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Scandinavian Journal of Medicine and Science in Sports
Article . 2026 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Article . 2026
License: CC BY
Data sources: PubMed Central
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Baseline Inflammatory Markers as Predictors of Running‐Related Injuries: A One‐Year Prospective 4HAIE Cohort Study

Authors: Lukas Cipryan; Jiri Skypala; Martina Litschmannova; Daniel Jandacka; Tomas Dostal; Dominik Sindler; David Zahradnik; +1 Authors

Baseline Inflammatory Markers as Predictors of Running‐Related Injuries: A One‐Year Prospective 4HAIE Cohort Study

Abstract

ABSTRACT Inflammatory processes may contribute to running‐related injury (RRI) susceptibility, yet the predictive value of baseline inflammatory biomarkers remains unclear. This prospective study investigated whether baseline biochemical markers of inflammation predict RRI occurrence in healthy individuals over 1 year, while accounting for training, physiological, and injury history variables. A total of 1315 healthy individuals (recreational runners and inactive controls) were followed for 12 months with prospective injury surveillance. Baseline blood samples were analyzed for inflammatory markers. Multivariable logistic regression examined associations between baseline biomarkers and RRI occurrence, adjusting for age, sex, peak oxygen consumption, weekly running distance, total body fat, and history of musculoskeletal trauma. Significant predictors of RRI included baseline tumor necrosis factor alpha (TNF‐α) (OR per 1 pg/mL: 1.25, 95% CI: 1.08–1.44), history of musculoskeletal trauma (OR: 1.42, 95% CI: 1.06–1.90), weekly running distance, and age. Interleukin‐1 receptor antagonist (IL‐1RA) showed a modest protective association (OR per 10 pg/mL: 0.99, 95% CI: 0.99–1.00). However, the model demonstrated limited discriminatory ability (AUC = 0.66), indicating that baseline inflammatory markers alone are insufficient for individual‐level injury prediction. Baseline TNF‐α and IL‐RA are significantly associated with RRI occurrence, suggesting that inflammatory phenotype contributes to injury susceptibility. However, TNF‐α and IL‐1RA cannot serve as reliable standalone screening tools, and our findings indicate that baseline inflammatory phenotype represents one component of multifactorial injury risk. While baseline TNF‐α and IL‐1RA measurements are unlikely to transform clinical practice in isolation, understanding inflammatory contributions to injury susceptibility may inform more effective injury‐prevention strategies.

Keywords

Male, Adult, Inflammation, Tumor Necrosis Factor-alpha, Middle Aged, Running, Interleukin 1 Receptor Antagonist Protein, Young Adult, Logistic Models, Risk Factors, Athletic Injuries, Humans, Original Article, Female, Prospective Studies, Biomarkers

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Top 10%
Average
Average
Green
hybrid