Impact of sports participation on incidence of bone traumatic fractures and health-care costs among adolescents: ABCD - Growth Study

Phys Sportsmed. 2020 Sep;48(3):298-303. doi: 10.1080/00913847.2019.1685859. Epub 2019 Nov 5.


Objective: To analyze the risk of bone traumatic fractures according to the engagement in sports, as well as to identify the potential impact of sports participation and traumatic fractures on health-care costs among adolescents. Methods: This is a longitudinal 12-month study of 285 adolescents of both sexes in Brazil. We assessed the occurrence of traumatic fractures and health-care services (hospitalizations, medicine use, medical consultations, and exams) by phone contact every month for 12 months. Adolescents were divided into four groups according to sport characteristics: non-sport (n = 104), non-impact sport (swimming [n = 34]), martial arts (n = 49 [judo, karate, kung-Fu]) and impact sports (n = 98 [track-and-field, basketball, gymnastics, tennis, and baseball]). Results: The incidence of new fractures was 2.1%. The overall costs accounted during the 12-month follow-up were U$ 3,259.66. Swimmers (US$ 13.86) had higher health-care costs than non-sport (US$ 1.82), martial arts (US$ 2.23), and impact sports (US$ 2.32). Conclusion: swimming seems to be related to higher health-care costs among adolescents.

Keywords: Athletic injuries; bone; bone mineral density; economics; pediatrics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Brazil / epidemiology
  • Female
  • Fractures, Bone / economics*
  • Fractures, Bone / epidemiology*
  • Health Care Costs*
  • Humans
  • Incidence
  • Longitudinal Studies
  • Male
  • Risk Factors
  • Swimming / injuries
  • Youth Sports / economics*
  • Youth Sports / injuries*