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High prevalence of self-reported injuries and illnesses in talented female athletes
  1. A. Richardson1,
  2. B. Clarsen2,
  3. E.A.L.M Verhagen3,
  4. J.H. Stubbe1,4
  1. 1 Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
  2. 2 Norwegian School of Sports Sciences, Oslo Sports Trauma Research Center, Oslo, Norway
  3. 3 Department of Public and Occupational Health, EMGO, VU Medisch Centrum School of Medical Sciences, Amsterdam, The Netherlands
  4. 4 Codarts University of the Arts, Rotterdam, The Netherlands
  1. Correspondence to A. Richardson, Faculty of Sports andNutrition, Amsterdam University of Applied Sciences, Amsterdam,The Netherlands; a.richardson{at}


Background A thorough knowledge of the epidemiology and severity of injuries and illness in youth female elite sports is lacking due to the methodological challenges involved in recording them. In this study, the prevalence and incidence of injuries and illness are assessed among youth female elite athletes. Instead of solely focusing on time-loss injuries, our study included all substantial and non-substantial health problems (ie, injuries, mental problems and illnesses).

Methods Sixty young elite Dutch female athletes (age: 16.6 years (SD: 2.3), weight: 58.3 kg (SD: 15.1), height: 154.1 cm (SD: 44.2)) participating in soccer (n=23), basketball (n=22) and gymnastic (n=15) talent development programmes were prospectively followed during one season (September 2014 to April 2015). To collect health problem data, all athletes completed the Oslo Sports Trauma Research Center Questionnaire on Health Problems every other week. Main outcome measures were average prevalence of injury and incidence density of injury.

Results At any given time, 47.9% of the athletes reported an injury (95% CI 43.6% to 52.6%) and 9.1% reported an illness (95% CI 5.1 to 19.0). The average injury incidence density was 8.6 per 1000 hours of athlete exposure. The average number of self-reported injuries per athlete per season was significantly higher in soccer athletes (4.3±2.7) than in basketball athletes (2.6±2.0) (p=0.03) and not significantly higher than in the gymnastic squad. The knee and the ankle were two of the most common injury locations for all squads. Knee injuries in basketball and soccer and heel injuries in the gymnastic squad had the highest impact on sports participation.

Conclusion High prevalence of self-reported injuries among talented female athletes suggests that future efforts towards their prevention are warranted.

  • Young
  • Female
  • Athlete
  • Injuries

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  • Funding This work was supported by National Association of Applied Sciences SIA Grant Number 2013-15-12P.

  • Competing interests None declared.

  • Ethics approval The Medical Ethics Committee of the Academic Medical Centre (AMC) Amsterdam.

  • Provenance and peer review Not commissioned; externally peer reviewed