Faculty of Health, Social Work and Medicine, Edge Hill University, Ormskirk, Lancashire L39 4QP, UK.
Research Institute of Sport and Exercise Science, Liverpool John Moores University, Liverpool L3 3AF, UK.
Int J Environ Res Public Health. 2023 Aug 30;20(17):6682. doi: 10.3390/ijerph20176682.
Physical activity has mental and physical health benefits; however, globally, three-quarters of the population do not meet physical activity guidelines. The is a beginner runner programme aimed at increasing physical activity. However, this programme lacks an evidence base, and it is unclear who is attracted to the programme; running also has a high rate of musculoskeletal (MSK) injuries. The aims of this study were to identify the characteristics of people taking part and the incidence of MSK injuries as well as exploring the experiences of people who dropped out of a modified 9-week programme. A total of 110 runners (average age was 47.1 ± 13.7 years) participated in the study, which involved completion of questionnaires (running experience and footwear information, quality of life (EQ-5D-5L), physical activity level (IPAQ-short form), MSK injury history and knee condition (SNAPPS and KOOS-PS)) at the start, middle and end of the programme and collecting sociodemographic information (age, gender, social economic status, relationship status, education level), as well as body mass index, running experience, footwear information, quality of life, physical activity levels, MSK injuries and knee condition. Fifteen drop-outs were interviewed to explore experiences of the programme. Runners were mainly females (81.8%) with an average age 47.1 years, average body mass index of 28.1 kg.m, mainly from high socio-economic levels, married and educated to degree level. In total, 64% of the sample had previous running experience and were classified as active. Half the sample self-reported pain/discomfort and 37.2% reported anxiety/depression at the start of the programme via the EQ-5D-5L scale. Self-reported health scores increased ( = 0.047) between baseline (73.1 ± 18.8 out of 100) and at the midpoint (81.2 ± 11.6), but there were no significant differences between any other time points (end point 79.7 ± 17.5, > 0.05). Twenty-one injuries were reported during the programme (19%). Previous injury increased the risk of new injury (OR 7.56 95% CI from 2.06 to 27.75). Only 27.3% completed the programme. Three themes emerged from interviews; MSK injury, negative emotions linked to non-completion and design of the programme. The may not attract diverse inactive populations, but future work with larger sample sizes is needed to substantiate this finding. Dropping out was linked to MSK injury and progressive design, so future programmes should consider including injury prevention advice and more flexible designs.
身体活动对身心健康有益；然而，在全球范围内，有四分之三的人口不符合身体活动指南。 是一个针对初学者的跑步项目，旨在增加身体活动。然而，该项目缺乏证据基础，目前尚不清楚谁会被该项目吸引；此外，跑步的肌肉骨骼（MSK）受伤率也很高。本研究的目的是确定参与者的特征以及 MSK 损伤的发生率，并探讨退出修改后的 9 周 计划的人的经验。共有 110 名跑步者（平均年龄为 47.1 ± 13.7 岁）参与了该研究，研究包括在项目开始、中期和结束时完成问卷（跑步经验和鞋类信息、生活质量（EQ-5D-5L）、身体活动水平（IPAQ-短表）、MSK 损伤史和膝盖状况（SNAPPS 和 KOOS-PS））以及收集社会人口统计学信息（年龄、性别、社会经济地位、关系状况、教育水平）、体重指数、跑步经验、鞋类信息、生活质量、身体活动水平、MSK 损伤和膝盖状况。对 15 名退出者进行了访谈，以探讨他们对该项目的经验。跑步者主要是女性（81.8%），平均年龄为 47.1 岁，平均体重指数为 28.1kg.m，主要来自高社会经济水平，已婚，受教育程度为学位。总的来说，样本中有 64%的人有过跑步经验，被归类为活跃。一半的样本在开始时通过 EQ-5D-5L 量表报告疼痛/不适，37.2%报告焦虑/抑郁。自我报告的健康评分在基线时（100 分中 73.1 ± 18.8 分）和中期（81.2 ± 11.6 分）之间有所增加（ = 0.047），但在任何其他时间点之间没有显著差异（终点 79.7 ± 17.5 分， > 0.05）。在项目期间报告了 21 次损伤（19%）。既往损伤增加了新损伤的风险（OR 7.56，95%CI 2.06 至 27.75）。只有 27.3%的人完成了该项目。访谈中出现了三个主题；肌肉骨骼损伤、与未完成相关的负面情绪和项目设计。 可能不会吸引多样化的不活跃人群，但需要进一步开展更大规模样本的研究来证实这一发现。退出与肌肉骨骼损伤和渐进式设计有关，因此未来的项目应考虑纳入预防损伤的建议和更灵活的设计。
