We investigated the independent effect of commonly postulated risk factors on injury incidence in amateur football (soccer), using a prospective cohort design with follow-up over two seasons. A total of 1702 male and female players aged 13 years or older contributed information on 21,797 player-matches. Confirmed, were the effect of male vs. female sex (injury rate ratios (IRR) = 0.81, 95% confidence interval (CI): 0.67-0.97), older age (increasing IRR gradient), New Zealand European ethnicity (IRR = 0.87, 95% CI: 0.74-1.01), being taller (180-189 cm: IRR = 1.32, 95% CI: 1.06-1.63), previous injury (IRR = 1.32, 95% CI: 1.12-1.57), playing against medical advice (IRR = 1.24, 95% CI: 1.03-1.49), playing while recovering from injury (IRR = 1.40, 95% CI: 1.20-1.49), history of cigarette smoking (IRR = 1.27, 95% CI: 1.00-1.61) and time of season (IRR = 0.97, 95% CI: 0.96-0.98). Female, adult, non-European and taller players could be paid particular attention in injury prevention programmes. The need for effective injury management is reinforced. Adding physical conditioning to pre-season training may be required.
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