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Predicting lower-extremity injuries among habitual runners.

C A Macera1, R R Pate, K E Powell

  • 1Department of Epidemiology and Biostatistics, School of Public Health, University of South Carolina, Columbia 29208.

Archives of Internal Medicine
|November 1, 1989
PubMed
Summary

High mileage running (40+ miles/week) significantly increases injury risk in male runners. New runners and those with prior injuries should reduce weekly distance to prevent lower extremity running injuries.

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Area of Science:

  • Sports Medicine
  • Exercise Physiology
  • Biomechanics

Background:

  • Running is a popular physical activity associated with a high incidence of lower extremity injuries.
  • Identifying risk factors for running-related injuries is crucial for prevention strategies.

Purpose of the Study:

  • To examine the relationship between suspected risk factors and the occurrence of running-related lower extremity injuries in habitual runners.
  • To identify key predictors of injury severity impacting running habits, healthcare visits, or medication use.

Main Methods:

  • Prospective study involving 583 habitual runners.
  • Baseline data collection on suspected risk factors.
  • 12-month follow-up to record running-related injuries.

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Main Results:

  • Over 50% of participants reported at least one running-related injury.
  • Running 40+ miles per week was a significant predictor of injury in men (OR=2.9).
  • Previous injury in the past year (OR=2.7) and less than 3 years of running experience (OR=2.2) were also associated with increased risk.

Conclusions:

  • Habitual runners experience a high incidence of lower extremity injuries.
  • Reducing weekly running mileage is a recommended preventive behavior for new runners and those with a history of injury.