History of chronic disease is a novel intrinsic risk factor associated with gradual onset injuries in recreational road cyclists: A cross-sectional study in 21,824 cyclists - SAFER XIV

dc.contributor.authorDu Toit, François
dc.contributor.authorSonja, Swanevelder
dc.contributor.authorSchwellnus, MP
dc.date.accessioned2021-01-05T07:51:52Z
dc.date.available2021-01-05T07:51:52Z
dc.date.issued2020
dc.description.abstractObjectives: Risk factors related to Gradual onset injuries (GOIs) in cyclists need to be identified to enable effective injury prevention strategies. We aim to determine risk factors related to GOIs in cyclists participating in mass community-based events. Design: Cross-sectional study. Setting: Cape Town Cycle Tour. Participants: Race entrants (n = 35,914) Main outcome measures: Completion of pre-race medical questionnaires. 21,824 consenting cyclists (60.8%) were studied. 617 cyclists reported GOIs. Selected risk factors associated with GOIs: demographics, training/racing history, chronic disease history, and medication use, were explored using multi-variate analyses. Results: Prevalence ratio (PR) of GOIs was similar in males and females, but higher in older age categories [>50 yrs vs. categories: ≤30yrs (PR = 1.6); 31 to ≤40yrs (PR = 1.5); 41 to <50yrs (PR = 1.4)] (p < 0.0001). Intrinsic risk factors associated with GOIs (adjusted for gender and age) were: 1) increased weekly training/racing frequency (PR = 1.1, p = 0.0003), 2) chronic disease history [cardiovascular disease symptoms (PR = 2.3, p = 0.0026), respiratory disease (PR = 1.6, p < 0.0001), nervous system/psychiatric disease (PR = 1.5, p = 0.0082)], and 3) history of analgesic/anti-inflammatory medication (AAIM) used before/during racing (PR = 5.1, p < 0.0001).en_US
dc.identifier.citationDu Toit, F. et al. (2020). History of chronic disease is a novel intrinsic risk factor associated with gradual onset injuries in recreational road cyclists: A cross-sectional study in 21,824 cyclists - SAFER XIV. Physical Therapy in Sport, 46, 137-144en_US
dc.identifier.issn1466-853X
dc.identifier.uri10.1016/j.ptsp.2020.08.008
dc.identifier.urihttp://hdl.handle.net/10566/5546
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.subjectEpidemiologyen_US
dc.subjectGradual onset injuriesen_US
dc.subjectOveruse injuriesen_US
dc.subjectRisk factorsen_US
dc.subjectChronic diseaseen_US
dc.titleHistory of chronic disease is a novel intrinsic risk factor associated with gradual onset injuries in recreational road cyclists: A cross-sectional study in 21,824 cyclists - SAFER XIVen_US
dc.typeArticleen_US

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