou, China
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9
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Räisänen AM, Kokko S, Pasanen K, Leppänen M, Rimpelä A, Villberg J, Parkkari J. Prevalence of adolescent physical activity-related injuries in sports, leisure time, and school: the National Physical Activity Behaviour Study for children and Adolescents. BMC Musculoskelet Disord 2018; 19:58. [PMID: 29448928 PMCID: PMC5815200 DOI: 10.1186/s12891-018-1969-y] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Accepted: 02/08/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this study was to investigate the prevalence of adolescent physical activity-related injuries in sports club activities, leisure time physical activity and school-based physical activity. The secondary aim was to investigate the differences in the prevalence of physical activity -related injuries between years 2014 and 2016. In addition, we set out to study the associations between age, sex and the frequency of physical activity and injury prevalence. METHODS This cross-sectional study is based on the National Physical Activity Behaviour Study for Children and Adolescents (LIITU in Finnish) conducted in years 2014 and 2016. The subjects completed an online questionnaire in the classroom during school hours. A total of 8406 subjects participated in the current study. Out of these, 49% were boys and 51% were girls. The proportions of 11-, 13-, and 15-year-olds were 35%, 34% and 31%, respectively. RESULTS In the combined data for 2014 and 2016, injury prevalence was higher in sports club activities (46%, 95% CI 44.8-47.8) than in leisure time PA (30%, 95% CI, 28.5-30.5) or school-based PA (18%, 95% CI, 17.4-19.1). In leisure time PA, the injury prevalence was higher than in school-based PA. In all the three settings, injury prevalence was higher in 2016 than in 2014. Frequency of PA was associated with a higher risk for PA-related injuries in sports clubs and leisure time. CONCLUSIONS With half of the subjects reporting at least one PA-related injury during the past year, results indicate that adolescent PA-related injuries are a large-scale problem. There is a worrisome rise in injury prevalence in recent years. From a public health standpoint, there is an urgent need to invest in injury prevention to reverse this trend.
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Affiliation(s)
- Anu M Räisänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland.
| | - Sami Kokko
- Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Kati Pasanen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland.,Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
| | - Mari Leppänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland
| | - Arja Rimpelä
- Faculty of Social Sciences, Health Sciences and PERLA (Tampere Centre for Childhood, Youth and Family Research), University of Tampere, Tampere, Finland.,Department of Adolescent Psychiatry, Tampere University Hospital, Tampere, Finland
| | - Jari Villberg
- Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Jari Parkkari
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland
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10
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Luiggi M, Rindler V, Griffet J. From which level of competition in clubs are adolescents at greater risk of injury compared with outside-of-clubs athletes? A school-based study. PHYSICIAN SPORTSMED 2018; 46:66-72. [PMID: 29108447 DOI: 10.1080/00913847.2018.1402665] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES Sport practice is a key factor in a person's physical and mental health but, for adolescent athletes, some injuries lead to health problems in the long term. The literature provides multiple factors for understanding injury but does not give information about injury risk related to each level of play in a large sample of multisport athletes. This study investigates this relationship in 14- to 19-year-old adolescents. METHODS The survey on adolescents and health was conducted in classrooms of France, from February to March 2015. Only sports players were included in the analyses (n = 986). The levels of play were divided into five categories: outside of a club/no competition, club player/no competition, club player/local level, club player/state level and club player/national and higher level. A three-step binary logistic regression analysis with age, sex, type of sport, weekly hours of exposure, and level of play was used. RESULTS During the past year, 48.1% of the adolescents were injured. Age and sex were not risk factors. The injury risk associated with the increases in level of play is higher than those related to the hours of exposure per week or the type of sport. In clubs, adolescents who do not compete or play at a local level showed no evidence of greater injury risk whereas state-level and national- and higher-level athletes were at greater risk than outside-of-club players (OR = 2.18, 95%CI = 1.13-3.94 and OR = 3.89, 95%CI = 2.07-7.31, respectively). CONCLUSION Adolescents who play sports in clubs are clearly more exposed to injury than those who play outside of a club, mainly from state level. Age and sex are not related to injury. Future epidemiological studies should control adolescents' level of play. Special attention should be accorded to the injury risk of athletes playing at these levels of competition.
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Affiliation(s)
- Maxime Luiggi
- a Institute of Movement Sciences , Aix Marseille Univ, CNRS, ISM , Marseille , France
| | - Victoria Rindler
- a Institute of Movement Sciences , Aix Marseille Univ, CNRS, ISM , Marseille , France
| | - Jean Griffet
- a Institute of Movement Sciences , Aix Marseille Univ, CNRS, ISM , Marseille , France
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Räisänen AM, Parkkari J, Karhola L, Rimpelä A. Adolescent physical activity-related injuries in sports club, school sports and other leisure time physical activities. COGENT MEDICINE 2016. [DOI: 10.1080/2331205x.2016.1260786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
- Anu M. Räisänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland
| | - Jari Parkkari
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. Box 30, 33501 Tampere, Finland
| | - Lotta Karhola
- School of Medicine, University of Tampere, Tampere, Finland
| | - Arja Rimpelä
- School of Health Sciences and PERLA–Tampere Centre for Childhood, Youth and Family Research, University of Tampere, Tampere, Finland
- Department of Adolescent Psychiatry, Tampere University Hospital, Tampere, Finland
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Valenza MC, Torres-Sánchez I, Cabrera-Martos I, Valenza-Demet G, Cano-Cappellacci M. Acute Effects of Contract-Relax Stretching vs. TENS in Young Subjects With Anterior Knee Pain. J Strength Cond Res 2016. [DOI: 10.1519/jsc.0000000000000215] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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13
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Valenza MC, Torres-Sánchez I, Cabrera-Martos I, Valenza-Demet G, Cano-Cappellacci M. Acute Effects of Contract-Relax Stretching vs. TENS in Young Subjects With Anterior Knee Pain: A Randomized Controlled Trial. J Strength Cond Res 2016. [DOI: 10.1519/jsc.0b013e3182a953db] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Remes H, Martikainen P. Young adult's own and parental social characteristics predict injury morbidity: a register-based follow-up of 135,000 men and women. BMC Public Health 2015; 15:429. [PMID: 25928001 PMCID: PMC4460703 DOI: 10.1186/s12889-015-1763-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Accepted: 04/21/2015] [Indexed: 11/23/2022] Open
Abstract
Background Sociodemographic differences in injury mortality are well-established, but population-level studies on social patterns of injury morbidity remain few in numbers, particularly among young adults. Yet injuries are the leading cause of mortality, morbidity and disability among young people. Studies among children have shown steep social gradients in severe injuries, but less is known on the social patterning of injuries in late adolescence and early adulthood, when young people are in the process of becoming independent adults. This study examines how young adults’ current living arrangements, education, main economic activity, and parental social background are associated with hospital-treated injuries in late adolescence and early adulthood. Methods The study uses prospective, individual-level data gathered from several administrative sources. From a representative 11% sample of the total Finnish population, we included young people between ages 17–29 years during the follow-up (N = 134 938). We used incidence rates and Cox proportional hazards models to study hospital-treated injuries and poisonings in 1998–2008. Results Higher rates of injury were found among young adults living alone, single mothers, the lower educated and the non-employed, as well as those with lower parental social background, experience of childhood family changes or living with a single parent, and those who had left the parental home at a young age. Injury risks were consistently higher among young adults with lower education, but current living arrangements and main economic activity showed some age-related nuances in the associations: both earlier and later than average transitions in education, employment, and family formation associated with increased injury risks. The social differentials were strongest in poisonings, intentional self-harm, and assaults, but social patterns were also found in falls, traffic-related injuries and other unintentional injuries, underlining the existence of multiple distinct mechanisms and pathways behind the differentials. Conclusions The transition to adulthood is a life period of heightened risk of injury, during which both parental social background and the young people’s own social position are important determinants of serious injuries that require inpatient care. Electronic supplementary material The online version of this article (doi:10.1186/s12889-015-1763-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Hanna Remes
- Department of Social Research, University of Helsinki, P.O. Box 18, FI-00014, Helsinki, Finland.
| | - Pekka Martikainen
- Department of Social Research, University of Helsinki, P.O. Box 18, FI-00014, Helsinki, Finland. .,Max Planck Institute for Demographic Research, Rostock, Germany.
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Incidence of knee dislocation and concomitant vascular injury requiring surgery. J Trauma Acute Care Surg 2014; 76:715-9. [DOI: 10.1097/ta.0000000000000136] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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McKenna L, Straker L, Smith A. Can scapular and humeral head position predict shoulder pain in adolescent swimmers and non-swimmers? J Sports Sci 2012; 30:1767-76. [DOI: 10.1080/02640414.2012.718092] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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17
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Current world literature. Curr Opin Pediatr 2010; 22:117-26. [PMID: 20068414 DOI: 10.1097/mop.0b013e32833539b5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Pons-Villanueva J, Seguí-Gómez M, Martínez-González MA. Risk of injury according to participation in specific physical activities: a 6-year follow-up of 14 356 participants of the SUN cohort. Int J Epidemiol 2009; 39:580-7. [PMID: 19897466 DOI: 10.1093/ije/dyp319] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Physical activity is generally accepted as a healthy habit. Nevertheless, its associated risk to cause injuries has not been sufficiently evaluated. Measuring this risk more precisely would contribute to giving more accurate health advice to the general population. METHODS Data are from participants (60% women, mean age 38 years) in a cohort of university graduates in Spain (1999-2008). Among other exposures and outcomes, they self report on frequency of participation in several physical activities over 1 year, and on incidence of sports-related injuries after 2, 4 or 6 years follow-up. Participation in 17 physical activities was categorized as a dichotomous variable (yes/no) and also according to average time per week spent in each one. Proportional hazards regression was used to estimate the adjusted relative risks [hazard ratios (HRs)] of incident injury associated with each specific physical activity or with total weekly energy expenditure in leisure-time activity [metabolic equivalents (METs)-h/week]. Statistical analyses were stratified by sex. RESULTS We identified 1658 incident sports-related injuries among 14 356 participants after a median follow-up of 4.6 years. When we adjusted for overall energy expenditure (METs-h/week) in other activities, age and body mass index (BMI), a higher risk of injury was associated with participation in soccer, other team sports, skiing, tennis, running and athletics (HRs ranging from 1.50 to 1.86) among men. With the exception of soccer (rarely practiced by women in Spain), similar results were found for women (HRs ranging from 1.61 to 2.04). Walking, gymnastics, swimming, mountain hiking and gardening were associated with a low injury risk. CONCLUSIONS Despite the healthy effects of physical activity, we consider that the higher risk for injuries related to soccer, team sports, skiing, tennis, running or athletics should be taken into consideration when advice for more physical activity is given to the general population. Daily routine physical activities such as walking or gardening should be encouraged.
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Affiliation(s)
- Juan Pons-Villanueva
- Preventive Medicine and Public Health Department, School of Medicine, University of Navarra, Pamplona, Spain
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