Association between GPS-based training load and injury risk in recreational runners: a large prospective study.

Understanding the relationship between training load and injury in runners may provide information on how to reduce the risk of running injuries. To investigate the association between training load and injury risk in recreational runners with the use of Global Positioning System (GPS) data. Prospec...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Athletic Training (KnowledgeWorks Global, Ltd) Vol. 61; no. 5; pp. 1 - 8
Autores principales: Cloosterman, Kyra L.A., Vos, Robert-Jan de, Willemsen, Sten, Oeveren, Ben van, Visser, Edwin, Bierma-Zeinstra, Sita M.A., Middelkoop, Marienke van
Formato: research tables/charts Journal Article
Publicado: KnowledgeWorks Global, Ltd May2026
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193868692&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 193868692
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10626050
        HB36
      jtl: Journal of Athletic Training (KnowledgeWorks Global, Ltd)
      issn: 10626050
      maglogo: N
    pubinfo:
      dt: May2026
      vid: 61
      iid: 5
      pid: 81084
      pub: KnowledgeWorks Global, Ltd
      place: Richmond, Virginia
    artinfo:
      ui:
        193868692
        193868692
        193868692
        10.4085/1062-6050-0030.25
        193868692
      ppf: 1
      ppct: 7
      formats:
      tig:
        atl: Association between GPS-based training load and injury risk in recreational runners: a large prospective study.
      aug:
        au:
          Cloosterman, Kyra L.A.
          Vos, Robert-Jan de
          Willemsen, Sten
          Oeveren, Ben van
          Visser, Edwin
          Bierma-Zeinstra, Sita M.A.
          Middelkoop, Marienke van
        affil: Department of General Practice, Erasmus MC University Medical Center Rotterdam, The Netherlands
      sug:
        subj:
          Running
          Recreation
          Athletes
          Athletic Injuries Risk Factors
          Risk Assessment
          Global Positioning System
          Exercise Intensity
          Human
          Netherlands
          Male
          Female
          Adult
          Middle Age
          Prospective Studies
          Secondary Analysis
          Questionnaires
          Cox Proportional Hazards Model
          Running, Distance
          Time
          Descriptive Statistics
          T-Tests
          Mann-Whitney U Test
          Chi Square Test
          Regression
          Confidence Intervals
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Understanding the relationship between training load and injury in runners may provide information on how to reduce the risk of running injuries. To investigate the association between training load and injury risk in recreational runners with the use of Global Positioning System (GPS) data. Prospective cohort study. This study is part of a randomized-controlled trial on running injury prevention among recreational runners. Runners who provided informed consent received three follow-up questionnaires and were requested to share GPS data. Adult runners who registered for running events (distances 10-42.195 kilometers) in the Netherlands. GPS-based training load was calculated as Acute:Chronic Workload Ratio (ACWR) based on distance, duration, or speed of each training session. Cox regression models were performed to evaluate the association (Hazard Ratio; HR) between ACWR and running-related injury (RRI) onset. GPS data from 461 participants (72.9% men; mean(SD) age 43.8(12.4) years; 42.3% reported a new RRI during follow-up) were used for analyses with a total of 20,425 training sessions. A positive association between ACWR and RRI onset was found for distance (HR 1.32; 95%CI 1.00 to 1.74) and duration (HR 1.39; 95%CI 1.07 to 1.79). In the analyses adjusted for confounding variables only ACWR based on duration (HR 1.33; 95%CI 1.02 to 1.74) remained positively associated with RRI onset. No significant association was found between ACWR and RRI onset when excluding runners with an RRI at baseline (15.8%). We identified an association between ACWR and RRI onset in runners based on distance and duration respectively. The clinical relevance of the identified associations are questionable given the small HRs and inconsistency in outcomes which makes the role of general training load advice in the prevention of RRIs uncertain.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N