{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T03:56:40Z","timestamp":1793073400020,"version":"4.5.0"},"reference-count":36,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2024,1,12]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To describe the first injury and to investigate whether it plays a role in altering athletics\u2019 sustainable practice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a cross-sectional study using an exploratory survey on the first injury and its consequences on athletics practice. In 2021, we asked all high-level athletes licensed with the French Federation of Athletics (FFA) under 18 years, under 20 years and under 23 years categories between 2007 and 2021.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Out of 6560 emails sent by FFA, 544 athletes responded, and 93.6% (n=510) reported experiencing at least one injury during their career. The first injury occurred at a mean age of 17.5\u00b13.3 years after 6.1\u00b14.1 years of athletics practice. The main locations of the first injury were the posterior thigh (28.9%), the ankle (16.5%) and the knee (12.6%), and the principal reported injury types were muscle (37.7%), tendon (17.5%) and ligament (15.5%). More than a third of injured athletes (36.7%) reported experiencing ongoing symptoms or sequelae after their first injury, and about half (48.5%) experienced recurrences. About 20% had stopped athletics at the time of the survey, with injury problems the primary cause of athletes dropping out (46.2%), including the first injury (9.4%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Injuries played an important role in altering sustainable athletics practice, with injury accounting for about 50% of all reported dropouts and the first injury accounting for about 10% of all reported causes. Our results provide evidence to target the prevention of the first injury, which could be considered the origin of the \u2018vicious circle\u2019 of injuries.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2023-001767","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T12:45:40Z","timestamp":1706013940000},"page":"e001767","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Understanding the first injury in athletics and its effect on dropout from sport: an online survey on 544 high-level youth and junior athletics (track and field) athletes"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1969-3612","authenticated-orcid":false,"given":"Pascal","family":"Edouard","sequence":"first","affiliation":[{"name":"Inter-university Laboratory of Human Movement Biology (EA 7424), Universit\u00e9 Jean Monnet, Lyon 1, Universit\u00e9 Savoie Mont-Blanc, Saint-Etienne, France"},{"name":"Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constance","family":"Mosser","sequence":"additional","affiliation":[{"name":"Inter-university Laboratory of Human Movement Biology (EA 7424), Universit\u00e9 Jean Monnet, Lyon 1, Universit\u00e9 Savoie Mont-Blanc, Saint-Etienne, France"},{"name":"Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris","family":"Chapon","sequence":"additional","affiliation":[{"name":"Inter-university Laboratory of Human Movement Biology (EA 7424), Universit\u00e9 Jean Monnet, Lyon 1, Universit\u00e9 Savoie Mont-Blanc, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Depiesse","sequence":"additional","affiliation":[{"name":"CH Chalons en Champagne et Institut Mutualiste de Montsouris, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Palmer","sequence":"additional","affiliation":[{"name":"Edinburgh Sports Medicine Research Network & UK Collaborating Centre on Injury and Illness Prevention in Sport, Institute for Sport, PE and Health Sciences, The University of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"2025083112331973000_10.1.e001767.1","first-page":"69","article-title":"Injury prevention in athletics: the race has started and we are on track!","volume":"30","author":"Edouard","year":"2015","journal-title":"New Stud Athl"},{"key":"2025083112331973000_10.1.e001767.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2020-102955"},{"key":"2025083112331973000_10.1.e001767.3","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/j.jsams.2015.12.515","article-title":"Performance success or failure is influenced by weeks lost to injury and illness in elite Australian track and field athletes: a 5-year prospective study","volume":"19","author":"Raysmith","year":"2016","journal-title":"J Sci Med Sport"},{"key":"2025083112331973000_10.1.e001767.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fspor.2019.00008","article-title":"Relation of team size and success with injuries and illnesses during eight International outdoor athletics championships","volume":"1","author":"Edouard","year":"2019","journal-title":"Front Sports Act Living"},{"key":"2025083112331973000_10.1.e001767.5","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.jsams.2020.07.011","article-title":"In-competition injuries and performance success in combined events during major international athletics championships","volume":"24","author":"Edouard","year":"2021","journal-title":"J Sci Med Sport"},{"key":"2025083112331973000_10.1.e001767.6","doi-asserted-by":"crossref","first-page":"852062","DOI":"10.3389\/fspor.2022.852062","article-title":"Relationships between performance and injury occurrence in athletics (track and field): a pilot study on 8 national-level athletes from sprints, jumps and combined events followed during at least five consecutive seasons","volume":"4","author":"Chapon","year":"2022","journal-title":"Front Sports Act Living"},{"key":"2025083112331973000_10.1.e001767.7","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199214020-00002"},{"key":"2025083112331973000_10.1.e001767.8","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507313571"},{"key":"2025083112331973000_10.1.e001767.9","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091651"},{"key":"2025083112331973000_10.1.e001767.10","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514564542"},{"key":"2025083112331973000_10.1.e001767.11","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1016\/j.jsams.2022.10.010","article-title":"Having an injury complaint during the four weeks before an international athletics (\u2018track and field\u2019) championship more than doubles the risk of sustaining an injury during the respective championship: a cohort study on 1095 athletes during 7 International championships","volume":"25","author":"Edouard","year":"2022","journal-title":"J Sci Med Sport"},{"key":"2025083112331973000_10.1.e001767.12","doi-asserted-by":"crossref","DOI":"10.1136\/bmjsem-2023-001718","article-title":"Risk factors for injury complaints leading to restricted participation in athletics (track and field): a secondary analysis of data from 320 athletes over one season","volume":"9","author":"Edouard","year":"2023","journal-title":"BMJ Open Sport Exerc Med"},{"key":"2025083112331973000_10.1.e001767.13","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1080\/17461391.2013.809153","article-title":"An examination of the training profiles and injuries in elite youth track and field athletes","volume":"14","author":"Huxley","year":"2014","journal-title":"Eur J Sport Sci"},{"key":"2025083112331973000_10.1.e001767.14","doi-asserted-by":"crossref","DOI":"10.1186\/s40798-021-00339-1","article-title":"A cross-sectional study of retired great British Olympians (Berlin 1936\u2013Sochi 2014): Olympic career injuries, joint health in later life, and reasons for retirement from Olympic sport","volume":"7","author":"Cooper","year":"2021","journal-title":"Sports Med Open"},{"key":"2025083112331973000_10.1.e001767.15","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-101772"},{"key":"2025083112331973000_10.1.e001767.16","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1080\/24733938.2021.1943756","article-title":"Injuries are negatively associated with player progression in an elite football Academy","volume":"6","author":"Larruskain","year":"2022","journal-title":"Sci Med Footb"},{"key":"2025083112331973000_10.1.e001767.17","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1123\/ijspp.2020-0090","article-title":"World-class sprinters\u2019 careers: early success does not guarantee success at adult age","volume":"16","author":"Boccia","year":"2021","journal-title":"Int J Sports Physiol Perform"},{"key":"2025083112331973000_10.1.e001767.18","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/sms.13819","article-title":"Performance progression of elite Jumpers: early performances do not predict later success","volume":"31","author":"Boccia","year":"2021","journal-title":"Scand J Med Sci Sports"},{"key":"2025083112331973000_10.1.e001767.19","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1007\/s40279-023-01840-1","article-title":"Quantifying the extent to which successful Juniors and successful seniors are two disparate populations: a systematic review and synthesis of findings","volume":"53","author":"G\u00fcllich","year":"2023","journal-title":"Sports Med"},{"key":"2025083112331973000_10.1.e001767.20","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093241"},{"key":"2025083112331973000_10.1.e001767.21","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100717"},{"key":"2025083112331973000_10.1.e001767.22","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.28.3.197"},{"key":"2025083112331973000_10.1.e001767.23","first-page":"69","article-title":"Musculoskeletal injuries in track and field: incidence, distribution and risk factors","volume":"28","author":"Bennell","year":"1996","journal-title":"Aust J Sci Med Sport"},{"key":"2025083112331973000_10.1.e001767.24","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511425467"},{"key":"2025083112331973000_10.1.e001767.25","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2020-102373"},{"key":"2025083112331973000_10.1.e001767.26","doi-asserted-by":"crossref","first-page":"8105","DOI":"10.3390\/app13148105","article-title":"Epidemiology of injury complaints in elite sprinting athletes in athletics (track and field)","volume":"13","author":"Edouard","year":"2023","journal-title":"Applied Sciences"},{"key":"2025083112331973000_10.1.e001767.27","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.csm.2021.05.012","article-title":"Pediatric sports injuries","volume":"40","author":"Samet","year":"2021","journal-title":"Clin Sports Med"},{"key":"2025083112331973000_10.1.e001767.28","doi-asserted-by":"crossref","first-page":"2053","DOI":"10.1007\/s40279-018-0950-0","article-title":"The NBA and youth basketball: recommendations for promoting a healthy and positive experience","volume":"48","author":"DiFiori","year":"2018","journal-title":"Sports Med"},{"key":"2025083112331973000_10.1.e001767.29","doi-asserted-by":"crossref","DOI":"10.1016\/j.bjpt.2022.100394","article-title":"Maximising individualisation of sports injury risk reduction approach to reach success","volume":"26","author":"Edouard","year":"2022","journal-title":"Braz J Phys Ther"},{"key":"2025083112331973000_10.1.e001767.30","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1038\/s41572-023-00469-8","article-title":"Traumatic muscle injury","volume":"9","author":"Edouard","year":"2023","journal-title":"Nat Rev Dis Primers"},{"key":"2025083112331973000_10.1.e001767.31","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098106"},{"key":"2025083112331973000_10.1.e001767.32","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-021-00248-3"},{"key":"2025083112331973000_10.1.e001767.33","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1038\/s41572-022-00352-y","article-title":"Bone stress injuries","volume":"8","author":"Hoenig","year":"2022","journal-title":"Nat Rev Dis Primers"},{"key":"2025083112331973000_10.1.e001767.34","doi-asserted-by":"crossref","DOI":"10.1136\/bmjsem-2022-001359","article-title":"'What does not kill us can make us stronger': can we use injury experience as an opportunity to help athletes and their teams engage in injury risk reduction","volume":"8","author":"Edouard","year":"2022","journal-title":"BMJ Open Sport Exerc Med"},{"key":"2025083112331973000_10.1.e001767.35","doi-asserted-by":"crossref","DOI":"10.1136\/bmjsem-2021-001217","article-title":"I always considered I needed injury prevention to become an elite athlete\u2019: the road to the Olympics from the athlete and staff perspective","volume":"7","author":"Bonell Monson\u00eds","year":"2021","journal-title":"BMJ Open Sport Exerc Med"},{"key":"2025083112331973000_10.1.e001767.36","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2021-105332"}],"container-title":["BMJ Open Sport &amp; Exercise Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsem-2023-001767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:33:31Z","timestamp":1756668811000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopensem.bmj.com\/lookup\/doi\/10.1136\/bmjsem-2023-001767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,23]]},"published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1136\/bmjsem-2023-001767"],"URL":"https:\/\/doi.org\/10.1136\/bmjsem-2023-001767","relation":{},"ISSN":["2055-7647"],"issn-type":[{"value":"2055-7647","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}