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Table 6 Results of the best evidence synthesis concerning all injuries

From: The Association Between Training Load and Injury Risk in Elite Youth Soccer Players: a Systematic Review and Best Evidence Synthesis

Risk factor

Study

Specification of independent variable

Outcome OR/RR (95% CI)

Best evidence synthesis

Presence of association

Level of evidence

External load parameters

 Total distance

Bowen et al. [27]

Accumulated 1/2/3/4-week loads

  

Insufficient

TD—low

TD—moderately low

TD—moderately high

TD—high

TD—very high

0.25/0.62/0.53/0.89

1.38/0.76/1.23/0.73

0.95/1.55/1.36/1.19

1.57/1.27/1.31/1.64

2.59/2.88/2.37/1.29

Yes/no/no/no

No/no/no/no

No/yes/no/no

No/no/no/yes

No/no/no/no

 High speed running

Bowen et al. [27]

Accumulated 1/2/3/4-week loads

  

Insufficient

HSD—low

HSD—moderately low

HSD—moderately high

HSD—high

HSD—very high

0.38/0.30/0.67/0.79

1.16/0.81/0.84/0.73

1.73/1.72/1.15/1.56

0.59/1.45/1.66/1.26

0.82/0.00/0.33/0.33

Yes/yes/no/no

No/no/no/no

Yes/yes/no/yes

No/no/yes/no

No/no/no/no

 Acceleration

Bowen et al. [27]

Accumulated 1/2/3/4-week loads

  

Insufficient

ACC—low

ACC—moderately low

ACC—moderately high

ACC—high

ACC—very high

0.35/0.51/0.63/0.93

1.01/0.92/0.77/0.82

1.00/1.21/1.32/1.01

1.83/1.37/1.38/1.66

3.06/3.19/3.84/2.37

Yes/no/no/no

No/no/no/no

No/no/no/no

Yes/no/no/yes

Yes/yes/yes/no

 Total load

Bowen et al. [27]

Accumulated 1/2/3/4-week loads

  

Insufficient

TL—low

TL—moderately low

TL—moderately high

TL—high

TL—very high

0.27/0.50/0.55/0.75

1.45/1.07/0.98/1.01

0.98/1.38/1.39/1.12

1.65/1.03/1.09/1.20

2.00/1.93/1.59/1.84

Yes/no/no/no

No/no/no/no

No/no/no/no

Yes/no/no/no

No/no/no/no

 ACWR

Bowen et al. [27]

Overall/low chronic/high chronic

  

Insufficient

TD—low

TD—moderately low

TD—moderately high

TD—high

TD—very high

HSD—low

HSD—moderately low

HSD—moderately high

HSD—high

HSD—very high

ACC—low

ACC—moderately low

ACC—moderately high

ACC—high

ACC—very high

TL—low

TL—moderately low

TL—moderately high

TL—high

TL—very high

1.00/0.28/0.91

1.25/1.43/0.98

0.97/0.97/1.19

1.13/1.76/1.21

2.09/–/1.80

0.47/0.47/1.52

1.10/0.86/1.11

1.32/1.30/1.27

0.98/1.82/0.50

0.95/–/1.63

0.85/0.29/0.71

1.16/1.49/1.04

1.15/0.94/1.25

1.44/1.70/1.10

2.09/–/2.71

0.84/0.37/0.81

1.15/1.15/1.22

1.34/1.16/1.34

1.01/1.59/0.43

1.17/–/2.67

No/yes/no

No/no/no

No/no/no

No/no/no

No/n.a./no

Yes/no/no

No/no/no

No/no/no

No/no/no

No/n.a./no

No/yes/no

No/no/no

No/no/no

No/no/no

No/n.a./no

No/no/no

No/no/no

No/no/no

No/no/no

No/n.a./no

Combined internal/external load parameters

 Workload

Delecroix et al. [29]

U19

  

Insufficient

Moderate (1-week workload)

1-week workload

2-week cumulative workload

3-week cumulative workload

4-week cumulative workload

U21

1-week workload

2-week cumulative workload

3-week cumulative workload

4-week cumulative workload

1.11 (0.84–1.50)

1.03 (0.77–1.38)

0.97 (0.74–1.28)

1.00 (0.76–1.33)

1.18 (0.92–1.52)

1.28 (0.97–1.69)

1.39 (1.041.84)

1.40 (1.061.86)

No

No

No

No

No

No

Yes

Yes

Raya-Gonzálaz et al. [30]

Sum of load (RPE*duration) for all training sessions and matches for each week

1.00 (0.99–1.00)a

No

 ACWR

Delecroix et al. [29]

U19

  

Insufficient

Moderate (4-week A:C workload)

2-week A:C workload

3-week A:C workload

4-week A:C workload

Week-to-week workload changes

U21

2-week A:C workload

3-week A:C workload

4-week A:C workload

Week-to-week workload changes

0.99 (0.90–1.09)

1.01 (0.95–1.06)

1.01 (0.96–1.07)

1.00 (0.96–1.04)

0.86 (0.58–1.29)

0.88 (0.66–1.16)

0.89 (0.71–1.13)

1.00 (0.95–1.06)

No

No

No

No

No

No

No

No

Raya-Gonzálaz et al. [30]

Sum of the current week’s load (acute load) divided by the average weekly training load over the previous four weeks (chronic load)

0.16 (0.01–1.84)a

No

  1. In bold are statistically significant (p < 0.05) associations
  2. OR odds ratio, RR risk ratio, CI confidence interval, ref reference, TD total distance, HSD high speed distance, ACC acceleration, TL total load, HSR high speed running, min minutes, ACWR acute to chronic workload ratio, n.a. not applicable, RPE rate of perceived exertion, SD standard deviation, U19 under 19 years squad, U21 under 21 years squad, A:C acute to chronic
  3. a90% confidence interval