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Does a greater training load increase the risk of injury and illness in ultramarathon runners? : A prospective, descriptive, longitudinal design.

PMID 36818970 (2020): injury, load — Injury risk (study note for endurance athletes).

Last updated/Feb 23, 2026, 10:34 PM

Study note • PMID 36818970

Does a greater training load increase the risk of injury and illness in ultramarathon runners? : A prospective, descriptive, longitudinal design.

South African journal of sports medicine2020 • DOI 10.17159/2078-516X/2020/v32i1a8559
Evidence C60/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

To determine if there are any associations between injury and illness incidences and training loads among ultramarathon runners in the 12 week period preceding an ultramarathon event and the… (controlled study; runners).

Results section: no clear change in Injury risk under the tested conditions. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: To determine if there are any associations between injury and illness incidences and training loads among ultramarathon runners in the 12 week period preceding an ultramarathon event and the…
  • Results section: no clear change in Injury risk under the tested conditions.
  • Population: runners.
  • Protocol cues (full paper): 12 weeks • 16 weeks • 1000 hours.

Protocol

Protocol (as reported)

  • Intervention/exposure: injury, load.
  • Dose/time/duration cues found in the full paper: 12 weeks • 16 weeks • 1000 hours.
  • Outcomes: Injury risk.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it helps, and who should skip it

Who it helps

  • Athletes similar to the study population (runners) working on injury risk.
  • Athletes who can measure Injury risk with a repeatable workout or time-trial effort.

Who should skip

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: controlled study.
  • Population: runners.
  • Outcomes measured: Injury risk.
  • Protocol cues mentioned: 12 week • 16 weeks • 30 km.
  • Source: PubMed PMID 36818970 (2020) — South African journal of sports medicine.

Full paper

What the full paper adds

  • Participants (paper): runners.
  • More protocol detail (paper): 12 weeks • 16 weeks • 1000 hours.
  • Results section: no clear change in Injury risk under the tested conditions.

Results excerpt

What the abstract reports

The overall injury incidence was five per 1000 training hours and the overall illness incidence was 16 per 1000 training days.

Note: excerpts are short; for full context, read the paper.

Limits

Limitations & bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Single studies often don’t generalize to your event, history, and training load; treat results as a starting point.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources