{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:33:40Z","timestamp":1786116820374,"version":"build-2736575974"},"reference-count":39,"publisher":"BMJ","issue":"3","funder":[{"DOI":"10.13039\/501100001322","name":"South African Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001322","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NRF","award":["TTK2204051971"],"award-info":[{"award-number":["TTK2204051971"]}]},{"name":"IOC Research Centre of South Africa"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2024,10,1]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Information on acute traumatic cycling injuries (ATCIs) in the 12\u2009months prior to entry in a cycling race and the predisposing factors have not been well-researched.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Determine factors associated with a history of ATCIs sustained in the previous 12\u2009months by race entrants of a 109\u2009km cycling race.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Descriptive, cross-sectional study on 60\u2009941 Cape Town Cycle Tour race entrants from 2016 to 2020. Data on a history of ATCIs sustained in the previous 12\u2009months were obtained through an online pre-race medical screening questionnaire (mandatory in 2016, and voluntary in 2017\u20132020). Factors investigated were demographics, cycling\/training history and history of chronic disease, collapse, cramping, allergies and regular chronic prescription medication usage. We calculated the prevalence ratio (PR) for reporting a history of an ATCI in the previous 12\u2009months for each category (multiple regression model).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Factors associated with an increased PR for a history of ATCIs gathered from race entrants (34% of the total entrants) were: increased years of participation in distance cycling events &gt;2\u2009hours (PR=1.05 per 5 years of distance cycling, p&lt;0.0001), increased weekly average training\/racing distance of a cyclist in the past 12\u2009months (PR=1.11 per 50\u2009km increase in weekly cycling). Other factors were: increased number of chronic diseases reported (PR=1.53, per two additional chronic diseases reported, p&lt;0.0001), history of collapse (PR=1.75, p=0.0005), history of cramping (PR=1.65, p&lt;0.0001) and history of allergies (PR=1.49, p&lt;0.0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Subgroups of recreational cyclists at higher risk for ATCIs were identified. This information could assist in developing and implementing future strategies to mitigate ATCIs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/ip-2024-045378","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T22:50:11Z","timestamp":1728946211000},"page":"400-407","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with a history of acute traumatic cycling injuries in 60 941 cycling race entrants in South Africa: SAFER study XLII"],"prefix":"10.1136","volume":"32","author":[{"given":"Bertus","family":"Jansen van Rensburg","sequence":"first","affiliation":[{"name":"Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa"},{"name":"Sport, Exercise Medicine and Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3647-0429","authenticated-orcid":false,"given":"Martin","family":"Schwellnus","sequence":"additional","affiliation":[{"name":"Sport, Exercise Medicine and Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa"},{"name":"IOC Research Centre, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Green","sequence":"additional","affiliation":[{"name":"Mediclinic International Corporation Ltd, Stellenbosch, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1749-5073","authenticated-orcid":false,"given":"Audrey","family":"Jansen van Rensburg","sequence":"additional","affiliation":[{"name":"Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esme","family":"Jordaan","sequence":"additional","affiliation":[{"name":"South African Medical Research Council Biostatistics Unit, Tygerberg, Cape Town, South Africa"},{"name":"Statistics and Population Studies, University of the Western Cape, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Swanevelder","sequence":"additional","affiliation":[{"name":"South African Medical Research Council Biostatistics Unit, Tygerberg, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1022-4780","authenticated-orcid":false,"given":"Nicola Ann","family":"Sewry","sequence":"additional","affiliation":[{"name":"Sport, Exercise Medicine and Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa"},{"name":"IOC Research Centre, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"2026080605200760000_32.3.400.1","first-page":"100677","article-title":"Cycling in the era of Covid-19: The effects of the pandemic and pop-up cycle lanes on cycling practices","volume":"15","author":"R\u00e9rat","year":"2022","journal-title":"Transp Res Interdiscip Perspect"},{"key":"2026080605200760000_32.3.400.2","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1080\/01441647.2021.1914900","article-title":"COVID-19 Impacts on Cycling, 2019\u20132020","volume":"41","author":"Buehler","year":"2021","journal-title":"Transp Rev"},{"key":"2026080605200760000_32.3.400.3","unstructured":"World Health Organization: physical activity, 2022. 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