Lee Hannah A, Alnemri Ahab, Anaspure Omkar S, Khela Harmon S, Lenz Theodor, Kelly John D
Rutgers Robert Wood Johnson Medical School, Department of Orthopedic Surgery, New Brunswick, New Jersey, USA.
Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Orthop J Sports Med. 2025 Apr 15;13(4):23259671251330585. doi: 10.1177/23259671251330585. eCollection 2025 Apr.
Adolescents and young adults comprise a growing cohort at risk for exercise-related injuries. Recent studies compare the effects of cardiovascular and strength exercise on mental health, cardiovascular disease, and mortality; however, there remains a gap in the literature about acute injuries from these exercise types.
HYPOTHESIS/PURPOSE: The purpose was to compare acute orthopaedic injuries sustained during cardiovascular exercise versus strength training in adolescents and young adults. A secondary aim was to compare the distribution of age, sex, and injury characteristics with the types of exercise. Finally, it was hypothesized that injuries would have increased throughout the previous 5 years.
Descriptive epidemiology study.
This retrospective study used a National Electronic Injury Surveillance System (NEISS) query to identify patients aged 14 to 22 years with orthopaedic injuries due to exercise activities from 2018 to 2022. Injuries were attributed to cardiovascular exercise or strength training, which included weightlifting. Descriptive data were reported, and statistical comparisons were conducted via chi-square tests, Fisher exact tests, or linear regressions.
The NEISS query identified 3105 cases. A total of 1474 (50.9%) cases were attributed to cardiovascular exercise and 1423 (49.1%) to strength training-including 1136 (39.2%) to weightlifting. Also, 48.4% of cardiovascular-related and 75.1% of strength-related injuries occurred in men. The number of patients with cardiovascular-related (b = -7.983; = .013), strength-related (b = -15.05; = .001), and weightlifting-related (b = -11.78; = .004) injuries decreased with increasing age. Most injuries were sprains/strains (68.2% cardiovascular-related vs 50.4% strength-related). There were more upper extremity injuries during strength training (65.9%) than cardiovascular exercise (16.3%) ( < .001). No significant changes were observed in the annual number of injuries (b = -20.70; = .442).
Thousands of adolescents and young adults are injured each year while exercising. Strength training injuries were more common in men, but cardiovascular exercise injuries were comparable between men and women. Young age was associated with higher injury rates from all exercise types. Cardiovascular and strength exercises were associated with different injury patterns. Future studies should consider longer periods and overall participation to compare the incidence between cardiovascular and strength exercise.
青少年和青年群体中，与运动相关的损伤风险人群数量日益增加。近期研究比较了心血管运动和力量训练对心理健康、心血管疾病及死亡率的影响；然而，关于这些运动类型导致的急性损伤，文献中仍存在空白。
假设/目的：目的是比较青少年和青年在进行心血管运动与力量训练时遭受的急性骨科损伤。次要目的是比较年龄、性别和损伤特征在不同运动类型中的分布情况。最后，假设在过去5年中损伤数量有所增加。
描述性流行病学研究。
这项回顾性研究使用国家电子损伤监测系统（NEISS）查询，以识别2018年至2022年期间因运动活动导致骨科损伤的14至22岁患者。损伤归因于心血管运动或力量训练，后者包括举重。报告描述性数据，并通过卡方检验、Fisher精确检验或线性回归进行统计比较。
NEISS查询共识别出3105例病例。共有1474例（50.9%）归因于心血管运动，1423例（49.1%）归因于力量训练，其中1136例（39.2%）归因于举重。此外，48.4%的心血管相关损伤和75.1%的力量相关损伤发生在男性身上。心血管相关损伤（b = -7.983；P = .013）、力量相关损伤（b = -15.05；P = .001）和举重相关损伤（b = -11.78；P = .004）的患者数量随年龄增长而减少。大多数损伤为扭伤/拉伤（心血管相关损伤中占68.2%，力量相关损伤中占50.4%）。力量训练期间上肢损伤（65.9%）比心血管运动期间（16.3%）更多（P < .001）。未观察到损伤年数有显著变化（b = -20.70；P = .442）。
每年有成千上万的青少年和青年在运动时受伤。力量训练损伤在男性中更常见，但心血管运动损伤在男性和女性中相当。年轻与所有运动类型的较高损伤率相关。心血管运动和力量训练与不同的损伤模式相关。未来研究应考虑更长时间段和总体参与情况，以比较心血管运动和力量训练之间的发病率。
