Incidence of Running-Related Injuries Per 1000 h of running in Different Types of Runners: A Systematic Review and Meta-Analysis

Solvej Videbæk, Andreas Moeballe Bueno, Rasmus Oestergaard Nielsen, Sten Rasmussen, Solvej Videbæk, Andreas Moeballe Bueno, Rasmus Oestergaard Nielsen, Sten Rasmussen

Abstract

Background: No systematic review has identified the incidence of running-related injuries per 1000 h of running in different types of runners.

Objective: The purpose of the present review was to systematically search the literature for the incidence of running-related injuries per 1000 h of running in different types of runners, and to include the data in meta-analyses.

Data sources: A search of the PubMed, Scopus, SPORTDiscus, PEDro and Web of Science databases was conducted.

Study selection: Titles, abstracts, and full-text articles were screened by two blinded reviewers to identify prospective cohort studies and randomized controlled trials reporting the incidence of running-related injuries in novice runners, recreational runners, ultra-marathon runners, and track and field athletes.

Study appraisal and synthesis methods: Data were extracted from all studies and comprised for further analysis. An adapted scale was applied to assess the risk of bias.

Results: After screening 815 abstracts, 13 original articles were included in the main analysis. Running-related injuries per 1000 h of running ranged from a minimum of 2.5 in a study of long-distance track and field athletes to a maximum of 33.0 in a study of novice runners. The meta-analyses revealed a weighted injury incidence of 17.8 (95% confidence interval [CI] 16.7-19.1) in novice runners and 7.7 (95% CI 6.9-8.7) in recreational runners.

Limitations: Heterogeneity in definitions of injury, definition of type of runner, and outcome measures in the included full-text articles challenged comparison across studies.

Conclusion: Novice runners seem to face a significantly greater risk of injury per 1000 h of running than recreational runners.

Figures

Fig. 1
Fig. 1
Flowchart visualizing the selection process of studies in the systematic review
Fig. 2
Fig. 2
Meta-analysis performed on the estimates of running-related injuries per 1000 h in novice runners and recreational runners. aData on standard error or 95 % confidence limits were not reported and the study was therefore not included in the meta-analysis. bData on standard error or 95 % confidence limits were not reported and therefore no meta-analysis was performed on track and field athletes. CI confidence intervals

References

    1. AIMS—Association of International Marathons and Distance Races. Available at: . Accessed 26 Aug 2014.
    1. Running USA. 2014 state of the sport—part II: running industry report. Available at: . Accessed 6 Aug 2014.
    1. Idrættens analyseinstitut. Motionsløbere i Danmark: portræt af danske motionsløbere. Available from: . Accessed 6 Aug 2014.
    1. Buist I, Bredeweg SW, Lemmink KA, et al. The GRONORUN study: is a graded training program for novice runners effective in preventing running related injuries? Design of a randomized controlled trial. BMC Musculoskelet Disord. 2007;8:24. doi: 10.1186/1471-2474-8-24.
    1. van Gent RN, Siem D, van Middelkoop M, et al. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med. 2007;41(8):469–480. doi: 10.1136/bjsm.2006.033548.
    1. Johnston CA, Taunton JE, Lloyd-Smith DR, et al. Preventing running injuries. practical approach for family doctors. Can Fam Physician. 2003;49:1101–1109.
    1. Fields KB, Delaney M, Hinkle JS. A prospective study of type A behavior and running injuries. J Fam Pract. 1990;30(4):425–429.
    1. Gerlach KE, Burton HW, Dorn JM, et al. Fat intake and injury in female runners. J Int Soc Sports Nutr. 2008;5:1. doi: 10.1186/1550-2783-5-1.
    1. Ryan MB, Valiant GA, McDonald K, et al. The effect of three different levels of footwear stability on pain outcomes in women runners: a randomised control trial. Br J Sports Med. 2011;45(9):715–721. doi: 10.1136/bjsm.2009.069849.
    1. van Mechelen W. Running injuries: a review of the epidemiological literature. Sports Med. 1992;14(5):320–335. doi: 10.2165/00007256-199214050-00004.
    1. Buist I, Bredeweg SW, Bessem B, et al. Incidence and risk factors of running-related injuries during preparation for a 4-mile recreational running event. Br J Sports Med. 2010;44(8):598–604. doi: 10.1136/bjsm.2007.044677.
    1. Jakobsen BW, Kroner K, Schmidt SA, et al. Prevention of injuries in long-distance runners. Knee Surg Sports Traumatol Arthrosc. 1994;2(4):245–249. doi: 10.1007/BF01845597.
    1. Lopes AD, Hespanhol Junior LC, Yeung SS, et al. What are the main running-related musculoskeletal injuries? Sports Med. 2012;42(10):891–905. doi: 10.1007/BF03262301.
    1. Malisoux L, Ramesh J, Mann R, et al. Can parallel use of different running shoes decrease running-related injury risk? Scand J Med Sci Sports. 2015;25(1):110–115. doi: 10.1111/sms.12154.
    1. Theisen D, Malisoux L, Genin J, et al. Influence of midsole hardness of standard cushioned shoes on running-related injury risk. Br J Sports Med. 2014;48(5):1–6. doi: 10.1136/bjsports-2013-092613.
    1. Wen DY, Puffer JC, Schmalzried TP. Lower extremity alignment and risk of overuse injuries in runners. Med Sci Sports Exerc. 1997;29(10):1291–1298. doi: 10.1097/00005768-199710000-00003.
    1. Mile converter. Available at: . Accessed 2 Sep 2014.
    1. Saragiotto BT, Yamato TP, Hespanhol Junior LC, et al. What are the main risk factors for running-related injuries? Sports Med. 2014;44(8):1153–1163. doi: 10.1007/s40279-014-0194-6.
    1. Lysholm J, Wiklander J. Injuries in runners. Am J Sports Med. 1987;15(2):168–171. doi: 10.1177/036354658701500213.
    1. Buist I, Bredeweg SW, van Mechelen W, et al. No effect of a graded training program on the number of running-related injuries in novice runners. Am J Sports Med. 2008;36(1):35–41.
    1. Krabak BJ, Waite B, Schiff MA. Study of injury and illness rates in multiday ultramarathon runners. Med Sci Sports Exerc. 2011;43(12):2314–2320. doi: 10.1249/MSS.0b013e318221bfe3.
    1. Bennell K, Malcolm S, Thomas S, et al. The incidence and distribution of stress fractures in competitive track and field athletes: a twelve-month prospective study. Am J Sports Med. 1996;24(2):211–217. doi: 10.1177/036354659602400217.
    1. Wen DY, Puffer JC, Schmalzried TP. Injuries in runners: a prospective study of alignment. Clin J Sport Med. 1998;8(3):187–194. doi: 10.1097/00042752-199807000-00005.
    1. Bredeweg SW, Zijlstra S, Bessem B, et al. The effectiveness of a preconditioning programme on preventing running-related injuries in novice runners: a randomised controlled trial. Br J Sports Med. 2012;46(12):865–870. doi: 10.1136/bjsports-2012-091397.
    1. Bovens AMP, Janssen GME, Vermeer HGW, et al. Occurrence of running injuries in adults following a supervised training program. Int J Sports Med. 1989;10(Suppl 3):S186–S190. doi: 10.1055/s-2007-1024970.
    1. Nielsen RO, Buist I, Parner ET, et al. Predictors of running-related injuries among 930 novice runners: a 1-year prospective follow-up study. Orthop J Sports Med. 2013;1(1):1–7. doi: 10.1177/2325967113487316.
    1. Nielsen RO, Cederholm P, Buist I, et al. Can GPS be used to detect deleterious progression in training volume among runners? J Strength Cond Res. 2013;27(6):1471–1478. doi: 10.1519/JSC.0b013e3182711e3c.
    1. Van Mechelen W, Hlobil H, Kemper HCG, et al. Prevention of running injuries by warm-up, cool-down, and stretching exercises. Am J Sports Med. 1993;21(5):711–719. doi: 10.1177/036354659302100513.

Source: PubMed

3
Tilaa