Triplett Ashley N, Post Eric G, Anderson Travis, Samson Olivia, Gidley Alexis D, Silva Francisco, Thomann Lea, Donaldson Amber T, Finnoff Jonathan T, Dugan Eric L, Shilt Jeffrey S, Adams William M
Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs, CO, USA.
United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, CO, USA.
Inj Epidemiol. 2025 Jul 21;12(1):43. doi: 10.1186/s40621-025-00600-1.
Injury and illness surveillance is essential for understanding the relative risks of sports participation to develop effective strategies to optimize athlete health, wellness, and performance. Epidemiological studies examining injuries and illnesses among Team USA youth athletes are limited, particularly among athletes competing in Winter sports. The purpose of this study was to characterize the injury and illness incidence rate among Team USA athletes participating in the 2024 Winter Youth Olympic Games (YOG).
Injuries and illnesses among 101 Team USA youth athletes (40.6% female; age, 17 ± 1 years) were prospectively documented. Injury and illness prevalence, and incidence rate (IR) per 1,000 athlete-days (AD), and incidence rate ratios (IRR) were calculated with accompanying 95% confidence intervals ([95% CI]).
Nineteen (18.8%) Team USA athletes reported at least one injury during the 2024 Winter YOG (38.0 [26.1, 53.3] injuries per 1,000 AD). Injury IR was highest among athletes competing in bobsled (166.7 [54.1, 388.9] injuries per 1,000 AD), and overuse was the most common mechanism of injury (17.3 [9.7, 28.5] injuries per 1,000 AD) among all athletes. There were no differences in injury IRs between male and female athletes (IRR [95%CI], 1.6 [0.7, 3.3]), but female athletes reported all time-loss injuries. Ten (9.9%) athletes reported at least one illness (15.0 [8.0, 26.5] per 1,000 AD), with respiratory illness (6%) being the most common type (6.9 [2.5, 15.0] per 1,000 AD).
This study highlights the need for focused efforts for injury and illness prevention for youth female athletes and athletes participating in high-risk sliding sports. Additionally, consideration for implementation of respiratory illness mitigation measures and load management strategies at and leading up to future competitions for youth athletes is key.
伤病监测对于了解参与体育运动的相对风险至关重要，有助于制定有效的策略来优化运动员的健康、福祉和表现。关于美国队青年运动员伤病情况的流行病学研究有限，尤其是在参加冬季运动的运动员中。本研究的目的是描述参加2024年冬季青年奥林匹克运动会（青奥会）的美国队运动员的伤病发病率。
前瞻性记录了101名美国队青年运动员（40.6%为女性；年龄17±1岁）的伤病情况。计算了伤病患病率、每1000运动员日（AD）的发病率（IR）以及发病率比（IRR），并给出相应的95%置信区间（[95%CI]）。
19名（18.8%）美国队运动员在2024年冬季青奥会期间报告至少有一次受伤（每1000 AD有38.0 [26.1, 53.3]次受伤）。在参加雪橇比赛的运动员中，受伤IR最高（每1000 AD有166.7 [54.1, 388.9]次受伤），在所有运动员中，过度使用是最常见受伤机制（每1000 AD有17.3 [9.7, 28.5]次受伤）。男女运动员之间的受伤IR没有差异（IRR [95%CI]，1.6 [0.7, 3.3]），但所有导致停训的伤病均由女运动员报告。10名（9.9%）运动员报告至少有一次疾病（每1000 AD有15.0 [8.0, 26.5]次），呼吸道疾病（6%）是最常见类型（每1000 AD有6.9 [2.5, 15.0]次）。
本研究强调需要针对青年女运动员和参加高风险滑行运动的运动员集中开展伤病预防工作。此外，考虑在青年运动员未来比赛期间及赛前实施呼吸道疾病缓解措施和负荷管理策略至关重要。
