Physical activity-related injury and its associated factors among middle school students in southern China
Open accessAbstract
Physical activity (PA) promotion is beneficial to gain and maintain optimal health, but might increase risks for physical activity-related injury (PARI). This cross-sectional study aimed to investigate the incidence rate and identify risk factors of PARI among Chinese middle school students. Selected via the method of cluster random sampling, students graded 7⁻8 (junior) and 10⁻11 (senior) from five middle schools (aged from 10 to 18 years old) in Shantou were invited to participate in the survey. Information on socio-demography, PA involvement, sleep duration, individual safety awareness and exercise behavior, and PARI experiences in the past 12 month was collected. Multivariate logistic regression model was performed to estimate the risk factors of PARI. A total of 3082 participants completed the valid questionnaires, with an overall incidence rate of 25.1%. Boys, junior school students, sports team members, and those with lower safety awareness, living with single parent, and without any chronic conditions were at higher risks for PARI. Moreover, exercising on wet floor or with illness frequently would also be more likely to experience injury, especially those with at least 120 min per day. In conclusion, PARI was prevalent among middle school students in southern China. The above data provide insights that were focused and effective actions should be taken to prevent school-aged adolescents from PARI and maximize the benefits of PA.
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In China, a high prevalence of injuries is reported by those who participate in team sports, have lower safety awareness, exercise in slippery conditions, overextend their play, have excessive workout loads and do not warm up sufficiently.
“In addition, a high prevalence of injuries is also reported by those who participate in team sports, have lower safety awareness, exercise in slippery conditions, overextend their play,127 have excessive workout loads and do not warm up sufficiently.128”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [127]
In China, limited data indicate that injury risk is related to physical activity, with a high prevalence of activity-related injuries reported by boys and junior high students.
“In China, limited data indicate that injury risk is related to physical activity, with a high prevalence of activity-related injuries reported by boys and junior high students.127 128”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [127]
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Cites
HASKELL, W. L., LEE, I.-M., PATE, R. R., POWELL, K. E., BLAIR, S. N., FRANKLIN, B. A., MACERA, C. A., HEATH, G. W., THOMPSON, P. D., & BAUMAN, A. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3180616b27 · Cited by 4,616 · see citing works
Penedo, F. J., & Dahn, J. R. (2005) · Current Opinion in Psychiatry · doi:10.1097/00001504-200503000-00013 · Cited by 2,851 · see citing works
World report on child injury prevention
Sminkey, L. (2008) · Injury Prevention · doi:10.1136/ip.2007.018143 · Cited by 1,157 · see citing works
Adolescent Physical Activity and Health: A Systematic Review
Hallal, P. C., Victora, C. G., Azevedo, M. R., & Wells, J. C. K. (2006) · Sports Medicine · doi:10.2165/00007256-200636120-00003 · Cited by 986 · see citing works
Evaluating a model of parental influence on youth physical activity
Trost, S. G., Sallis, J. F., Pate, R. R., Freedson, P. S., Taylor, W. C., & Dowda, M. (2003) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(03)00217-4 · Cited by 802 · see citing works
Epidemiology of fractures in children and adolescents
Hedström, E. M., Svensson, O., Bergström, U., & Michno, P. (2010) · Acta Orthopaedica · doi:10.3109/17453671003628780 · Cited by 576 · see citing works
Epidemiology of injuries associated with physical training among young men in the army
Jones, B. H., Cowan, D. N., Tomlinson, J. P., ROBINSON, J. R., Polly, D. W., & Frykman, P. (1993) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199302000-00006 · Cited by 419 · see citing works
Risk Factors for Injury in Child and Adolescent Sport: A Systematic Review of the Literature
Emery, C. A. (2003) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200307000-00011 · Cited by 357 · see citing works
Parkkari, J. P., Kannus, P., Natri, A., Lapinleimu, I., Palvanen, M., Heiskanen, M., VUORI, I. M., & Järvinen, M. (2004) · International Journal of Sports Medicine · doi:10.1055/s-2004-819935 · Cited by 166 · see citing works
Cross national study of injury and social determinants in adolescents
Pickett, W., Molcho, M., Simpson, K. M. J., Janssen, I., Kuntsche, E. N., Mazur, J., Harel, Y., & Boyce, W. F. (2005) · Injury Prevention · doi:10.1136/ip.2004.007021 · Cited by 162 · see citing works
Emery, C. A., & Tyreman, H. (2009) · Paediatrics & Child Health · doi:10.1093/pch/14.7.439 · Cited by 158 · see citing works
The public health impact of injury during sport and active recreation
Finch, C. F., & Cassell, E. (2006) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2006.03.002 · Cited by 132 · see citing works
Physical inactivity is a risk factor for physical activity-related injuries in children
Bloemers, F. W., Collard, D. C. M., Chinapaw, M. J. M., van Mechelen, W., Twisk, J. W. R., & Verhagen, E. A. L. M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090546 · Cited by 127 · see citing works
Childhood Fractures in Bergen, Norway: Identifying High-Risk Groups and Activities
Brudvik, C. E., & Hove, L. M. (2003) · Journal of Pediatric Orthopaedics · doi:10.1097/01241398-200309000-00010 · Cited by 121 · see citing works
Childhood Fractures in Bergen, Norway: Identifying High-Risk Groups and Activities
Brudvik, C. E., & Hove, L. M. (2003) · Journal of Pediatric Orthopaedics · doi:10.1097/00004694-200309000-00010 · Cited by 119 · see citing works
Current injury or disability as a barrier to being more physically active
Finch, C. F., Owen, N. G., & PRICE, R. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200105000-00016 · Cited by 114 · see citing works
Scharte, M., Bolte, G., & for the GME Study Group (2012) · European Journal of Public Health · doi:10.1093/eurpub/cks062 · Cited by 97 · see citing works
Prevalence of adolescent injury from recreational exercise: an australian perspective
Grimmer, K. A., Jones, D., & Williams, J. (2000) · Journal of Adolescent Health · doi:10.1016/s1054-139x(00)00120-8 · Cited by 88 · see citing works
Patients With Ice Hockey Injuries Presenting to US Emergency Departments, 1990–2006
Deits, J., Yard, E. E., Collins, C. L., Fields, S. K., & Comstock, R. D. (2010) · Journal of Athletic Training · doi:10.4085/1062-6050-45.5.467 · Cited by 76 · see citing works
Economic burden of physical activity–related injuries in Dutch children aged 10–12
Collard, D. C. M., Verhagen, E. A. L. M., van Mechelen, W., Heymans, M. W., & Chinapaw, M. J. M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsm.2010.082545 · Cited by 69 · see citing works
Spinks, A. B., & McClure, R. J. (2007) · British Journal of Sports Medicine · doi:10.1136/bjsm.2006.033605 · Cited by 63 · see citing works
Pons‐Villanueva, J., Seguí‐Gómez, M., & Martínez‐González, M. Á. (2009) · International Journal of Epidemiology · doi:10.1093/ije/dyp319 · Cited by 53 · see citing works
King, M. A., Pickett, W., & King, A. J. C. (1998) · Canadian Journal of Public Health · doi:10.1007/bf03404082 · Cited by 49 · see citing works
Gignac, M. A. M., Cao, X., Ramanathan, S., White, L. M., Hurtig, M., Kunz, M., & Marks, P. (2015) · BMC Sports Science Medicine and Rehabilitation · doi:10.1186/2052-1847-7-4 · Cited by 49 · see citing works
Gilchrist, J., Haileyesus, T., Murphy, M., & Yard, E. E. (2011) · MMWR Morbidity and Mortality Weekly Report · Cited by 41 · see citing works
Prevention of sports injuries in children
Flynn, J. M. “., Lou, J. E., & Ganley, T. J. (2002) · Current Opinion in Pediatrics · doi:10.1097/00008480-200212000-00015 · Cited by 39 · see citing works
Wang, Z., Dong, Y., Song, Y., Yang, Z., & Ma, J. (2017) · PubMed · doi:10.3760/cma.j.issn.0254-6450.2017.03.013 · Cited by 26 · see citing works
(2011) · PubMed · Cited by 25 · see citing works
Physical activity, screen time, and school absenteeism: self-reports from NHANES 2005–2008
Hansen, A. R., Pritchard, T., Melnic, I., & Zhang, J. (2015) · Current Medical Research and Opinion · doi:10.1185/03007995.2015.1135112 · Cited by 22 · see citing works
Hallal, P. C., Dumith, S. C., Reichert, F. F., Menezes, A. M. B., Araújo, C. L., Wells, J. C. K., Ekelund, U., & Victora, C. G. (2011) · Journal of Physical Activity and Health · doi:10.1123/jpah.8.4.468 · Cited by 21 · see citing works
Telford, A., Finch, C. F., Barnett, L. M., Abbott, G., & Salmon, J. (2012) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090904 · Cited by 17 · see citing works
Revision and reliability validity assessment of Children's Leisure Activities Study Survey
Ji, Z. (2011) · Chinese Journal of School Health · Cited by 16 · see citing works
Ahn, S.-H., Um, Y.-J., Kim, Y. J., Kim, H. J., Oh, S., Lee, C. M., Kwon, H., & Joh, H. (2016) · Korean Journal of Family Medicine · doi:10.4082/kjfm.2016.37.5.279 · Cited by 16 · see citing works
Cardiorespiratory fitness and activity explains the obesity-deprivation relationship in children
Nevill, A. M., Duncan, M. J., Lahart, I. M., & SANDERCOCK, G. R. H. (2016) · Health Promotion International · doi:10.1093/heapro/daw106 · Cited by 14 · see citing works
Sports-Related Injuries in the United States: who Gets Care and who Does not
Gutierrez, G., Sills, M. R., Bublitz, C., & Westfall, J. M. (2006) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200603000-00009 · Cited by 9 · see citing works
Analysis on sports injuries of adolescents in ShangHai
Jie, Z. (2011) · Chinese Journal of School Health · Cited by 3 · see citing works
Epidemiological Study on Sports Injuries among Adolescents in Guangzhou
Qiu-l, L. (2015) · Journal of Guangzhou Sport University · Cited by 1 · see citing works
Flagged first, then by citations
2 of the 39 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Physical activity and health in Chinese children and adolescents: expert consensus statement (2020)
Chen, P., Wang, D., Shen, H., Yu, L., Gao, Q., Mao, L., Jiang, F., Luo, Y., Xie, M., Zhang, Y., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-102261 · Cited by 225 · see citing works
Koźlenia, D., & Domaradzki, J. (2021) · PeerJ · doi:10.7717/peerj.11399 · Cited by 42 · see citing works
Yu, Y., Yan, W., Yu, J., Xu, Y., Wang, D., & Wang, Y. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.842378 · Cited by 37 · see citing works
Gao, Y., Cai, W., Gao, L., Wang, J., Liang, J., Kwok, H. H. M., Jia, C.-X., & Li, L. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-021845 · Cited by 27 · see citing works
Uršej, E., Sekulić, D., Prus, D., Gabrilo, G., & Zaletel, P. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16173214 · Cited by 26 · see citing works
Construction of PARI public health education programs for Chinese undergraduates: a Delphi study
Kong, Y., Xu, H., Li, C., Yang, Y., Zhu, X., & Zuo, Y. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1390011 · Cited by 20 · see citing works
Kong, Y., Zhu, X., Yang, Y., Xu, H., Ma, L., & Zuo, Y. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1387789 · Cited by 18 · see citing works
Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana
Aboagye, R. G., Seidu, A., Bosoka, S. A., Hagan, J. E., & Ahinkorah, B. O. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18136800 · Cited by 18 · see citing works
Tang, D., Cai, W., Yang, W., Gao, Y., & Li, L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16132359 · Cited by 16 · see citing works
Jacob, L., Smith, L., Haro, J. M., Stickley, A., & Koyanagi, A. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.12.026 · Cited by 14 · see citing works
Alsulami, M., Madkhali, A. A., Alharbi, M. T., Alzahrani, A. A., Aljohani, I. N., Althaqafy, M., Alsulami, A., Eldigre, M., & Al‐Oraibi, S. (2022) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_369_22 · Cited by 13 · see citing works
Cai, W., Chen, S., Li, L., Yue, P., Yu, X., Gao, L., Yang, W., Jia, C.-X., & Gao, Y. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-040865 · Cited by 13 · see citing works
Choe, J.-P., Kim, J., Park, J.-H., Yoo, E., & Lee, J. M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010855 · Cited by 11 · see citing works
Jimenez-Garcia, J. A., Miller, M. B., & DeMont, R. G. (2022) · American Journal of Health Promotion · doi:10.1177/08901171221146434 · Cited by 11 · see citing works
Epidemiology of physical activity‐related injuries in Chinese university students
Cai, W., Gao, L., Li, L., Gao, Y., Jia, C.-X., Yang, W., Duan, S., & Zhang, H. (2019) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.13440 · Cited by 11 · see citing works
Said, M. A., Almatar, A. A., & Alibrahim, M. S. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054610 · Cited by 11 · see citing works
Epidemiology of Sports-Related Eye Injuries Among Athletes in Tianjin, China
Zhang, J., Zhu, X., Sun, Z., Wang, J., Sun, Z., Li, J., Huang, Y., Wang, T., Xie, R., Han, H., et al. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.690528 · Cited by 10 · see citing works
Öğretmenlerin ilk yardım konusundaki bilgi düzeylerinin belirlenmesi
Özlü, Z. K., Aras, G. U., Özlü, İ., Apay, S. E., Avşar, G., Coşar, Z., Küçükoğlu, A., & Taşkın, A. (2022) · Anatolian Journal of Health Research · doi:10.29228/anatoljhr.64990 · Cited by 7 · see citing works
Physical Activity-Related Injuries and Risk Factors among Secondary School Students in Hong Kong
Cai, W., Sun, Y., Peng, K., Kwok, H. H. M., Lei, L., Wu, S., Lam, C. K., Li, L., & Gao, Y. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17030747 · Cited by 7 · see citing works
Yu, Y., Li, X., Yan, W., Feng, B., Yu, J., & Wang, Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.912965 · Cited by 6 · see citing works
Kostičová, M., Kopčáková, J., Vašková, M., Slančová, T. K., Kolarčík, P., & Bakalár, P. (2023) · Injury Prevention · doi:10.1136/ip-2023-044936 · Cited by 6 · see citing works
Xu, L., Chen, S., Gao, D., Fang, Y., & Li, L. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1369583 · Cited by 6 · see citing works
Cai, W., Tang, D., Gao, Y., Yang, W., Chen, S., Gao, L., Jia, C.-X., & Li, L. (2020) · Scientific Reports · doi:10.1038/s41598-020-61197-7 · Cited by 6 · see citing works
Ding, L., Brewer, B., Mackey, M. J., Cai, H., Zhang, J., Song, Y.-D., & Cai, Q.-H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116406 · Cited by 5 · see citing works
Ding, L., Mackey, M. J., & Li, S. (2023) · Orthopaedic Journal of Sports Medicine · doi:10.1177/23259671231201170 · Cited by 4 · see citing works
Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?
Niemöller, U., Tanislav, C., & Kostev, K. (2023) · Healthcare · doi:10.3390/healthcare11202804 · Cited by 4 · see citing works
The role of technology in promoting sports participation among college students
Ye, Z., & Liu, H. (2025) · Education and Information Technologies · doi:10.1007/s10639-025-13669-4 · Cited by 3 · see citing works
Chen, S., Cai, W., Duan, S., Gao, L., Yang, W., Gao, Y., Jia, C.-X., Zhang, H., & Li, L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010828 · Cited by 3 · see citing works
Suadnyana, I. A. A., Novianti, I. G. A. S. W., Thanaya, S. A. P., Suharsono, A., & Setiawan, E. (2022) · JOURNAL SPORT AREA · doi:10.25299/sportarea.2022.vol7(3).10588 · Cited by 2 · see citing works
Jimenez-Garcia, J. A., Rodas, A. G., & DeMont, R. G. (2024) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2024.2343361 · Cited by 2 · see citing works
Jimenez-Garcia, J. A., Montpetit, C., & DeMont, R. G. (2023) · Measurement in Physical Education and Exercise Science · doi:10.1080/1091367x.2023.2211980 · Cited by 2 · see citing works
The implementation of sport learning at school: Reality and Injury
Graha, A. S., Sumaryanto, S., Sumaryanti, S., Arovah, N. I., & Mulyawan, R. (2023) · Jurnal Cakrawala Pendidikan · doi:10.21831/cp.v42i2.53754 · Cited by 4 · see citing works
Injuries in the context of physical education: A systematic literature review
Graha, A. S., Ridwan, A., Nurhadi, F. I., Yachsie, B. T. P. W. B., Yachsie, W. B., & Cakrawati, T. D. (2024) · doi:10.56984/8zg5608y6u · Cited by 1 · see citing works
Tang, D., Cai, W., Yang, W., Chen, S., & Li, L. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19074049 · Cited by 1 · see citing works
BODY COMPOSITION AND ITS RELATIONSHIP TO SPORTS INJURIES IN YOUNG FEMALE ACROBATIC GYMNASTS
Taboada-Iglesias, Y., Alonso-Fernández, D., Reguera-López-de-la-Osa, X., & Gutiérrez-Sánchez, Á. (2023) · Science of Gymnastics Journal · doi:10.52165/sgj.15.3.323-338 · Cited by 1 · see citing works
Patil, M. C., & Babu, S., V (2024) · Physiotherapy Quarterly · doi:10.5114/pq/162174 · Cited by 1 · see citing works
Wu, S., Huang, Y., Wang, L., Zhao, X. F., Lv, Q., & Wu, Q. (2024) · Children · doi:10.3390/children11050569
Cocjin, H. G., Chiu, J. M. S., Tan, G., & Valdevieso, M. E. M. (2024) · Research Square · doi:10.21203/rs.3.rs-4578785/v1
Epidemiological Profile of Spine Cases in a Tertiary Care Hospital
Chiu, J. M. S., Cocjin, H. G., Tan, G., & Valdevieso, M. E. M. (2024) · Philippine journal of orthopaedics. · doi:10.69472/poai.2024.19
Pinto, R. N., & Santhanakrishnan, S. (2025) · Journal of Health and Allied Sciences NU · doi:10.25259/jhasnu_99_2025
Giuriato, M., Lovecchio, N., Tortella, P., Gao, Y., & Laukkanen, A. (2026) · Journal of Teaching in Physical Education · doi:10.1123/jtpe.2025-0111
Zhao, W., Chen, H., Wang, J., Li, Y., Chen, R., & Zhou, J. (2026) · Advanced Biology · doi:10.1002/adbi.202500655
- Authors
- Cai, W., Gao, Y., Yang, W., Cheng, F., Tang, D., & Li, L.
- Affiliations
- Shantou University Medical College (CN)
- Hong Kong Baptist University (HK)
- Corresponding author
- Li, Liping
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2018-06-12
- Volume
- 15
- Issue
- 6
- Pages
- 1244
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC6025096
- OpenAlex
- W2808473696
- Cited by
- 42
- References
- 39
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 1
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HKBU Institutional Repository (Hong Kong Baptist University) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- injury risk factors, junior high school students, adolescents, sports injuries, safety awareness, sleep duration, exercise behavior, single-parent families, injury prevention, South China
- MeSH terms
- Adolescent, Athletic Injuries, Child, China, Cross-Sectional Studies, Female, Health Promotion, Humans, Male, Risk Factors, Health Behavior, Exercise, Incidence, Logistic Models
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