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Preparticipation injury complaint is a risk factor for injury: a prospective study of the Moscow 2013 IAAF Championships
  1. Juan-Manuel Alonso1,2,
  2. Jenny Jacobsson3,4,
  3. Toomas Timpka3,
  4. Ola Ronsen1,5,
  5. Alma Kajenienne1,6,
  6. Örjan Dahlström7,
  7. Armin Spreco3,
  8. Pascal Edouard8,9,10
  1. 1Medical and Anti-doping Commission, International Association of Athletics Federations (IAAF), Monaco, Monaco
  2. 2Sports Medicine Department, Aspetar, Qatar Orthopedics and Sports Medicine Hospital, Doha, Qatar
  3. 3Athletics Research Center, Linköping University, Linköping, Sweden
  4. 4Swedish Athletics Association, Stockholm, Sweden
  5. 5Aker Solutions, Lysaker, Norway
  6. 6Institute of Sport, Lithuanian University of Health Sciences, Kaunas, Lithuania
  7. 7Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
  8. 8Department of Clinical and Exercise Physiology, Sports Medicine Unity, Faculty of Medicine, University Hospital of Saint-Etienne, Saint-Etienne, France
  9. 9Laboratory of Exercise Physiology (LPE EA 4338), University of Lyon, Saint-Etienne, France
  10. 10Medical Commission, French Athletics Federation (FFA), Paris, France
  1. Correspondence to Dr Juan-Manuel Alonso, Sports Medicine Department, Aspetar, Qatar Orthopedics and Sports Medicine Hospital, PO Box 29222, Doha, Qatar; juan-manuel.alonso{at}


Objectives To determine the health status of athletes before the start of an international athletics championship and to determine whether preparticipation risk factors predicted in-championship injuries.

Methods At the beginning of the 2013 International Association of Athletics Federations (IAAF) World Championships, all registered athletes (n=1784) were invited to complete a preparticipation health questionnaire (PHQ) on health status during the month preceding the championships. New injuries that occurred at the championships were prospectively recorded.

Results The PHQ was completed by 698 (39%) athletes; 204 (29.2%) reported an injury complaint during the month before the championships. The most common mode of onset of preparticipation injury complaints was gradual (43.6%). Forty-nine athletes in the study reported at least one injury during the championships. Athletes who reported a preparticipation injury complaint were at twofold increased risk for an in-championship injury (OR=2.09; 95% CI 1.16 to 3.77); p=0.014). Those who reported a preparticipation gradual-onset injury complaint were at an almost fourfold increased risk for an in-championship time-loss injury (OR=3.92; 95% CI 1.69 to 9.08); p=0.001). Importantly, the preparticipation injury complaint severity score was associated with the risk of sustaining an in-championship injury (OR=1.14; 95% CI 1.06 to 1.22); p=0.001).

Summary and conclusions About one-third of the athletes participating in the study reported an injury complaint during the month before the championships, which represented a risk factor for sustaining an injury during the championship. This study emphasises the importance of the PHQ as a screening tool to identify athletes at risk of injuries before international championships.

  • Injuries
  • Epidemiology
  • Risk factor
  • Athletics

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