Higher Sedentary Behaviors and Lower Levels of Specific Knowledge Are Risk Factors for Physical Activity-Related Injuries in Saudi Adolescents

Abstract

Encouraging physical activity (PA) for adolescents is necessary to achieve and maintain optimal health, but it may increase the risk of PA-related injuries. This study sought to assess the frequency, location, type, and severity of PA-related injuries in Saudi students aged 13 to 18 years and to identify associated risk factors. A total of 402 students, including 206 boys aged 15.87 ± 1.69 years and 196 girls aged 15.83 ± 1.70 years, were randomly assigned to participate in this study. For each participant, height, weight, body mass index, and fat percentage were measured. Responses to a specially designed four-part self-administered questionnaire were also collected. Results revealed that better specific knowledge was associated with a lower likelihood of sustaining injuries (β = −0.136; p = 0.001) but increased sedentary behaviors were associated with a greater likelihood of sustaining a PA-related injury (β = 0.358; p = 0.023). Gender, knowledge, and sedentary behaviors were the factors overall associated with a greater likelihood of suffering 1, 2, and 3 or more PA-related injuries. However, gender, fat-free mass, knowledge, and sedentary behaviors were associated overall with a greater likelihood of bruises, strains, fractures, sprains, concussions, and at least two types of PA-related injuries. Collectively, we should pay attention to the PA-related injury problem among middle and high school students, particularly when promoting a physically active lifestyle.

Relationship between Upper Limb Functional Assessment and Clinical Tests of Shoulder Mobility and Posture in Individuals Participating in Recreational Strength Training

“…Physical activity (PA) positively affects the entire human body by influencing both mental and physiological health. It contributes to maintaining physical fitness and positively affects the efficiency and condition of the body, thus reducing the risk of chronic diseases of the locomotor system, respiratory system, and circulatory system and ailments such as diabetes, hypertension, and obesity [24,25]. Maintaining PA also reduces the risk of limb injuries [5][6][7]26].…”

The associated factors for physical activity-related injuries among first-year university students in southern China from a biopsychosocial perspective

“…Activity-related behaviors can directly affect injury risk and serve as risk factors, while also potentially influencing risk factors and injury mechanisms, thus indirectly affecting injury risk ( 50 ). Previous studies have indicated that sedentary time ( 6 , 9 ), screen time ( 10 ), sleep duration ( 6 , 21–23 ), and PA ( 11 , 12 , 48 , 51 ), are associated with PA-related injuries. Our study revealed that among these variables, only PA duration and PA level had statistical significance according to univariate logistic regression analysis.…”

“…Notably, there was no statistically significant association between alcohol consumption and PA-related injuries, suggesting that the influence of alcohol on injury risk during PA may only manifest when alcohol is consumed concurrently with engaging in PA. Activity-related behaviors can directly affect injury risk and serve as risk factors, while also potentially influencing risk factors and injury mechanisms, thus indirectly affecting injury risk (50). Previous studies have indicated that sedentary time (6,9), screen time (10), sleep duration (6, 21-23), and PA (11,12,48,51), are associated with PA-related injuries. Our study revealed that among these variables, only PA duration and PA level had statistical significance according to univariate logistic regression analysis.…”

“…Within the bio-psycho-social model, health behaviors can be considered social associated factors ( 20 ). Previous studies have shown that prolonged sleep duration ( 6 , 7 , 14 , 21–23 ), extended periods of sedentary behavior ( 6 , 9 ), and excessive screen time ( 6 , 24 ) are related to PA-related injuries.…”

“…In terms of biological factors, there is inconsistent research evidence on the association between gender and PA-related injuries. Some studies have suggested that men have a greater risk of PA-related injuries than women (6)(7)(8)(9)(10)(11), while others have found that there is no significant difference in injury incidence or risk between the genders (12,13). Similarly, there are inconsistent results on the association between chronic diseases and PA-related injuries (6,14,15).…”