Abstract

BackgroundWhile a number of studies have investigated knee symptoms among elite athletes, few have directly compared the association between engagement in different sports and knee symptoms among young adults in the general population. The current study aimed to investigate the relation between sports participation hours, type/ number of sports engaged, self-rated competitiveness and knee symptoms among undergraduates.MethodsUndergraduates were invited to participate in a self-administered online survey through invitation emails. Respondents were instructed to provide demographic information (e.g., age, gender, sports participation hours, types of engaged sports, self-rated competitiveness in sports and anxiety level etc.) and to report knee symptoms (current, the last 7 days, the last 12 months, and lifetime). Multiple logistic regressions were conducted to investigate the association between sports participation and current knee symptoms.ResultsOf 17,552 invitees, 3744 responded to the survey. Valid data from 3053 respondents was used for analysis. Forty-four percent of the respondents engaged in sports regularly (≥once per week). Running, cross-training and swimming were the most frequently participated sports among the respondents. The current prevalence rate of knee symptoms was 6.4%. Hours spent participating in combat sports, soccer, yoga, and basketball participation hours were significantly associated with current knee symptoms. Respondents who rated themselves as “competitive” demonstrated a higher risk of having current knee symptoms than “recreational” players. Number of engaged sports was not associated with current knee symptoms among undergraduates.ConclusionsCertain sports types were associated with current knee symptoms. Compared to self-rated “recreational” players, self-rated “competitive” players were more likely to have current knee symptoms. Students should take preventive measures to minimize their risk of developing knee symptoms, especially when participating in combat sports, soccer, yoga, and basketball, or engaging in sports at a highly competitive level.

Highlights

  • While a number of studies have investigated knee symptoms among elite athletes, few have directly compared the association between engagement in different sports and knee symptoms among young adults in the general population

  • After the exclusion of duplicates, responses from individuals without valid university email addresses, responses from nonundergraduate students and incomplete responses (Additional file 1: Appendix 2), 3053 cases were included for analysis

  • The current study indicated a positive association between yoga participation and knee symptoms, inconsistent results have been reported

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Summary

Introduction

While a number of studies have investigated knee symptoms among elite athletes, few have directly compared the association between engagement in different sports and knee symptoms among young adults in the general population. The current study aimed to investigate the relation between sports participation hours, type/ number of sports engaged, self-rated competitiveness and knee symptoms among undergraduates. Given the well-known physical and mental health benefits of sports participation, [1, 2] many universities have introduced mandatory sports courses for undergraduate students. Sports participation is known to be the major activity leading to injuries that require hospitalization among people aged between 18 and 24 years [3]. Some common causes of sports-related knee pain in adolescents (e.g., Osgood-Schalatter disease and SindingLarsen-Johannson disease) are rare among adults. Findings among adolescents cannot be generalized to young adults

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