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Risk factors for running-related injuries: An umbrella systematic review
Journal of Sport and Health Science ( IF 9.7 ) Pub Date : 2024-04-30 , DOI: 10.1016/j.jshs.2024.04.011 Clara Knierim Correia 1 , Jean Marlon Machado 1 , Fábio Hech Dominski 1 , Marcelo Peduzzi de Castro 2 , Heiliane de Brito Fontana 3 , Caroline Ruschel 1
Journal of Sport and Health Science ( IF 9.7 ) Pub Date : 2024-04-30 , DOI: 10.1016/j.jshs.2024.04.011 Clara Knierim Correia 1 , Jean Marlon Machado 1 , Fábio Hech Dominski 1 , Marcelo Peduzzi de Castro 2 , Heiliane de Brito Fontana 3 , Caroline Ruschel 1
Affiliation
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This umbrella systematic review (SR) of SRs and meta-analysis seeks to comprehensively synthesize existing literature to identify and consolidate the diverse range of risk factors contributing to running-related injuries (RRIs). Systematic searches were conducted on June 28, 2023, across Web of Science, SPORTDiscus, Scopus, PubMed, and Cochrane Library. We included SRs, whether accompanied by meta-analyses or not, that focused on investigating risk factors for RRIs within observational studies. The methodological quality of the SRs was evaluated using the Assessing the Methodological Quality of Systematic Reviews II. To assess the extent of overlap across reviews, the corrected covered area metric was calculated. From 1509 records retrieved, 13 SRs were included. The degree of overlap between SRs was low (4%), and quality varied from critically low ( = 8) to low ( = 5). Two hundred seven outcomes assessed in 148 primary studies were identified as being associated with the occurrence of RRIs. The effect sizes of the associations for which risk measures were reported ( = 131) were classified as large ( = 30, 23%), medium ( = 38, 29%), small ( = 48, 37%) or no effect ( = 15, 11%). Running/training characteristics, health and lifestyle factors, along with morphological and biomechanical aspects, exhibit large effect sizes in increasing the risk for RRIs. Drawing from the outcomes of the low-quality SRs and associations with large effect sizes, our findings indicate that running/training characteristics and health and lifestyle factors, as well as morphological and biomechanical aspects, are all implicated in elevating the risk of RRIs, emphasizing the multifactorial basis of injury incidence in running. Given the low quality and heterogeneity of SR, individual findings warrant cautious interpretation.
中文翻译：
跑步相关伤害的危险因素：总体系统评价
这项对 SR 和荟萃分析的伞式系统综述 (SR) 旨在全面综合现有文献，以识别和整合导致跑步相关损伤 (RRI) 的各种风险因素。于 2023 年 6 月 28 日在 Web of Science、SPORTDiscus、Scopus、PubMed 和 Cochrane 图书馆进行了系统检索。我们纳入了 SR，无论是否伴有荟萃分析，其重点是在观察性研究中调查 RRI 的风险因素。使用评估系统评价的方法学质量 II 评估 SR 的方法学质量。为了评估评论之间的重叠程度，计算了修正后的覆盖面积指标。在检索到的 1509 条记录中，包含 13 条 SR。 SR 之间的重叠程度较低 (4%)，质量从极低 ( = 8) 到低 ( = 5) 不等。 148 项初步研究中评估的 207 个结果被确定为与 RRI 的发生相关。报告风险测量的关联效应大小 ( = 131) 被分类为大 ( = 30, 23%)、中 ( = 38, 29%)、小 ( = 48, 37%) 或无影响 ( = 15, 11%）。跑步/训练特征、健康和生活方式因素，以及形态和生物力学方面，在增加 RRI 风险方面表现出很大的影响。根据低质量 SR 的结果以及与大效应量的关联，我们的研究结果表明，跑步/训练特征、健康和生活方式因素以及形态和生物力学方面都与 RRI 风险的升高有关，强调跑步损伤发生率的多因素基础。 鉴于 SR 的质量低且异质性，个别研究结果需要谨慎解释。
更新日期：2024-04-30
中文翻译：
跑步相关伤害的危险因素：总体系统评价
这项对 SR 和荟萃分析的伞式系统综述 (SR) 旨在全面综合现有文献，以识别和整合导致跑步相关损伤 (RRI) 的各种风险因素。于 2023 年 6 月 28 日在 Web of Science、SPORTDiscus、Scopus、PubMed 和 Cochrane 图书馆进行了系统检索。我们纳入了 SR，无论是否伴有荟萃分析，其重点是在观察性研究中调查 RRI 的风险因素。使用评估系统评价的方法学质量 II 评估 SR 的方法学质量。为了评估评论之间的重叠程度，计算了修正后的覆盖面积指标。在检索到的 1509 条记录中，包含 13 条 SR。 SR 之间的重叠程度较低 (4%)，质量从极低 ( = 8) 到低 ( = 5) 不等。 148 项初步研究中评估的 207 个结果被确定为与 RRI 的发生相关。报告风险测量的关联效应大小 ( = 131) 被分类为大 ( = 30, 23%)、中 ( = 38, 29%)、小 ( = 48, 37%) 或无影响 ( = 15, 11%）。跑步/训练特征、健康和生活方式因素，以及形态和生物力学方面，在增加 RRI 风险方面表现出很大的影响。根据低质量 SR 的结果以及与大效应量的关联，我们的研究结果表明，跑步/训练特征、健康和生活方式因素以及形态和生物力学方面都与 RRI 风险的升高有关，强调跑步损伤发生率的多因素基础。 鉴于 SR 的质量低且异质性，个别研究结果需要谨慎解释。
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