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This systematic review and meta-analysis aimed to provide a comprehensive overview of the literature exploring SRC incidence in youth sports to understand the associated risks.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Medline, Embase, SPORTDiscus, PsycINFO, and Web of Science databases were searched without language restrictions up to September 2024. Studies were included if they (i) reported data for calculation of SRC incidence, (ii) were a prospective cohort study, and (iii) included a sample aged\u2009\u2264\u200918\u00a0years. Studies that reported Athlete Exposure (AE) or Player Hours (PH) as SRC incidence data measures were included in a multi-level random-effects meta-analysis. Additional analysis explored SRC incidence based on age, sex, country, year of data collection, setting, and level of contact.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of the 6474 studies reviewed for eligibility, 116 studies were accepted for a systematic review and 99 in the meta-analysis. A total of 3,025,911 participants were included in the review (59% male, 41% female); however, 41% of studies did not report sample size. The pooled incidence rate of SRC per 1000 AE was found to be 1.41 across 21 sports, and 4.36 per 1000 PH across 7 sports. The highest incidence per 1000 AE were in taekwondo, rugby union, and ice hockey, and the highest incidence per 1000 PH were in rugby 7s, rugby league, and rugby union.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n This systematic review and meta-analysis can serve as an updated baseline for risk of concussion among youth athletes across various sports.\n Trial registration<\/jats:italic>\n : This systematic review was registered on OSF Registries (\n https:\/\/osf.io\/v298s<\/jats:ext-link>\n ).\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s40798-025-00834-9","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T10:31:21Z","timestamp":1744367481000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["The Incidence of Sports-Related Concussion in Children and Adolescents: A Systematic Review and Meta-Analysis"],"prefix":"10.1186","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5530-0002","authenticated-orcid":false,"given":"Veronica","family":"Ingram","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3341-651X","authenticated-orcid":false,"given":"Megan","family":"Fielding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0040-9589","authenticated-orcid":false,"given":"Laura A. 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