Prognosis and prognostic factors of running-related injuries in novice runners: A prospective cohort study.

OBJECTIVES: To investigate the prognosis and possible prognostic factors of running-related injuries (RRIs) in novice runners. DESIGN: Prospective cohort study. METHODS: Participants of Start to Run, a 6-weeks course for novice runners in The Netherlands, were asked to participate in this study. Before the start of the course a baseline questionnaire, on demographics, physical activity and perceived health, was sent to runners willing to participate. The 26- or 52-weeks follow-up questionnaires assessed information on RRIs and their duration. Only participants that sustained a RRI during follow-up were included in the analyses. An injury duration of 10weeks or shorter was regarded as a relatively good prognosis, while an injury duration of more than 10weeks was defined as a poor prognosis. To determine the associations between baseline characteristics and injury prognosis and between injury location and injury prognosis, multivariable logistic regression analyses were performed. RESULTS: 347 participants (48.8%) sustained an RRI during follow-up. The RRIs had an overall median duration of eight weeks (range: 1-52weeks). Participants with a previous RRI were more likely to have a poor prognosis (OR 2.31; 95%CI 1.12-4.79), while a calf injury showed a trend towards an association with a relatively good prognosis (OR 0.49; 95%CI 0.22-1.11). CONCLUSIONS: The duration of RRIs in novice runners is relatively long, with only calf injuries being associated with a good prognosis. This emphasizes the need of injury prevention measures in novice runners and adequate support during and after an RRI, especially in runners with a previous injury.

Letter to the editor concerning the article "Relationship between school rhythm and physical activity in adolescents: the HELENA study" by Vanhelst et al. (2017).

Recently Vanhelst et al. published a study on the relationship between school rhythm and physical activity patterns in European adolescents in the Journal of Sports Sciences. With this Letter to the Editor we would like to comment on the practical implementation and further perspectives of the study.