Physical Activity–Related Injury Profile in Children and Adolescents According to Their Age, Maturation, and Level of Sports Participation

Sports Health - Tập 9 Số 2 - Trang 118-125 - 2017
Lara Costa e Silva1,2, Isabel Fragoso3,1, Júlia Teles3,1
1 Faculty of Human Kinetics, University of Lisbon, Portugal, and
2Laboratory of Physiology and Biochemistry of Exercise, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa, 1499-002, Cruz-Quebrada, Dafundo, Portugal
3CIPER, Faculty of Human Kinetics, University of Lisbon, Portugal

Tóm tắt

Background: Physical activity (PA) is beneficial, enhancing healthy development. However, one-third of school-age children practicing sports regularly suffer from an injury. These injuries are associated with sex, chronological age, and PA level. Purpose: To identify the importance of age, PA level, and maturity as predictors of injury in Portuguese youth. Study Design: Descriptive epidemiological study. Level of Evidence: Level 3. Methods: Information about injury and PA level was assessed via 2 questionnaires (LESADO RAPIL II) from 647 subjects aged 10 to 17 years. Maturity offset according to Mirwald (time before or after peak height velocity) and Tanner-Whitehouse III bone age estimates were used to evaluate maturation. Binary logistic regression and gamma regression were used to determine significant predictors of injury and injury rate. Results: Injury occurrence was higher for both sexes in recreational, school, and federated athletes (athletes engaged in sports that are regulated by their respective federations, with formal competition). These injuries also increased with age in boys and in the higher maturity offset group in girls. Injury rate was higher for both sexes in the no sports participation group. Early-maturing girls, with higher bone age and lower maturity offset, showed higher injury rate. Conclusion: Injuries in Portuguese youth were related to PA level, age, and biological maturation. Recreational, school, and federated athletes had more injury ocurrences while subjects with no sports participation had higher injury risk. Older subjects had more injuries. Early-maturing girls that had just passed peak height velocity may be particularly vulnerable to risk of sports injury because of the growing process. Clinical Relevance: Increased knowledge about injury with specific PA exposure data is important to an overall risk management strategy. This study has deepened the association between injury and biological maturation variables.

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Tài liệu tham khảo

10.2165/00007256-200333010-00006

Azevedo A, 2007, Rev Port Fisioter no Desporto, 1, 32

Backous D, 1988, Am J Dis Child, 142, 839

10.1136/bjsports-2011-090546

10.1016/j.ptsp.2013.12.014

10.1177/0363546514562739

Cohen E, 2010, Eur J Rehabil Med, 46, 133

Costa e Silva L, 2016, J Sports Med Phys Fitness

Cox DR, 1989, Analysis of Binary Data, 2

10.1249/JSR.0b013e3181fdba58

10.1097/JSM.0000000000000060

10.1016/j.jsams.2008.09.007

10.1007/s40279-013-0061-x

10.1111/j.1467-842X.2002.tb00348.x

Fragoso I, 2007, Kinanthropometry X. Proceedings of the 10th Conference of the International Society for the Advancement of Kinanthropometry (ISAK), 9

10.1136/bjsm.37.6.545

10.1136/bjsm.2004.015750

10.2165/00007256-200737030-00005

10.1002/9781118548387

10.1177/0363546514567298

10.1177/0363546509339357

10.1159/000085330

10.2165/11590300-000000000-00000

10.1080/02640414.2011.639382

10.1080/02640414.2013.828850

10.1016/j.jsams.2013.01.008

Marsch J, 1999, Curr Opin Pediatr, 11, 84, 10.1097/00008480-199902000-00018

10.5604/935871

10.2147/OAJSM.S33556

10.1136/bjsm.25.1.6

Mirwald RL, 2002, Med Sci Sports Exerc, 34, 689

10.1177/1941738115598747

10.1177/1941738115614811

10.1093/biomet/78.3.691

Pires D, 2010, Rev Port Fisioter no Desporto, 4, 15

10.1542/peds.110.3.e28

10.1111/j.1440-1754.2012.02578.x

10.1093/bmb/ldn001

10.1016/j.jsams.2010.04.006

Sluis A, 2014, Int J Sports Med, 35, 351

10.1136/bjsm.2006.033605

10.1177/0363546513490644

10.1016/j.jpeds.2005.01.055

10.1177/0363546512453304

10.1111/j.1553-2712.2000.tb00495.x

10.1177/1559827607301686

10.3109/03014460903539566

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Sports Health

Tập 9 Số 2

118-125

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