Sports participation and sports injuries in Dutch boys with haemophilia
Versloot, Olav; Timmer, Merel A.; de Kleijn, Piet; Schuuring, Marleen; van Koppenhagen, Casper F.; van der Net, Janjaap; Fischer, Kathelijn
(2020) Scandinavian Journal of Medicine & Science in Sports, volume 30, issue 7, pp. 1256 - 1264
(Article)
Abstract
INTRODUCTION: Sports participation in children with hemophilia is generally considered to be associated with increased injury risk, which is generally considered highest in severe hemophilia. AIM: To assess sports participation according to age and severity in children with hemophilia and its association with sports injuries. METHODS: In a retrospective single-center
... read more
study, sports participation, injuries, and bleeding data from three consecutive annual clinic visits were collected for young patients with hemophilia (PWH, aged 6-18). Sports in categories 2.5 and 3 of 3 according to the National Hemophilia Foundation classification were considered high-risk. Groups were compared using chi-square testing. RESULTS: 105 PWH (median age: 13(IQR 10-14); 53% severe; bleeding rate: 1/y) were identified; three were unable to perform sports and were excluded. The majority of PWH (77%) played sports weekly, of which 80% high-risk sports. Sports participation (median 3.0x/wk), and the proportion of injured PWH was similar in severe (42%) and non-severe (33%) PWH. Sports injuries were rare (65% no injuries in 3 years, median 0/y (IQR 0-1)). Annually, PWH did not report more injuries (15%) than age-matched boys (28%). Sports injuries were not associated with frequency and type of sports. DISCUSSION: This retrospective study showed high sports participation (including high-risk sports) and low injury rates. Sports participation was similar across severities and injury rates were not higher than among the general population. Injuries were not associated with frequency or type of sports. A prospective study with objective assessment of sports participation and injuries is warranted to confirm these findings and avoid recall bias.
show less
Download/Full Text
Keywords: children, hemarthrosis, sports injuries, sports participation, Athletic Injuries/epidemiology, Humans, Male, Netherlands, Hemophilia B/complications, Adolescent, Hemophilia A/complications, Retrospective Studies, Sports/statistics & numerical data, Child, Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine, Journal Article
ISSN: 0905-7188
Publisher: Blackwell Munksgaard
Note: Funding Information: OV has reported no interests which might be perceived as posing a conflict or bias.MT has reported no interests which might be perceived as posing a conflict or bias. PK received support from NovoNordisk. MS has reported no interests which might be perceived as posing a conflict or bias. CvK has reported no interests which might be perceived as posing a conflict or bias. JN has reported no interests which might be perceived as posing a conflict or bias. KF has received speaker's fees from Bayer, Baxter/Shire, Biotest, CSL Behring, Octapharma, Pfizer, NovoNordisk; performed consultancy for Baxter/Shire, Biogen, CSL‐Behring, Freeline, NovoNordisk, Pfizer, Roche and SOBI; and has received research support from Bayer, Pfizer, Baxter/Shire, and Novo Nordisk. Publisher Copyright: © 2020 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd
(Peer reviewed)