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Increased Incidence of Injury Among Runners With COVID-19
Brett G Toresdahl1, James N Robinson1, Stephanie A Kliethermes2,3
1Primary Care Sports Medicine Service, Hospital for Special Surgery, New York, New York.
Sports Health
|December 15, 2021
Summary
Runners who had Coronavirus disease 2019 (COVID-19) reported more injuries than those who did not. This study suggests a potential link between COVID-19 and increased injury risk in runners.
Area of Science:
- Sports Medicine
- Epidemiology
- Infectious Disease
Background:
- Coronavirus disease 2019 (COVID-19) impacts multiple organ systems.
- The effect of COVID-19 on the musculoskeletal system is not well understood.
- This study investigates the association between COVID-19 and injury risk in runners.
Purpose of the Study:
- To assess the association between a COVID-19 diagnosis and the incidence of running-related injuries.
- To determine if runners with COVID-19 experience a higher rate of injury compared to those without.
Main Methods:
- A cross-sectional study utilizing an electronic survey distributed to runners.
- Inclusion criteria: runners aged 18+ who participated in at least one race in 2019.
- Data collected on COVID-19 diagnosis and running-related injuries since March 2020.
Main Results:
- 1947 runners participated; 123 (6.3%) reported a COVID-19 diagnosis.
- 427 (21.9%) reported injuries preventing running for at least one week.
- Runners with COVID-19 had a significantly higher incidence of injury (30.9%) compared to those without (21.3%, P=0.01).
- Adjusted analysis showed COVID-19 diagnosis was associated with increased injury risk (OR, 1.66; 95% CI, 1.11-2.48; P=0.01).
Conclusions:
- Injuries were more frequently reported by runners with laboratory-confirmed or clinically diagnosed COVID-19.
- The direct role of COVID-19 in the pathophysiology of these injuries remains unclear.
- Further investigation into musculoskeletal sequelae and exercise-related injury risk post-COVID-19 is warranted.
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