The combined effects of growth and maturity status on injury risk in an elite football academy

This study aimed to explore the interaction between growth rate on specific injury incidence and burden on pre-, circa- and post-peak height velocity (PHV) periods. Injury and stature data collected during the 2000-2020 seasons in an elite football academy were retrospectively analysed. Only players...

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Autores: Monasterio Cuenca, Xabier, Cumming, Sean P., Larruskain Zabala, Jon, Johnson, David M., Gil Orozko, Susana María, Bidaurrazaga López de Letona, Iraia, Lekue Gallano, José Antonio, Díaz Beitia, Gontzal, Santisteban Martínez, Juan María, Williams, Sean
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/78466
Acceso en línea:http://hdl.handle.net/10810/78466
Access Level:acceso abierto
Palabra clave:youth
adolescence
football
epidemiology
height
Injury prevention
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spelling The combined effects of growth and maturity status on injury risk in an elite football academyMonasterio Cuenca, XabierCumming, Sean P.Larruskain Zabala, JonJohnson, David M.Gil Orozko, Susana MaríaBidaurrazaga López de Letona, IraiaLekue Gallano, José AntonioDíaz Beitia, GontzalSantisteban Martínez, Juan MaríaWilliams, SeanyouthadolescencefootballepidemiologyheightInjury preventionThis study aimed to explore the interaction between growth rate on specific injury incidence and burden on pre-, circa- and post-peak height velocity (PHV) periods. Injury and stature data collected during the 2000-2020 seasons in an elite football academy were retrospectively analysed. Only players with height measurements from childhood until the attainment of adult height were included in the study (N = 84). Growth data were smoothed using a cubic spline to calculate daily growth rate and height. Growth rate was categorised into three groups: fast (> 7.2 cm/year), moderate (3.5-7.2 cm/year) and slow (< 3.5 cm/year). Percentage of observed adult height was used to classify players as pre-PHV (< 88%), circa-PHV (88-95%) or post-PHV (> 95%). Overall and specific injury incidence and burden and rate ratios for comparisons between growth rate groups were calculated on pre-, circa- and post-PHV periods, separately. Overall injury incidence and burden were greater in pre-PHV players with quicker growth rates compared to players growing moderately and slowly. All in all, players with more rapid growth-rates were at higher risk for growth-related injuries in all pre-, circa- and post-PHV periods. Post-PHV, the incidence and burden of joint/ligament injuries were 2.4 and 2.6-times greater in players growing slowly compared to players growing moderately. Practitioners should monitor growth rate and maturity status and consider their interaction to facilitate the design of targeted injury risk reduction strategies.This work was supported by the University of the Basque Country (UPV/EHU) under grant PPG17/34 and the Basque Government under Grants PRE_ 2021_2_0029 and EP_2022_1_0004).Termedia202620262023info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/78466reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://doi.org/10.5114/biolsport.2024.129472info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/© The Author(s). This article is distributed under the terms of the Creative Commons Attribution (CC BY) licence.oai:addi.ehu.eus:10810/784662026-06-18T09:23:17Z
dc.title.none.fl_str_mv The combined effects of growth and maturity status on injury risk in an elite football academy
title The combined effects of growth and maturity status on injury risk in an elite football academy
spellingShingle The combined effects of growth and maturity status on injury risk in an elite football academy
Monasterio Cuenca, Xabier
youth
adolescence
football
epidemiology
height
Injury prevention
title_short The combined effects of growth and maturity status on injury risk in an elite football academy
title_full The combined effects of growth and maturity status on injury risk in an elite football academy
title_fullStr The combined effects of growth and maturity status on injury risk in an elite football academy
title_full_unstemmed The combined effects of growth and maturity status on injury risk in an elite football academy
title_sort The combined effects of growth and maturity status on injury risk in an elite football academy
dc.creator.none.fl_str_mv Monasterio Cuenca, Xabier
Cumming, Sean P.
Larruskain Zabala, Jon
Johnson, David M.
Gil Orozko, Susana María
Bidaurrazaga López de Letona, Iraia
Lekue Gallano, José Antonio
Díaz Beitia, Gontzal
Santisteban Martínez, Juan María
Williams, Sean
author Monasterio Cuenca, Xabier
author_facet Monasterio Cuenca, Xabier
Cumming, Sean P.
Larruskain Zabala, Jon
Johnson, David M.
Gil Orozko, Susana María
Bidaurrazaga López de Letona, Iraia
Lekue Gallano, José Antonio
Díaz Beitia, Gontzal
Santisteban Martínez, Juan María
Williams, Sean
author_role author
author2 Cumming, Sean P.
Larruskain Zabala, Jon
Johnson, David M.
Gil Orozko, Susana María
Bidaurrazaga López de Letona, Iraia
Lekue Gallano, José Antonio
Díaz Beitia, Gontzal
Santisteban Martínez, Juan María
Williams, Sean
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv youth
adolescence
football
epidemiology
height
Injury prevention
topic youth
adolescence
football
epidemiology
height
Injury prevention
description This study aimed to explore the interaction between growth rate on specific injury incidence and burden on pre-, circa- and post-peak height velocity (PHV) periods. Injury and stature data collected during the 2000-2020 seasons in an elite football academy were retrospectively analysed. Only players with height measurements from childhood until the attainment of adult height were included in the study (N = 84). Growth data were smoothed using a cubic spline to calculate daily growth rate and height. Growth rate was categorised into three groups: fast (> 7.2 cm/year), moderate (3.5-7.2 cm/year) and slow (< 3.5 cm/year). Percentage of observed adult height was used to classify players as pre-PHV (< 88%), circa-PHV (88-95%) or post-PHV (> 95%). Overall and specific injury incidence and burden and rate ratios for comparisons between growth rate groups were calculated on pre-, circa- and post-PHV periods, separately. Overall injury incidence and burden were greater in pre-PHV players with quicker growth rates compared to players growing moderately and slowly. All in all, players with more rapid growth-rates were at higher risk for growth-related injuries in all pre-, circa- and post-PHV periods. Post-PHV, the incidence and burden of joint/ligament injuries were 2.4 and 2.6-times greater in players growing slowly compared to players growing moderately. Practitioners should monitor growth rate and maturity status and consider their interaction to facilitate the design of targeted injury risk reduction strategies.
publishDate 2023
dc.date.none.fl_str_mv 2023
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/78466
url http://hdl.handle.net/10810/78466
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.5114/biolsport.2024.129472
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Termedia
publisher.none.fl_str_mv Termedia
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
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