College of Health and Sport Science, State University of the Santa Catarina, Florianópolis 88080-350, Brazil.
College of Health and Sport Science, State University of the Santa Catarina, Florianópolis 88080-350, Brazil.
J Sport Health Sci. 2024 Nov;13(6):793-804. doi: 10.1016/j.jshs.2024.04.011. Epub 2024 Apr 30.
This umbrella systematic review (SR) of SRs and meta-analysis seeks to comprehensively synthesize existing literature to identify and consolidate the diverse range of risk factors contributing to running-related injuries (RRIs).
Systematic searches were conducted on June 28, 2023, across Web of Science, SPORTDiscus, Scopus, PubMed, and Cochrane Library. We included SRs, whether accompanied by meta-analyses or not, that focused on investigating risk factors for RRIs within observational studies. The methodological quality of the SRs was evaluated using the Assessing the Methodological Quality of Systematic Reviews II. To assess the extent of overlap across reviews, the corrected covered area metric was calculated.
From 1509 records retrieved, 13 SRs were included. The degree of overlap between SRs was low (4%), and quality varied from critically low (n = 8) to low (n = 5). Two hundred seven outcomes assessed in 148 primary studies were identified as being associated with the occurrence of RRIs. The effect sizes of the associations for which risk measures were reported (n = 131) were classified as large (n = 30, 23%), medium (n = 38, 29%), small (n = 48, 37%) or no effect (n = 15, 11%). Running/training characteristics, health and lifestyle factors, along with morphological and biomechanical aspects, exhibit large effect sizes in increasing the risk for RRIs.
Drawing from the outcomes of the low-quality SRs and associations with large effect sizes, our findings indicate that running/training characteristics and health and lifestyle factors, as well as morphological and biomechanical aspects, are all implicated in elevating the risk of RRIs, emphasizing the multifactorial basis of injury incidence in running. Given the low quality and heterogeneity of SR, individual findings warrant cautious interpretation.
本次系统综述（SR）对 SR 和荟萃分析进行了综合，旨在全面综合现有文献，确定和整合导致与跑步相关的损伤（RRIs）的多种风险因素。
于 2023 年 6 月 28 日在 Web of Science、SPORTDiscus、Scopus、PubMed 和 Cochrane Library 上进行了系统检索。我们纳入了 SR，无论是否伴有荟萃分析，这些 SR 都专注于在观察性研究中调查 RRI 的风险因素。使用评估系统评价方法学质量 II 对 SR 的方法学质量进行了评估。为了评估综述之间的重叠程度，计算了校正后的覆盖面积指标。
从检索到的 1509 条记录中，纳入了 13 项 SR。SR 之间的重叠程度较低（4%），质量从极低（n=8）到低（n=5）不等。在 148 项初级研究中评估了 207 个结局，这些结局被认为与 RRIs 的发生有关。报告了风险措施的关联的效应大小（n=131）被分类为大（n=30，23%）、中（n=38，29%）、小（n=48，37%）或无效应（n=15，11%）。跑步/训练特征、健康和生活方式因素以及形态和生物力学方面显示出增加 RRIs 风险的大效应大小。
根据低质量 SR 的结果和大效应大小的关联，我们的研究结果表明，跑步/训练特征以及健康和生活方式因素以及形态和生物力学方面都与 RRIs 的风险升高有关，强调了跑步中受伤发生率的多因素基础。鉴于 SR 的低质量和异质性，个别发现需要谨慎解释。
