Publication

What are the Differences in Injury Proportions Between Different Populations of Runners? A Systematic Review and Meta-Analysis

Kluitenberg, B., van Middelkoop, M., Diercks, R. & van der Worp, H., Aug-2015, In : Sports Medicine. 45, 8, p. 1143-1161 19 p.

Research output: Contribution to journalReview articleAcademicpeer-review

Background Many runners suffer from injuries. No information on high-risk populations is available so far though.

Objectives The aims of this study were to systematically review injury proportions in different populations of runners and to compare injury locations between these populations.

Data Sources An electronic search with no date restrictions was conducted up to February 2014 in the PubMed, Embase, SPORTDiscus and Web of Science databases. The search was limited to original articles written in English. The reference lists of the included articles were checked for potentially relevant studies.

Study Eligibility Criteria Studies were eligible when the proportion of running injuries was reported and the participants belonged to one or more homogeneous populations of runners that were clearly described. Study selection was conducted by two independent reviewers, and disagreements were resolved in a consensus meeting.

Study Appraisal and Synthesis Methods Details of the study design, population of runners, sample size, injury definition, method of injury assessment, number of injuries and injury locations were extracted from the articles. The risk of bias was assessed with a scale consisting of eight items, which was specifically developed for studies focusing on musculoskeletal complaints.

Results A total of 86 articles were included in this review. Where possible, injury proportions were pooled for each identified population of runners, using a random-effects model. Injury proportions were affected by injury definitions and durations of follow-up. Large differences between populations existed. The number of medical-attention injuries during an event was small for most populations of runners, except for ultra-marathon runners, in which the pooled estimate was 65.6 %. Time-loss injury proportions between different populations of runners ranged from 3.2 % in cross-country runners to 84.9 % in novice runners. Overall, the proportions were highest among short-distance track runners and ultra-marathon runners.

Limitations The results were pooled by stratification of studies according to the population, injury definition and follow-up/recall period; however, heterogeneity was high.

Conclusions Large differences in injury proportions between different populations of runners existed. Injury proportions were affected by the duration of follow-up. A U-shaped pattern between the running distance and the time-loss injury proportion seemed to exist. Future prospective studies of injury surveillance are highly recommended to take running exposure and censoring into account.

Original languageEnglish
Pages (from-to)1143-1161
Number of pages19
JournalSports Medicine
Volume45
Issue number8
Publication statusPublished - Aug-2015

    Keywords

  • CROSS-COUNTRY RUNNERS, RUNNING-RELATED INJURIES, WORLD ATHLETICS CHAMPIONSHIPS, NONINJURED NOVICE RUNNERS, LOWER-EXTREMITY INJURIES, TIBIAL STRESS SYNDROME, INTRINSIC RISK-FACTORS, MALE MARATHON RUNNERS, HIGH-SCHOOL SPORTS, MUSCULOSKELETAL INJURIES

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