Document Detail


Meeting physical activity guidelines and musculoskeletal injury: the WIN study.
MedLine Citation:
PMID:  22525778     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The United States Department of Health and Human Services disseminated physical activity (PA) guidelines (PAGs) for Americans in 2008. The guidelines are based on appropriate quantities of moderate-to-vigorous aerobic PA and resistance exercise (RE) associated with decreased morbidity and mortality risk and increased health benefits. However, increases in PA levels are associated with increased risk of musculoskeletal injuries (MSIs). We related the amount and type of PA conducted on a weekly basis with the risk of MSI.
METHODS: A prospective, observational study using weekly Internet tracking of moderate-to-vigorous PA and RE behaviors and MSIs in 909 community-dwelling women for up to 3 yr was conducted. The primary outcome was self-reported MSIs (total, PA related, and non-PA related) interrupting typical daily work and/or exercise behaviors for ≥ 2 d or necessitating health care provider visit.
RESULTS: Meeting versus not meeting PAGs was associated with more MSIs during PA (HR = 1.39, 95% confidence interval [CI] = 1.05-1.85, P = 0.02) but was not associated with MSIs unrelated to PA (HR = 0.99, 95% CI = 0.75-1.29, P = 0.92) or with MSIs overall (HR = 1.15, 95% CI = 0.95-1.39, P = 0.14).
CONCLUSIONS: The results illustrate the risk of MSI with PA. MSI risk rises with increasing PA. Despite this modest increase in MSIs, the known benefits of aerobic and resistance PAs should not hinder physicians from encouraging patients to meet current PAGs for both moderate-to-vigorous exercise and RE behaviors with the intent of achieving health benefits.
Authors:
James R Morrow; Laura F Defina; David Leonard; Elaine Trudelle-Jackson; Michelle A Custodio
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  44     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-18     Completed Date:  2013-02-18     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1986-92     Citation Subset:  IM; S    
Affiliation:
Department of Kinesiology, University of North Texas, Denton, TX 76205-5017, USA. jim.morrow@unt.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Guidelines as Topic*
Humans
Middle Aged
Motor Activity / physiology*
Musculoskeletal System / injuries*
Prospective Studies
Resistance Training
Risk
Self Report
Grant Support
ID/Acronym/Agency:
R01 AR052459/AR/NIAMS NIH HHS; R01 AR052459/AR/NIAMS NIH HHS
Comments/Corrections

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