Differential effects of sport type on brain versus orthopedic injury and sports benefits in the adolescent brain cognitive development study.

IF 1.8 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-09-01 DOI:10.1080/02699052.2025.2553324

Wenjing Meng, Florin Vaida, Emily L Dennis, Elisabeth A Wilde, Joanna Jacobus, Xia Yang, Michael Cheng, Emily A Troyer, Everett L Delfel, Tracy Abildskov, John R Hesselink, Erin D Bigler, Jeffrey E Max

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引用次数: 0

Abstract

Background: Sports participation benefits children but increases the risk of mild traumatic brain injury (mTBI) and orthopedic injury (OI). This study examines risks of mTBI vs. OI associated with specific sports and benefits of sports participation.

Method: This is a cross-sectional study analyzing baseline data from the Adolescent Brain Cognitive Development (ABCD) Study, with a sample of 11,055 children aged 9-10. Generalized linear mixed-effects models were used to examine whether the risks of mTBI and OI differed across individual sports.

Results: Compared to children who had not participated in climbing, those who participated had a higher risk of mTBI than OI (ratio of odds ratio = 1.881, p = 0.013). Sports participation was associated with better behavioral/emotional outcomes, with stronger benefits for mTBI children compared to those with no injury (p = 0.043), but no significant difference between mTBI and OI groups.

Conclusion: Different sports have distinct risks for mTBI and OI in children. Behavioral benefits of sports were more pronounced for children with mTBI than for uninjured children but similar between mTBI and OI groups. While causal connections cannot be established with the current study design, these findings suggest the need for sport-specific and injury-specific strategies to mitigate risks and maximize benefits of youth sports.

查看原文本刊更多论文

在青少年大脑认知发展研究中，运动类型对大脑与骨科损伤的不同影响和运动益处。

背景：参与体育运动对儿童有益，但增加了轻度创伤性脑损伤（mTBI）和骨科损伤（OI）的风险。本研究考察了特定运动与mTBI与OI相关的风险以及参与运动的益处。方法：这是一项横断面研究，分析了青少年大脑认知发展（ABCD）研究的基线数据，样本为11055名9-10岁的儿童。我们使用广义线性混合效应模型来检验mTBI和成骨不全的风险在个体运动中是否存在差异。结果：与未参加攀岩运动的儿童相比，参加过攀岩运动的儿童发生mTBI的风险高于成骨不全（比值比= 1.881,p = 0.013）。运动参与与更好的行为/情绪结果相关，与没有受伤的儿童相比，mTBI儿童有更强的益处（p = 0.043），但mTBI组和OI组之间没有显著差异。结论：不同运动对儿童mTBI和成骨不全有不同的风险。运动对mTBI儿童的行为益处比未受伤儿童更明显，但在mTBI和OI组之间相似。虽然目前的研究设计无法建立因果关系，但这些发现表明，需要针对特定运动和特定伤害的策略来减轻青少年运动的风险并最大化其益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.