Post Eric G, Cali Malia G, Clark Stephanie C, Noble-Taylor Kayle E, Robinson David M, Hasley Ike B, Larson Emily G, McPherson April L, Anderson Travis, Finnoff Jonathan T, Adams William M
Department of Sports Medicine, US Olympic & Paralympic Committee, Colorado Springs, Colorado, USA.
US Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, Colorado, USA.
Orthop J Sports Med. 2025 Jan 2;13(1):23259671241304417. doi: 10.1177/23259671241304417. eCollection 2025 Jan.
Previous research has reported higher rates of both injury and illness among Paralympic athletes compared with Olympic athletes during the Winter Olympic and Paralympic Games, but no studies have directly compared injury and illness incidence between Olympic and Paralympic athletes competing in a Summer Games.
To compare injury and illness rates between Olympic and Paralympic Team USA athletes competing in the Tokyo 2020 Olympic and Paralympic Games.
Descriptive epidemiology study.
All injuries and illnesses that occurred among the Team USA athletes competing in the Tokyo 2020 Summer Olympic or Paralympic Games were documented. A total of 701 Team USA athletes (53.6% female) competed in the Tokyo 2020 Summer Olympic Games, across 34 different sports. For the Tokyo 2020 Summer Paralympic Games, a total of 245 athletes (51.6% female) competed across 20 sports. Incidence rates (IRs) per 1000 athlete-days were calculated according to sex, sport, anatomic location, and illness type. IR ratios (IRRs) were calculated to compare IRs between male and female athletes and between Olympic and Paralympic athletes.
Overall, there were no differences in injury incidence (IRR, 1.18; 95% CI, 0.84-1.68) or illness incidence (IRR, 0.68; 95% CI, 0.41-1.15) between Olympic and Paralympic athletes. Male Paralympic athletes were less likely to sustain an illness compared with female Paralympic athletes (IRR, 0.35; 95% CI, 0.11-0.90).
There were no differences in injury or illness rates between Olympic and Paralympic Team USA athletes competing at the Tokyo 2020 Summer Games, contrary to previous comparisons among winter sport athletes. These results challenge the prevailing notion that Summer Paralympic athletes are at greater injury and illness risk, suggesting that factors beyond Olympic or Paralympic Games participation influence health concerns.
先前的研究报告称,在冬奥会和冬残奥会期间,与奥运会运动员相比,残奥会运动员的受伤和患病几率更高,但尚无研究直接比较参加夏季奥运会的奥运会和残奥会运动员之间的伤病发生率。
比较参加2020年东京奥运会和残奥会的美国奥运代表队和残奥代表队运动员的伤病率。
描述性流行病学研究。
记录了参加2020年东京夏季奥运会或残奥会的美国代表队运动员发生的所有伤病情况。共有701名美国代表队运动员(53.6%为女性)参加了2020年东京夏季奥运会,涉及34个不同项目。对于2020年东京夏季残奥会,共有245名运动员(51.6%为女性)参加了20个项目。根据性别、项目、解剖部位和疾病类型计算每1000运动员日的发病率(IR)。计算发病率比(IRR)以比较男女运动员之间以及奥运会和残奥会运动员之间的发病率。
总体而言,奥运会和残奥会运动员之间的受伤发生率(IRR,1.18;95%CI,0.84-1.68)或患病发生率(IRR,0.68;95%CI,0.41-1.15)没有差异。与女性残奥会运动员相比,男性残奥会运动员患病的可能性较小(IRR,0.35;95%CI,0.11-0.90)。
参加2020年东京夏季奥运会的美国奥运代表队和残奥代表队运动员之间的伤病率没有差异,这与先前对冬季项目运动员的比较结果相反。这些结果挑战了普遍认为夏季残奥会运动员面临更大伤病风险的观念,表明除了参加奥运会或残奥会之外的因素会影响健康问题。