Background:Team-sport players have a particularly high injury risk.Although female sex is considered a risk factor,it is still unknown whether female and male team-sport players,in fact,differ in their injury rates.We aimed to compare injury rates between female and male players by systematically reviewing and meta-analyzing injury surveillance studies of both sexes in order to evaluate sex-specific differences in team-sport injuries.Methods:Studies that prospectively collected injury data for high-level female and male players (age ＞ 16 years) in basketball,field hockey,football(soccer),handball,rugby (union and sevens),and volleyball were included.Two reviewers (AZ and ALR) independently assessed study quality and extracted data for overall,match,training,and severe injuries (＞28 days' time loss) as well as data regarding injury locations and types.Incidence rate ratios (IRRs) were pooled in a meta-analysis,and meta-regression analysis was performed when 10 or more studies were available.Results:Of 20 studies,9 studies reported injury data from football,3 studies from rugby,3 studies from handball,1 study from basketball,1 study from field hockey,2 studies from volleyball,and 1 study from basketball and field hockey.For overall injuries,the pooled IRR =0.86(95％ confidence interval (95％CI):0.760.98) indicated significantly more injuries in male than in female players.For injury location,the pooled IRR showed higher injury rates in male athletes than in female athletes for upper extremity,hip/groin,thigh,and foot injuries.Female players had a significantly higher rate of anterior cruciate ligament injuries (IRR =2.15,95％CI:1.27-3.62) than male players.No significant sex-specific differences in IRR were found for match,training,severe injuries,concussions,or ankle sprains.Conclusion:Our meta-analysis provides evidence for sex-specific differences in the injury rates in team sports.Further epidemiological studies including both sexes in sports other than football are needed in order to strengthen the evidence.

Astrid Zech;Karsten Hollander;Astrid Junge;Simon Steib;Andreas Groll;Jonas Heiner;Florian Nowak;Daniel Pfeiffer;Anna Lina Rahlf

Department of Human Movement Science and Exercise Physiology,Friedrich Schiller University Jena,Jena 07749,Germany;MSH Medical School Hamburg,Hamburg 20457,Germany;Swiss Concussion Center,Schulthess Klinik,Zürich 8008,Switzerland;Department of Human Movement,Training and Active Aging,Heidelberg University,Heidelberg 69117,Germany;Department of Statistics,Technical University of Dortmund,Dortmund 44227,Germany;Department of Sports and Exercise Medicine,Institute of Human Movement Science,University of Hamburg,Hamburg 20146,Germany

运动与健康科学（英文）

[1]Astrid Zech;Karsten Hollander;Astrid Junge;Simon Steib;Andreas Groll;Jonas Heiner;Florian Nowak;Daniel Pfeiffer;Anna Lina Rahlf-.Sex differences in injury rates in team-sport athletes:A systematic review and meta-regression analysis)[J].运动与健康科学（英文）,2022(01):104-114

basketball,handball,rugby,sevens,volleyball,IRRs,concussions,sprains

Sex,differences,injury,rates,team,athletes,meta,regression,analysis,Background,Team,players,have,particularly,risk,Although,female,considered,still,unknown,whether,their,We,aimed,compare,between,systematically,reviewing,analyzing,surveillance,studies,both,sexes,order,evaluate,specific,injuries,Methods,Studies,that,prospectively,collected,data,level,age,years,field,hockey,football,soccer,union,were,included,Two,reviewers,AZ,ALR,independently,assessed,study,quality,extracted,overall,match,training,severe,days,loss,well,regarding,locations,types,Incidence,ratios,pooled,was,performed,when,more,available,Results,Of,reported,from,For,confidence,interval,indicated,significantly,than,showed,higher,upper,extremity,hip,groin,thigh,Female,had,anterior,cruciate,ligament,No,found,ankle,Conclusion,Our,provides,evidence,sports,Further,epidemiological,including,other,needed,strengthen

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