1990 年至 2007 年美国急诊部门因重量训练导致的伤害的流行病学。

Epidemiology of weight training-related injuries presenting to United States emergency departments, 1990 to 2007.

机构信息

The Research Institute at Nationwide Children's Hospital, Center for Injury Research and Policy, Columbus, OH 43205, USA.

出版信息

Am J Sports Med. 2010 Apr;38(4):765-71. doi: 10.1177/0363546509351560. Epub 2010 Feb 5.

DOI:10.1177/0363546509351560

PMID:20139328

Abstract

BACKGROUND

As participation in weight training in the United States increases, the number of persons at injury risk increases.

PURPOSE

To examine weight training-related injuries in patients presenting to US emergency departments from 1990 to 2007. Study Design Descriptive epidemiology study.

METHODS

Weight training-related injury data were analyzed from the US Consumer Product Safety Commission's National Electronic Injury Surveillance System. Sample weights provided by this organization calculated national estimates of weight training-related injuries from the 100-hospital sample.

RESULTS

From 1990 to 2007, 25 335 weight training injuries were seen in US emergency departments, correlating to an estimated 970 801 injuries nationwide. Patients' mean age was 27.6 years (range, 6-100 years); 82.3% were male. The upper trunk (25.3%) and lower trunk (19.7%) were the most commonly injured body parts. The most common diagnosis was sprain/strain (46.1%). The most common mechanism of injury was weights dropping on the person (65.5%). A large number of injuries occurred with free weights (90.4%). Males had a larger proportion of upper trunk injuries (26.8%; injury proportion ratio [IPR], 1.45; 95% confidence interval [CI]: 1.36-1.57; P <.001) than females (18.4%). Females had a larger proportion of foot injuries (22.9%; IPR, 2.09; 95% CI: 1.93-2.26; P <.001) than males (11.0%). Persons 12 years and younger had a larger proportion of hand (37.9%; IPR, 2.08; 95% CI: 1.76-2.46; P <.001) injuries than persons 13 years or older (18.2%). Persons 55 years and older were injured more when using machines (18.2%; IPR, 1.96; 95% CI: 1.47-2.61, P <.001) than persons 54 years and younger (9.3%). Persons using free weights sustained a greater proportion of fractures/dislocations (23.6%; IPR, 2.44; 95% CI: 1.92-3.09; P <.001) than persons using machines (9.7%).

CONCLUSION

Further research is needed to drive development of targeted, age- and gender-specific, evidence-based injury prevention strategies to decrease injury rates among weight training participants.

摘要

背景

随着美国参与举重训练的人数增加，受伤风险增加。

目的

检查 1990 年至 2007 年期间因举重训练受伤到美国急诊室就诊的患者的情况。研究设计描述性流行病学研究。

方法

从美国消费者产品安全委员会的国家电子伤害监测系统中分析与举重训练相关的伤害数据。该组织提供的样本权重计算了全国范围内 100 家医院样本中与举重训练相关的伤害的全国估计值。

结果

从 1990 年到 2007 年，美国急诊室共收治 25335 例举重训练受伤病例，全国估计有 970801 例受伤。患者的平均年龄为 27.6 岁（6-100 岁）；82.3%为男性。最常受伤的身体部位是上半身（25.3%）和下半身（19.7%）。最常见的诊断是扭伤/拉伤（46.1%）。最常见的受伤机制是重物砸到身上（65.5%）。大量受伤发生在自由重量训练中（90.4%）。男性上半身受伤比例较大（26.8%；受伤比例比[IPR]，1.45；95%置信区间[CI]：1.36-1.57；P<.001），女性（18.4%）。女性足部受伤比例较大（22.9%；IPR，2.09；95%CI：1.93-2.26；P<.001），男性（11.0%）。12 岁及以下的人手部受伤比例较大（37.9%；IPR，2.08；95%CI：1.76-2.46；P<.001），13 岁及以上的人（18.2%）。55 岁及以上的人在使用机器时受伤比例较高（18.2%；IPR，1.96；95%CI：1.47-2.61，P<.001），而 54 岁及以下的人（9.3%）。使用自由重量的人骨折/脱位比例较高（23.6%；IPR，2.44；95%CI：1.92-3.09；P<.001），而使用机器的人（9.7%）。