Programa de Pós-Graduação em Ciências do Exercício e do Esporte, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil.
Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Marinha do Brasil, Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, 21.012-350, Brazil.
Int Arch Occup Environ Health. 2021 Aug;94(6):1173-1189. doi: 10.1007/s00420-021-01700-3. Epub 2021 May 13.
To investigate the risk factors for musculoskeletal injuries in military personnel.
A systematic literature search was carried out in August 2019 and updated in July 2020 without language or time filters. The inclusion criteria were prospective studies that investigated the risk factors for injuries in military personnel. Only risk factors analyzed by at least ten studies were selected for the meta-analysis. For data analysis, the RevMan5.3 program was used to compare the number of participants with injuries between high- or low-risk groups. The measurement of dichotomous variables was one of the selected parameters for the analysis, as well as the Mantel-Haenszel statistical method, random-effects model, and analysis with a relative risk (RR) and 95% confidence interval for the included studies.
A total of 2,629 studies were identified through databases. Thirty-four studies met the inclusion criteria. The groups considered at risk were the oldest [RR = 1.22; (95% CI 1.06-1.41)], with overweight or obesity [RR = 1.27; (95% CI 1.08-1, 48)], with previous injuries [RR = 1.15; (95% CI 1.01-1.30)], and with the worst performance in running tests of 1,600-3,200 m [RR = 1.87; (95% CI 1.28-2.71)]. Gender, ethnicity, and smoking were not associated with injuries. However, a subgroup analysis showed that among studies with a follow-up of fewer than 12 months, women presented RR = 2.44 (95% CI 1.65-3.60) more likely to develop injuries.
Age, overweight or obesity, previous injuries, and performance in the 1600-3200 m run are associated with an increased risk of injury in the military.
探讨军事人员肌肉骨骼损伤的危险因素。
系统检索 2019 年 8 月和 2020 年 7 月的文献，不设语言和时间限制。纳入标准为前瞻性研究，调查军事人员损伤的危险因素。仅选择至少有 10 项研究分析的危险因素进行荟萃分析。数据分析采用 RevMan5.3 程序，比较高风险组和低风险组的损伤参与者人数。二项变量的测量是分析的一个选择参数，以及 Mantel-Haenszel 统计方法、随机效应模型和包含研究的相对风险（RR）和 95%置信区间的分析。
通过数据库共确定 2629 项研究。34 项研究符合纳入标准。考虑的高危组为年龄最大[RR=1.22；（95%CI 1.06-1.41）]、超重或肥胖[RR=1.27；（95%CI 1.08-1.48）]、既往损伤[RR=1.15；（95%CI 1.01-1.30）]和 1600-3200 米跑步测试中表现最差[RR=1.87；（95%CI 1.28-2.71）]。性别、种族和吸烟与损伤无关。但是，亚组分析表明，在随访时间少于 12 个月的研究中，女性发生损伤的 RR=2.44（95%CI 1.65-3.60）的风险更高。
年龄、超重或肥胖、既往损伤和 1600-3200 米跑的表现与军事人员受伤风险增加有关。
