ArticleBMC musculoskeletal disorders2015
Risk factors of acute and overuse musculoskeletal injuries among young conscripts: a population-based cohort study.
Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.
- Body mass index and physical training-related injuries in military personnel: a systematic review and meta-regression analysis.BMJ military health · 2025Pooled it
- Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model.Military Medical Research · 2021Pooled it
- Risk factors for musculoskeletal injuries in military personnel: a systematic review with meta-analysis.International archives of occupational and environmental health · 2021Pooled it
- Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques.Sensors (Basel, Switzerland) · 2021Pooled it
- Trial
- Novel Musculoskeletal Hypotheses in the Armed Services Trauma and Rehabilitation Outcome (ADVANCE) Cohort: Development and Application of Sparse Group Factor Analysis Methodology.Journal of medical Internet research · 2026Article
- Sex-Specific Interrelationship Between Sleep Quality and Daytime Sleepiness in Predicting Injury Occurrence in Physically Active University Students.Journal of clinical medicine · 2025Article
- Importance of strength training for sustaining performance and health in military personnel.BMJ military health · 2025Review
- Body mass index limitation of overweight and obesity in Czech military personnel.Central European journal of public health · 2025Article
- Effect of On-Duty Resistance Training Fatigue on Neuromuscular Function in Structural Firefighters.Healthcare (Basel, Switzerland) · 2025Article
- Relationship between bilateral symmetry of foot posture and lower limb musculoskeletal injuries among workers engaged in physically demanding occupations: A cross-sectional investigation.Mechanobiology in medicine · 2025Article
- Risk Factors Associated with Musculoskeletal Injuries within the Crew of the Leopard 2 A6 Main Battle Tank Using Inertial Movement Unit Sensors: A Pilot Study.Sensors (Basel, Switzerland) · 2024Article
- A Functional Drink ContainingFoods (Basel, Switzerland) · 2023Article
- Article
- Relationship of footwear comfort, selected size, and lower leg overuse injuries among infantry soldiers.BMC musculoskeletal disorders · 2021Article
- Musculoskeletal Injuries in US Air Force Security Forces, January 2009 to December 2018.Journal of occupational and environmental medicine · 2021Article
- Short-Term Core Strengthening Program Improves Functional Movement Score in Untrained College Students.International journal of environmental research and public health · 2020Article
- Body mass index and waist-to-hip ratio misclassification of overweight and obesity in Chinese military personnel.Journal of physiological anthropology · 2020Article
- What is the impact of fitness on injury risk during police academy training? A retrospective cohort study.BMC sports science, medicine & rehabilitation · 2020Article
- The Association between Increased Body Mass Index and Overuse Injuries in Israel Defense Forces Conscripts.Obesity facts · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMilitary service in Finland is compulsory for all male citizens and annually about 80% of 19-year-old men enter into the service. The elevated risk for many chronic diseases and loss of function among those who are inactive and unfit can be often detected already in youth. On the other hand, activity-induced injuries among young are true public health issue. The purpose of the present prospective cohort follow-up study was to evaluate predictive associations between acute or overuse injuries and their various intrinsic risk factors.
methodsFour successive cohorts of conscripts who formed a representative sample of Finnish young men were followed for 6 months. At the beginning of the service, the risk factors of injuries were measured and recorded and then the acute and overuse injuries treated at the garrison clinic were identified. Predictive associations between injuries and their risk factors were examined by multivariate Cox's proportional hazard models.
resultsOf the 1411 participants, 27% sustained an acute injury and 51% suffered from overuse injury. Concerning acute injuries, highest risk for severe injuries were detected among conscripts with low fitness level in both the standing long-jump and push-up tests (hazard rate, HR=5.9; 95% CI: 1.6‒21.3). A history of good degree in school sports was not a protective factor against acute injuries. High waist circumference and, on the other hand, being underweight according to BMI increased the HR for overuse injuries. Brisk leisure time physical activity before military entry was a protective factor against overuse injuries. Poor result in Cooper's test was a warning signal of elevated risk of overuse injuries.
conclusionWe confirmed previous findings that low level of physical fitness is predictor for musculoskeletal injuries during intensive physical training. The U-shaped relationship between body composition and overuse injuries was noticed indicating that both obesity and underweight are risk factors for overuse injuries. Persons with excellent sports skills according to their earlier degrees in school sports had similar HR for acute injuries than those with poorer degrees. This indicates that school-age sports skills and fitness do not carry far and therefore preventive programmes are needed to prevent activity-induced injuries.
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