BMJ Open Sport & Exercise Medicine最新文献

{"title":"Mediation of obesity-related variables in the association between physical fitness and cardiometabolic risk in children and adolescents: a systematic review and meta-analysis.","authors":"João Francisco de Castro Silveira, José Francisco López-Gil, Cézane Priscila Reuter, Ana Paula Sehn, Letícia Borfe, Nelson Carvas Junior, Karin Allor Pfeiffer, Paulo Henrique Guerra, Lars Bo Andersen, Antonio Garcia-Hermoso, Anelise Reis Gaya","doi":"10.1136/bmjsem-2024-002366","DOIUrl":"10.1136/bmjsem-2024-002366","url":null,"abstract":"<p><strong>Objective: </strong>To examine the mediation of obesity-related variables in the association between physical fitness and cardiometabolic risk in children and adolescents.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Data sources: </strong>Studies from electronic databases from inception to 31 December 2023.</p><p><strong>Eligibility criteria for selecting studies: </strong>Included were 123 observational studies (cross-sectional and longitudinal) that assessed risk by constructing a continuous score incorporating cardiometabolic parameters. Studies were considered if they evaluated at least one fitness component as an exposure in children and adolescents (5-19 years). Thirty-one were included in the main meta-analyses.</p><p><strong>Results: </strong>Cross-sectional findings indicate that cardiorespiratory fitness is modestly but beneficially associated with cardiometabolic risk, either indirectly via obesity-related variables (indirect standardized beta coefficient [β_Indirect]=-0.17; 95% confidence interval [CI] -0.23; -0.11; inconsistency index [I²]=94.4%) or directly and independently from obesity-related variables (r=-0.11; 95% CI -0.15; -0.07; I²=87.4%), whereas muscular fitness seems to be associated with risk only via obesity-related variables (β_Indirect=-0.34; 95% CI -0.47; -0.20; I²=85.1%). There was no cross-sectional difference between biological sexes (p≥0.199). Longitudinal findings indicate no total (r=-0.12; 95% CI -0.24; 0.01; I²=23.1%) and direct (r=-0.03; 95% CI -0.08; 0.03; I²=0%) associations.</p><p><strong>Conclusion: </strong>The association between fitness and risk appears to take place either indirectly through the reduction of obesity-related levels or directly by influencing risk. The latter underscores that the inverse association extends beyond a mere reduction in obesity-related variables, encompassing specific enhancements linked to exercise training, including increased metabolic efficiency, and cardiovascular capacity.</p><p><strong>Prospero registration number: </strong>CRD42022354628.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 2","pages":"e002366"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful rapid return to performance following non-operative treatment of proximal hamstring tendon avulsion in elite athletes.","authors":"Kenny Lauf, Anne D van der Made, Richard Jaspers, Rik Tacken, Mario Maas, Gino Kerkhoffs","doi":"10.1136/bmjsem-2025-002468","DOIUrl":"10.1136/bmjsem-2025-002468","url":null,"abstract":"<p><strong>Objectives: </strong>Proximal hamstring tendon avulsion injuries are severe and potentially career-threatening for elite athletes. Until now, no data have been published on the non-operative treatment of this injury in elite athletes. Therefore, the objective of this case series was to describe return to performance in elite athletes after non-operative treatment of full-thickness proximal hamstring tendon avulsion injuries as well as provide detailed description of the rehabilitation process and provide a mechanobiological hypothesis on processes leading to successful outcomes.</p><p><strong>Methods: </strong>In this retrospective case series, we included three elite athletes with four MRI-confirmed acute proximal hamstring tendon avulsions of the conjoint tendon and/or the semimembranosus tendon who opted for non-operative treatment following shared decision-making, consisting of an individualised rehabilitation programme. The primary outcome was time to return to performance (in weeks). Secondary outcomes were time to and rate of return to competition, rate of return to performance and re-injury rate.</p><p><strong>Results: </strong>Four proximal hamstring tendon avulsions in three elite athletes were included. All elite athletes returned to performance within 8-33 weeks, which for three out of four cases was at Olympic (gold medal) level.</p><p><strong>Conclusion: </strong>This (pilot) case series indicates that non-operative treatment for full-thickness proximal hamstring avulsion injury can result in return to performance in elite athletes. Non-operative treatment may therefore be a viable treatment option in selected (elite) athletes.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 2","pages":"e002468"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal study of five seasons of upper limb injuries in training and matches in elite female rugby union at club and national team level.","authors":"Caroline Sarah White, Paul Garner, Keith A Stokes, Sean Williams, Ian Horsley, Simon P T Kemp, Andy Soundy","doi":"10.1136/bmjsem-2024-002359","DOIUrl":"10.1136/bmjsem-2024-002359","url":null,"abstract":"<p><strong>Background: </strong>Data on upper limb injuries in elite female rugby athletes are limited. This study aims to describe the incidence, severity and burden of upper limb injuries over five seasons in elite women's rugby at both the club and international levels in training and matches.</p><p><strong>Methods: </strong>A longitudinal cohort study was conducted from the 2017/2018 to 2021/2022 seasons, involving female players from the English club top tier and international team. Data on upper limb injuries were reported by team medical staff, capturing injury type, location, severity and mechanism. Injury incidence was calculated per 1000 hours of match/training exposure, and burden was measured by multiplying incidence by severity.</p><p><strong>Results: </strong>A total of 190 upper limb injuries were recorded, with shoulder injuries the most common, representing 43% of all injuries. Median severity (mid-range of injury severity within the data) in international settings was lower than in club settings (Club matches 38 days, IQR 65, international matches 15 days, IQR 55). Injury burden (which is derived from injury mean severity and injury incidence) was significantly higher at international level (club matches, 265 days/1000 hours, 95% CI 213 to 328; club training 6 days/1000 hours, 95% CI 6 to 8; international matches 2638 days/1000 hours, 95% CI 2000 to 3481; international training 51 days/1000 hours, 95% CI 30 to 88).</p><p><strong>Conclusions: </strong>The current study data highlight a low injury severity at an international level. Although the international injury severity rate is higher than club injury incidence and burden. Hand injuries were more common within club training settings, and the shoulder was more prevalent in all other settings.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 2","pages":"e002359"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term left atrial adaptations to reduced training load in former elite athletes: a long-term follow-up longitudinal observational study.","authors":"Mikkel Aaroee, Susanne Glasius Tischer, Robin Christensen, Ahmad Sajadieh, Christian Have Dall, Jens Jakob Thune, Hanne Rasmusen","doi":"10.1136/bmjsem-2024-002379","DOIUrl":"10.1136/bmjsem-2024-002379","url":null,"abstract":"<p><strong>Objective: </strong>Our objective was to evaluate the effects of long-term reduced training on the left atrium (LA) in elite endurance athletes and to elucidate sex-specific differences in LA detraining patterns.</p><p><strong>Methods: </strong>In this long-term longitudinal echocardiographic study of 50 active elite endurance athletes a follow-up examination was performed 7 years after retirement from the elite programme. All echocardiographic measurements were indexed for body surface area. We analysed the changes between baseline and follow-up measures using analysis of covariance models adjusted for baseline level, sex and enrolment age as covariates. Results are reported as least squares means with two-sided 95% CIs.</p><p><strong>Results: </strong>LA enlargement (left atrial maximum volume index) remained unchanged from baseline (change from baseline: 1.4mL/m², 95% CI: -0.7 to 3.5 mL/m²) despite significant reductions in VO₂max (change from baseline: -864mL/min, 95% CI: -1091 to -637 mL/min). In contrast, left ventricular (LV) end-diastolic volume was reduced (change from baseline: -8mL/m², 95% CI: -11 to -5 mL/m²), consistent with reduced VO₂max. LA contraction strain was increased (change from baseline: 1.4%, 95% CI: 0.4% to 2.5%), while LV filling pressure increased (E/e' change from baseline: 0.4, 95% CI: 0.1 to 0.7).</p><p><strong>Conclusions: </strong>7 years of reduced training does not reverse exercise-induced LA enlargement in former elite endurance athletes. LA contractile function improved with higher LV filling pressure, suggesting that age-related LV pressure increases may contribute to chronic LA dilation, though irreversible adaptations like fibrosis cannot be ruled out.</p><p><strong>Trial registration number: </strong>NCT05555849.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 2","pages":"e002379"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structured home-based exercise programme and concentric versus eccentric-based stair training programme for pain and function in knee osteoarthritis: a two-phase, double-blinded, randomised controlled trial protocol.","authors":"Kazi Md Azman Hossain, Feroz Kabir, Sharmila Jahan, Ehsanur Rahman, Kazi Md Amran Hossain, Ambika Kormoker, Md Zahirul Islam, Md Kabir Hossain, Jannatul Ferdous Rikti, Abid Hasan Khan, Sharna Yesmin Suraiya, Md Zahid Hossain","doi":"10.1136/bmjsem-2025-002577","DOIUrl":"10.1136/bmjsem-2025-002577","url":null,"abstract":"<p><strong>Introduction: </strong>Knee osteoarthritis (OA) is a leading cause of pain and disability worldwide. While exercise is crucial for managing OA, the effectiveness of a well-structured and efficient home-based, self-management exercise programme remains unclear. Therefore, this two-phase randomised controlled trial will evaluate the effectiveness of a structured home-based exercise programme (HEP) and concentric-based stair training programme versus eccentric-based stair training programme (CSTP vs ESTP) to develop an evidence-based approach for knee OA.</p><p><strong>Methods and analysis: </strong>This study will be a participant and assessor-blinded, randomised controlled trial that will enrol 247 knee OA participants. In Phase I, there will be a 1:1 split of participants into: an HEP and a control group P_I for 8 weeks. In Phase II, eligible participants from Phase I will be a 1:1:1 split into: a CSTP, an ESTP and a control group P_II for another 8 weeks. The number of exercise programmes will last for 16 weeks, including a 24-week follow-up. The primary outcomes of pain intensity, pressure pain threshold and functional ability will be measured using a numeric pain rating scale, pressure algometer and Western Ontario and McMaster University Osteoarthritis Index (WOMAC). The secondary outcomes of muscle strength, range of motion, aerobic capacity and quality of life will be measured using a modified sphygmomanometer, universal goniometer, 6-minute walk test and 36-item short-form survey. All outcomes will be measured at pretest (T₁), post-test (T₂ and T₃) and follow-up (T₄).</p><p><strong>Ethics and dissemination: </strong>All activities and exercise programmes will follow the Helsinki Declaration of 2020. The findings will be published in peer-reviewed journals and disseminated at international conferences.</p><p><strong>Trial registration number: </strong>CTRI/2025/03/081574.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 2","pages":"e002577"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of supervised aerobic exercise training on habitual physical activity in healthy older adults: the Hertfordshire physical activity randomised controlled trial.","authors":"Francis Martin Finucane, Kate Westgate, Stephen Sharp, S J Griffin, Martin O'Donnell, Elaine Dennison, Cyrus Cooper, Nick Wareham, Soren Brage","doi":"10.1136/bmjsem-2023-001857","DOIUrl":"10.1136/bmjsem-2023-001857","url":null,"abstract":"<p><strong>Objectives: </strong>Physical activity is important for health, but the influence of structured, supervised aerobic exercise sessions on habitual physical activity in healthy older adults is unclear.</p><p><strong>Methods: </strong>We evaluated habitual physical activity in the Hertfordshire Physical Activity Trial, where healthy older adults were randomised to 36 supervised 1-hour gymnasium sessions on a cycle ergometer at moderate intensity over 12 weeks or to a control group with no intervention. We estimated physical activity energy expenditure (PAEE) and time spent in sedentary behaviour and light and moderate or vigorous physical activity over 7 days at three time points (before, during and immediately after the intervention) with individually calibrated combined heart rate and movement sensing.</p><p><strong>Results: </strong>Of 100 randomised participants (44% female, aged 67-76 years), 96% completed follow-up. Midway through the intervention, neither overall PAEE nor time spent at different intensities were different between groups. However, on the 3 days of the week that the structured exercise sessions occurred (Monday, Wednesday, Friday), the exercise group had a 9.1 kJ kg^-1 day^-1 ((2.5, 15.7), p=0.007) increase in PAEE, a reduction in sedentary time and increased time spent at light and moderate or vigorous physical activity, compared with the control group.</p><p><strong>Conclusions: </strong>Three 1-hour bouts per week of structured aerobic exercise increased daily physical activity on the days they occurred, but not overall physical activity across the whole week. Population-wide strategies such as better cycling and walking infrastructure may increase physical activity in healthy older adults more effectively than treatment with structured exercise programmes.</p><p><strong>Trial registration number: </strong>ISRCTN60986572.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e001857"},"PeriodicalIF":3.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a multivariate model for the prediction of concussion recovery in sportspeople: a machine learning approach.","authors":"Louise C Yates, Elliot Yates, Xuanxuan Li, Yiping Lu, Kamal Yakoub, David Davies, Antonio Belli, Vijay Sawlani","doi":"10.1136/bmjsem-2024-002090","DOIUrl":"10.1136/bmjsem-2024-002090","url":null,"abstract":"<p><strong>Background: </strong>Sportspeople suffering from mild traumatic brain injury (mTBI) who return prematurely to sport are at an increased risk of delayed recovery, repeat concussion events and, in the longer-term, the development of chronic traumatic encephalopathy. Therefore, determining the appropriate recovery time, without unnecessarily delaying return to sport, is paramount at a professional/semi-professional level, yet notoriously difficult to predict.</p><p><strong>Objectives: </strong>To use machine learning to develop a multivariate model for the prediction of concussion recovery in sportspeople.</p><p><strong>Methods: </strong>Demographics, injury history, Sport Concussion Assessment Tool fifth edition questionnaire and MRI head reports were collected for sportspeople who suffered mTBI and were referred to a tertiary university hospital in the West Midlands over 3 years. Random forest (RF) machine learning algorithms were trained and tuned on a 90% outcome-balanced corpus subset, with subsequent validation testing on the previously unseen 10% subset for binary prediction of greater than five missed sporting games. Confusion matrices and receiver operator curves were used to determine model discrimination.</p><p><strong>Results: </strong>375 sportspeople were included. A final composite model accuracy of 94.6% based on the unseen testing subset was obtained, yielding a sensitivity of 100% and specificity of 93.8% with a positive predictive value of 71.4% and a negative predictive value of 100%. The area under the curve was 96.3%.</p><p><strong>Discussion: </strong>In this large single-centre cohort study, a composite RF machine learning algorithm demonstrated high performance in predicting sporting games missed post-mTBI injury. Validation of this novel model on larger external datasets is therefore warranted.</p><p><strong>Trial registration number: </strong>ISRCTN16974791.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002090"},"PeriodicalIF":3.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary habits and knee and shoulder injury incidence in adolescent male and female handball players: the Swedish Handball Cohort.","authors":"Clara Onell, Eva Skillgate, Pierre Côté, Markus Waldén, Henrik Källberg, Martin Hägglund, Klara Edlund, Anna Melin, Martin Asker","doi":"10.1136/bmjsem-2024-002332","DOIUrl":"10.1136/bmjsem-2024-002332","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the association between (1) dietary habits and knee/shoulder injury incidence in male and female adolescent handball players and (2) menstrual dysfunction and injury incidence in females.</p><p><strong>Methods: </strong>This study is based on seasons 2020-2022 of the Swedish Handball Cohort including 1144 participants (1703 player seasons) free from a substantial knee and shoulder injury. Participants self-reported meal frequency, meal timing, nutritional intake and menstrual function (season 2022/2023) at baseline. Weekly follow-ups throughout the season assessed training and matches, and substantial knee/shoulder injuries. Cox regression analyses estimated a hazard rate ratio (HRR) with the first event of a knee/shoulder injury (combined), with minutes of handball training and matches as the timescale.</p><p><strong>Results: </strong>In females, adjusted analyses generated an HRR for knee/shoulder injuries of 1.46 (95% CI 1.08, 1.98) for moderate-high nutritional quality compared with low quality and an HRR of 1.38 (95% CI 1.02, 1.86) for ≥2 unfavourable dietary habits compared with 1 unfavourable dietary habit. For poor meal timing, adjusted analyses generated an HRR of 1.20 (95% CI 0.90, 1.61) compared with adequate timing in females. In males, adjusted analyses generated an HRR of 1.23 (95% CI 0.69, 2.17) for low meal frequency and an HRR of 0.83 (95% CI 0.60, 1.15) for poor meal timing.</p><p><strong>Conclusions: </strong>In adolescent female handball players, moderate-high nutritional quality and ≥2 unfavourable dietary habits are associated with higher knee/shoulder injury incidence; whereas, no or unprecise associations were found for other dietary habits in females and males and for menstrual dysfunction in females.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002332"},"PeriodicalIF":3.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combinations of psychological and physical risk factors for sport injuries in youth floorball players: a latent profile analysis.","authors":"Sofia Levin, Taru Tervo, Andreas Ivarsson, Martin Hägglund, Andreas Stenling","doi":"10.1136/bmjsem-2024-002309","DOIUrl":"10.1136/bmjsem-2024-002309","url":null,"abstract":"<p><strong>Objectives: </strong>Sport injuries in youth sports are common, and holistic predictive approaches have been called for to better understand how combinations of risk and protective factors contribute to injury occurrence. This study utilises a person-centred approach to identify how combinations of psychological and physical factors are associated with injuries in youth floorball players.</p><p><strong>Methods: </strong>At season start, 222 youth athletes conducted physical field tests and measures of self-reported mental health and demographics. Postseason, participants reported any sustained acute or overuse injuries during the season. Latent profile analysis, using psychological (anxiety and depression) and physical (field test performance) factors, such as input variables, was employed to identify risk profiles. Covariate analysis was conducted with demographic predictors of profile membership. Finally, sport injury occurrence was compared between profiles.</p><p><strong>Results: </strong>Three profiles were identified: 'Moderate mental health/high physical performance' (profile 1, n=101), 'Very low mental health/average physical performance' (profile 2, n=49) and 'High mental health/low physical performance' (profile 3, n=72). Athletes injured at baseline were less likely to belong to profile 1. Profile 1 had higher injury occurrence than profile 2 (OR=3.63, 95% CI (1.34 to 9.81)) and profile 3 (OR=2.63, 95% CI (1.06 to 6.47)) during the season.</p><p><strong>Conclusion: </strong>Our results indicate that players in the profile characterised by moderate mental health and high physical performance (profile 1) at the start of the season, reported the highest injury occurrence during the season (based on retrospective injury reporting). Future studies should explore factors that can explain this relationship, such as engagement in risk situations, load and recovery.</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002309"},"PeriodicalIF":3.9,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: The Cambridge Knee Injury Tool (CamKIT): a clinical prediction tool for acute soft tissue knee injuries.","authors":"","doi":"10.1136/bmjsem-2024-002357corr1","DOIUrl":"https://doi.org/10.1136/bmjsem-2024-002357corr1","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1136/bmjsem-2024-002357.].</p>","PeriodicalId":47417,"journal":{"name":"BMJ Open Sport & Exercise Medicine","volume":"11 1","pages":"e002357corr1"},"PeriodicalIF":3.9,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}