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Sports participation and sports injuries in Dutch boys with haemophilia

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 associ...

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Autores principales: Versloot, Olav, Timmer, Merel A., de Kleijn, Piet, Schuuring, Marleen, van Koppenhagen, Casper F., van der Net, Janjaap, Fischer, Kathelijn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317861/
https://www.ncbi.nlm.nih.gov/pubmed/32246553
http://dx.doi.org/10.1111/sms.13666
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author Versloot, Olav
Timmer, Merel A.
de Kleijn, Piet
Schuuring, Marleen
van Koppenhagen, Casper F.
van der Net, Janjaap
Fischer, Kathelijn
author_facet Versloot, Olav
Timmer, Merel A.
de Kleijn, Piet
Schuuring, Marleen
van Koppenhagen, Casper F.
van der Net, Janjaap
Fischer, Kathelijn
author_sort Versloot, Olav
collection PubMed
description 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 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.
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spelling pubmed-73178612020-06-29 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 Scand J Med Sci Sports Original Articles 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 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. John Wiley and Sons Inc. 2020-04-16 2020-07 /pmc/articles/PMC7317861/ /pubmed/32246553 http://dx.doi.org/10.1111/sms.13666 Text en © 2020 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Versloot, Olav
Timmer, Merel A.
de Kleijn, Piet
Schuuring, Marleen
van Koppenhagen, Casper F.
van der Net, Janjaap
Fischer, Kathelijn
Sports participation and sports injuries in Dutch boys with haemophilia
title Sports participation and sports injuries in Dutch boys with haemophilia
title_full Sports participation and sports injuries in Dutch boys with haemophilia
title_fullStr Sports participation and sports injuries in Dutch boys with haemophilia
title_full_unstemmed Sports participation and sports injuries in Dutch boys with haemophilia
title_short Sports participation and sports injuries in Dutch boys with haemophilia
title_sort sports participation and sports injuries in dutch boys with haemophilia
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317861/
https://www.ncbi.nlm.nih.gov/pubmed/32246553
http://dx.doi.org/10.1111/sms.13666
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