PONE-D-23-42987Prevalence and predictors of musculoskeletal injuries among gym members in Bangladesh: A nationwide cross-sectional study.PLOS ONE

Dear Dr. Ahmed,

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M Tanveer Hossain Parash, MBBS, M Phil

Academic Editor

PLOS ONE

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: No

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: No

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

Reviewer #2: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: No

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Reviewer Report:

This is an interesting study on musculoskeletal injuries among gym members in Bangladesh.

I propose to address the following minor issues.

Abstract:

It is better to report the number of participants and some statistical analytical procedure in the abstract.

Introduction:

Line 94: The author reported outcome from previous studies from Netherlands. However, the author needs to mention outcome from Bangladesh or similar countries (if available).

Line 104: The 2nd paragraph of introduction was written as discussion. In my opinion the 2nd paragraph needs to be rewritten.

Line 114: in third paragraph, the author again discusses the findings from Netherland and KSA. However, the needs to deduce proper rationale of the study and to focus on research gap in Bangladesh.

Methods:

Line 143: The author needs to mention the name and institution of the review board.

Line 172: The author needs to mention that the questionnaire that was used is validated in Bangladesh previously or not. If not, why they used unvalidated questionnaire.

The author also needs to provide details about inclusion and exclusion criteria.

Discussion:

Discussion is written proper order.

General Comments:

The language of writing need to be improved.

Reviewer #2: Method:

It can be assumed that there are many cities in Bangladesh. Why did the author choose only five cities? Could you please give the names of the cities and explain why these cities were selected over others? Additionally, why did the authors exclude gyms situated in semi-urban areas or villages? Is this selection of data sources convenient? If so, how can this study be considered a nationwide survey? Please provide a definition of "nationwide" in the method section to clarify why it was included in the title. Also, are "cities" and "divisions" synonymous in the context of Bangladesh?

Furthermore, why did the authors choose to withhold the name of the ethical review board? Is this board independent? Please provide details of the ethical approval process and consider including a copy of the approval as a supplementary file with the manuscript.

Result:

The results suggest that 22.9% of injured patients consulted with physiotherapists, a percentage surprisingly higher than that of physicians. However, this finding may not be realistic in the context of Bangladesh. Readers may question the validity of these results, necessitating a thorough examination of the data collection methods for potential biases.

Discussion:

What is the prevalence of musculoskeletal (MSK) issues in Bangladesh, and is there any evidence from previous studies to support this? No papers from Bangladesh have been cited in this study except for a self-citation. Did the authors search for MSK prevalence studies conducted in Bangladesh for reference? If such studies were not found, please mention this in the discussion section to provide context for the readers.

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Reviewer #1: Yes: Md Kamruzzaman

Reviewer #2: No

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Attachments

Attachment

Submitted filename: PONE-D-23-42987 with comment.pdf

PONE-D-23-42987R1Prevalence and predictors of musculoskeletal injuries among gym members in Bangladesh: A nationwide cross-sectional study.PLOS ONE

Dear Dr. Ahmed,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by May 18 2024 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

• A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.
• A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.
• An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

We look forward to receiving your revised manuscript.

Kind regards,

M Tanveer Hossain Parash, MBBS, M Phil

Academic Editor

PLOS ONE

Additional Editor Comments:

1. Please incorporate the following comments you sent in email "Data were collected from all five geographic divisions of Bangladesh, and a dual-stage cluster sampling technique was used to include potential samples. We randomly chose the gym center as clusters in the first stage. Due to the lack of available data on the total number of gym centers in Bangladesh and the number of individuals who regularly attend gyms, we conducted a random visit to gym facilities in five divisional cities. In order to streamline data collection, we made a single visit to each gym facility and gathered data from the fitness trainees who were there at the time." under the sampling sub-section.

2. Please provide description in the result section how your data met the following assumptions of the logistic regression "Basic assumptions that must be met for logistic regression include independence of errors, linearity in the logit for continuous variables, absence of multicollinearity, and lack of strongly influential outliers."

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #3: (No Response)

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #3: Partly

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #3: No

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #3: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The manuscript has now been corrected and improved properly. All comments have been addressed properly

Reviewer #3: The current state of the manuscript provides fewer significant findings or new knowledge on the prevalence and predictors of musculoskeletal injuries among gym members in Bangladesh. The author should focus on highlighting which parts of the findings are relevant to add to the current knowledge. The discussion and conclusion provide very general and well-known information. Please find the comments on the attached draft.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Md Kamruzzaman

Reviewer #3: No

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[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

Attachments

Attachment

Submitted filename: PONE-D-23-42987_R1_reviewed 29032024.pdf

Prevalence and predictors of musculoskeletal injuries among gym members in Bangladesh: A nationwide cross-sectional study.

PONE-D-23-42987R2

Dear Dr. Ahmed,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

M Tanveer Hossain Parash, MBBS, M Phil

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #3: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #3: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #3: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #3: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #3: The current state of the manuscript provides enough information for publication. All comments from the previous version have been addressed by the author.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #3: No

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