Biology of Sport
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Original paper

Injury incidence, burden and associated risk factors in walking football players

Maite Lejonagoitia-Garmendia
1, 2
,
Iraia Bidaurrazaga-Letona
1
,
Iratxe Duñabeitia
1
,
Izaro Esain
1
,
Rakel Berriozabalgoitia
1
,
Begoña Sanz
1, 3
,
Xabier Monasterio
1, 2
,
Jon Larruskain
2
,
Susana M Gil
1

  1. Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (EHU), Leioa, Spain
  2. Medical Services, Athletic Club, Lezama, Spain
  3. Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
Biol Sport. 2026;43:499–510
DOI: https://doi.org/10.5114/biolsport.2026.154946
Online publish date: 2025/10/31
Article file
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1. Xu Q, Silva R, Żmijewski P, et al. Recreational soccer and basketball improve anthropometric, body composition and health-related outcomes in overweight and obese young adults: a randomized multi-arm study. Biol Sport. 2025; 42(2):21–33. doi: 10.5114/biolsport.2025.139859.
2. Arnold JT, Bruce-Low S, Sammut L. The impact of 12 weeks walking football on health and fitness in males over 50 years of age. BMJ Open Sport Exerc Med. 2015; 1(1):bmjsem-2015-000048. doi: 10.1136/bmjsem-2015-000048.
3. Xu Q, Silva R, Żmijewski P, et al. Enhancing physical fitness using recreational soccer and basketball: a parallel-controlled 8-week study involving overweight and obese individuals, with consideration of sex-related interactions. Biol Sport. 2025; 42(1):47–58. doi: 10.5114 /biolsport.2025.139081.
4. Reddy P, Dias I, Holland C, et al. Walking football as sustainable exercise for older adults – a pilot investigation. Eur J Sport Sci. 2017; 17(5):638–645. doi: 10.1080 /1746391.2017.1298671.
5. Capela A, Antunes P, Coelho CA, et al. Effects of walking football on adherence, safety, quality of life and physical fitness in patients with prostate cancer: findings from the PROSTATA_MOVE randomized controlled trial. Front Oncol. 2023; 13:1129028. doi: 10.3389 /fonc.2023.1129028.
6. Cholerton R, Breckon J, Butt J, Quirk H. Experiences influencing walking football initiation in 55- to 75-year-old adults: a qualitative study. J Aging Phys Act. 2019; 28(4):521–533. doi: 10.1123 /japa.2019-0123.
7. Lamont E, Harris J, McDonald G, Kerin T, Dickens GL. Qualitative investigation of the role of collaborative football and walking football groups in mental health recovery. Ment Health Phys Act. 2017;12:116–123. doi: 10.1016 /j.mhpa.2017.03.003.
8. Castagna C, Krustrup P, Póvoas S. Cardiovascular fitness and health effects of various types of team sports for adult and elderly inactive individuals – a brief narrative review. Prog Cardiovasc Dis. 2020; 63(6):709–722. doi: 10.1016 /j.pcad.2020.11.005.
9. López-Valenciano A, Ruiz-Pérez I, Garcia-Gómez A, et al. Epidemiology of injuries in professional football: a systematic review and meta-analysis. Br J Sports Med. 2020; 54(12):711–718. doi: 10.1136 /bjsports-2018-099577.
10. Barbosa A, Brito J, Costa J, Figueiredo P, Seabra A, Mendes R. Feasibility and safety of a walking football program in middle-aged and older men with type 2 diabetes. Prog Cardiovasc Dis. 2020; 63(6):786–791. doi: 10.1016 /j.pcad.2020.06.014.
11. Egger F, Ditscheid A, Schwarz M, Meyer T. Physical demands of walking football in patients with cardiovascular risk factors and diseases. Clin J Sport Med. 2024; 34(5):462–468. doi: 10 .1097/JSM.0000000000001218.
12. Price AG, James RM, Hough J, et al. Benefits and risks of walking football for healthy ageing: a narrative review. BMJ Open Sport Exerc Med. 2025; 11(2):e002438. doi: 10.1136 /bmjsem-2024-002438.
13. Price AG, Sprouse B, Chandran A, et al. Injury surveillance in The FA Walking Football Cup 2024. Sci Med Football. 2025. doi: 10.1080/24733938.2025 .2524172.
14. Price AG, Sprouse B, Chandran A, et al. Injury incidence in community-based walking football: a four-month cohort study of 6000+ hours of play. Sports (Basel). 2025; 13(5):150. doi: 10 .3390/sports13050150.
15. Carcelén-Fraile MDC, Aibar-Almazán A, Afanador-Restrepo DF, et al. Does an association among sarcopenia and metabolic risk factors exist in people older than 65 years? A systematic review and meta-analysis of observational studies. Life (Basel). 2023; 13(3):648. doi: 10.3390/life13030648.
16. Roberts HC, Denison HJ, Martin HJ, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011; 40(4):423–429.
17. Meckel Y, Machnai O, Eliakim A. Relationship among repeated sprint tests, aerobic fitness, and anaerobic fitness in elite adolescent soccer players. J Strength Cond Res. 2009; 23(1):163–169. doi: 10.1519/JSC.0b013e31818b9651.
18. Perchthaler D, Grau S, Hein T. Evaluation of a six-week whole-body vibration intervention on neuromuscular performance in older adults. J Strength Cond Res. 2015; 29(1):86–95. doi: 10 .1519/JSC.0000000000000608.
19. Parraca JA, Adsuar JC, Domínguez- -Muñoz FJ, Barrios-Fernandez S, Tomas-Carus P. Test-retest reliability of isokinetic strength measurements in lower limbs in elderly. Biology (Basel). 2022; 11(6):802. doi: 10.3390 /biology11060802.
20. Fuller CW, Ekstrand J, Junge A, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med. 2006; 40(3):193–201. doi: 10.1136/bjsm.2005.025270.
21. Therneau TM, Grambsch PM. Modeling survival data: Extending the Cox model. New York: Springer; 2000.
22. Gabbett TJ, Ullah S, Finch CF. Identifying risk factors for contact injury in professional rugby league players – application of a frailty model for recurrent injury. J Sci Med Sport. 2012; 15(6):496–504. doi: 10.1016 /j.jsams.2012.03.017.
23. Larruskain J, Lekue JA, Diaz N, Odriozola A, Gil SM. A comparison of injuries in elite male and female football players: a five-season prospective study. Scand J Med Sci Sports. 2018; 28(1):237–245. doi: 10.1111 /sms.12860.
24. Gurau TV, Gurau G, Musat CL, et al. Epidemiology of injuries in professional and amateur football men (Part II). J Clin Med. 2023; 12(19):6293. doi: 10.3390/jcm12196293.
25. Hammes D, Aus Der Fünten K, Kaiser S, et al. Injuries of veteran football (soccer) players in Germany. Res Sports Med. 2015; 23(2):215–226. doi: 10.1080 /15438627.2015.1005295.
26. Francis PR, Richman NM, Patterson P. Injuries in the sport of racewalking. J Athl Train. 1998; 33(2):122–129.
27. Hess GW. Achilles tendon rupture: a review of etiology, population, anatomy, risk factors, and injury prevention. Foot Ankle Spec. 2010; 3(1):29–32. doi: 10.1177/1938640009355191.
28. Maffulli N, Longo UG, Gougoulias N, Caine D, Denaro V. Sport injuries: a review of outcomes. Br Med Bull. 2011; 97:47–80. doi: 10.1093/bmb /ldq026.
29. Wang Y, Zhou H, Nie Z, Cui S. Prevalence of Achilles tendinopathy in physical exercise: a systematic review and meta-analysis. Sports Med Health Sci. 2022; 4(3):152–159. doi: 10.1016 /j.smhs.2022.03.003.
30. Järvinen TA, Järvinen M, Kalimo H. Regeneration of injured skeletal muscle after the injury. Muscles Ligaments Tendons J. 2014; 3(4):337–345.
31. American Academy of Family Physicians, American Academy of Orthopaedic Surgeons, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, American Osteopathic Academy of Sports Medicine, Kibler WB, Putukian M. Selected issues for the master athlete and the team physician: a consensus statement. Med Sci Sports Exerc. 2010; 42(4):820–833. doi: 10.1249 /MSS.0b013e3181d19a0b.
32. Zhang H, Lin S, Gao T, et al. Association between sarcopenia and metabolic syndrome in middle-aged and older non-obese adults: a systematic review and meta-analysis. Nutrients. 2018; 10(3):364. doi: 10.3390/nu10030364.
33. Li J, Tang Z, Zhang X, Zheng Y, Yv J. Relationship between atherosclerotic burden and sarcopenia in U.S. adults: a cross-sectional study based on the NHANES database. Sci Rep. 2025; 15(1):16793. doi: 10.1038/s41598 -025-01133-9.
34. Kamarulzaman NT, Makpol S. The link between mitochondria and sarcopenia. J Physiol Biochem. 2025; 81(1):1–20. doi: 10.1007/s13105-024-01062-7.
35. Giacona JM, Petric UB, Kositanurit W, et al. HDL-C and apolipoprotein A-I are independently associated with skeletal muscle mitochondrial function in healthy humans. Am J Physiol Heart Circ Physiol. 2024; 326(4):H916–H922. doi: 10.1152/ajpheart.00017.2024.
36. Abate M, Salini V. Mid-portion Achilles tendinopathy in runners with metabolic disorders. Eur J Orthop Surg Traumatol. 2019; 29(3):697–703. doi: 10.1007 /s00590-018-2336-2.
37. Tilley BJ, Cook JL, Docking SI, Gaida JE. Is higher serum cholesterol associated with altered tendon structure or tendon pain? A systematic review. Br J Sports Med. 2015; 49(23):1504–1509. doi: 10.1136/bjsports-2015-095100.
38. Ozgurtas T, Yildiz C, Serdar M, Atesalp S, Kutluay T. Is high concentration of serum lipids a risk factor for Achilles tendon rupture? Clin Chim Acta. 2003; 331(1–2):25–28. doi: 10.1016 /s0009-8981(03)00075-5.
39. Park HB, Gwark JY, Kwack BH, Jung J. Hypo-high-density lipoproteinemia is associated with preoperative tear size and with postoperative retear in large to massive rotator cuff tears. Arthroscopy. 2020; 36(8):2071–2079. doi: 10.1016/j.arthro.2020.04.043.
40. Gaida JE, Alfredson L, Kiss ZS, et al. Dyslipidemia in Achilles tendinopathy is characteristic of insulin resistance. Med Sci Sports Exerc. 2009; 41(6):1194–1197. doi: 10.1249 /MSS.0b013e31819794c3.
Copyright: Institute of Sport. This is an Open Access article distributed under the terms of the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/). This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use.
  
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