The cumulative effects of a collegiate athletic career on general health measures: findings from the CARE Consortium.

IF 1.8 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-09-17 DOI:10.1080/02699052.2025.2559986

Reid A Syrydiuk, Chengyun Li, Allyssa K Memmini, Adrian J Boltz, Landon B Lempke, Jie Ren, Susan M Perkins, Jaroslaw Harezlak, Kelly M Mosesso, Paul F Pasquina, Thomas W McAllister, Michael A McCrea, Steven P Broglio

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引用次数: 0

Abstract

Objective: The acute effects of concussion and head impacts in collegiate student-athletes have been characterized, but not the effects at career end. We investigated how lifetime concussion history, sport contact exposure, and years of primary sport participation (YoP) associate with collegiate student-athlete health at institutional-exit.

Methods: Collegiate student-athletes (n = 3,663) enrolled in the CARE Consortium cohort study completed eight assessments within 1 year of institutional-exit spanning physical/behavioral, mental and cognitive health, and neurobehavioral symptoms. Separate multivariable linear regressions assessed how sport contact exposure, concussion history (number), and YoP influence questionnaire scores, adjusting for sex, Race, and self-reported athlete-identity and resiliency scores.

Results: Concussion history was associated with adverse scores within certain physical/behavioral, mental, and symptom health. Contact-exposed student-athletes reported improved scores on some cognitive, mental, and symptom health assessments. Greater YoP was associated with improved scores on two mental health questionnaires.

Conclusions: Lifetime concussion history is associated with self-reported health outcomes at institutional-exit, though small effect sizes suggest limited clinical consequence. Higher contact-exposure sports and increased YoP were associated with improved scores on some clinical measures. Further longitudinal monitoring is encouraged to evaluate health-related changes over time, to support student-athletes as they transition out of collegiate sports.

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大学运动生涯对一般健康措施的累积效应：来自CARE联盟的研究结果。

目的：了解大学生运动员脑震荡和头部撞击的急性效应，但不了解其在职业生涯末期的影响。我们调查了终身脑震荡史、运动接触暴露和主要运动参与年数（YoP）与大学学生运动员在机构退出时的健康状况之间的关系。方法：参加CARE联盟队列研究的大学生运动员（n = 3,663）在1年内完成了8项机构退出评估，包括身体/行为、心理和认知健康以及神经行为症状。单独的多变量线性回归评估了运动接触暴露、脑震荡史（次数）和YoP如何影响问卷得分，调整了性别、种族和自我报告的运动员身份和弹性得分。结果：脑震荡病史与某些身体/行为、精神和症状健康的不良评分相关。接触过的学生运动员在一些认知、心理和症状健康评估上的得分有所提高。更大的YoP与两份心理健康问卷得分的提高有关。结论：终生脑震荡史与机构退出时自我报告的健康结果相关，尽管小效应量表明有限的临床后果。高接触性运动和YoP的增加与一些临床测量的得分提高有关。鼓励进一步的纵向监测，以评估与健康有关的变化随着时间的推移，以支持学生运动员从大学体育过渡。

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.