Objective To systematically evaluate the influencing factors of stress fracture in high-intensity physical activity population. Methods Literature related to stress fractures in high-intensity physical activity population was retrieved from databases such as CNKI, Wanfang, VIP, CBM, PubMed, Embase, Cochrane Library, Web of Science, etc. with the publication time ranging from January 1,2000 to December 31, 2024. Two researchers independently conducted literature screening, data extraction, and quality evaluation. Two researchers independently conducted literature screening, data extraction, and quality evaluation. Results A total of 23 articles were included with a cumulative sample size of 1,479,201 cases. Meta-analysis showed that the influencing factors of stress fractures were previous fracture history (OR=1.66, 95% CI:1.30-2.11), gender(OR=1.25, 95% CI:1.20-1.31), subjective perception(OR=1.75, 95% CI:1.39-2.20), low BMI (OR=1.8, 95% CI:1.63-2.00), low serum level of 25 hydroxyvitamin D (OR=3.91, 95% CI:2.64-5.80), poor training performance (OR=2.21, 95% CI:1.67-2.92),amenorrhea (OR=3.55, 95% CI:2.06-6.41), and previous exercise habits(OR=0.54, 95% CI:0.44-0.67). Conclusions Previous fracture history, gender, subjective perception, low BMI, serum level of 25 hydroxyvitamin D, training performance, amenorrhea, and previous exercise history are all independent influencing factors of stress fractures in high-intensity physical activity population.
Key words
stress fracture /
influencing factors /
Meta-analysis /
high-intensity physical activity population /
exercise habits
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