Räisänen Anu M, Kokko Sami, Pasanen Kati, Leppänen Mari, Rimpelä Arja, Villberg Jari, Parkkari Jari
Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland.
Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
BMC Musculoskelet Disord. 2018 Feb 15;19(1):58. doi: 10.1186/s12891-018-1969-y.
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.
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.
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.
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.
本研究旨在调查青少年在体育俱乐部活动、休闲时间体育活动和校内体育活动中与身体活动相关损伤的发生率。次要目的是调查2014年至2016年期间与身体活动相关损伤发生率的差异。此外，我们着手研究年龄、性别与身体活动频率和损伤发生率之间的关联。
这项横断面研究基于2014年和2016年进行的全国儿童和青少年身体活动行为研究（芬兰语为LIITU）。受试者在学校上课时间在教室里完成一份在线问卷。共有8406名受试者参与了本研究。其中，49%为男孩，51%为女孩。11岁、13岁和15岁的比例分别为35%、34%和31%。
在2014年和2016年的合并数据中，体育俱乐部活动中的损伤发生率（46%，95%可信区间44.8 - 47.8）高于休闲时间身体活动（30%，95%可信区间28.5 - 30.5）或校内身体活动（18%，95%可信区间17.4 - 19.1）。在休闲时间身体活动中，损伤发生率高于校内身体活动。在所有这三种情况下，2016年的损伤发生率均高于2014年。在体育俱乐部和休闲时间，身体活动频率与身体活动相关损伤的较高风险相关。
由于有一半的受试者报告在过去一年中至少有一次与身体活动相关的损伤，结果表明青少年与身体活动相关的损伤是一个大规模问题。近年来损伤发生率令人担忧地上升。从公共卫生的角度来看，迫切需要投资于损伤预防以扭转这一趋势。
