{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:08:58Z","timestamp":1777453738211,"version":"3.51.4"},"reference-count":71,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology","award":["PTDC\/DES\/113156\/2009"],"award-info":[{"award-number":["PTDC\/DES\/113156\/2009"]}]},{"name":"Portuguese Foundation for Science and Technology","award":["SFRH\/BD\/91029\/2012"],"award-info":[{"award-number":["SFRH\/BD\/91029\/2012"]}]},{"name":"Portuguese Foundation for Science and Technology","award":["SFRH\/BD\/77408\/2011"],"award-info":[{"award-number":["SFRH\/BD\/77408\/2011"]}]},{"name":"Interdisciplinary Center for the Study of Human Performance (CIPER)","award":["PTDC\/DES\/113156\/2009"],"award-info":[{"award-number":["PTDC\/DES\/113156\/2009"]}]},{"name":"Interdisciplinary Center for the Study of Human Performance (CIPER)","award":["SFRH\/BD\/91029\/2012"],"award-info":[{"award-number":["SFRH\/BD\/91029\/2012"]}]},{"name":"Interdisciplinary Center for the Study of Human Performance (CIPER)","award":["SFRH\/BD\/77408\/2011"],"award-info":[{"award-number":["SFRH\/BD\/77408\/2011"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Applied Sciences"],"abstract":"<jats:p>Intensive training combined with a growing body can predispose children to sports injuries. Our aim was to identify the importance of physical activity (PA) intensity and maturity as predictors of injury in youth. Information about injuries was collected using a questionnaire (LESADO), the PA intensity was assessed via accelerometry, and maturity was assessed using the Tanner\u2013Whitehouse III bone age method and maturity offset. A total of 121 participants aged between 10 and 18 years were selected from four different schools. Regression analyses were used to determine the significant predictors of the injury profile. Only the injury type presented significant results. The time spent on moderate PA (\u03c72(2) = 6.701, p = 0.035) and bone age (\u03c72(2) = 7.196, p = 0.027) were the final predictors. The odds of having a strain or a fracture relative to a sprain increased 1.04 times for each minute of time spent on moderate PA. Likewise, the odds of having a strain or a fracture relative to a sprain decreased by 1.7 times per year of bone age. The PA intensity and bone age proved to be injury predictors in the growing athletes, with more predictive power in injury type. No meaningful associations were found for the injury occurrence, injury rate and body area injury location.<\/jats:p>","DOI":"10.3390\/app142210632","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T05:36:45Z","timestamp":1731908205000},"page":"10632","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Study on the Influence of Physical Activity Intensity and Maturation on Sports Injuries in Children and Adolescents"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3680-1569","authenticated-orcid":false,"given":"Lara","family":"Costa e Silva","sequence":"first","affiliation":[{"name":"Laboratory of Physiology and Biochemistry of Exercise, Faculty of Human Kinetics, 1495-688 Cruz Quebrada, Portugal"},{"name":"Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, 1495-688 Cruz Quebrada, Portugal"},{"name":"Atl\u00e2ntica Higher School of Health (ESSATLA), 2730-036 Barcarena, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6574-0814","authenticated-orcid":false,"given":"Ana L\u00facia","family":"Silva","sequence":"additional","affiliation":[{"name":"Laboratory of Physiology and Biochemistry of Exercise, Faculty of Human Kinetics, 1495-688 Cruz Quebrada, Portugal"},{"name":"Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, 1495-688 Cruz Quebrada, Portugal"},{"name":"Insight\u2014Piaget Research Center for Ecological Human Development, Instituto Piaget, 1950-157 Lisboa, Portugal"},{"name":"H&TRC\u2014Health & Technology Research Center, ESTeSL\u2014Escola Superior de Tecnologia da Sa\u00fade, \r\nInstituto Polit\u00e9cnico de Lisboa, 1549-020 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5923-6582","authenticated-orcid":false,"given":"J\u00falia","family":"Teles","sequence":"additional","affiliation":[{"name":"Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, 1495-688 Cruz Quebrada, Portugal"},{"name":"Mathematics Unit, Faculty of Human Kinetics, University of Lisbon, 1495-688 Cruz Quebrada, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1039-0554","authenticated-orcid":false,"given":"Isabel","family":"Fragoso","sequence":"additional","affiliation":[{"name":"Laboratory of Physiology and Biochemistry of Exercise, Faculty of Human Kinetics, 1495-688 Cruz Quebrada, Portugal"},{"name":"Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, 1495-688 Cruz Quebrada, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1922","DOI":"10.1177\/0363546513490644","article-title":"Pediatric sports injuries: An age comparison of children versus adolescents","volume":"41","author":"Stracciolini","year":"2013","journal-title":"Am. J. Sports Med."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Steidl-M\u00fcller, L., Hildebrandt, C., M\u00fcller, E., and Raschner, C. (2020). Relationship of changes in physical fitness and anthropometric characteristics over one season, biological maturity status and injury risk in elite youth ski racers: A prospective study. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17010364"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1097\/JSM.0b013e3182218f71","article-title":"Sports-related injuries in youth athletes: Is overscheduling a risk factor?","volume":"21","author":"Luke","year":"2011","journal-title":"Clin. J. Sport Med."},{"key":"ref_4","first-page":"33","article-title":"Les\u00f5es nos Jovens Atletas: Conhecimento dos Fatores de Risco para Melhor Prevenir","volume":"13","author":"Oliveira","year":"2007","journal-title":"Rev. Port. Fisioter. Desporto"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1136\/bjsports-2024-108233","article-title":"Associations between growth, maturation and injury in youth athletes engaged in elite pathways: A scoping review","volume":"58","author":"Parry","year":"2024","journal-title":"Br. J. Sports Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1111\/sms.13498","article-title":"The association between physical fitness level and number and severity of injury and illness in youth elite athletes","volume":"29","author":"Moseid","year":"2019","journal-title":"Scand. J. Med. Sci. Sport"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/j.jsams.2013.01.008","article-title":"Monitoring of sport participation and injury risk in young athletes","volume":"16","author":"Malisoux","year":"2013","journal-title":"J. Sci. Med. Sport"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Costa e Silva, L., Teles, J., and Fragoso, I. (2022). Sports injuries patterns in children and adolescents according to their sports participation level, age and maturation. BMC Sports Sci. Med. Rehabil., 14.","DOI":"10.1186\/s13102-022-00431-3"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1016\/j.socscimed.2005.08.054","article-title":"Socioeconomic status and health: Do gradients differ within childhood and adolescence?","volume":"62","author":"Chen","year":"2006","journal-title":"Soc. Sci. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1177\/1941738115598747","article-title":"Sport Specialization, Part I: Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes?","volume":"7","author":"Myer","year":"2015","journal-title":"Sports Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/j.1440-1754.2012.02578.x","article-title":"Sports injuries among adolescents: Incidence, causes and consequences","volume":"48","author":"Schneider","year":"2012","journal-title":"J. Paediatr. Child Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1080\/17461391.2019.1633416","article-title":"Growing pains: Maturity associated variation in injury risk in academy football","volume":"20","author":"Johnson","year":"2020","journal-title":"Eur. J. Sport Sci."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1177\/1941738112464626","article-title":"Sports Specialization in Young Athletes: Evidence-Based Recommendations","volume":"5","author":"Jayanthi","year":"2013","journal-title":"Sports Health Multidiscip. Approach"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/JSM.0000000000000060","article-title":"Overuse Injuries and Burnout in Youth Sports: A Position Statement from the American Medical Society for Sports Medicine","volume":"24","author":"DiFiori","year":"2014","journal-title":"Clin. J. Sport Med."},{"key":"ref_15","first-page":"271","article-title":"Prevalence and injury profile in Portuguese children and adolescents according to their level of sports participation","volume":"58","author":"Fragoso","year":"2018","journal-title":"J. Sports Med. Phys. Fit."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1177\/1941738116686964","article-title":"Physical Activity\u2013Related Injury Profile in Children and Adolescents According to Their Age, Maturation, and Level of Sports Participation","volume":"9","author":"Fragoso","year":"2017","journal-title":"Sports Health"},{"key":"ref_17","first-page":"a21804594","article-title":"Exploring Growth, Maturity, and Age as Injury Risk Factors in High-Level Youth Football","volume":"08","author":"Wik","year":"2023","journal-title":"Sports Med. Int. Open"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.jsams.2019.10.001","article-title":"Risk of acute and overuse injuries in youth elite soccer players: Body size and growth matter","volume":"23","author":"Rommers","year":"2020","journal-title":"J. Sci. Med. Sport"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Rinaldo, N., Gualdi-Russo, E., and Zaccagni, L. (2021). Influence of size and maturity on injury in young elite soccer players. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18063120"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1111\/sms.13635","article-title":"Skeletal maturation and growth rates are related to bone and growth plate injuries in adolescent athletics","volume":"30","author":"Wik","year":"2020","journal-title":"Scand. J. Med. Sci. Sport"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/1941738115614811","article-title":"Sports Specialization, Part II: Alternative Solutions to Early Sport Specialization in Youth Athletes","volume":"8","author":"Myer","year":"2015","journal-title":"Sports Health"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"AMSSM Collaborative Research Network Youth Early Sport Specialization Summit, Tenforde, A.S., Montalvo, A.M., Nelson, V.R., Myer, G.D., Brenner, J.S., DiFiori, J.P., Jayanthi, N.A., Marshall, S.W., and Kliethermes, S.A. (2022). Current Sport Organization Guidelines From the AMSSM 2019 Youth Early Sport Specialization Research Summit. Sports Health, 14, 135\u2013141.","DOI":"10.1177\/19417381211051383"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/j.jsams.2021.03.004","article-title":"Motor performance is not related to injury risk in growing elite-level male youth football players. A causal inference approach to injury risk assessment","volume":"24","author":"Rommers","year":"2021","journal-title":"J. Sci. Med. Sport"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1177\/0363546514567298","article-title":"Sports-Specialized Intensive Training and the Risk of Injury in Young Athletes: A Clinical Case-Control Study","volume":"43","author":"Jayanthi","year":"2015","journal-title":"Am. J. Sports Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.1111\/sms.13740","article-title":"Health problems in youth competitive alpine skiing: A 12-month observation of 155 athletes around the growth spurt","volume":"30","author":"Schoeb","year":"2020","journal-title":"Scand. J. Med. Sci. Sport."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1080\/03014460.2023.2261854","article-title":"Can we reduce injury risk during the adolescent growth spurt? An iterative sequence of prevention in male academy footballers","volume":"50","author":"Johnson","year":"2023","journal-title":"Ann. Hum. Biol."},{"key":"ref_27","first-page":"47","article-title":"Sport specialization in young athletes","volume":"33","author":"Parker","year":"2020","journal-title":"J. Am. Acad. Physician Assist."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1249\/MSS.0b013e318207f87b","article-title":"Prevalence of nonfunctional overreaching\/overtraining in young English athletes","volume":"43","author":"Matos","year":"2011","journal-title":"Med. Sci. Sport Exerc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.cpem.2007.02.009","article-title":"Common Overuse Injuries in the Pediatric and Adolescent Athlete","volume":"8","author":"Soprano","year":"2007","journal-title":"Clin. Pediatr. Emerg. Med."},{"key":"ref_30","first-page":"351","article-title":"Sport Injuries Aligned to Peak Height Velocity in Talented Pubertal Soccer Players","volume":"35","author":"Nijboer","year":"2014","journal-title":"Int. J. Sports Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"151","DOI":"10.2147\/OAJSM.S33556","article-title":"Youth sport: Positive and negative impact on young athletes","volume":"4","author":"Merkel","year":"2013","journal-title":"Open Access J. Sport Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1249\/JSR.0000000000000564","article-title":"Youth Distance Running: Strategies for Training and Injury Reduction","volume":"18","author":"Krabak","year":"2019","journal-title":"Curr. Sports Med. Rep."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000085330","article-title":"The Epidemiology of Children\u2019s Team Sports Injuries","volume":"49","author":"Maffulli","year":"2005","journal-title":"Med. Sport Sci."},{"key":"ref_34","first-page":"133","article-title":"Rehabilitation of pediatric musculoskeletal sport-related injuries: A review of the literature","volume":"46","author":"Cohen","year":"2010","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1249\/JSR.0b013e3181fdba58","article-title":"Overuse injuries in children and adolescents","volume":"9","author":"DiFiori","year":"2010","journal-title":"Curr. Sport Med. Rep."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.ptsp.2013.12.014","article-title":"Are maturation, growth and lower extremity alignment associated with overuse injury in elite adolescent ballet dancers?","volume":"15","author":"Bowerman","year":"2014","journal-title":"Phys. Ther. Sport"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1016\/j.jsams.2008.09.007","article-title":"A hitchhiker \u2019 s guide to assessing young people \u2019 s physical activity: Deciding what method to use","volume":"12","author":"Dollman","year":"2009","journal-title":"J. Sci. Med. Sport"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.jsams.2010.04.006","article-title":"Measuring children\u2019s self-reported sport participation, risk perception and injury history: Development and validation of a survey instrument","volume":"14","author":"Siesmaa","year":"2011","journal-title":"J. Sci. Med. Sport"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1136\/bjsm.37.6.545","article-title":"How valid is a self reported 12 month sports injury history?","volume":"37","author":"Gabbe","year":"2003","journal-title":"Br. J. Sports Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"2078","DOI":"10.1177\/0363546512453304","article-title":"Epidemiology of United States High School Sports-Related Fractures, 2008-09 to 2010-11","volume":"40","author":"Swenson","year":"2012","journal-title":"Am. J. Sports Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"2165","DOI":"10.1177\/0363546509339357","article-title":"Sports injuries during the Summer Olympic Games 2008","volume":"37","author":"Junge","year":"2009","journal-title":"Am. J. Sports Med."},{"key":"ref_42","first-page":"32","article-title":"Les\u00f5es no sistema musculo-esquel\u00e9tico em bailarinas profissionais, em Portugal, na temporada 2004\/2005","volume":"1","author":"Azevedo","year":"2007","journal-title":"Rev. Port. Fisioter. Desporto"},{"key":"ref_43","first-page":"15","article-title":"Les\u00f5es no sistema musculo-esquel\u00e9tico em tenistas portugueses","volume":"4","author":"Pires","year":"2010","journal-title":"Rev. Port. Fisioter. Desporto"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.jsams.2011.12.001","article-title":"Everything you wanted to know about selecting the \u201cright\u201d Actigraph accelerometer cut-points for youth, but\u2026: A systematic review","volume":"15","author":"Kim","year":"2012","journal-title":"J. Sci. Med. Sport"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1249\/MSS.0b013e318206476e","article-title":"Comparison of accelerometer cut points for predicting activity intensity in youth","volume":"43","author":"Trost","year":"2011","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1055\/s-0033-1337945","article-title":"Actigraph GT3X: Validation and Determination of Physical Activity Intensity Cut Points Personal pdf file for Actigraph GT3X: Validation and Determination of Physical","volume":"34","author":"Bergmeir","year":"2013","journal-title":"Int. J. Sports Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1249\/mss.0b013e31815a51b3","article-title":"Physical activity in the United States measured by accelerometer","volume":"40","author":"Troiano","year":"2008","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/1479-5868-5-45","article-title":"Development of a compendium of energy expenditures for youth","volume":"5","author":"Ridley","year":"2008","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2124","DOI":"10.1017\/S1368980011001868","article-title":"Measuring physical activity using accelerometry in 13-15-year-old adolescents: The importance of including non-wear activities","volume":"14","author":"Deforche","year":"2011","journal-title":"Public Health Nutr."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1249\/01.mss.0000185658.28284.ba","article-title":"Calibration of accelerometer output for children","volume":"37","author":"Freedson","year":"2005","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_51","first-page":"689","article-title":"An assessment of maturity from anthropometric measurements","volume":"34","author":"Mirwald","year":"2002","journal-title":"Med. Sci. Sport Exerc."},{"key":"ref_52","unstructured":"Tanner, J., Goldstein, H., and Cameron, N. (2001). Assessment of Skeletal Maturity, Saunders."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1080\/02640414.2011.639382","article-title":"Interrelationships among invasive and non-invasive indicators of biological maturation in adolescent male soccer players","volume":"30","author":"Malina","year":"2012","journal-title":"J. Sport Sci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"925","DOI":"10.2165\/11590300-000000000-00000","article-title":"Skeletal Age and Age Verification in Youth Sport","volume":"41","author":"Malina","year":"2011","journal-title":"Sport Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1080\/02640414.2013.828850","article-title":"Validation of maturity offset in a longitudinal sample of Polish boys","volume":"32","author":"Malina","year":"2014","journal-title":"J. Sport Sci."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1123\/jpah.2016-0293","article-title":"Results From Portugal\u2019s 2016 Report Card on Physical Activity for Children and Youth","volume":"13","author":"Mota","year":"2017","journal-title":"J. Phys. Act. Heal."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Nilsson, A., Andersen, L.B., Ommundsen, Y., Froberg, K., Sardinha, L.B., Piehl-Aulin, K., and Ekelund, U. (2009). Correlates of objectively assessed physical activity and sedentary time in children: A cross-sectional study (The European Youth Heart Study). BMC Public Health, 9.","DOI":"10.1186\/1471-2458-9-322"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.pmedr.2016.05.006","article-title":"Age-related patterns of vigorous-intensity physical activity in youth: The International Children\u2019s Accelerometry Database","volume":"4","author":"Corder","year":"2016","journal-title":"Prev. Med. Reports."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1249\/MSS.0b013e318230e441","article-title":"Prevalence of the portuguese population attaining sufficient physical activity","volume":"44","author":"Baptista","year":"2012","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1590\/1413-81232015204.00692014","article-title":"Prevalence of physical activity through the practice of sports among adolescents from Portuguese speaking countries Preval\u00eancia de atividade f\u00edsica atrav\u00e9s da pr\u00e1tica esportiva em adolescentes de pa\u00edses de l\u00edngua Portuguesa","volume":"20","author":"Christofaro","year":"2015","journal-title":"Cien Saude Colet"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.jsams.2015.02.007","article-title":"Associations between organized sports participation and objectively measured physical activity, sedentary time and weight status in youth","volume":"19","author":"Marques","year":"2016","journal-title":"J. Sci. Med. Sport"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1123\/jpah.9.1.86","article-title":"Maturity associated variance in physical activity and health-related quality of life in adolescent females: A mediated effects model","volume":"9","author":"Smart","year":"2012","journal-title":"J. Phys. Act. Health"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"0300060520954716","DOI":"10.1177\/0300060520954716","article-title":"Adolescent physical activity-related injuries in school physical education and leisure-time sports","volume":"48","author":"Sollerhed","year":"2020","journal-title":"J. Int. Med. Res."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jsams.2020.08.004","article-title":"Injuries according to the percentage of adult height in an elite soccer academy","volume":"24","author":"Monasterio","year":"2021","journal-title":"J. Sci. Med. Sport"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"372","DOI":"10.4085\/1062-6050-493-16","article-title":"Landing kinematics in elite male youth soccer players of different chronologic ages and stages of maturation","volume":"53","author":"Read","year":"2018","journal-title":"J. Athl. Train."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"2325967116644241","DOI":"10.1177\/2325967116644241","article-title":"AOSSM Early Sport Specialization Consensus Statement","volume":"4","author":"LaPrade","year":"2016","journal-title":"Orthop J. Sport Med."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1210\/er.2014-1007","article-title":"Pubertal timing, bone acquisition, and risk of fracture throughout life","volume":"35","author":"Bonjour","year":"2014","journal-title":"Endocr. Rev."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1093\/bmb\/ldn001","article-title":"Sports injuries in children","volume":"86","author":"Shanmugam","year":"2008","journal-title":"Br. Med. Bull."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"101","DOI":"10.2478\/hukin-2021-0003","article-title":"Motor control and Achilles tendon adaptation in adolescence: Effects of sport participation and maturity","volume":"76","author":"Chalatzoglidis","year":"2021","journal-title":"J. Hum. Kinet."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.jshs.2020.09.003","article-title":"Maturity-associated considerations for training load, injury risk, and physical performance in youth soccer: One size does not fit all","volume":"10","author":"Towlson","year":"2021","journal-title":"J. Sport Health Sci."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1055\/s-0034-1389263","article-title":"Growth dynamics in the context of pediatric sports injuries and overuse","volume":"18","author":"Zwick","year":"2014","journal-title":"Semin. Musculoskelet. Radiol."}],"container-title":["Applied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-3417\/14\/22\/10632\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:34:26Z","timestamp":1760114066000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-3417\/14\/22\/10632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,18]]},"references-count":71,"journal-issue":{"issue":"22","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["app142210632"],"URL":"https:\/\/doi.org\/10.3390\/app142210632","relation":{},"ISSN":["2076-3417"],"issn-type":[{"value":"2076-3417","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,18]]}}}