Injury patterns in Swedish elite athletics: Annual incidence, injury types and risk factors
2013 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, no 15, 941-952 p.Article in journal (Refereed) Published
Objective: To estimate the incidence, type and severity of musculoskeletal injuries in youth and adult elite athletics athletes and to explore risk factors for sustaining injuries. Design: Prospective cohort study conducted during a 52-week period. Setting: Male and female youth and adult athletics athletes ranked in the top 10 in Sweden (n=292). Results: 199 (68%) athletes reported an injury during the study season. Ninety-six per cent of the reported injuries were non-traumatic (associated with overuse). Most injuries (51%) were severe, causing a period of absence from normal training exceeding 3 weeks. Log-rank tests revealed risk differences with regard to athlete category (p=0.046), recent previous injury (>3 weeks time-loss; p=0.039) and training load rank index (TLRI; p=0.019). Cox proportional hazards regression analyses showed that athletes in the third (HR 1.79; 95% CI 1.54 to 2.78) and fourth TLRI quartiles (HR 1.79; 95% CI 1.16 to 2.74) had almost a twofold increased risk of injury compared with their peers in the first quartile and interaction effects between athlete category and previous injury; youth male athletes with a previous serious injury had more than a fourfold increased risk of injury (HR=4.39; 95% CI 2.20 to 8.77) compared with youth females with no previous injury. Conclusions: The injury incidence among both youth and adult elite athletics athletes is high. A training load index combing hours and intensity and a history of severe injury the previous year were predictors for injury. Further studies on measures to quantify training content and protocols for safe return to athletics are warranted. © 2013 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.
Place, publisher, year, edition, pages
BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine , 2013. Vol. 47, no 15, 941-952 p.
Medical and Health Sciences
Research subject Medical sciences
IdentifiersURN: urn:nbn:se:his:diva-8422DOI: 10.1136/bjsports-2012-091651ISI: 000324415300004PubMedID: 23543425ScopusID: 2-s2.0-84884281313OAI: oai:DiVA.org:his-8422DiVA: diva2:641417
Correspondence Address: Jacobsson, J.; Department of Medical and Health Sciences, Linköping University, Linköping, SE 58183, Swedemail: email@example.comBibliographically approved