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Quality in Sport

Risk Factors for Stress Fractures in Athletes
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Risk Factors for Stress Fractures in Athletes

Authors

  • Aleksandra Minda The Infant Jesus Clinical Hospital, Williama Heerleina Lindleya 4, 02-005. Warsaw, Poland https://orcid.org/0009-0004-8862-712X
  • Barbara Anna Zapalska Independent Public Central Clinical Hospital of University Clinical Centre of Medical University of Warsaw ul. Banacha 1A, 02-097 Warszawa https://orcid.org/0009-0004-6417-877X
  • Antonina Teresa Witkowska Praga Hospital of the Transfiguration of the Lord Aleja Solidarności 67, 03-401 Warsaw https://orcid.org/0009-0007-9954-1462
  • Julia Piotrowska University of Warmia and Mazury, Medical Department Aleja Warszawska 30, 11-082 Olsztyn https://orcid.org/0009-0006-3261-018X
  • Aleksandra Łubińska-Kowalska University of Warmia and Mazury, Medical Department Aleja Warszawska 30, 11-082 Olsztyn https://orcid.org/0009-0007-2699-5965
  • Adrianna Domańska University of Warmia and Mazury, Medical Department Aleja Warszawska 30, 11-082 Olsztyn https://orcid.org/0009-0002-2720-2641
  • Adrianna Witkowska University of Warmia and Mazury, Medical Department Aleja Warszawska 30, 11-082 Olsztyn https://orcid.org/0009-0008-7314-8045
  • Monika Wendland Mazovian "Bródnowski" Hospital ul. Ludwika Kondratowicza 8, 03-242 Warszawa https://orcid.org/0009-0009-6894-8846
  • Krzysztof Julian Długosz Teaching Hospital of the University of Warmia and Mazury Aleja Warszawska 30, 10-082 Olsztyn https://orcid.org/0009-0000-8134-6115
  • Justyna Janikowska National Medical Institute of the Ministry of the Interior and Administration in Warsaw ul. Wołoska 137, 02-507 Warszawa, Poland https://orcid.org/0009-0001-8277-0855

DOI:

https://doi.org/10.12775/QS.2025.41.60307

Keywords

stress fractures, risk factors, athletes

Abstract

Introduction

Stress fractures can affect up to 10% of athletes, with amateurs who exhibit high levels of ambition being particularly at risk. This vulnerability is primarily due to their limited understanding of training principles and the physiological mechanisms of the body. Stress fractures result from prolonged, repetitive overload, which leads to the weakening of bone tissue and, consequently, bone fracture.

Aim of the study

The aim of this review article is to present the current state of knowledge regarding the risk factors for stress fractures in athletes.

Materials and Methods

This review is based on a literature search conducted on PubMed. The following keywords were used: stress fractures, risk factors, athletes

Conclusions

Stress fractures primarily result from excessive bone loading that exceeds the bone's ability to repair microdamage caused by daily activities. The mechanism of their formation is complex and related to an insufficient bone response to increased biomechanical demands. Although the causes can be diverse, several key factors are typically associated with the occurrence of these injuries. These include: improper type and intensity of training, female gender, low bone mineral density, nutritional deficiencies, prior stress fractures, and high and low BMI.

References

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Quality in Sport

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Published

2025-05-12

How to Cite

1.
MINDA, Aleksandra, ZAPALSKA, Barbara Anna, WITKOWSKA, Antonina Teresa, PIOTROWSKA, Julia, ŁUBIŃSKA-KOWALSKA, Aleksandra, DOMAŃSKA, Adrianna, WITKOWSKA, Adrianna, WENDLAND, Monika, DŁUGOSZ, Krzysztof Julian and JANIKOWSKA, Justyna. Risk Factors for Stress Fractures in Athletes. Quality in Sport. Online. 12 May 2025. Vol. 41, p. 60307. [Accessed 28 June 2025]. DOI 10.12775/QS.2025.41.60307.
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Vol. 41 (2025)

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Medical Sciences

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Copyright (c) 2025 Aleksandra Minda, Barbara Anna Zapalska, Antonina Teresa Witkowska, Julia Piotrowska, Aleksandra Łubińska-Kowalska, Adrianna Domańska, Adrianna Witkowska, Monika Wendland, Krzysztof Julian Długosz, Justyna Janikowska

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