Evidence map›Paper›PMID 40691019›Full record

SynthesisBritish journal of sports medicine2025

Injury and illness epidemiology in elite athletes during the Olympic, Youth Olympic and Paralympic Games: a systematic review and meta-analysis.

Kalle Torvaldsson, Kristina Fagher, Wayne Derman, Lars Engebretsen, Hanna Lindblom, Alexandre Dias Lopes, Phoebe Runciman, Martin Schwellnus, Torbjørn Soligard, Sofi Sonesson and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in British journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kalle TorvaldssonDepartment of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden kalle.torvaldsson@liu.se.ORCID http://orcid.org/0000-0002-7012-2834
Kristina FagherRehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-9524-7553
Wayne DermanDivision of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Lars EngebretsenMedical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.ORCID http://orcid.org/0000-0003-2294-921X
Hanna LindblomDepartment of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden.ORCID http://orcid.org/0000-0002-1533-6872
Alexandre Dias LopesDepartment of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, Massachusetts, USA.
Phoebe RuncimanDivision of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Martin SchwellnusIOC Research Center, Stellenbosch, South Africa.
Torbjørn SoligardMedical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.ORCID http://orcid.org/0000-0001-8863-4574
Sofi SonessonDepartment of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden.ORCID http://orcid.org/0000-0001-8670-5666
Kathrin SteffenOslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway.
Martin HägglundDepartment of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden.ORCID http://orcid.org/0000-0002-6883-1471

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically review and synthesise the incidence and characteristics of injuries and illnesses among athletes participating in the Olympic, Youth Olympic and Paralympic Games.

designSystematic review and meta-analysis. DATA SOURCES: PubMed, Embase, CINAHL, Scopus and Web of Science were searched up to 2 July 2024, and Google Scholar, ClinicalTrials.gov and WHO International Clinical Trials Registry Platform up to 12 December 2023. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Cohort studies conducted during the Games reporting injuries and illnesses among athletes. Risk of bias was assessed using the Joanna Briggs Institute critical appraisal tool for prevalence studies, and certainty of evidence using the Grading of Recommendations, Assessment, Development and Evaluation framework.

results27 articles were included (10 Olympic, 4 Youth Olympic and 13 Paralympic Games). 23 articles had low, 3 moderate and 1 high risk of bias. Certainty of evidence was high to moderate for Olympic, high to low for Youth Olympic and low for Paralympic Games. Injury incidences per 1000 athlete-days were 6.5 (95% CI 5.9 to 7.2) during Olympic, 10.5 (95% CI 9.4 to 11.8) during Youth Olympic and 14.3 (95% CI 9.9 to 20.7) during Paralympic Games. Illness incidences per 1000 athlete-days were 3.6 (95% CI 2.8 to 4.7), 6.9 (95% CI 6.1 to 7.8) and 9.7 (95% CI 6.5 to 14.4), respectively. Lower limb injuries were frequent during Olympic and Youth Olympic Games, upper limb injuries during Paralympic Games and respiratory illnesses across all Games cohorts.

conclusionsInjury and illness incidences were highest in Paralympic Games, followed by Youth Olympic and Olympic Games. Incidences and patterns of injury and illness were sport and context specific, which could inform future prevention strategies. PROSPERO REGISTRATION NUMBER: CRD42023475334.

Indexed as

Athletic InjuriesYouth SportsAthletesHumansIncidencePara-AthletesSports for Persons with DisabilitiesAthletesEpidemiologyMeta-analysisSports medicineWounds and Injuries

Identifiers

PMID40691019
PMCPMC12418589

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.