Swindell Hasani W, Marcille Melanie L, Trofa David P, Paulino Franklin E, Desai Natasha N, Lynch Thomas Sean, Ahmad Christopher S, Popkin Charles A
Department of Orthopedics, New York-Presbyterian Columbia University, New York, New York, USA.
Department of Orthopedic Surgery, Northwell Long Island Jewish Medical Center, New Hyde Park, New York, USA.
Orthop J Sports Med. 2019 Jan 28;7(1):2325967118821179. doi: 10.1177/2325967118821179. eCollection 2019 Jan.
Youth sports specialization has become more prevalent despite consequences such as increased injury rates and burnout. Young athletes, coaches, and parents continue to have misconceptions about the necessity of sports specialization, giving athletes the encouragement to focus on a single sport at a younger age.
To characterize the motivations for specialization and determine when elite athletes in various individual and team sports made the decision to specialize.
Cross-sectional study; Level of evidence, 3.
A Likert-style survey was developed and distributed to athletes from two National Collegiate Athletic Association (NCAA) Division I institutions. The survey's Flesch-Kincaid grade level was 6.3. Statistical analysis was performed via the Student test, where a value less than .05 was considered significant.
A total of 303 athletes with a mean ± SD age of 19.9 ± 1.52 years across 19 sports were surveyed; 94.7% of specialized athletes had previously played another organized sport prior to college, and 45% of athletes had played multiple sports up to age 16 years. The mean age of specialization was 14.9 years, with a significant difference between athletes competing in team (15.5 years) and individual (14.0 years) sports ( = .008). Males in individual sports specialized earlier than those in team sports ( ≤ .001). Nearly one-fifth (17.4%) of athletes reported specializing at age 12 years or earlier. Personal interest, skill level, time constraints, and potential scholarships were the most important reasons for specialization overall. For individual sports, the motivations for specialization were similar, but collegiate ( < .001) or professional ( < .001) ambitions were significantly larger contributing factors.
Early sports specialization is uncommon among NCAA Division I athletes for most team sports, whereas individual sports tend to have athletes who specialize earlier and are more motivated by professional and collegiate goals. This study characterized the timing of specialization among elite athletes, providing a basis for understanding the motivations behind youth sports specialization. Physicians should be prepared to discuss the misconception that early sports specialization is necessary or common among most team-focused collegiate-level athletes. Knowing the motivations for sports specialization will guide clinicians in their discussions with youth athletes.
尽管存在诸如受伤率增加和倦怠等后果,青少年体育专项化仍变得更加普遍。年轻运动员、教练和家长对体育专项化的必要性仍然存在误解,这使得运动员受到鼓励在更小的年龄专注于一项运动。
描述专项化的动机,并确定不同个人和团体运动项目中的精英运动员决定进行专项化的时间。
横断面研究;证据等级,3级。
设计了一份李克特式调查问卷,并分发给来自两个美国大学体育协会(NCAA)一级机构的运动员。该调查问卷的弗莱什-金凯德年级水平为6.3。通过学生t检验进行统计分析,p值小于0.05被认为具有统计学意义。
共对19个运动项目的303名运动员进行了调查,他们的平均年龄为19.9±1.52岁;94.7%的专项化运动员在大学之前曾参加过另一项有组织的运动,45%的运动员在16岁之前参加过多种运动。专项化的平均年龄为14.9岁,参加团体运动(15.5岁)和个人运动(14.0岁)的运动员之间存在显著差异(p = 0.008)。个人运动项目中的男性比团体运动项目中的男性更早进行专项化(p≤0.001)。近五分之一(17.4%)的运动员报告在12岁或更早的时候就开始专项化。个人兴趣、技能水平、时间限制和潜在奖学金是总体专项化的最重要原因。对于个人运动项目,专项化的动机相似,但大学(p<0.001)或职业(p<0.001)抱负是更重要的影响因素。
对于大多数团体运动项目来说,早期体育专项化在NCAA一级运动员中并不常见,而个人运动项目中的运动员往往更早进行专项化,并且更受职业和大学目标的激励。本研究描述了精英运动员专项化的时间,为理解青少年体育专项化背后的动机提供了基础。医生应该准备好讨论早期体育专项化在大多数以团体为重点的大学水平运动员中是必要的或常见的这种误解。了解体育专项化的动机将指导临床医生与青少年运动员的讨论。