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Literature Review | Are Some Atheletes More Likely to Sustain Running-Related Injuries Than Others? | Find Your Stride | Edinburgh Podiatrist

Writer's picture: Joshua FrancoisJoshua Francois

Introduction

Today’s blog post is a review of recent research titled "Using Self-Reported Training Characteristics to Better Understand Who Is More Likely to Sustain Running-Related Injuries Than Others: The Garmin-RUNSAFE Running Health Study" by Josefin Abrahamson et al. The study aims to analyse self-reported training characteristics among runners to identify demographics and patterns associated with higher injury risks. The findings of this research are helpful in guiding injury prevention strategies within the running community.


Woman in blue activewear sits on stone steps, wearing headphones and a smartwatch. She's touching her leg as though she has suffered an injury, looking thoughtful.
Running related injuries are common and can hinder athlete consistency

Research Design and Methodology

The study utilised a prospective cohort design involving 7391 adult runners over an 18-month period. Participants were recruited via Garmin devices, lending credibility and modernity to the data collection process through its technological integration. However, the reliance on self-reported data may have introduced biases, such as recall inaccuracies when participants reported their training habits or injuries. Statistical analyses were performed to evaluate the cumulative risk of injuries among different training profiles, enhancing the overall validity of the findings. Time-to-event analyses facilitated a detailed understanding of how injuries accrued over time.


Key Findings

The study provides several insights:


1. Injury Risks by Experience: Runners with fewer than one year or more than 40 years of experience were statistically more likely to sustain RRIs. This U-shaped relationship indicates that both novice and highly experienced runners may benefit from tailored guidance.


2. Importance of Structure: Frequent runners who engaged in structured training programs experienced fewer injuries compared to those who did not. This supports the hypothesis that structured training aids in managing physical workloads, reducing the risk of injuries significantly.


3. Weekly Frequency and Distance: The research indicates a detrimental impact of lower running frequency (less than once a week) on injury risk. Notably, while moderate weekly mileage correlated with lower risks, an excessively high frequency (running seven times a week) was also associated with increased injuries.


Strengths and Limitations

The strengths of this study include its substantial sample size and diverse participant demographics, which makes the findings more generally applicable. The incorporation of both objective (GPS data) and subjective (self-reported data) sources also enhances the research rigor. Conversely, limitations include the potential inaccuracies inherent in self-reported data, and a sample that is predominantly male and from Europe and North America, which may limit broader applicability.


Conclusion

Abrahamson et al.'s study extends our understanding of risk factors for running-related injuries, highlighting the significance of structured training and demographic factors in injury prevention. As this field of research evolves, the application of its findings could be crucial for developing effective injury prevention strategies for runners of all experience levels. These insights not only contribute to academic literature but also serve practical purposes for runners and coaches in crafting training regimens that prioritise safety and performance.


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