{"id":11445,"date":"2025-01-13T06:00:32","date_gmt":"2025-01-13T05:00:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445"},"modified":"2025-01-10T16:03:10","modified_gmt":"2025-01-10T15:03:10","slug":"feels-like-temperatures-and-risk-of-injuries-in-athletic-championships","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2025\/01\/13\/feels-like-temperatures-and-risk-of-injuries-in-athletic-championships\/","title":{"rendered":"Feels-like temperatures and risk of injuries in athletic championships"},"content":{"rendered":"<p><span style=\"font-weight: 400\">This blog provides an overview of a recently published study on the <a href=\"https:\/\/bjsm.bmj.com\/content\/59\/1\/36.long\">\u201c<\/a><\/span><span style=\"font-weight: 400\"><a href=\"https:\/\/bjsm.bmj.com\/content\/59\/1\/36.long\">Association between feels-like temperatures and injury risk during international outdoor athletic championships: A prospective cohort study on 29,579 athlete starts during 10 championships<\/a>\u201d [1].<\/span><\/p>\n<h3>Why is this study important?<\/h3>\n<p><span style=\"font-weight: 400\">Anecdotal field experiences report that when the environmental temperatures are cold, athletes get more injuries than when it is hot. Athletes, coaches and medical staff, try to have this in mind when they are training and competing.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, there were few scientific events about this, which does not allow us to argue and support about this potential external environmental risk factor. Experimental animal studies show increased tissue damage (i.e., muscle or tendon) with decreased tissue temperature [2\u20134]. In athletics, lower rates of hamstring injuries were reported when temperatures were above 25\u00b0C, with higher rates when temperatures were between 10-14.9\u00b0C [5]. An improved understanding of the potential association between environmental temperatures and injuries would be of great interest to help the development of injury risk reduction strategies. Such a knowledge is important for both 1) clinical applications and 2) scientific knowledge.<\/span><\/p>\n<h3>How did the study go about this?<\/h3>\n<p><span style=\"font-weight: 400\">This study was a total population study. We used i) injury data routinely collected by medical teams using the same methods during 10 international outdoor athletics championships from 2007 to 2022, ii) feels-like temperatures data using the Universal Thermal Climate Index (UTCI) [6] from Di Napoli et al., [7] (who combined the meteorological variables air temperature, humidity, wind speed and solar radiation as provided in the ERA5-HEAT dataset [8], extracted hourly during each championship), and iii) exposure data (i.e., number of athlete starts of each round and event of each championship).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We then performed Poisson regressions with incidence rates (number of injuries per 1,000 athlete starts) as outcomes and UTCI as a predictive variable adjusted for sex, for all and time-loss injuries, for different injured tissue types (i.e., muscle, tendon, ligament, articular, bone, and skin) and specific discipline (i.e., sprints, hurdles, jumps, throws, middle distance, long distance, marathon, and race walking).<\/span><\/p>\n<h3>What did the study find?<\/h3>\n<p><span style=\"font-weight: 400\">During 10 international outdoor athletics championships from 2007-2022, a total of 1,203 in-competition injuries were reported for 29,579 athlete starts.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The main findings of the present study were that:<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">For all in-competition injuries (i.e., all injured tissue types and all disciplines), higher UTCI was associated with lower incidence rates for time-loss injuries (Incidence Rate Ratio (IRR)=0.98, 95%CI: 0.97-0.98) but not for all injuries (IRR=1.00, 95%CI: 1.00-1.01).\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Based on injured tissue type with all disciplines included, higher UTCI was associated with lower incidence rates for all (IRR=0.97, 95%CI: 0.97-0.98) and time-loss (IRR=0.96, 95%CI: 0.96-0.96) muscle injuries.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Based on the specific discipline, higher UTCI was associated with lower incidence rates for all and time-loss muscle injuries for sprints (IRR=0.95, 95%CI: 0.95-0.96, and IRR=0.94, 95%CI: 0.93-0.94, respectively), hurdles (IRR=0.97, 95%CI: 0.96-97, and IRR=0.95, 95%CI: 0.94-0.96, respectively), and throws (IRR=0.97, 95%CI: 0.97-0.98).<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>What are the key take-home points?<span style=\"font-weight: 400\">\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400\">From a clinical perspective, these results can be presented as: for every 10\u00b0C decrease in feels-like temperature (in the whole UTCI data range from 1.1\u00b0C to 38.9\u00b0C), the risk of time-loss injury increased by about 20%, and the risk of muscle injury increased by 30-40% [1]. Specific analyses of each discipline revealed that this association was also found for sprints, hurdles and throws, where for every 10\u00b0C decrease (in the whole UTCI data range from 1.1\u00b0C to 38.9\u00b0C), the risk of injury or muscle injury increased by 20-60% according to disciplines [1].\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The present results may inform injury risk reduction strategies at athletics competitions, and especially for muscle injuries which are the predominant in athletics [9,10]. Although the precise mechanism for higher muscle injury rates with lower feels-like temperatures requires further investigation, the present results provide an additional opportunity for risk reduction strategies. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Since lower feels-like temperatures were associated with a higher risk of muscle injuries, we can suggest improving the strategies to manage with lower feels-like temperatures, by, for instance, <\/span><span style=\"font-weight: 400\">i) adapting clothing by wearing warmer clothing in cold outdoor environments with the aim of limiting muscle temperature decrease, ii) active and\/or passive methods with the aim of increasing muscle temperature (e.g., improving and increasing warm-up quality and duration, using devices to heat the body) [11], and\/or iii) adapting the timing of the event to the weather conditions or by anticipating preparation according to the weather conditions to avoid\/limit environmental heat or cold stress conditions.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-11446\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/01\/Slide1-217x300.jpeg\" alt=\"\" width=\"691\" height=\"956\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/01\/Slide1-217x300.jpeg 217w, https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/01\/Slide1-768x1061.jpeg 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/01\/Slide1-640x884.jpeg 640w\" sizes=\"auto, (max-width: 691px) 100vw, 691px\" \/><\/p>\n<h5>References<\/h5>\n<p><span style=\"font-weight: 400\">1 <\/span> <span style=\"font-weight: 400\">Edouard P, Dandrieux P-E, Kl\u00f6wer M, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> Association between feel-like temperatures and injury risk during international outdoor athletic championships: a prospective cohort study on 29 579 athlete starts during 10 championships. <\/span><i><span style=\"font-weight: 400\">Br J Sports Med<\/span><\/i><span style=\"font-weight: 400\">. Published Online First: 22 October 2024. doi: 10.1136\/bjsports-2023-108050<\/span><\/p>\n<p><span style=\"font-weight: 400\">2 <\/span> <span style=\"font-weight: 400\">LaBan MM. Collagen tissue: implications of its response to stress in vitro. <\/span><i><span style=\"font-weight: 400\">Arch Phys Med Rehabil<\/span><\/i><span style=\"font-weight: 400\">. 1962;43:461\u20136.<\/span><\/p>\n<p><span style=\"font-weight: 400\">3 <\/span> <span style=\"font-weight: 400\">Warren CG, Lehmann JF, Koblanski JN. Elongation of rat tail tendon: effect of load and temperature. <\/span><i><span style=\"font-weight: 400\">Arch Phys Med Rehabil<\/span><\/i><span style=\"font-weight: 400\">. 1971;52:465\u201374.<\/span><\/p>\n<p><span style=\"font-weight: 400\">4 <\/span> <span style=\"font-weight: 400\">Safran MR, Garrett WE, Seaber A V., <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> The role of warmup in muscular injury prevention. <\/span><i><span style=\"font-weight: 400\">Am J Sports Med<\/span><\/i><span style=\"font-weight: 400\">. 1988;16:123\u20139. doi: 10.1177\/036354658801600206<\/span><\/p>\n<p><span style=\"font-weight: 400\">5 <\/span> <span style=\"font-weight: 400\">Tokutake G, Kuramochi R. Association of hamstring strain injuries with season and temperature in track and field collegiate athletes in Japan: A descriptive epidemiological study. <\/span><i><span style=\"font-weight: 400\">Asian J Sports Med<\/span><\/i><span style=\"font-weight: 400\">. 2020;11:e96743. doi: 10.5812\/asjsm.96743<\/span><\/p>\n<p><span style=\"font-weight: 400\">6 <\/span> <span style=\"font-weight: 400\">Kl\u00f6wer M, Edouard P, Niess AM, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> Forecasting feels-like temperatures as a strategy to reduce heat illnesses during sport events. <\/span><i><span style=\"font-weight: 400\">Br J Sports Med<\/span><\/i><span style=\"font-weight: 400\">. 2023;57:559\u201361. doi: 10.1136\/bjsports-2022-106413<\/span><\/p>\n<p><span style=\"font-weight: 400\">7 <\/span> <span style=\"font-weight: 400\">Di Napoli C, Hogan RJ, Pappenberger F. Mean radiant temperature from global-scale numerical weather prediction models. <\/span><i><span style=\"font-weight: 400\">Int J Biometeorol<\/span><\/i><span style=\"font-weight: 400\">. 2020;64:1233\u201345. doi: 10.1007\/s00484-020-01900-5<\/span><\/p>\n<p><span style=\"font-weight: 400\">8 <\/span> <span style=\"font-weight: 400\">Di Napoli C, Barnard C, Prudhomme C, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> ERA5-HEAT: A global gridded historical dataset of human thermal comfort indices from climate reanalysis. <\/span><i><span style=\"font-weight: 400\">Geosci Data J<\/span><\/i><span style=\"font-weight: 400\">. 2021;8:2\u201310. doi: 10.1002\/gdj3.102<\/span><\/p>\n<p><span style=\"font-weight: 400\">9 <\/span> <span style=\"font-weight: 400\">Edouard P, Hollander K, Navarro L, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> Lower limb muscle injury location shift from posterior lower leg to hamstring muscles with increasing discipline-related running velocity in international athletics championships. <\/span><i><span style=\"font-weight: 400\">J Sci Med Sport<\/span><\/i><span style=\"font-weight: 400\">. 2021;24:653\u20139. doi: 10.1016\/j.jsams.2021.02.006<\/span><\/p>\n<p><span style=\"font-weight: 400\">10 <\/span> <span style=\"font-weight: 400\">Edouard P, Reurink G, Mackey AL, <\/span><i><span style=\"font-weight: 400\">et al.<\/span><\/i><span style=\"font-weight: 400\"> Traumatic muscle injury. <\/span><i><span style=\"font-weight: 400\">Nat Rev Dis Primers<\/span><\/i><span style=\"font-weight: 400\">. 2023;9:56. doi: 10.1038\/s41572-023-00469-8<\/span><\/p>\n<p><span style=\"font-weight: 400\">11 <\/span> <span style=\"font-weight: 400\">Racinais S, Cocking S, P\u00e9riard JD. Sports and environmental temperature: From warming-up to heating-up. Temperature. 2017;4:227\u201357.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Authors and affiliations:<\/b><\/p>\n<p><span style=\"font-weight: 400\">Pascal Edouard (<\/span><span style=\"font-weight: 400\">1,2,3)<\/span><span style=\"font-weight: 400\">, Pierre-Eddy Dandrieux (<\/span><span style=\"font-weight: 400\">1,4,5<\/span><span style=\"font-weight: 400\">) Milan Kl\u00f6wer (<\/span><span style=\"font-weight: 400\">6)<\/span><span style=\"font-weight: 400\">, Astrid Junge (<\/span><span style=\"font-weight: 400\">5)<\/span><span style=\"font-weight: 400\">, S\u00e9bastien Racinais (<\/span><span style=\"font-weight: 400\">7,8)<\/span><span style=\"font-weight: 400\">, Pedro Branco (<\/span><span style=\"font-weight: 400\">3)<\/span><span style=\"font-weight: 400\">, Karsten Hollander (<\/span><span style=\"font-weight: 400\">5)<\/span><span style=\"font-weight: 400\">, Laurent Navarro (<\/span><span style=\"font-weight: 400\">4)<\/span><\/p>\n<p><b>Affiliations:<\/b><\/p>\n<p><span style=\"font-weight: 400\">1<\/span><span style=\"font-weight: 400\"> Universit\u00e9 Jean Monnet, Lyon 1, Universit\u00e9 Savoie Mont-Blanc, Inter-university Laboratory of Human Movement Biology, EA 7424, F-42023, Saint-Etienne, France<\/span><\/p>\n<p><span style=\"font-weight: 400\">2 <\/span><span style=\"font-weight: 400\">Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France<\/span><\/p>\n<p><span style=\"font-weight: 400\">3 <\/span><span style=\"font-weight: 400\">European Athletics Medical &amp; Anti-Doping Commission, European Athletics Association (EAA), Lausanne, Switzerland<\/span><\/p>\n<p><span style=\"font-weight: 400\">4<\/span> <span style=\"font-weight: 400\">Mines Saint-Etienne, Univ Lyon, Univ Jean Monnet, INSERM, U 1059 Sainbiose, Centre CIS, F-42023 Saint-Etienne France<\/span><\/p>\n<p><span style=\"font-weight: 400\">5<\/span><span style=\"font-weight: 400\"> Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany<\/span><\/p>\n<p><span style=\"font-weight: 400\">6<\/span><span style=\"font-weight: 400\"> Earth, Atmospheric and Planetary Sciences, Massachusetts Institute of Technology, Cambridge MA, USA<\/span><\/p>\n<p><span style=\"font-weight: 400\">7<\/span><span style=\"font-weight: 400\"> CREPS Montpellier \u2013 Font Romeu, Environmental stress unit, Montpellier, France<\/span><\/p>\n<p><span style=\"font-weight: 400\">8<\/span><span style=\"font-weight: 400\"> DMEM, Univ Montpellier, INRAE, Montpellier, France<\/span><\/p>\n<p><b>Contact\u00a0: <\/b><span style=\"font-weight: 400\">Pascal Edouard, MD PhD, Department of Clinical and Exercise Physiology, Sports Medicine Unit, IRMIS, Campus Sant\u00e9 Innovations, University Hospital of Saint-Etienne, 42\u00a0055 Saint-Etienne cedex 2, France. Tel.: +33 674\u00a0574 691; Fax numbers: +33 477 127 229; E-mail: Pascal.Edouard@univ-st-etienne.fr<\/span><b><br \/>\n<\/b><\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This blog provides an overview of a recently published study on the \u201cAssociation between feels-like temperatures and injury risk during international outdoor athletic championships: A prospective cohort study on 29,579 athlete starts during 10 championships\u201d [1]. Why is this study important? Anecdotal field experiences report that when the environmental temperatures are cold, athletes get more [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2025\/01\/13\/feels-like-temperatures-and-risk-of-injuries-in-athletic-championships\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":464,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16370,16068,1399,16369,519],"class_list":["post-11445","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-climate","tag-featured","tag-injury","tag-temperature","tag-training"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Feels-like temperatures and risk of injuries in athletic championships - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=11445\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Feels-like temperatures and risk of injuries in athletic championships - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"This blog provides an overview of a recently published study on the \u201cAssociation between feels-like temperatures and injury risk during international outdoor athletic championships: A prospective cohort study on 29,579 athlete starts during 10 championships\u201d [1]. 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BJSM blog - social media&#039;s leading SEM voice","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445","og_locale":"en_US","og_type":"article","og_title":"Feels-like temperatures and risk of injuries in athletic championships - BJSM blog - social media&#039;s leading SEM voice","og_description":"This blog provides an overview of a recently published study on the \u201cAssociation between feels-like temperatures and injury risk during international outdoor athletic championships: A prospective cohort study on 29,579 athlete starts during 10 championships\u201d [1]. Why is this study important? Anecdotal field experiences report that when the environmental temperatures are cold, athletes get more [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445","og_site_name":"BJSM blog - social media&#039;s leading SEM voice","article_published_time":"2025-01-13T05:00:32+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/01\/Slide1-217x300.jpeg","type":"","width":"","height":""}],"author":"bjsm","twitter_card":"summary_large_image","twitter_misc":{"Written by":"bjsm","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445"},"author":{"name":"bjsm","@id":"https:\/\/blogs.bmj.com\/bjsm\/#\/schema\/person\/e5c423b95aa02d621ac95e263c08e07f"},"headline":"Feels-like temperatures and risk of injuries in athletic championships","datePublished":"2025-01-13T05:00:32+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445"},"wordCount":1179,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/01\/Slide1-217x300.jpeg","keywords":["climate","featured","injury","temperature","training"],"articleSection":["General"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bjsm\/?p=11445#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445","url":"https:\/\/blogs.bmj.com\/bjsm\/?p=11445","name":"Feels-like temperatures and risk of injuries in athletic championships - 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