Injury Prevention Research Center, Shantou University Medical College, Shantou, China.
Department of Epidemiology, Shandong University School of Public Health, Jinan, China.
Scand J Med Sci Sports. 2019 Sep;29(9):1331-1339. doi: 10.1111/sms.13440. Epub 2019 May 22.
Knowledge gaps of the physical activity-related injury (PARI) problem among general undergraduates exist. We conducted a study in four universities, where 1421 students graded 1-3 were interviewed face-to-face during April and May after their completion of the baseline survey in March and April 2017, aiming to describe the incidence and characteristics of PARI. PARI experience and physical activity (PA) participation in the past 12 months were collected. Injury incidence density (IID) and risk, and injury characteristics were evaluated for the overall sample and by gender. Pearson chi-square or Fisher's exact tests and independent-sample t tests were used to test between-group differences. We found that 486 PARIs were reported totally by 289 participants, with an overall IID of 0.57 per 1000 hours of exposure (males: 1.07, females: 0.45) and an injury risk of 0.34 injuries/student/y (males: 0.52; females: 0.28). Higher IIDs were found in roller skating, football, and basketball. The majority of injuries occurred outdoors and involved the lower extremities, with sprain and strain being the primary injury types. Moreover, most injuries were new, acute, and happened in non-contact situations. Of all injuries, 52.1% required medical attention and 64.6% resulted in inactivity of one or more days. Some significant differences were observed between males and females. Our study indicates that PARI is a public health concern among Chinese university students, which can provide direction for targeted prophylactic interventions to underpin the sex-specific injury mechanism to reduce PARI.
普通大学生对与体力活动相关的损伤 (PARI) 问题存在知识空白。我们在四所大学进行了一项研究，共有 1421 名 1-3 年级的学生在 2017 年 3 月至 4 月完成基线调查后，于 4 月和 5 月接受了面对面访谈，旨在描述 PARI 的发生率和特征。收集了 PARI 经历和过去 12 个月的体力活动 (PA) 参与情况。评估了总体样本和性别间的损伤发生率密度 (IID) 和风险以及损伤特征。使用 Pearson 卡方检验或 Fisher 确切检验和独立样本 t 检验来检验组间差异。我们发现，289 名参与者共报告了 486 例 PARI，总体 IID 为每 1000 小时暴露 0.57 例（男性：1.07，女性：0.45），损伤风险为 0.34 例/学生/年（男性：0.52；女性：0.28）。在轮滑、足球和篮球中，IID 更高。大多数损伤发生在户外，涉及下肢，损伤类型主要为扭伤和拉伤。此外，大多数损伤是新的、急性的，发生在非接触情况下。所有损伤中，52.1%需要医疗护理，64.6%导致 1 天或多天的活动受限。男性和女性之间观察到一些显著差异。我们的研究表明，PARI 是中国大学生的一个公共卫生问题，可以为有针对性的预防干预提供方向，以支撑特定性别的损伤机制，从而减少 PARI。
