XXXX in high school runners: lifetime prevalence and prevention strategies.

@entity1 @entity7184 @entity3681 @entity924 @entity3444 @entity2587 @entity1866 @entity1277 @entity158 @entity23223 @entity460 @entity130
OBJECTIVE: To evaluate lifetime prevalence and risk factors for @entity7184 in high school @entity2587 currently participating in long-distance running and provide recommendations for injury prevention strategies. DESIGN: Retrospective study design. SETTING: Twenty-eight high schools in the San Francisco Bay Area. @entity1 : A total of 442 female and 306 male @entity2587 , ages 13-18 years, who are on cross-country and track and field teams. METHODS: Online survey with questions that detailed previous injuries sustained and risk factors for injury. MAIN OUTCOME MEASUREMENTS: Previous @entity7184 and association of risk factors to injury (including training variables, dietary patterns, and, in @entity1 , @entity1866 ). RESULTS: Previous injuries were reported by 68% of female subjects and 59% of male subjects. More @entity130 were seen in @entity1 (1.2    1.1 versus 1.0    1.0, P < .01). Both genders had similar participation in running (2.5    2.2 versus 2.3    2.1 years), and previous injury prevalence followed a similar pattern: tibial stress injury ( @entity1 , 41%; @entity1 , 34%), @entity3681 ( @entity1 , 32%; @entity1 , 28%), @entity158 ( @entity1 , 21%; @entity1 , 16%), @entity924 ( @entity1 , 9%; @entity1 , 6%), @entity23223 ( @entity1 , 7%; @entity1 , 5%), and @entity3444 ( @entity1 , 5%; @entity1 , 3%). Higher weekly mileage was associated with previous injuries in @entity1 , (17.1    11.9 versus 14.1    11.5, P < .05) but not in @entity1 (14.4    10.2 versus 12.6    11.8, not significant). A strong association between higher mileage and faster performances was seen in both groups. No association between previous injury and current dietary patterns (including @entity1277 and @entity460 intake) or @entity1866 was seen. CONCLUSIONS: The majority of @entity2587 currently participating in high school cross-country and track and field have a history of sustaining an @entity7184 , with @entity1 having a higher prevalence of injury. A modest mileage reduction may represent a modifiable risk factor for @entity130 . Future research is needed to evaluate the effects of incorporating a comprehensive strength training program on the prospective development of @entity7184 and performance in this population.
