Analysis of Injury Risk Factors in Elite Athletes

February 6, 2026 updated by: Ruben Cuesta Barriuso, University of Oviedo

Analysis of Injury Risk Factors in Elite Athletes. A Cross-sectional Cohort Study.

Background information. The different disciplines of athletics place high physical demands on athletes. These different categories of running vary in terms of physical effort and duration, generating different levels of risk of injury. The description of the main injuries that affect elite athletes in the different athletics disciplines, as well as the identification of the specific risk factors of each discipline, will allow the identification of preventive measures to be implemented.

Objective. To identify the risk factors for tendon injury in professional long- and middle-distance athletes, according to the type of event, and to identify the best predictive model for tendon injuries based on anthropometric and athletic variables.

Method. Ambispective cohort study. 81 elite athletes will be recruited. The primary variable will be the number of tendon injuries in the last three seasons. The secondary and modifying variables will be: age (in completed years), weekly training load (in minutes), type of footwear (sneakers without carbon plate, sneakers with carbon plate, spiked sneakers without carbon plate and spiked sneakers with carbon plate), diet (balanced, high in carbohydrates, high-protein, controlled hypocaloric and adapted to the training cycle) and the regular practice of another physical activity. The possible confounding variables will be the body mass index, the date of tendon injuries in that period and the time spent as a federated athlete (in completed months). The analysis will calculate the risk of injury in these athletes and assess the influence of confounding factors and trend analysis on the primary variable, stratified by possible confounding factors.

Expected results. To calculate the risk of injury in elite athletes based on anthropometric and sociodemographic variables. To identify the predictive model of tendon injuries in elite athletes

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

81

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Principality of Asturias
      • Oviedo, Principality of Asturias, Spain, 33006
        • University of Oviedo

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Elite athletes

Description

Inclusion Criteria:

  • Elite federated athletes
  • Who have not undergone previous musculoskeletal surgery in the seasons under study
  • Who were federated at least one year before the study period
  • Sign the informed consent document.

Exclusion Criteria:

  • Athletes who have not participated in competition, during the study seasons, for a period of more than 6 months due to a musculoskeletal injury

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Observacional group
Elite athletes in whom the risk of injury will be calculated and the influence of confounding factors will be assessed through a personal interview.
Other Names:
  • Elite athletes group

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Measurement of number of lower limb tendon injuries
Time Frame: Screening visit
The primary variable will be the number of lower limb tendon injuries in the last three seasons
Screening visit

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Measurement of age
Time Frame: Screening visit
The measurement of age (measured in completed years) will be a secondary variable.
Screening visit
Measurement of the weekly training load
Time Frame: Screening visit
The measurement of the weekly training load (measured in minutes) will be a secondary variable.
Screening visit
Measurement of the type of footwear
Time Frame: Screening visit
The evaluation of the type of footwear (with the response options: shoe without carbon plate, shoe with carbon plate, spike shoe without carbon plate and spike shoe with carbon plate) will be a secondary variable.
Screening visit
Measurement of the type of diet
Time Frame: Screening visit
The evaluation of the type of diet (with the response options: balanced, rich in carbohydrates, rich in proteins and adapted to the training cycle) will be a secondary variable.
Screening visit
Measurement of the practice of another physical activity
Time Frame: Screening visit
The evaluation of the practice of another physical activity on a regular basis will be a secondary variable.
Screening visit

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Measurement of the body mass index
Time Frame: Screening visit
The measurement of the body mass index (measured in kg/m2) will be a possible confounding variable.
Screening visit
Measurement of the date of tendon injuries
Time Frame: Screening visit
The date of tendon injuries in that period will be a possible confounding variable.
Screening visit
Measurement of federated time
Time Frame: Screening visit
The evaluation of federated time (measured in completed months) will be a possible confounding variable.
Screening visit

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Rubén Cuesta-Barriuso, Universidad de Oviedo

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 31, 2025

Primary Completion (Actual)

April 28, 2025

Study Completion (Actual)

May 15, 2025

Study Registration Dates

First Submitted

March 25, 2025

First Submitted That Met QC Criteria

March 25, 2025

First Posted (Actual)

April 2, 2025

Study Record Updates

Last Update Posted (Actual)

February 10, 2026

Last Update Submitted That Met QC Criteria

February 6, 2026

Last Verified

March 1, 2025

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • ATL-risk

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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