ArticleInternational journal of sports physical therapy2014
Running more than three kilometers during the first week of a running regimen may be associated with increased risk of injury in obese novice runners.
Article in International journal of sports physical therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Experiences of beginner runners on a modified Couch-to-5k programme: a qualitative exploration.Health promotion international · 2026Article
- Using Self-Reported Training Characteristics to Better Understand Who Is More Likely to Sustain Running-Related Injuries Than Others: The Garmin-RUNSAFE Running Health Study.Scandinavian journal of medicine & science in sports · 2025Article
- Runners with a high body mass index and previous running-related problems is a high-risk population for sustaining a new running-related injury: A 18-month cohort study.European journal of sport science · 2025Article
- Common Running Musculoskeletal Injuries and Associated Factors among Recreational Gorge Marathon Runners: An Investigation from 2013 to 2018 Taroko Gorge Marathons.International journal of environmental research and public health · 2020Article
- Associations between biomechanical and clinical/anthropometrical factors and running-related injuries among recreational runners: a 52-week prospective cohort study.Injury epidemiology · 2020Article
- Observational
- Time-to-event analysis for sports injury research part 2: time-varying outcomes.British journal of sports medicine · 2019Article
- THE START-TO-RUN DISTANCE AND RUNNING-RELATED INJURY AMONG OBESE NOVICE RUNNERS: A RANDOMIZED TRIAL.International journal of sports physical therapy · 2018Article
- Article
- Risk and Protective Factors for Middle- and Long-Distance Running-Related Injury.Sports medicine (Auckland, N.Z.) · 2017Review
- Kinematic, Cardiopulmonary, and Metabolic Responses of Overweight Runners While Running at Self-Selected and Standardized Speeds.PM & R : the journal of injury, function, and rehabilitation · 2016Article
- Acute Effects of Whole-Body Vibration Exercises at 2 Different Frequencies Versus an Aerobic Exercise on Some Cardiovascular, Neuromotor and Musculoskeletal Parameters in Adult Patients With Obesity.Dose-response : a publication of International Hormesis SocietyArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTraining guidelines for novice runners are needed to reduce the risk of injury. The purpose of this study was to investigate whether the risk of injury varied in obese and non-obese individuals initiating a running program at different weekly distances.
methodsA volunteer sample of 749 of 1532 eligible healthy novice runners was included in a 3-week observational explorative prospective cohort study. Runners were categorized into one of six strata based on their body mass index (BMI) (≤30=low; >30=high) and running distance after 1 week (<3 km = low; 3 to 6 km = medium; >6 km = high). Data was collected for three weeks for the six strata. The main outcome measure was running-related injury.
resultsFifty-six runners sustained a running-related injury during the 3-week data collection. A significantly greater number of individuals with BMI>30 sustained injuries if they ran between 3 to 6 km (cumulative risk difference (CRD) = 14.3% [95%CI: 3.3% to 25.3%], p<0.01) or more than 6 km (CRD = 16.2% [95%CI: 4.4% to 28.0%], p<0.01) the first week than individuals in the reference group (low distance and low BMI). The effect-measure modification between high running distance and BMI on additive scale was positive (11.7% [-3.6% to 27.0%], p=0.13). The number of obese individuals needed to change their running distance from high to low to avoid one injury was 8.5 [95%CI: 4.6 to 52].
conclusionsObese individuals were at greater risk of injury if they exceeded 3 km during the first week of their running program. Because of a considerable injury risk compared with their non-obese peers, individuals with a BMI>30 may be well advised to begin running training with an initial running distance of less than 3 km (1.9 miles) the first week of their running regime. Large-scale trials are needed to further describe and document this relationship. LEVEL OF EVIDENCE: Level 2b.
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24944852PMC4060311W210836382What OpenQuestion holds
Registered trials
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