Multiple factors explain injury risk in adolescent elite athletes : applying a biopsychosocial perspective

von Rosen, P.; Frohm, A.; Kottorp, Anders Börje Mauritz; Fridén, C.; Heijne, A.

doi:10.1111/sms.12855

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Multiple factors explain injury risk in adolescent elite athletes : applying a biopsychosocial perspective
Authors:	von Rosen, P. Frohm, A. Kottorp, Anders Börje Mauritz Fridén, C. Heijne, A.
DOI:	10.1111/sms.12855
Published in:	Scandinavian Journal of Medicine & Science in Sports
Volume(Issue):	27
Issue:	12
Page(s):	2059
Pages to:	2069
Issue Date:	2017
Publisher / Ed. Institution:	Wiley
ISSN:	0905-7188 1600-0838
Language:	English
Subjects:	Athletic injury; Diet; Self-esteem; Stress; Youth; Adolescent; Athletic injury; Female; Human; Male; Human physical conditioning; Regression analysis; Risk factor; Self concept; Sleep; Sports; Survey and questionnaire; Sweden; Young adult; Athlete
Subject (DDC):	617: Surgery
Abstract:	Many risk factors for injury are presented in the literature, few of those are however consistent and the majority is associated with adult and not adolescent elite athletes. The aim was to identify risk factors for injury in adolescent elite athletes, by applying a biopsychosocial approach. A total of 496 adolescent elite athletes (age range 15-19), participating in 16 different sports, were monitored repeatedly over 52 weeks using a valid questionnaire about injuries, training exposure, sleep, stress, nutrition, and competence-based self-esteem. Univariate and multiple Cox regression analyses were used to calculate hazard ratios (HR) for risk factors for first reported injury. The main finding was that an increase in training load, training intensity, and at the same time decreasing the sleep volume resulted in a higher risk for injury compared to no change in these variables (HR 2.25, 95% CI, 1.46-3.45, P<.01), which was the strongest risk factor identified. In addition, an increase by one score of competence-based self-esteem increased the hazard for injury with 1.02 (HR 95% CI, 1.00-1.04, P=.01). Based on the multiple Cox regression analysis, an athlete having the identified risk factors (Risk Index, competence-based self-esteem), with an average competence-based self-esteem score, had more than a threefold increased risk for injury (HR 3.35), compared to an athlete with a low competence-based self-esteem and no change in sleep or training volume. Our findings confirm injury occurrence as a result of multiple risk factors interacting in complex ways.
URI:	https://digitalcollection.zhaw.ch/handle/11475/8508
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER)
Appears in collections:	Publikationen Gesundheit

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von Rosen, P., Frohm, A., Kottorp, A. B. M., Fridén, C., & Heijne, A. (2017). Multiple factors explain injury risk in adolescent elite athletes : applying a biopsychosocial perspective. Scandinavian Journal of Medicine & Science in Sports, 27(12), 2059–2069. https://doi.org/10.1111/sms.12855

von Rosen, P. et al. (2017) ‘Multiple factors explain injury risk in adolescent elite athletes : applying a biopsychosocial perspective’, Scandinavian Journal of Medicine & Science in Sports, 27(12), pp. 2059–2069. Available at: https://doi.org/10.1111/sms.12855.

P. von Rosen, A. Frohm, A. B. M. Kottorp, C. Fridén, and A. Heijne, “Multiple factors explain injury risk in adolescent elite athletes : applying a biopsychosocial perspective,” Scandinavian Journal of Medicine & Science in Sports, vol. 27, no. 12, pp. 2059–2069, 2017, doi: 10.1111/sms.12855.

VON ROSEN, P., A. FROHM, Anders Börje Mauritz KOTTORP, C. FRIDÉN und A. HEIJNE, 2017. Multiple factors explain injury risk in adolescent elite athletes : applying a biopsychosocial perspective. Scandinavian Journal of Medicine & Science in Sports. 2017. Bd. 27, Nr. 12, S. 2059–2069. DOI 10.1111/sms.12855

von Rosen, P., A. Frohm, Anders Börje Mauritz Kottorp, C. Fridén, and A. Heijne. 2017. “Multiple Factors Explain Injury Risk in Adolescent Elite Athletes : Applying a Biopsychosocial Perspective.” Scandinavian Journal of Medicine & Science in Sports 27 (12): 2059–69. https://doi.org/10.1111/sms.12855.

von Rosen, P., et al. “Multiple Factors Explain Injury Risk in Adolescent Elite Athletes : Applying a Biopsychosocial Perspective.” Scandinavian Journal of Medicine & Science in Sports, vol. 27, no. 12, 2017, pp. 2059–69, https://doi.org/10.1111/sms.12855.