British Journal of Sports Medicine最新文献

{"title":"Impact of physical activity on the incidence of psychiatric conditions during childhood: a longitudinal Swedish birth cohort study.","authors":"Oskar Lundgren,Hanna Tigerstrand,Andrea Lebena,Marie Löf,Johnny Ludvigsson","doi":"10.1136/bjsports-2024-108148","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108148","url":null,"abstract":"BACKGROUNDEmerging evidence supports the importance of physical activity (PA) and behaviours that build resilience to prevent childhood psychiatric disorders.OBJECTIVETo investigate associations between parent-reported PA, time spent outdoors and participation in organised sports and later incidence of psychiatric conditions in children.METHODSA birth cohort of 17 055 Swedish children was followed up until age 18 years. Data on parent-reported PA, time outdoors and participation in organised sports were collected for children at ages 5, 8 and 11. Diagnoses of psychiatric conditions were obtained from a national registry. Longitudinal interactions were analysed with two-way analysis of variance, and hazard ratios for incidence until 18 years were calculated with Cox proportional hazard models, adjusting for mothers' education and use of psychotropics, children's adverse life events and sex.RESULTSPA declined from 4.2 to 2.5 hours per day between 5 and 11 years of age. PA at 11 years was negatively associated with the incidence of any psychiatric conditions among all participants (HR=0.88, 95% CI 0.79 to 0.98) until 18 years. PA at 11 years showed a trend for reducing depression among girls (HR=0.82, 95% CI 0.67 to 1.00) and boys (HR=0.71, 95% CI 0.47 to 1.06) and protected against anxiety (HR=0.61, 95% CI 0.42 to 0.90) and addiction (HR=0.65, 95% CI 0.45 to 0.95) for boys, but not for girls (anxiety: HR=0.96, 95% CI 0.81 to 1.13, addiction: HR=1.04, 95% CI 0.68 to 1.58). Time outdoors showed no protective associations, while participation in organised sports showed significant protective effects on anxiety and addiction for both boys and girls, and on depression for boys.CONCLUSIONSThis study provides evidence that PA and participation in organised sports may have sex-specific protective effects against several childhood psychiatric conditions.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"142 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143945359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of tailored injury and illness prevention and management to reduce the prevalence and severity of health problems in adapted sports: a randomised controlled trial.","authors":"Sietske Cm Luijten,Simone Cn Jenniskens,Jasmijn Fm Holla,Thomas Wj Janssen,Joske Nauta,Jos Wr Twisk,Evert Verhagen","doi":"10.1136/bjsports-2024-108782","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108782","url":null,"abstract":"OBJECTIVEThis randomised controlled trial evaluated the efficacy of the Tailored Injury Prevention in Adapted Sports (TIPAS) intervention on sports-related health problems in athletes participating in adaptive sports with physical impairments.METHODSWe randomly assigned 60 athletes participating in adaptive sports with physical impairments to an intervention group and 47 to a control group. The intervention group received direct, automated, predetermined preventive and management measures tailored to their weekly reported health problems, physical impairments and sports. The primary outcome was injury and illness prevalence over 40 weeks. Secondary outcomes were incidence, weekly cumulative severity score, weekly time loss, and total burden. A multinomial mixed methods analysis was performed to identify an intervention effect over time.RESULTSThe athletes (53 women, 54 men; age±45 years) reported 449 health problems (162 illnesses, 287 injuries) during the study period. The overall prevalence of health problems was 44% in the intervention group and 46% in the control group. Over time, no significant main intervention effect was found (illnesses OR: 1.02; 95% CI: 0.52 to 1.99; and injuries OR: 1.01; 95% CI: 0.55 to 1.86). However, a significant positive time×group interaction effect (p<0.001) indicated a reduction in injury prevalence in the intervention group over time, though not for illnesses. The rates versus severity analysis showed a significantly lower illness severity in the intervention group relative to the control group.CONCLUSIONThe TIPAS intervention provides a non-significant decrease in the overall prevalence of sport-related injuries and illnesses and may reduce the severity of sport-related illnesses throughout a Dutch sports season. This tailored online preventive strategy provides an accessible programme to consider in adapted sports suited to athletes' physical impairments, sports participation and current health status.Trial registration number: ICTRP register: NL-OMON24078.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"2 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speech analysis for assessing physical competence under the concept of physical literacy (PhD Academy Award)","authors":"Rui Si Ma","doi":"10.1136/bjsports-2025-109839","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109839","url":null,"abstract":"The primary focus of my thesis was to investigate the relationship between speech features and physical activity, with the aim of developing a novel method for assessing physical competence and predicting exercise performance through speech analysis. I used a combination of machine learning and deep learning techniques to extract and model speech features that are indicative of physical exertion. This innovative approach allowed for the prediction of physical competence across various states of exercise, offering a non-invasive alternative to traditional fitness assessments. The methodology was designed to be applicable in real-world, dynamic environments, addressing the need for a more accessible and cost-effective solution that may offer a practical way to assess physical performance outside of laboratory settings. The motivation behind this research stemmed from the need to develop an approach that has the potential to be accessible, non-invasive and cost-effective method for assessing physical competence in diverse environments. Traditional methods, such as heart rate monitoring or physical performance tests, are often impractical in remote or resource-limited settings.1 Speech, being a naturally occurring and easily accessible output of human exertion, provides a unique opportunity to capture real-time physiological responses to physical activity.2 By analysing vocal changes induced by exercise, this study aimed to create a practical solution …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"24 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combining evidence and practice to optimise neck training aimed at reducing head acceleration events in sport: a systematic review and Delphi-consensus study","authors":"Molly Fownes-Walpole, Omar Heyward, Kevin Till, Lois Mackay, Anna Stodter, Marwan Al-Dawoud, Melanie Dawn Bussey, Leigh Gordon, James Hairsine, Christopher Kirk, Rob Madden, Lesley McBride, Alexander McDaniel, Pete McKnight, Nathan Mill, Kerry Peek, Gavin Pratt, Des Ryan, Danielle Salmon, Lindsey Schroeder, Craig Twentyman, Theo Versteegh, Elisabeth Williams, Ben Jones","doi":"10.1136/bjsports-2024-108847","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108847","url":null,"abstract":"Head acceleration events (HAEs) can potentially have adverse consequences for athlete brain health. In sports, in which head injuries have the highest incidence, identifying strategies to reduce HAE frequency and magnitude is a priority. Neck training is a potential strategy to mitigate against the magnitude of HAEs. This two-part study aimed to (1) systematically review the literature of neck training interventions in sport and (2) undertake an expert Delphi consensus on the best practices for neck training implementation to reduce HAEs in sport. Part I: a systematic search of four databases was undertaken from the earliest records to September 2024. The PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines were followed, and a quality assessment was completed using a modified Downs and Black assessment tool and the GRADE (Grading of Recommendations Assessment, Development and Evaluation). Papers were eligible if they both (1) implemented a reproducible exercise intervention targeting the neck within collision, combat or motor sport, and (2) assessed outcomes relating to either: the physical profile of the neck; head/neck injury incidence; and/or HAEs. Part II: 18 international experts, with experience in research and/or applied practice of neck exercise training, concussion and/or HAEs, reviewed the part I findings before completing a three-round Delphi consensus process. Part I included 21 papers, highlighting the heterogeneity of existing interventions. Part II resulted in 57 statements coded into five categories: contextual factors (n=17), neck training periodisation (n=12), training adaptations (n=10), neck training content (n=15) and athlete adherence (n=3). This study presents recommendations for neck exercise training aiming to reduce HAEs in sport, supporting both practice and future research.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"38 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bringing reproductive, pelvic and breast health to light: insights from the Health of Elite Retired Australian female athletes survey (HER-Aus)","authors":"Daniel J Friedman, David Hughes, Jane S Thornton, Richard Saw, Michael Girdwood, Kimberley R Wells, Kay M Crossley","doi":"10.1136/bjsports-2024-109328","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109328","url":null,"abstract":"Objectives To describe the reproductive, pelvic and breast health of retired elite Australian female athletes. Methods Data were collected as part of a larger online cross-sectional survey that was cocreated with female athletes and disseminated to Australian retired elite (international-level and national-level) female athletes aged ≥18 years old and retired from elite competition ≥2 years. Results 199 retired female athletes (mean (SD) age 44 (10) years; retired for 16 (9) years; competed for 10 (5) years) across 31 different sports responded to the survey. 23% (46/199) experienced primary amenorrhoea, and 48% (95/197) reported ever experiencing secondary amenorrhoea. Of athletes with pregnancy difficulties (n=45), 42% reported menstrual cycle irregularity during their career. Of athletes who gave birth (n=98), 19% had difficulties conceiving, requiring fertility treatments. The majority of athletes reported current symptoms of urinary incontinence (70% (140/198)) and faecal incontinence (54% (106/197)). 18% (33/188) reported that they currently experience exercise-related breast pain; however, 87% (164/188) reported that breast pain never negatively impacts their current physical activity. Conclusions A high prevalence of reported menstrual irregularities, pelvic floor dysfunction and fertility issues highlights the need for early prevention and intervention measures to address long-term health and the unique challenges faced by female athletes during and after their sporting careers. Data are available on reasonable request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"35 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sports to empower rural youth in India: the Sondara Gurukul school","authors":"Anita Jain","doi":"10.1136/bjsports-2025-109924","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109924","url":null,"abstract":"The Indian Government’s landmark initiative Khelo India (Play, India) seeks to infuse a sports culture in the country and promote excellence through investments in sport infrastructure and coaching.1 There is general interest in increasing mass participation in sport, including indigenous sports. Indeed, India hosted the first World Cup of the sport Kho-Kho in January 2025,2 and in March 2025, England hosted the Kabaddi World Cup, another traditional Indian sport.3 The United Nations also proclaimed 21 June as the International Day of Yoga, recognising its universal appeal to promote physical, mental and spiritual health.4 Despite these important events, little trickles down to promoting sports participation at the grassroots level. In fact, only about 50% of children and adolescents in India meet the global physical activity guidelines, and less than half of schools provide the necessary facilities and training for sports.5 The realities on the ground, particularly in remote and rural communities, present many challenges to advance youth sports. Thus, it takes vision, committed leadership and community resilience to foster physical activity and sports participation in rural India. One initiative to foster youth physical activity is brewing at Sondara Gurukul—a school for children from farming communities in one of the most deprived, drought-prone regions of central India. Sondara Gurukul is a boarding school started over 40 years ago by a dedicated teacher who believed in the traditional Gurukul philosophy, that is, learning by example. Children learn from their teachers by example of good values and actions, moment by moment. The school started with only a handful of students, but now enrols over 250 boys between 10 and 15 years, and has recently started day schooling for girls. These children are mostly first-generation learners. This region has often been in the news for high rates …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"18 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determination of athlete-exposures in team sports: it depends on the research question","authors":"Steven D Stovitz, Ian Shrier","doi":"10.1136/bjsports-2025-109822","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109822","url":null,"abstract":"We would like to introduce you to Sarah, a sports medicine clinician who cares for team sports and is interested in decreasing injury rates. Sarah recognises that to decrease injury rates, she must properly define the term and then use the best methods for assessment. Epidemiology includes definitions for measures such as incidence rates,1 and Knowles et al applied these principles to sports injuries in 2006.2 Injury rates depend on a proper numerator, that is, the injuries, and a proper denominator, that is, exposure time. Our focus is on the denominator, exposure time, where the assessment should only include ‘athletes-at-risk’.2 In sports, an athlete is generally only at risk for injury while they are on the field, playing their sport. This editorial focuses on team sports where Sarah notices that many injury surveillance studies calculate exposure time in team sports using the phrase, ‘athlete-exposures’, where it is defined as ‘one athlete participating in one game or practice’.3–6 This definition is imprecise and some have interpreted ‘participating’ as only those who played in the games, regardless of the duration,7 and others have interpreted it to include everyone on the game roster, even if they had no playing time.8 Since players on the bench are not at risk for a game-time injury, if there are any substitutions, then both of the above definitions of ‘athlete-exposures’ violate the rule to assess only those at risk. Therefore, for many research questions, these definitions of athlete-exposures overestimate exposure time and consequently underestimate injury rates. This is especially important when comparing across sports as some sports have a large percentage of players on the bench as opposed to in the game, for example, basketball and ice hockey, whereas other sports may have few players on the bench compared with in …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"9 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"All the right moves: physical activity promotion for people with musculoskeletal pain.","authors":"Matt Fernandez, Katie de Luca, Robert Stanton, Stephanie Alley, Fabio Serpiello, Corneel Vandelanotte","doi":"10.1136/bjsports-2024-108941","DOIUrl":"10.1136/bjsports-2024-108941","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"691-693"},"PeriodicalIF":11.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity – conquering cancer and cardiovascular disease","authors":"Sharief Hendricks","doi":"10.1136/bjsports-2025-110125","DOIUrl":"https://doi.org/10.1136/bjsports-2025-110125","url":null,"abstract":"If ever more evidence was needed for the powerful effects of physical activity on chronic and serious disease, it can be found in this South African Sports Medicine Association (SASMA) edition of BJSM! We spotlight leading cancer and exercise research from South African and abroad. In a sample of 28 248 South African participants diagnosed with stage 1 cancer, Mabena and colleagues from the University of the Witwatersrand show an inverse relationship between prediagnosed physical activity and cancer progression and overall mortality (see page 715) . In other words, being physically active before the diagnosis of cancer reduced the risk of cancer progression or mortality. Furthermore, individuals who engaged in more than an average of 60 min of moderate-to-vigorous physical activity per week had a lower rate of progression and death compared with individuals with lower levels of physical activity (<60 min) or no physical activity. In another original study, Jiang and colleagues (see page 706) explored the associations between post-diagnosis physical activity and cardiovascular risk in 6109 long-term cancer survivors. The study …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"56 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"En route to the 6th World Congress of Sports PT, Bern 2026","authors":"Mario Bizzini, Suzanne Gard, Nicolas Mathieu","doi":"10.1136/bjsports-2025-109997","DOIUrl":"https://doi.org/10.1136/bjsports-2025-109997","url":null,"abstract":"The Swiss Sports Physiotherapy Association (SSPA) will hold its 23rd annual conference together with the Sport & Exercise Medicine Switzerland (SEMS) on 30 October 2025–31 October 2025 in Lausanne. This is the second time since 2018 that the two societies will join forces to showcase a truly international conference around the topic ‘Structure and Function’. Among the confirmed speakers for this event: Jane Thornton, Karim Khan, Ewa Roos, Peter O’Sullivan, Fiona Wilson, Carles Pedret, Karin Gravare Silbernagel, Yannis Pitsiladis, Rod Whiteley and many others. You’ll find more information about this stellar event on the conference website (https://sems.ch/news/artikel/save-the-date) and in the dedicated BJSM-SEMS issue later this fall. Meanwhile, we’re simply thrilled to start the preparations towards the 2026 World Congress of Sports Physical Therapy (WCSPT) in Bern, capital of Switzerland and home of our annual event since 2005. Back in 2015, the SSPA organised the first WCSPT in cooperation with the International Federation of Sports Physical Therapy (IFSPT). This event attracted over 800 participants from 34 countries worldwide. In December 2026 (4 December–5 December), we’ll host the sixth WCSPT edition, thus perpetuating the original idea of providing an outstanding international conference combined with unique networking possibilities among sport physiotherapys (PTs) from all over the world. BJSM has always been a strong supporter of WCSPT, and we want to acknowledge here the key role played by former Editor-in-Chief Karim Khan in helping to organise the first WCSPT and facilitating the ‘return to sport’ (RTS) consensus meeting, which led to one of the milestone publications in sports PT and sports medicine of the last decade.1 …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}