British Journal of Sports Medicine最新文献

{"title":"Bidirectional association between injuries and mental health symptoms among elite athletes: a systematic review.","authors":"Margot Putukian, Sharaisha Chanita Bilgoe, David McDuff, James Doorley, Gino Mmj Kerkhoffs, Vincent Gouttebarge","doi":"10.1136/bjsports-2026-111569","DOIUrl":"10.1136/bjsports-2026-111569","url":null,"abstract":"<p><strong>Objectives: </strong>To assess (1) the association between mental health symptoms and subsequent injury and (2) the association between injury and subsequent mental health symptoms.</p><p><strong>Design: </strong>Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</p><p><strong>Data sources: </strong>EBSCO APA, PsycINFO, EBSCO SportDiscus, Scopus and PubMed (Medline) from inception until June 2025.</p><p><strong>Eligibility criteria: </strong>We included original quantitative studies, written in English, of current or former elite athletes that included the incidence or prevalence of musculoskeletal injury (not including head injuries) resulting in time loss or modified sport activity and incidence or prevalence of mental health symptoms or disorders.</p><p><strong>Results: </strong>A total of 25 studies were included; 13 prospective, 9 cross-sectional, 2 mixed and 1 interventional study. Differing definitions of injury and substantial heterogeneity of symptom measures (including related psychosocial outcomes) assessed mental health. Nine of 11 studies that assessed mental health symptoms found an association with subsequent injury and 10 of 13 studies that assessed injury found an association with subsequent mental health symptoms.</p><p><strong>Conclusions: </strong>In elite athletes, there is an association between injuries and mental health symptoms though study designs limit the ability to determine bidirectionality. This warrants standardised screening for mental health symptoms in elite athletes as a potential risk factor for injury as well as in assessing the response to injury.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1177-1185"},"PeriodicalIF":15.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648190","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":"Integrating a lived experience workforce to support and enhance mental health and well-being in elite sport.","authors":"Lisa S Olive, Erin Hoare, Hannah Macdougall, Dan Hunt, Kate Hall, Rosemary Purcell, Claudia Reardon, Michael Berk","doi":"10.1136/bjsports-2025-110580","DOIUrl":"10.1136/bjsports-2025-110580","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1077-1079"},"PeriodicalIF":15.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041259","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":"Mental health in elite athletes: International Olympic Committee consensus statement (2026).","authors":"Claudia L Reardon, Vincent Gouttebarge, Emily Kroshus-Havril, Cindy Miller Aron, Roald Bahr, Cheri Blauwet, João Mauricio Castaldelli-Maia, Camille Cheng, Alan Currie, Jeffrey Lee Derevensky, Carla Edwards, Sarah Fussek, Paul Gorczynski, Michael Grandner, Doug Hyun Han, Mary E Hitchcock, Frank Lu, Andrew Massey, David McDuff, Margo Mountjoy, Rosemary Purcell, Margot Putukian, Simon M Rice, Scott Sloan, Torbjørn Soligard, Jorunn Kaiander Sundgot-Borgen, Leslie Swartz, Jane S Thornton, Tshepang Tshube, Brian Hainline","doi":"10.1136/bjsports-2025-111514","DOIUrl":"10.1136/bjsports-2025-111514","url":null,"abstract":"<p><p>This consensus statement represents an update to <i>Mental Health in Elite Athletes: International Olympic Committee Consensus Statement (2019)</i> To advance a more standardised, evidence-based approach to mental health in elite athletes, an International Olympic Committee (IOC) Consensus Group critically evaluated the current science via a systematic literature review, sought consensus using Delphi methodology and provided recommendations relevant to this topic. Key themes include that mental health symptoms and disorders are (1) common among elite athletes; (2) may have sport-related aetiologies and manifestations; and (3) can impact performance. Routine screening for and monitoring of mental health symptoms and disorders in elite athletes using validated instruments is recommended. Management strategies should promote mental well-being in addition to preventing and treating mental health symptoms and disorders. These strategies should address all contributors to mental health symptoms, including factors within the environments in which athletes train and compete. Treatment may include psychotherapy, medication and other culturally or contextually appropriate modalities. With appropriate support and treatment, many athletes experiencing mental health symptoms and disorders can continue to train and compete safely, but sometimes modification of sport participation may be necessary. Elite athletes who are transitioning out of sport, elite Para athletes and elite young (adolescent) athletes are relatively understudied and may have distinct mental health concerns, in addition to those impacting elite athletes in general.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1083-1130"},"PeriodicalIF":15.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148711521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of cardiovascular screening in professional female football players.","authors":"Kentaro Yamagata, Sanjay Sivalokanathan, Gherardo Finocchiaro, Raghav T Bhatia, Dan Augustine, Michael Bowes, Daniel Broman, Paul Clift, Robert M Cooper, Antoinette Kenny, Ritan Mehta, David Oxborough, Michael Papadakis, Kiran Patel, Dhrubo Rakhit, David Ripley, Tristan Ramcharan, Georgina K Stebbings, Amanda M Varnava, John Walsh, Zaheer Yousef, Jamie S McPhee, Charlotte M Cowie, Sanjay Sharma, Aneil Malhotra","doi":"10.1136/bjsports-2025-111459","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111459","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the results of cardiac screening, prevalence of cardiac diseases and subsequent health outcomes among elite female football players in the UK.</p><p><strong>Methods: </strong>Between 2000 and 2024, 3121 elite female football players underwent the English Football Association (FA) cardiac screening programme, comprising a health questionnaire, 12-lead ECG and echocardiogram. The FA registry was interrogated for screening findings, subsequent testing, diagnosis and cardiac morbidity or mortality, including sudden cardiac arrest and death (SCA/SCD). Sex-based comparisons were performed in 2680 females screened between 2017 and 2024, matched 1:2 by age, ethnicity and screening period to 5360 male players screened through the same programme.</p><p><strong>Results: </strong>Female athletes were 19.8±5.4 years old, and the majority (87%) were White. Among 3121 female football players, 193 (6.2%) had an abnormal screening result requiring further evaluation; positive health questionnaires were present in 321 (10.3%), of which two (0.6%) athletes were true-positive for major cardiac conditions. Abnormal ECGs were present in 77 (2.5%), of which four (5.2%) were true positives. Major cardiac conditions were diagnosed in six (0.2%), including four with long QT syndrome, one with Wolff-Parkinson-White syndrome and one with bicuspid aortic valve with moderate to severe aortic regurgitation. No female had cardiomyopathy diagnosed at baseline; however, one (0.03%) was diagnosed with arrhythmogenic cardiomyopathy 18 months later. During 19 193 person-years of follow-up, no female experienced SCA/SCD. In matched analysis, major cardiac conditions were diagnosed in five females (0.2%) and 29 males (0.5%; p=0.027), with higher estimated screening expenditure per major diagnosis in females (£146 809 vs £51 888).</p><p><strong>Conclusions: </strong>Cardiovascular screening in elite female football players identified a low prevalence of major cardiac conditions, predominantly electrical disorders, with no cardiomyopathy diagnosed at baseline and no SCA/SCD during follow-up. As female participation in elite sport continues to grow, these findings support the need for sex-appropriate interpretation and adequate budgeting for pre-participation cardiovascular evaluation.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":15.5,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705530","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":"Athletes and the coronary calcium paradox.","authors":"Shaun Khanna, Nitesh Nerlekar, Aditya Bhat","doi":"10.1136/bjsports-2025-111309","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111309","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":15.5,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683496","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":"Effect of strength training controlled with functional electromechanical dynamometry on energy expenditure (PhD Academy Award).","authors":"Indya Del-Cuerpo","doi":"10.1136/bjsports-2026-112087","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112087","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"41 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148552295","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 an individualised swimming and education programme for chronic low back pain (EduSwim): a randomised controlled trial.","authors":"Deborah M Wareham,Joel T Fuller,Petra L Graham,Natasha C Pocovi,Hazel J Jenkins,Chris G Maher,Kerry Mace,Karen Tambree,Mark J Hancock","doi":"10.1136/bjsports-2026-111730","DOIUrl":"https://doi.org/10.1136/bjsports-2026-111730","url":null,"abstract":"OBJECTIVETo assess the effectiveness of a swimming and education programme compared with education alone for patients with chronic low back pain.METHODAdults with chronic, non-specific low back pain were randomised to a swimming and education (intervention) group or an education alone (control) group (1:1). The intervention group received an individualised swimming and education programme facilitated by four physiotherapy telehealth sessions delivered over 8 weeks. The control group received up to two telehealth sessions with a physiotherapist covering the same educational content as the intervention group. The primary outcome was disability (Roland Morris Disability Questionnaire, (RMDQ)) at 8 weeks. Secondary outcomes included pain intensity, patient-specific functional limitation, pain self-efficacy, fear of movement, patient-perceived global improvement and adverse events. Linear mixed models were used to assess intervention effects.RESULTS76 participants were randomised (39 to intervention and 37 to control). Swimming and education together was more effective than education alone for disability at 8 weeks (RMDQ mean difference (MD) -2.5, 95% CI -4.5 to -0.5), but this between-group difference was not sustained at 52 weeks. For pain intensity, the intervention showed a small benefit at 8 weeks that may not be clinically significant (MD -0.7, 95% CI -1.5 to 0.0). All other secondary outcomes showed a pattern of better outcomes in the intervention group early, which typically reduced over time. The intervention group had more adverse events, although almost all were non-serious.CONCLUSIONA swimming and education programme was more effective than education alone for short-term improvement of chronic low back pain.TRIAL REGISTRATION NUMBERACTRN12624000263594.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"10 1 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539158","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":"Associations of physical, psychosocial and dual-career loads with injury and illness occurrence among elite handball players (PhD Academy Award).","authors":"Kristina Drole","doi":"10.1136/bjsports-2026-112190","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112190","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"49 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148462449","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":"International Olympic Committee Sport Mental Health Assessment Tool 2 (IOC SMHAT2): development, content validity and feasibility.","authors":"Vincent Gouttebarge,Abhinav Bindra,Cheri Blauwet,Alan Currie,Brian Hainline,Emily Kroshus-Havril,David McDuff,Rosemary Purcell,Margot Putukian,Claudia L Reardon,Simon M Rice,Scott Sloan,Jane Thornton,Margo Mountjoy","doi":"10.1136/bjsports-2025-111408","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111408","url":null,"abstract":"OBJECTIVETo describe the evidence- and practice-based processes that led to the International Olympic Committee Sport Mental Health Assessment Tool 2 (IOC SMHAT2).METHODSSeven stages were conducted including: (1) reviewing the scientific literature related to the use (eg, uptake by physicians) of the IOC SMHAT-1; (2) gathering the view (eg, experience with the tool, advice for improvements) of IOC SMHAT-1 users; (3) exploring the misclassification and measurement properties of the IOC SMHAT-1; (4) performing misclassification analysis of available IOC SMHAT-1 data; (5) designing the initial IOC SMHAT2; (6) evaluating the content validity and feasibility of the initial IOC SMHAT2; and (7) finalising the IOC SMHAT2.RESULTSThe IOC SMHAT2 was developed for sports medicine physicians and other licensed/registered health professionals with the objective of identifying elite athletes (defined as professional, Olympic, Paralympic or collegiate level; 16 years of age and older) potentially experiencing mental health symptoms and disorders. The IOC SMHAT2 is comprised of a three-step approach: (1) universal screening as step 1, including five disorder-specific screening questionnaires and two single questions; (2) conditional screening as step 2, including two disorder-specific screening questionnaires; and (3) an aid to clinical assessment and treatment as step 3 that should be conducted by sports medicine physicians or licensed/registered mental health professionals.CONCLUSIONBased on scientific and anecdotal reflections on its first version, we developed the IOC SMHAT2 as a second updated version of the tool to identify elite athletes potentially experiencing mental health symptoms and disorders.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"25 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148462450","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":"Championing choice: the Women's Tennis Association Fertility Protection Programme for professional women tennis players.","authors":"Elaine Maclagan,Kathleen Stroia,Jodie G Dakic,Megan Gornet","doi":"10.1136/bjsports-2025-111110","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111110","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"31 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148451489","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}