Richardson A, Clarsen B, Verhagen E A L M, Stubbe J H
Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
Norwegian School of Sports Sciences, Oslo Sports Trauma Research Center, Oslo, Norway.
BMJ Open Sport Exerc Med. 2017 Apr 22;3(1):e000199. doi: 10.1136/bmjsem-2016-000199. eCollection 2017.
A thorough knowledge of the epidemiology and severity of injuries and illness in youth female elite sports is lacking due to the methodological challenges involved in recording them. In this study, the prevalence and incidence of injuries and illness are assessed among youth female elite athletes. Instead of solely focusing on time-loss injuries, our study included all substantial and non-substantial health problems (ie, injuries, mental problems and illnesses).
Sixty young elite Dutch female athletes (age: 16.6 years (SD: 2.3), weight: 58.3 kg (SD: 15.1), height: 154.1 cm (SD: 44.2)) participating in soccer (n=23), basketball (n=22) and gymnastic (n=15) talent development programmes were prospectively followed during one season (September 2014 to April 2015). To collect health problem data, all athletes completed the Oslo Sports Trauma Research Center Questionnaire on Health Problems every other week. Main outcome measures were average prevalence of injury and incidence density of injury.
At any given time, 47.9% of the athletes reported an injury (95% CI 43.6% to 52.6%) and 9.1% reported an illness (95% CI 5.1 to 19.0). The average injury incidence density was 8.6 per 1000 hours of athlete exposure. The average number of self-reported injuries per athlete per season was significantly higher in soccer athletes (4.3±2.7) than in basketball athletes (2.6±2.0) (p=0.03) and not significantly higher than in the gymnastic squad. The knee and the ankle were two of the most common injury locations for all squads. Knee injuries in basketball and soccer and heel injuries in the gymnastic squad had the highest impact on sports participation.
High prevalence of self-reported injuries among talented female athletes suggests that future efforts towards their prevention are warranted.
由于记录青年女性精英运动员伤病情况存在方法学上的挑战,目前缺乏对其伤病流行病学及严重程度的全面了解。在本研究中,对青年女性精英运动员的伤病患病率和发病率进行了评估。我们的研究并非仅关注导致停训的伤病,而是纳入了所有严重和非严重的健康问题(即伤病、心理问题和疾病)。
前瞻性地跟踪了60名参加足球(n = 23)、篮球(n = 22)和体操(n = 15)人才培养计划的荷兰青年精英女性运动员(年龄:16.6岁(标准差:2.3),体重:58.3千克(标准差:15.1),身高:154.1厘米(标准差:4.2)),为期一个赛季(2014年9月至2015年4月)。为收集健康问题数据,所有运动员每隔一周填写奥斯陆运动创伤研究中心健康问题问卷。主要结局指标为伤病的平均患病率和伤病发生率密度。
在任何给定时间,47.9%的运动员报告有伤病(95%置信区间43.6%至52.6%),9.1%的运动员报告有疾病(95%置信区间5.1%至19.0%)。伤病发生率密度平均为每1000小时运动员暴露时间8.6次。足球运动员每个赛季自我报告伤病的平均数量(4.3±2.7)显著高于篮球运动员(2.6±2.0)(p = 0.03),且不显著高于体操队。膝盖和脚踝是所有队伍中最常见的两个受伤部位。篮球和足球运动中的膝盖伤病以及体操队中的足跟伤病对运动参与的影响最大。
有天赋的女性运动员自我报告伤病的患病率较高,这表明未来有必要努力预防伤病。