The epidemiology of sports and exercise related injury in the United Kingdom

The epidemiology of sports and exercise related injury in the United Kingdom
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DOI:
10.1136/bjsm.29.4.232
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发表时间:
1995-12-01
影响因子:
18.4
通讯作者:
Williams, BT
Williams, BT
中科院分区:
医学1区
文献类型:
--
作者:
Nicholl, JP;Coleman, P;Williams, BT

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在英格兰和威尔士,一项关于运动相关发病率(ERM)的全国性研究通过邮寄问卷的方式对28857名年龄在16-45岁之间的成年人进行了调查。调查问卷询问了参与者是否定期参加体育运动或其他娱乐健身活动,包括体育锻炼,以及在28天的参考期内发生的任何伤害的细节。回报率达到68%。与其他国家数据来源的比较表明,所获得的信息是可靠的。据估计,每年有2900万起事故导致新的或复发性伤害,无论多么轻微,其中980万(95%置信区间810至1140万)导致新的“实质性”伤害,这些伤害可能很严重,需要治疗,或者参与者无法参加日常活动。足球占所有ERM的25%以上,但橄榄球造成实质性伤害的风险是足球的三倍。超过三分之一的err - 1发生在16-25岁的男性中。最常见的损伤是下肢扭伤和拉伤。大约25%的ERM事件寻求治疗,7%的新ERM事件涉及医院急诊科的护理。最有可能被咨询的治疗提供者是全科医生,但物理治疗师和补充医学从业者也经常被咨询。为了最大限度地发挥运动对健康的好处,应该制定研究策略,以减少ERM的数量和严重程度,并确定管理ERM的最适当方法。
A national study of exercise related morbidity (ERM) in England and Wales was carried out using a postal questionnaire sent to 28857 adults aged 16-45 years. The questionnaire asked about regular participation in sports or other recreational fitness activities involving physical exercise, and for details of any injuries occurring during a 28 d reference period. A return rate of 68% was achieved. Comparisons with other national data sources indicated that the information obtained was reliable. It is estimated that each year there are 29 million incidents resulting in new or recurrent injuries, however minor, of which 9.8 million (95% confidence interval 8.1 to 11.4 million) result in new 'substantive' injuries which are potentially serious, result in treatment, or in participants being unable to take part in their usual activities. Soccer accounted for more than 25% of ail ERM, but the risk of a substantive injury in rugby was three times that in soccer. Over one third of ERR-I occurred in men aged 16-25 years. The most frequently reported injuries were sprains and strains of the lower limbs. Treatment was sought in approximately 25% of ERM incidents and 7% of all new ERM incidents involved at-tendance at a hospital accident and emergency department. The treatment provider most likely to be consulted was a general practitioner, but physiotherapists and complementary medicine practitioners were also consulted frequently. To maximize the health benefits of exercise, research strategies to reduce the volume and severity of ERM and to identify the most appropriate ways of managing ERM should be set.