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High-performance athletes spend numerous hours per week training and therefore are more predisposed to suffer sports-related injury. Evidences show that depression and less severe degrees of emotional distress predict both: the onset of new episodes and persistence of pain.Objective: To examine the association of swimming training routines, job stress (effort-reward imbalance), overtraining-related subjective markers, and biological and sociodemographic factors with prevalence of pain and with psychological distress, in high-performance swimmers from the highest-level competition.Methods: Observational sectional study. Forty-two high-performance swimmers (N=42) from the most elevated competition level (World-class and Olympic) took part in the study as population census of the swimming athletes. Analyses were performed using c2, simple and multiple logistic regressions (via generalized linear models).Results: Prevalence of psychological distress was of 35.7%. Prevalence of pain was of 45.2% and there was significantly difference between men and women (p 0,05). Overtraining-related subjective markers and low reward were associated with psychological distress (p=0,020), but not with pain. Psychological distress and pain were associated with decreased performance and lower quality of life athletes.Conclusion: Few studies focused pain in high-performance athletes. The present study indicated that further attention is required in training routines, inside and outside the pool to prevent pain in high performance swimmers.Prevalencia de dor e sofrimento psicologico em nadadores de alto rendimento: estresse no trabalho e fatores associados – um estudo seccionalIntroducao: Atletas de alto rendimento passam inumeras horas por semana treinando e, portanto, estao mais predispostos a sofrer lesoes relacionadas ao esporte. Evidencias mostram que a depressao e graus menos graves de sofrimento emocional predizem ambos: o inicio de novos episodios e a persistencia da dor.Objetivo: Examinar a associacao de rotinas de treinamento em natacao, estresse no trabalho (desequilibrio esforco-recompensa) e outros fatores com prevalencia de dor e sofrimento psiquico em nadadores de alto rendimento. Alem disso, examinamos a relacao de sofrimento psicologico e dor.Metodos: Estudo seccional observacional. Quarenta e dois nadadores de alto rendimento (N = 42) do nivel competitivo mais elevado (World-Class e Olympic) participaram do estudo como amostra de conveniencia. As analises foram realizadas usando c2, regressoes logisticas simples e multipla (via modelos lineares generalizados).Resultados: A prevalencia de sofrimento psiquico foi de 35,7%. A prevalencia de dor foi de 45,2% e houve diferenca significativa entre homens e mulheres (p 0,05). Marcadores subjetivos relacionados ao excesso de treinamento e baixa recompensa foram associados com sofrimento psiquico (p=0,020), mas nao com dor. Sofrimento psicologico e dor foram associados com a diminuicao do desempenho e menor qualidade de vida atletas.Conclusao: E necessaria maior atencao nas rotinas de treinamento, dentro e fora da piscina, para prevenir a dor em nadadores de alto desempenho.

Prevalence of Pain and Psychological Distress in High‐Performance Swimmers: Job Stress and Associated Factors – A Cross-Sectional Study