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September 10, 2026Sports Health A Multidisciplinary ApproachOpen Access

The Associations of Wet Bulb Globe Temperature With Match Injury and Concussion Incidence in American Youth Soccer

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Authors

BMBrandon MerfeldKHKristin HaraldsdottirJKJohn Kohler

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Overview

Prospective cohort study finds lower injury and concussion incidence under higher wet bulb globe temperatures in youth soccer players, highlighting environmental influences on match risk.

Key Points

  • To determine the association between wet bulb globe temperature (WBGT) and the incidence of match injuries and concussions in youth soccer athletes.
  • Prospective cohort study evaluating youth soccer athletes across 42 Elite Clubs National League events throughout the United States over a 2-year period, totaling 315,113 player-hours.
  • Athletic trainers recorded injury and concussion data, while daily WBGT was calculated for each event day.
  • Negative binomial regression models adjusted for player age and sex analyzed associations between WBGT and nontime-loss, time-loss, and concussion incidences.
  • Overall injury incidence was 5.0 per 1000 player-hours, with girls having higher rates than boys (5.6 vs 4.4 per 1000 player-hours; IRR, 1.38; 95% CI, 1.1-1.7; P ≤ 0.001), as well as higher concussion incidence (1.20 vs 0.78 per 1000 player-hours; IRR, 1.39; 95% CI, 1.0-1.9; P = 0.03).
  • Higher WBGT was associated with lower overall injury incidence (IRR, 0.986; 95% CI, 0.98-0.99; P < 0.01), time-loss injury incidence (IRR, 0.983; 95% CI, 0.97-0.99; P < 0.01), and concussion incidence (IRR, 0.981; 95% CI, 0.97-0.99; P = 0.01), with no significant association for nontime-loss injuries (IRR, 1.00; 95% CI, 0.99-0.99; P = 0.86).

Cite This Study

Merfeld et al. (2026) studied this question.

synapsesocial.com/papers/6aa27ae958559d80afc73c7fhttps://doi.org/10.1177/19417381261479669
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