Journal of science and medicine in sport最新文献

{"title":"\"Are you really in that much pain? It goes away once you start the training\": Focus group discussions on perceptions of pain among amateur male and female football players.","authors":"Sofi Sonesson, Hanna Lindblom, Mathilda Björk, Martin Hägglund","doi":"10.1016/j.jsams.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.010","url":null,"abstract":"<p><strong>Objectives: </strong>To explore amateur football players' perceptions of pain during or related to sport participation and handling of the pain.</p><p><strong>Design: </strong>Qualitative study utilising focus group discussions with amateur football players from one regional football district in Sweden.</p><p><strong>Methods: </strong>Six focus group discussions were conducted during 2023 with 34 amateur football players (19.3 ± 3.6 years), involving three female and three male teams. A semi-structured interview guide and conventional qualitative content analysis were used.</p><p><strong>Results: </strong>The overarching theme, \"Pain is part of the game-players' perspectives on handling pain in football\", included three main categories: \"Under pressure-the unseen struggles of playing through pain\", \"Doom and gloom-consequences of pain\", and \"Fighting back-strategies for preventing and managing pain.\" Players faced pressures to play through pain, often ignoring bodily warning signals and using pain relief to stay in the game. Pain led to frustration, missed training opportunities, and had negative impacts on physical fitness and mental health. Players with pain valued professional and social support, and emphasised the need for open and respectful communication within the team.</p><p><strong>Conclusions: </strong>This study underscores the pervasive presence of pain in amateur football and the multifaceted challenges players face in managing it. The overarching theme encapsulates the complex interplay between external pressures, personal determination, and the inherent physical demands of the sport. The findings suggest that effective pain prevention and management strategies should adopt a biopsychosocial approach, including self-management, open and respectful communication, comprehensive training plans, injury prevention measures, and access to medical and social support.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of 24 h-movement behaviors with cerebral and hippocampal amyloid beta levels and executive function in cognitively normal older adults: a compositional data analysis from the AGUEDA trial.","authors":"Alessandro Sclafani, Jairo H Migueles, Marcos Olvera-Rojas, Patricio Solis-Urra, Beatriz Fernandez-Gamez, Andrea Coca-Pulido, Darío Bellón, Javier Fernández-Ortega, Javier Sanchez-Martinez, Lucía Sánchez-Aranda, Ángel Toval, Isabel Martín-Fuentes, Esmée A Bakker, Juan D Gispert, Eva M Triviño-Ibañez, Teresa Liu-Ambrose, Kirk I Erickson, Manuel Gomez-Rio, Francisco B Ortega, Irene Esteban-Cornejo","doi":"10.1016/j.jsams.2025.04.011","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.011","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the associations between movement behaviors (physical activity, sedentary behavior, and sleep duration), global and hippocampal amyloid beta levels, and executive function in cognitively normal older adults.</p><p><strong>Design: </strong>Cross-sectional analysis using data from the Active Gains in brain Using Exercise During Aging study, including 86 participants (mean age 71.51 years, 57% female).</p><p><strong>Methods: </strong>Movement behaviors were assessed using a wrist-worn accelerometer over a 9-day. Amyloid beta levels were quantified via positron emission tomography, and executive function was assessed using validated cognitive tests (e.g., Trail Making Test, Digit Symbol Substitution Test, Spatial Working Memory test, and Dimensional Change Card Sort test). Compositional data analysis and multiple linear regression models were used to examine associations, adjusting for age, sex, education, and APOEε4 genotype status.</p><p><strong>Results: </strong>No significant associations emerged between any movement behaviors and total cerebral amyloid beta levels or executive function (all p > 0.05). However, higher moderate-to-vigorous physical activity was significantly associated with lower hippocampal amyloid levels in males (β = -0.039, p = 0.010), but not in females (β = 0.004, p = 0.741) (Moderate-to-vigorous physical activity × sex interaction p = 0.017).</p><p><strong>Conclusions: </strong>Movement behaviors were not associated with global amyloid levels or executive function. However, higher moderate-to-vigorous physical activity may be protective against hippocampal amyloid levels in older males. Further research is needed to confirm these findings and explore potential sex differences. These results underscore the importance of moderate-to-vigorous physical activity in brain health and suggest avenues for future research on the role of movement behaviors in amyloid burden.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implicit doping attitude and athletes' accuracy in avoiding unintentional doping when being offered beverages with banned performance-enhancing substances.","authors":"Derwin King Chung Chan, Lawrence Man Ho Yip, Tracy Chor Wai Tang, Patrick Shu-Hang Yung, Daniel F Gucciardi, Martin S Hagger","doi":"10.1016/j.jsams.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.009","url":null,"abstract":"<p><strong>Objectives: </strong>Implicit doping attitude reflects the strength of one's automatic or unconscious evaluation of doping. This cross-societal study examined how implicit doping attitude predicted athletes' accuracy in avoiding unintentional doping.</p><p><strong>Design: </strong>A real-time experimental design with cross-sectional data from three geographical regions.</p><p><strong>Methods: </strong>A total of 681 athletes (M_age = 28.21, SD = 8.43; female = 47.1 %) from Hong Kong (N = 177), Australia (N = 164) and the United Kingdom (N = 340) completed two real-time experimental tasks for measuring their implicit doping attitude (a brief single-category implicit association test) and the accuracy of avoiding unintentional doping (a novel canned beverage sorting task).</p><p><strong>Results: </strong>Implicit doping attitude was significantly and negatively (β = -0.09, p < .05, R² = 0.03, 95 % CI of β = -1.64 to -0.15) associated with athletes' accuracy in avoiding unintentional doping by screening out beverages with banned performance-enhancing substances. This association was maintained when we statistically controlled for the effects of society.</p><p><strong>Conclusions: </strong>Athletes with a positive implicit doping attitude were less accurate in determining whether unknown beverages with the possible presence of banned performance-enhancing substances should be consumed. The negative association between implicit doping and athletes' accuracy in avoiding unintentional doping appeared to be consistent across societies.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying the effect of afternoon moderate-intensity exercise on sleep quality and quantity in healthy adult males using polysomnography.","authors":"Matthew Morrison, Jonathon Weakley, Gregory D Roach, Charli Sargent, Dean J Miller, Carissa Gardiner, Shona L Halson","doi":"10.1016/j.jsams.2025.04.008","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.008","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effect of afternoon moderate-intensity cycling exercise on objective and subjective sleep in healthy adult males.</p><p><strong>Design: </strong>Repeated-measures, counter-balanced, crossover study design.</p><p><strong>Methods: </strong>To assess the effect of moderate-intensity afternoon exercise on sleep quality and quantity, 12 healthy adult males who were identified as good sleepers (<5 on Pittsburgh Sleep Quality Index) completed either moderate-intensity cycling exercise for 40 min at 70 % HRmax at ~15:30 h or sedentary activities. Polysomnography was used to measure sleep during a 9-hour sleep opportunity (23:00 h to 08:00 h). Sleep was subjectively assessed using questionnaires 30 min after waking.</p><p><strong>Results: </strong>There were no statistically significant changes in objective or subjective sleep quality or quantity between conditions. The inter-quartile range for total sleep time (exercise: 51.5 min vs no exercise: 13.4 min) and sleep efficiency (exercise: 9.5 % vs no exercise: 2.5 %) suggests that there was more individual variability in subsequent sleep after afternoon exercise compared to no exercise. Exercise appeared to have a moderate effect on reducing total sleep time (mean ± SD; control 493.7 ± 12.6 min vs exercise: 471.5 ± 55.2 min; Cohen's d: -0.56), sleep efficiency (control 91.4 ± 2.3 % vs exercise: 87.3 ± 10.2 %; Cohen's d: -0.56), and delaying REM onset latency (control: 76.1 ± 45.1 min vs exercise: 102.8 ± 46.9 min; r: 0.33), although the results did not reach statistical significance (p > 0.05).</p><p><strong>Conclusions: </strong>Healthy adult males can complete moderate-intensity exercise in the afternoon without compromising subsequent sleep. Individual responses in objective sleep outcomes may vary after exercise.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone mineral density varies throughout the skeleton of athletes dependent on their sport: Allometric modelling identifies the \"effective\" forces associated with body mass.","authors":"Alan M Nevill, Eric Wallace, Arthur D Stewart, Matthew Wyon","doi":"10.1016/j.jsams.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.006","url":null,"abstract":"<p><strong>Objectives: </strong>Bone mineral density (BMD) varies throughout the skeleton with the differences influenced by the type of sport, body mass and participant's age. What is not so well understood is how body mass influences BMD across different sites.</p><p><strong>Design: </strong>Proportional allometric modelling on cross-sectional data.</p><p><strong>Methods: </strong>Male athletes (n = 106) from 8 different athletic groups and controls (n = 15) were scanned by dual X-ray absorptiometry (DXA) and analysed for total body composition and BMD of the ribs, arms, thoracic spine, lumber spine, pelvis and legs.</p><p><strong>Results: </strong>ANOVA identified significant differences in BMD between \"sites\", \"sports\" and site-by-sport interaction (all p < 0.001). By introducing body mass and age as covariates, the \"sites\" differences disappeared. The explanation is due to the systematic difference in body-mass exponents (k_i), with lowest positioned sites (e.g. legs) having the steepest slopes, and the elevated sites (e.g. arms having the shallowest slopes). To illustrate, the arm-mass exponent was approximately 0.33 indicating that for a 75 kg male, arm BMD responds to forces associated with body mass = (75)^0.33 = 5 kg. For the same individual, the leg-mass exponent was closer to 0.66 suggesting that leg BMD responds to forces associated with body mass = (75)^0.66 = 25 kg.</p><p><strong>Conclusions: </strong>The model for BMD identified that [Formula: see text] plays a crucial role in determining the effective forces (both gravitational/ground reaction and compressional forces) operating throughout the skeleton, where k_i systematically increases where the lower the bone is situated, a mechanism that also explains why activities involving running benefit the leg BMD compared with weight-supported activities (e.g., rowing).</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tailoring exercise intensity: Acute and chronic effects of constant-speed and heart rate-clamped exercise in healthy, inactive adults.","authors":"Raffaele Mazzolari, Patrick Rodrigues, Anne Hecksteden","doi":"10.1016/j.jsams.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.007","url":null,"abstract":"<p><strong>Objectives: </strong>This study tested whether speed-controlled exercise prescriptions result in greater external training load and acute cardiorespiratory responses at the end of exercise compared to heart rate-controlled prescriptions, despite equivalent intensity at the start of exercise. It also investigated whether speed-controlled prescriptions lead to greater improvements in cardiorespiratory fitness after 8 weeks of training.</p><p><strong>Design: </strong>A two-group, randomized block design with repeated testing sessions.</p><p><strong>Methods: </strong>Thirty-four healthy, inactive adults were randomized into two groups. One group trained at a constant speed set midway between the first and second lactate thresholds, whereas the other trained at the corresponding heart rate. Both groups performed 30 min of continuous exercise three times per week for 8 weeks. Speed, heart rate, and oxygen consumption were measured at the end of the first session and later time points for complementary analysis. Peak treadmill speed and maximal oxygen consumption were assessed before and after the intervention.</p><p><strong>Results: </strong>At the end of the first session, the speed group showed higher values compared to the heart rate group for speed (1.5 km/h), heart rate (22 bpm), and oxygen consumption (6.0 mL/kg/min) (all p < 0.001). Similarly, adaptive changes were greater in the speed group, with a larger increase in peak treadmill speed (0.9 km/h, p < 0.001) and maximal oxygen consumption (1.2 mL/kg/min, p = 0.01).</p><p><strong>Conclusions: </strong>These findings indicate that the exercise intensity reference method influences acute responses and chronic adaptations to exercise in healthy, inactive adults.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Higher contact tackles from upright tacklers increases the risk of head injury removals in elite women's Rugby Union: A case-control study.","authors":"Ross Tucker, Adam Smith, Ben Hester, Éanna Falvey","doi":"10.1016/j.jsams.2025.03.014","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.03.014","url":null,"abstract":"<p><strong>Objectives: </strong>To describe tackle characteristics associated with increased risk of Head Injury Assessment (HIA) removals in elite women's Rugby Union.</p><p><strong>Design: </strong>Case-control study.</p><p><strong>Methods: </strong>145 instances of player removal for head injury assessments with video footage were identified in elite women's rugby. 114 cases occurred during tackles, which were analyzed to describe the influence of foul play, tackle type, tackle height, head contact location, and body position on injury risk. The relative proportion of tackles resulting in head injury removals was compared to the proportion of each tackle characteristic in a control cohort of 1763 tackles that did not result in head injuries to assess risk of each characteristic.</p><p><strong>Results: </strong>Proximity of the tackler's head with the ball carrier's head and shoulder occurred in 72.1 % of HIA1-inducing tackles, compared to 25.0 % of non-HIA1 tackles. Head and shoulder contact was 9.79 (95 % CI 5.95-16.90) times more likely to cause HIA removals than head-to-torso contact and proximity. Upright tackles and active shoulder tackles had increased HIA1 risk for both players. Illegal tackles were 21.42 (95 % CI 11.49-39.93) more likely to cause HIA1s than legal tackles.</p><p><strong>Conclusions: </strong>Risk factors for head injury removals from tackles are similar in women as has been described in men, with higher contact, upright tacklers, dominant tackles and foul play increasing head injury risk. Strategies to lower tackle height and reduce the prevalence of head-to-head and shoulder contact should be explored to reduce head injury incidence in the elite women's game.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast injuries in women's sports: a scoping review of a female-specific sports injury.","authors":"Ruby Dang, Joshua P M Mattock, Deirdre E McGhee","doi":"10.1016/j.jsams.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.004","url":null,"abstract":"<p><strong>Objectives: </strong>Breast injuries are female-specific injuries that occur across a range of women's sports. Literature investigating this important women's breast health issue is scarce. This review aimed to collate and summarise published research on breast injuries in women's sports, highlighting the limitations and gaps in the literature.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Methods: </strong>Studies were included if they investigated breast injuries sustained by female athletes or the use of breast protective equipment in sports.</p><p><strong>Results: </strong>Eight of the 152 studies identified met the inclusion criteria. Six were retrospective cross-sectional survey studies, and two were case studies. Breast injury prevalence ranged from 26 % to 58 % and was higher in contact/combat sports than in non-contact sports. Most injuries were deemed mild-moderate in severity because most athletes continued to play, albeit with a perceived negative effect on performance. In rare cases, injuries were severe with long-term consequences and required surgical intervention. Breast injury mechanism was sport-specific, and management and prevention strategies were extremely limited, with a very low percentage of injuries reported (~10 %) and a lack of breast injury surveillance.</p><p><strong>Conclusions: </strong>The paucity of research and lack of awareness and understanding of breast injuries highlights the urgent need for education within women's sports and further research to develop evidence-based management and prevention strategies. Recommendations for future research include assessment of sport-specific mechanisms and incidence, the use of standardized clinical assessment of breast injury severity, long-term consequences, and inclusion of sub-groups of female athletes, such as females with breast implants, developing breasts, and lactating breasts.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where's your head at? Perceptions and utilisation of concussion prevention and rehabilitation strategies in women's and men's rugby union.","authors":"G Skudder, P O'Halloran, S McLeod, G Bullock, C A Emery, S W West","doi":"10.1016/j.jsams.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.003","url":null,"abstract":"<p><strong>Objectives: </strong>Rugby union (rugby) is a popular collision sport with high concussion rates. As such, concussion prevention and rehabilitation strategies are critical to player welfare in the sport. This study aims to identify and analyse the concussion prevention and rehabilitation strategies currently implemented across different rugby contexts.</p><p><strong>Design: </strong>A cross-sectional study targeting medical professionals and coaches globally through an online survey distributed via email and social media.</p><p><strong>Methods: </strong>A validated, piloted survey was developed in collaboration with subject-matter experts and delivered using REDCap, with participants (aged 18+) from medical and coaching backgrounds.</p><p><strong>Results: </strong>A total of 172 respondents (77 medical professionals, 89 coaches, 6 \"other\") responded. Training strategies and policy changes were perceived as the most important primary prevention strategies, whilst all secondary (education, recognise and remove) and tertiary (return to play processes and rehabilitation) strategies were deemed highly important. Despite this, utilisation varied widely. Perceived importance and utilisation of rehabilitation strategies also varied. The main barriers to implementation were a lack of understanding (47%) and time constraints (45%). There were no significant differences in odds of return-to-play use by level of play or sex; however, there was a significantly lower odds of medical return-to-play sign-off with lower levels of play (odds ratio: 0.77, 95% confidence intervals: 0.61-0.98).</p><p><strong>Conclusions: </strong>This study underscores the variation in perceived importance and utilisation of prevention and rehabilitation strategies in rugby. It emphasises the necessity for education to help remove barriers with the aim of optimising programme implementation and utility.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disclosure of possible concussions in National Rugby League Women's Premiership players.","authors":"Shreya McLeod, Stephen W West, Kathryn Dane, Daniel Tadmor, Ben Jones, Jinho Lee, Grant L Iverson, Andrew J Gardner","doi":"10.1016/j.jsams.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.jsams.2025.04.002","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the disclosure and reasons for non-disclosure of possible concussions and their symptoms in National Rugby League Women's (NRLW) Premiership players in Australia.</p><p><strong>Design: </strong>Cross sectional survey.</p><p><strong>Methods: </strong>During the 2022 NRLW season, NRLW players were invited to participate in a voluntary, anonymous, online survey exploring (i) player demographics, (ii) rugby playing history, (iii) concussion disclosure, and (iv) instances of, and reasons for, non-disclosure of possible concussions to medical staff during the past two seasons. Logistic regression analyses were used to identify reasons for non-disclosure of possible concussions in NRLW players.</p><p><strong>Results: </strong>Of the 132 eligible participants, 86 players responded to the survey and 63 % (n = 54/86) reported that they always disclosed a possible concussion during the past two seasons. A substantial number of NRLW players surveyed (n = 32/86, 37 %) did not disclose a possible concussion to their team or medical staff on one or more occasions. Sixty-three players (73 %) always reported symptoms during a medical assessment. Twenty-three players (27 %) did not disclose their symptoms during a medical assessment, primarily during or after a game or training session (n = 12/23, 52 %). Of the players who did not disclose their possible concussion symptoms, the two main reasons for non-disclosure were 'not wanting to be ruled out of the game or training session' (n = 8/23,35 %) and not being 'sure if the symptoms were related to concussion' (n = 8/23, 35 %). Most surveyed players (n = 74/86, 86 %) reported attending mandatory concussion education sessions at their respective clubs.</p><p><strong>Conclusion: </strong>We found high rates of non-disclosure amongst NRLW players, which is inconsistent with previous research suggesting that women are more aware of their symptoms than men and more likely to disclose their concussions. Not wanting to be ruled out of the game or training session and being unsure if the symptoms were related to concussion were the two most common reasons for nondisclosure. Concussion education initiatives could promote a supportive culture fostering disclosure amongst all stakeholders to ensure optimal player welfare.</p>","PeriodicalId":16992,"journal":{"name":"Journal of science and medicine in sport","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}