University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, The Netherlands.
University of Tehran, Faculty of Physical Education and Sport Sciences, Department of Health and Sport Medicine, Tehran, Iran.
J Sports Sci Med. 2021 Mar 5;20(2):204-215. doi: 10.52082/jssm.2021.204. eCollection 2021 Jun.
Knowledge about prevalence and etiology of running-related injuries (RRIs) is important to design effective RRI prevention programs. Mental aspects and sleep quality seem to be important potential risk factors, yet their association with RRIs needs to be elucidated. The aims of this study are to investigate the epidemiology of RRIs in recreational runners and the association of mental aspects, sleep, and other potential factors with RRIs. An internet-based questionnaire was sent to recreational runners recruited through social media, asking for personal and training characteristics, mental aspects (obsessive passion, motivation to exercise), sleep quality, perceived health, quality of life, foot arch type, and RRIs over the past six months. Data were analyzed descriptively and using logistic regression. Self-reported data from 804 questionnaires were analyzed. Twenty-five potential risk factors for RRIs were investigated. 54% of runners reported at least one RRI. The knee was the most-affected location (45%), followed by the lower leg (19%). Patellofemoral pain syndrome was the most-reported injury (20%), followed by medial tibial stress syndrome (17%). Obsessive passionate attitude (odds ratio (OR):1.35; 95% confidence interval (CI):1.18-1.54), motivation to exercise (OR:1.09; CI:1.03-1.15), and sleep quality (OR:1.23; CI:1.15-1.31) were associated with RRIs, as were perceived health (OR:0.96; CI:0.94-0.97), running over 20 km/week (OR:1.58; CI:1.04-2.42), overweight (OR:2.17; CI:1.41-3.34), pes planus (OR:1.80; CI:1.12-2.88), hard-surface running (OR:1.37; CI:1.17-1.59), running company (OR:1.65; CI:1.16-2.35), and following a training program (OR:1.51; CI:1.09-2.10). These factors together explained 30% of the variance in RRIs. A separate regression analysis showed that mental aspects and sleep quality explain 15% of the variance in RRIs. The association of mental aspects and sleep quality with RRIs adds new insights into the multifactorial etiology of RRIs. We therefore recommend that besides common risk factors for RRI, mental aspects and sleep be incorporated into the advice on prevention and management of RRIs.
关于跑步相关损伤（RRIs）的患病率和病因学的知识对于设计有效的 RRIs 预防计划很重要。心理方面和睡眠质量似乎是重要的潜在危险因素，但它们与 RRIs 的关系仍需阐明。本研究的目的是调查休闲跑者 RRIs 的流行病学，并研究心理方面、睡眠和其他潜在因素与 RRIs 的关系。通过社交媒体招募休闲跑者，在线调查了他们的个人和训练特征、心理方面（痴迷热情、锻炼动机）、睡眠质量、感知健康、生活质量、足弓类型以及过去六个月的 RRIs。数据采用描述性和逻辑回归分析。对 804 份问卷的自报告数据进行了分析。研究了 25 个 RRIs 的潜在危险因素。54%的跑步者报告至少有一次 RRIs。最常受影响的部位是膝盖（45%），其次是小腿（19%）。髌股疼痛综合征是最常见的损伤（20%），其次是胫骨内侧应力综合征（17%）。痴迷热情的态度（比值比（OR）：1.35；95%置信区间（CI）：1.18-1.54）、锻炼动机（OR：1.09；CI：1.03-1.15）和睡眠质量（OR：1.23；CI：1.15-1.31）与 RRIs 相关，感知健康（OR：0.96；CI：0.94-0.97）、每周跑步超过 20 公里（OR：1.58；CI：1.04-2.42）、超重（OR：2.17；CI：1.41-3.34）、扁平足（OR：1.80；CI：1.12-2.88）、硬表面跑步（OR：1.37；CI：1.17-1.59）、跑步团体（OR：1.65；CI：1.16-2.35）和遵循训练计划（OR：1.51；CI：1.09-2.10）也与 RRIs 相关。这些因素共同解释了 RRIs 变异的 30%。单独的回归分析表明，心理方面和睡眠质量解释了 RRIs 变异的 15%。心理方面和睡眠质量与 RRIs 的关系为 RRIs 的多因素病因学提供了新的见解。因此，我们建议在 RRIs 的常见危险因素之外，还应将心理方面和睡眠纳入 RRIs 的预防和管理建议中。
