Sports injuries aligned to predicted mature height in highly trained Middle-Eastern youth athletes: a cohort study

Rejeb, Abdallah, Johnson, Amanda ORCID: https://orcid.org/0000-0002-1648-6506, Farooq, Abdulaziz, Verrelst, Ruth, Pullinger, Samuel, Vaeyens, Roel and Witvrouw, Erik (2019) Sports injuries aligned to predicted mature height in highly trained Middle-Eastern youth athletes: a cohort study. BMJ Open, 9 (3). e023284-e023284. ISSN 2044-6055

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Official URL: http://dx.doi.org/10.1136/bmjopen-2018-023284

Abstract

Objectives To investigate the association of maturity status with injury incidence in Middle-Eastern youth athletes. Design Prospective cohort study. Setting Four consecutive seasons (2010-2014), Aspire Academy, Qatar. Participants Male athletes (age range: 11-18 years) representing four disciplines enrolled and grouped into two categories: Individual sports and racquet sports. Outcome measures Injury data collected over four seasons. Athletes' anthropometric characteristics assessed to calculate age at peak height velocity. Predicted mature heights (PMHs) collected and categorised into four quartiles. Athletes had wrist and hand radiographs for assessment of skeletal age (SA). Early and late maturers with an SA of >1 year older or younger than their chronological age (CA). Results For the sample (n=67) across all groups, 43 (64%) athletes had one or more injuries: Total of 212 injuries, 4.9 injuries per athlete across study. Survival analysis of maturity status using SA found early maturing athletes had two-fold greater injury risk compared with late maturers (HR 2.04, 95% CI 1.15 to 3.61, p=0.015). PMH associated with injury risk (HR 1.05, 95% CI 1.01 to 1.08, p=0.006). Athletes in fourth quartile (≥184 cm) had up to two-fold injury risk (HR 2.41, 95% CI 1.42 to 4.08, p=0.001). Racquet and individual sports involved similar injury risk (HR 1.14, 95% CI 0.86 to 1.52, p=0.37). Conclusion SA early maturity and PMH gradient were significant predictors of injury in youths.

Item Type:	Article
Peer-reviewed:	Yes
Date Deposited:	27 Mar 2023 11:05
Publisher:	BMJ Publishing Group
Additional Information:	This is an Open Access article which appeared in BMJ Open, published by BMJ Publishing Group
Divisions:	Faculties > Health and Education Research Centres > Health, Psychology and Communities
Subject terms:	Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, DATA-COLLECTION PROCEDURES, BIOLOGICAL MATURATION, CONSENSUS STATEMENT, RISK-FACTORS, AGE, DEFINITIONS, COMPETITION, VELOCITY, CHILDREN, PLAYERS, Humans, Athletic Injuries, Age Determination by Skeleton, Anthropometry, Body Height, Prospective Studies, Predictive Value of Tests, Seasons, Age Factors, Sports, Adolescent, Child, Qatar, Female, Male, Kaplan-Meier Estimate, anthropometrics, biological maturation, mature height, skeletal age, sports injury, youth, Adolescent, Age Determination by Skeleton, Age Factors, Anthropometry, Athletic Injuries, Body Height, Child, Female, Humans, Kaplan-Meier Estimate, Male, Predictive Value of Tests, Prospective Studies, Qatar, Seasons, Sports, 1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
URI:	https://e-space.mmu.ac.uk/id/eprint/631650
DOI:	https://doi.org/10.1136/bmjopen-2018-023284
ISSN	2044-6055
e-ISSN	2044-6055

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