HIGHLIGHTS
- What: The authors show that the differing training-to-match ratio and average team size between women and men-rooted in persistent gendered inequities in sports participation and professionalisation-may jeopardise the validity of using AEs for cross-gender comparisons and skew gender/sex disparities in ACL injury rates. The authors provide an overview of the emergence of AE as a construct and review its limitations. When the goal of the analysis is to estimate injury risk in a restricted study population, this may be a valid approach because adding together training and competition AEs allows researchers . . .

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