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Demographic Factors and Instantaneous Lower Extremity Injury Occurrence in a National Collegiate Athletic Association
Elisabeth A Kelley1, Jennifer A Hogg2, Lani Gao3
1Erlanger Sports and Health Institute, Chattanooga, TN.
Female athletes and males with a BMI over 25 kg/m2 face higher lower extremity injury risks. Previous injuries do not increase future lower extremity injury risk in collegiate athletes.
Area of Science:
- Sports Medicine
- Epidemiology
- Biomechanics
Background:
- Predicting lower extremity (LE) injuries in athletes is crucial for resource allocation and targeted interventions.
- Understanding demographic risk factors can optimize injury prevention strategies.
Purpose of the Study:
- To determine the instantaneous risk of lower extremity (LE) injury based on sex, sport, body mass index (BMI), and prior injury history.
- Characterize risk factors for collegiate athletes.
Main Methods:
- A descriptive epidemiologic study was conducted on 278 NCAA Division I athletes.
- Cox regression models analyzed the association between time to first LE injury and demographic factors.
- Instantaneous LE injury risk was assessed using relative risk ratios and Kaplan-Meier curves.
Main Results:
- Basketball and soccer athletes exhibited higher LE injury risks compared to cross-country runners.
- Female athletes showed a trend towards higher instantaneous LE injury risk in multivariate analysis.
- Athletes with a BMI >25 kg/m2 did not have a significantly higher risk, contrary to initial hypotheses.
Conclusions:
- Previous lower extremity injury history does not predict future LE injury risk in collegiate athletes.
- Being female or being male with a BMI >25 kg/m2 is associated with increased LE injury risk.
- These findings aid clinicians in identifying at-risk athlete populations for targeted injury prevention.
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