Clara Onell, Eva Skillgate, Pierre Côté, Markus Waldén, Henrik Källberg, Martin Hägglund, Klara Edlund, Anna Melin, Martin Asker
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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":3.2000,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934375/pdf/","citationCount":"0","resultStr":"{\"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\":null,\"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. 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引用次数: 0
摘要
目的:探讨(1)青少年手球运动员的饮食习惯与膝/肩损伤发生率的关系;(2)女性运动员的月经功能障碍与损伤发生率的关系。方法:本研究基于2020-2022赛季的瑞典手球队列,包括1144名参与者(1703个球员赛季),没有严重的膝盖和肩膀损伤。参与者在基线时自我报告用餐频率、用餐时间、营养摄入和月经功能(2022/2023季节)。在整个赛季中,每周都有跟踪检查训练和比赛,以及严重的膝伤和肩伤。Cox回归分析以手球训练和比赛的分钟数作为时间尺度,估计了首次发生膝关节/肩部损伤(合并)事件的危险率比(HRR)。结果:在女性中,调整后的分析显示,中高营养质量组与低营养质量组相比,膝关节/肩部损伤的HRR为1.46 (95% CI 1.08, 1.98),≥2种不良饮食习惯组与1种不良饮食习惯组的HRR为1.38 (95% CI 1.02, 1.86)。对于进餐时间较差的女性,校正分析产生的HRR为1.20 (95% CI 0.90, 1.61)。在男性中,调整分析得出进餐频率低的HRR为1.23 (95% CI 0.69, 2.17),进餐时间差的HRR为0.83 (95% CI 0.60, 1.15)。结论:青少年女子手球运动员中,中高营养质量和≥2种不良饮食习惯与较高的膝/肩损伤发生率相关;然而,在女性和男性的其他饮食习惯和女性月经功能障碍之间没有或不精确的关联。
Dietary habits and knee and shoulder injury incidence in adolescent male and female handball players: the Swedish Handball Cohort.
Objectives: 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.
Methods: 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.
Results: 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.
Conclusions: 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.