ArticleBMJ open sport & exercise medicine2024
Injury patterns and healthcare utilisation by runners of the New York City Marathon.
Article in BMJ open sport & exercise medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed.
- The New York City Marathon: A systematic review of performance, participation, pacing, and health-related outcomes.EXCLI journal · 2026Review
- Lower Extremity Musculoskeletal Injuries Associated with Marathon Running.Current reviews in musculoskeletal medicine · 2025Review
- Casualties During Marathon Events and Implications for Medical Support.Healthcare (Basel, Switzerland) · 2025Article
- Miles with mind: an exploratory study of cognitive-behavioral-based VR training for strategy and motivation in long-distance running.Frontiers in sports and active living · 2025Article
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Authors and funding
3 authors.
Funding
Abstract
Objectives: The purpose of this study was to describe injury patterns and healthcare utilisation of marathon runners. Methods: This was a previously reported 16-week prospective observational study of runners training for the New York City Marathon. Runners completed a baseline survey including demographics, running experience and marathon goal. Injury surveys were collected every 4 weeks during training, as well as 1 week before and 1 week after the race. Injury details collected included anatomic location, diagnosis, onset, and treatment received. Results: A total of 1049 runners were enrolled. Injuries were reported by 398 (38.4%) during training and 128 (14.1%) during the marathon. The overall prevalence of injury was 447/1049 (42.6%). Foot, knee and hip injuries were most common during training, whereas knee, thigh and foot injuries were most common during the race. The most frequent tissue type affected was the category of muscle, tendon/fascia and bursa. The prevalence of overuse injuries increased, while acute injuries remained constant throughout training. Hamstring injuries had the highest prevalence of diagnosis with 38/564 injuries (6.7%). Of the 447 runners who reported an injury, 224 (50.1%) received medical care. Physical therapy was the most common medical care received with 115/1037 (11.1%) runners during training and 44/907 (4.9%) postrace. Conclusion: Runners training and participating in a marathon commonly experience injuries, especially of the foot and knee, which often are overuse soft tissue injuries. Half of the injured runners sought out medical care for their injury. Understanding the patterns of injuries affecting marathon runners could help guide future injury prevention efforts.
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