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Physical Activity Measurement in Children Accepting Table Tennis Training
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Time-Varying Associations Between Physical Activity and Injury Risk Among Children.

Chinchin Wang1,2, Michal Abrahamowicz1,3, Marie-Eve Beauchamp3

  • 1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.

Paediatric and Perinatal Epidemiology
|June 16, 2025
PubMed
Summary
This summary is machine-generated.

Recent physical activity patterns influence children's injury risk. High activity 10-20 weeks ago may protect, while recent high activity (2-9 weeks ago) increases risk, indicating a complex relationship.

Keywords:
adolescentchildexercisefatigueweighted cumulative exposurewounds and injuries

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Area of Science:

  • Pediatric sports medicine
  • Injury epidemiology
  • Childhood physical activity

Background:

  • Physical activity exhibits time-varying associations with pediatric injury risk.
  • Past activity may influence current injury risk through fatigue or protective adaptations.
  • The specific time windows and impact of past activity on children's injury risk remain unclear.

Purpose of the Study:

  • To investigate the association between previous physical activity patterns and injury risk in children.
  • To identify relevant time windows for physical activity's influence on injury.
  • To understand the complex temporal relationship between activity history and injury.

Main Methods:

  • Prospective cohort study (Childhood Health, Activity, and Motor Performance School Study Denmark).
  • Flexible weighted cumulative exposure methods within Cox proportional hazards models.
  • Analysis of time-varying associations between weekly activity sessions and time-to-first injury.

Main Results:

  • A total of 1752 injuries occurred among 1667 participants.
  • The best model incorporated 20 weeks of past physical activity.
  • Activity 10-20 weeks prior was linked to reduced injury risk; activity 2-9 weeks prior was linked to increased risk.

Conclusions:

  • A complex temporal relationship exists between children's physical activity history and injury risk.
  • Flexible weighted cumulative exposure methods reveal nuanced effects of past activity.
  • Understanding these temporal dynamics is crucial for injury prevention strategies.