British Journal of Sports Medicine最新文献

{"title":"Iron and women’s health: a multidimensional exploration of iron deficiency, management and treatment in active women (PhD Academy Award)","authors":"Cory Dugan","doi":"10.1136/bjsports-2024-108768","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108768","url":null,"abstract":"My thesis explores the critical issue of iron deficiency in women’s health. Approximately one-third of the human population has iron deficiency,1 many of whom are physically active women of reproductive age.2 Through a series of novel projects, this thesis provides a multidimensional understanding of the impact, management and treatment of iron deficiency in active women. Comprised of two reviews (narrative and abridged Cochrane) and four original investigations (three cross-sectional investigations and one randomised control trial), with a preface and general discussion section to introduce and conclude the body of work, respectively; the thesis is structured under three overarching themes: Iron deficiency is a significant yet under-recognised public health issue. Despite its high prevalence, there is a lack of comprehensive research focusing on the unique physiological factors faced by women. The notable lack of research has allowed for the normalisation of iron deficiency in society.3 This oversight perpetuates a cycle of underdiagnosis and undertreatment, thereby allowing iron deficiency to common progress in severity, resulting in iron deficiency anaemia.2 Research has demonstrated the detrimental impact of iron deficiency (with or without anaemia) on physical capacity,4 and quality of life5 (figure 1). Additionally, broader societal issues arise as a result, such as declining economic productivity and poor gender healthcare equity.3 Figure 1 Understanding iron deficiency and anaemia in women. This figure outlines the core concerns …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142384145","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":"Impact of postpartum physical activity on cardiometabolic health, breastfeeding, injury and infant growth and development: a systematic review and meta-analysis","authors":"Paris A T Jones, Amy Moolyk, Stephanie-May Ruchat, Muhammad Usman Ali, Karen Fleming, Sarah Meyer, Talia Noel Sjwed, Jenna B Wowdzia, Lauren Maier, Michelle Mottola, Allison Sivak, Margie H Davenport","doi":"10.1136/bjsports-2024-108483","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108483","url":null,"abstract":"Objective To examine the relationship between postpartum physical activity and maternal postnatal cardiometabolic health, breastfeeding, injury, and infant growth and development. Design Systematic review with random-effects meta-analysis and meta-regression. Data sources Eight online databases were searched up until 12 January 2024. Eligibility criteria Studies of all designs in all languages were eligible (except case studies and reviews) if they contained information on the population (postpartum people), intervention (frequency, intensity, duration, volume, or type of exercise, alone (‘exercise-only’) or in combination with other intervention components (eg, dietary; ‘exercise+co-intervention’), comparator (no or low volumes of physical activity), and outcomes: hypertension, diabetes, cardiometabolic risk factors (systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol, high density lipoproteins, low density lipoproteins, and triglycerides, glycated hemoglobin (HbA1C), glucose and insulin concentration), breastfeeding (breast milk quality and volume), infant growth (length and weight) and development, or postpartum injury. Results 46 unique studies (n=8766 participants) from 20 countries were included. Moderate certainty of evidence showed exercise+co-interventions reduced the odds of developing diabetes by 28% (7 randomised controlled trials (RCTs), n=2496; OR 0.72 95% CI 0.54, 0.98, I2 12%), reduced SBP (10 RCTs, n=2753; mean difference (MD) −2.15 95% CI −3.89 to –0.40, I2 73%) and DBP (9 RCTs, n=2575; MD −1.38 95% CI −2.60 to –0.15, I2 66%) compared with controls. Infant growth and development, breast milk quality and quantity, and risk of injury were not different between exercise and control groups. Conclusions Physical activity improves cardiometabolic health without adversely impacting breast milk supply or quality, infant growth or maternal injury. Data are available upon reasonable request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"13 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142384147","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":"Correction:Strength, power and aerobic capacity of transgender athletes: a cross-sectional study","authors":"BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine","doi":"10.1136/bjsports-2023-108029corr1","DOIUrl":"https://doi.org/10.1136/bjsports-2023-108029corr1","url":null,"abstract":"Hamilton B, Brown A, Montagner-Moraes S, et al . Strength, power and aerobic capacity of transgender athletes: a cross-sectional study. British Journal of Sports Medicine 2024;58:586-97. There is an error in the calculations of Absolute Peak Power (W), Relative Peak Power to Fat-Free …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"7 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444049","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":"Sport & Exercise Medicine in Switzerland (SEMS) turns 75","authors":"Boris Gojanovic","doi":"10.1136/bjsports-2024-109207","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109207","url":null,"abstract":"‘Learn from yesterday, live for today, hope for tomorrow. The important thing is not to stop questioning’ (Albert Einstein). On 14 and 15 November 2024, Sport and Exercise Medicine in Switzerland (SEMS) will host a special SEMS annual meeting, celebrating 75 years of sports medicine in Switzerland. While we all consider SEM a young specialty, one that is still not recognised as a full medical specialty in many countries around the world (including Switzerland), we also must acknowledge the trailblazing efforts of European countries at the start of the 20th century to bring SEM to life. In 1928, Switzerland hosted the St Moritz Winter Olympic Games. The event gave the impetus to the reunion of pioneers from 11 European countries, which led to the formation of the ‘Association Internationale Médico-Sportive’ (AIMS; today Fédération Internationale de Médecine du Sport or FIMS), with a Swiss as its first President. It would, however, take 20 or more years for most countries to develop national organised SEM societies, due to the troubled 1930s and 1940s. As we look back …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"32 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444240","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":"Barriers and enablers of adherence to high-intensity interval training among patients with cancer: a systematic review and meta-analysis","authors":"Behnaz Mahdaviani, Maryam Selk-Ghaffari, Mojdeh Sarzaeim, Jane S Thornton","doi":"10.1136/bjsports-2024-108163","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108163","url":null,"abstract":"Objective Physical activity confers physical and psychosocial benefits for cancer patients and decreases morbidity and mortality, but adherence varies. High-intensity interval training (HIIT) is time-efficient and may improve adherence. Our aim was to determine barriers and enablers of adherence to HIIT in patients diagnosed with cancer. Design Systematic review and meta-analysis. Data source PubMed-MEDLINE, Scopus and Web of Science. Eligibility criteria Intervention studies including patients diagnosed with any type of cancer, who engaged in HIIT with or without co-intervention in any stage of treatment and have reported outcomes for adherence. Results Eight hundred articles were screened and 22 were included (n=807); 19 were included in the meta-analysis (n=755). Weighted adherence to HIIT was 88% (95% CI, 81% to 94%). None of the studies reported serious adverse events. Although being a woman and having breast cancer were associated with lower adherence (p<0.05), age was not (p=0.15). Adherence was significantly lower during the treatment phase in comparison with pre- and post-treatment phases, 83% versus 94% and 96%, respectively (p<0.001). Session time of more than 60 min, when unsupervised and combined with other interventions, was associated with decreased adherence (p<0.05). Conclusion Adherence to HIIT programmes among cancer patients varies and is improved when the intervention is supervised, of shorter duration, consists of solely HIIT and not in combination with other exercise and occurs during pre- and post-treatment phases. Strategies to improve adherence to HIIT in specific subpopulations may be needed to ensure all patients with cancer are provided optimal opportunities to reap the benefits associated with physical activity. PROSPERO registration CRD42023430180. All data relevant to the study are included in the article or uploaded as supplementary information.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"18 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142329056","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":"Contemporary national and international guidelines on physical activity and sedentary behaviour for people living with chronic conditions, disability and advanced age: a scoping review","authors":"Mark P Ranasinghe, Harrison Andersen, Ruby K Dempsey, Noah Wexler, Rochelle Davis, Monique Francois, Stephen Gilbert, Anthony David Okely, Catherine Sherrington, Paddy C Dempsey","doi":"10.1136/bjsports-2024-108247","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108247","url":null,"abstract":"Objectives Physical activity guidelines inform policy and practice in promoting healthier lifestyles. The WHO advocates for distinct recommendations for each country to address variation in needs, resources and context. Specific regional recommendations for three underactive populations facing unique barriers to movement are lacking—people with chronic conditions, disability and advanced age. We review which countries/regions provide specific physical activity guidelines for these populations to identify deficiencies in meeting WHO recommendations and inform future directions for guideline development. Design Scoping review. Data sources OVID Medline, PubMed, Scopus, Embase, Web of Science, Google Scholar, ProQuest, CINAHL, Google searches, targeted websites. Eligibility criteria Data sources were searched from database inception to September 2023 to identify community-facing physical activity guidelines at the national/international level for these populations. We recorded, summarised and analysed physical activity guideline recommendations extracted from published guideline documents, organised by population and country/region. Results 66 articles were identified, addressing 28 distinct countries/regions, including four international guidelines, published from 2009 to 2023. The WHO guidelines were adopted by 19 countries and the European Union. Across all regions, a lack of specific advice was identified for individuals with chronic conditions (46%), disability (46%) and advanced age (11%). Advice for chronic conditions and disability commonly replicated general adult population advice. Conclusion Many countries/regions do not produce physical activity guidelines specific to populations with chronic conditions and disability. As such, a large proportion of countries/regions failed to meet WHO recommendations, highlighting a lack of customised advice to address unique barriers faced by vulnerable populations. No data are available. Not applicable.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"25 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328608","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":"Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears: 10-year follow-up of the OMEX randomised controlled trial","authors":"Bjørnar Berg, Ewa M Roos, Martin Englund, Nina Jullum Kise, Lars Engebretsen, Cathrine Nørstad Eftang, May Arna Risberg","doi":"10.1136/bjsports-2024-108644","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108644","url":null,"abstract":"Objective To evaluate radiographic knee osteoarthritis (OA) progression, development of knee OA, patient-reported outcomes and knee muscle strength at 10-year follow-up after arthroscopic partial meniscectomy (APM) or exercise therapy for degenerative meniscal tears. Methods Randomised controlled trial including 140 participants, with a degenerative meniscal tear and no or minimal radiographic OA changes. Participants were randomised to either APM or 12 weeks of exercise therapy (1:1 ratio). The primary outcome was knee OA progression assessed by the Osteoarthritis Research Society International (OARSI) atlas sum score (sum of medial and lateral compartment joint space narrowing and osteophyte score). Secondary outcomes included incidence of radiographic and symptomatic knee OA, patient-reported pain and knee function and isokinetic knee muscle strength. Results The adjusted mean difference in change in the OARSI sum score was 0.39 (95% CI −0.19 to 0.97), with more progression in the APM group. The incidence of radiographic knee OA was 23% in the APM group and 20% in the exercise group (adjusted risk difference 3% (95% CI −13% to 19%)). No clinically relevant differences were found in patient-reported outcomes or isokinetic knee muscle strength. Conclusion No differences in radiographic knee OA progression and comparable rates of knee OA development were observed 10 years following APM and exercise therapy for degenerative meniscal tears. Both treatments were associated with improved patient-reported pain and knee function. Trial registration number [NCT01002794][1]. Data are available on reasonable request. [1]: /lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT01002794&atom=%2Fbjsports%2Fearly%2F2024%2F09%2F26%2Fbjsports-2024-108644.atom","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142325141","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":"Back pain Knowledge and beliefs Survey (BacKS): development and assessment of measurement properties","authors":"Leticia Amaral Corrêa, Mark Hancock, Stephanie Mathieson, Arianne Verhagen, Ben Darlow, Paul William Hodges, Simon French","doi":"10.1136/bjsports-2024-108364","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108364","url":null,"abstract":"Objective To develop and evaluate a new patient-reported outcome measure (PROM) to assess people’s knowledge and beliefs about low back pain. Methods This study followed the COnsensus-based Standards for the selection of health Measurement INstruments guidelines. An 18-item preliminary version of the Back pain Knowledge and beliefs Survey (BacKS) was generated based on evidence-based key messages and current clinical guidelines for low back pain. Four items were added following input from three consumers and seven experts. Focus groups (n=9) confirmed content validity. The 22-item version was completed by 258 Australian-based adults (>18 years) with self-reported low back pain. A follow-up survey was sent 1 week later. The following measurement properties were evaluated to produce, and then assess the final version of BacKS: structural validity (exploratory factor analysis); internal consistency (Cronbach’s alpha); test–retest reliability (intraclass correlation coefficient); measurement error (Smallest Detectable Change); construct validity (hypothesis tested: moderate positive Pearson correlation between BacKS and Back Beliefs Questionnaire); plus, interpretability and feasibility. Results The final BacKS comprised 20 items with a 2-factor structure (biomedical factor: 9 items, score ranging from 9 to 45, and self-care factor: 11 items, score ranging from 11 to 55). Internal consistency and reliability were adequate (>0.70) for each factor. Smallest detectable change was 4.4 (biomedical factor) and 7.0 (self-care factor). Our construct validity hypothesis was confirmed (Pearson correlation=0.53). No floor or ceiling effects were detected. Conclusion The BacKS is a valid, reliable and feasible PROM to measure knowledge and beliefs about low back pain in clinical practice and research settings. Data are available on reasonable request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"11 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142317618","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":"Single case experimental design: a rigorous method for addressing inequity and enhancing precision within Para sport and exercise medicine research.","authors":"Sean Tweedy,Iain Mayank Dutia,John Cairney,Emma Beckman","doi":"10.1136/bjsports-2024-108587","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108587","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"19 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142275170","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":"ICON 2023: International Scientific Tendinopathy Symposium Consensus – the core outcome set for Achilles tendinopathy (COS-AT) using a systematic review and a Delphi study of professional participants and patients","authors":"Robert-Jan de Vos, Karin Gravare Silbernagel, Peter Malliaras, Tjerk Sleeswijk Visser, Hakan Alfredson, Inge van den Akker-Scheek, Mathijs van Ark, Annelie Brorsson, Ruth Chimenti, Sean Docking, Pernilla Eliasson, Kenneth Farnqvist, Zubair Haleem, Shawn L Hanlon, Jean-Francois Kaux, Rebecca Samantha Kearney, Paul D Kirwan, Kornelia Kulig, Bhavesh Kumar, Trevor Lewis, Umile Giuseppe Longo, Tun Hing Lui, Nicola Maffulli, Adrian James Mallows, Lorenzo Masci, Dennis McGonagle, Dylan Morrissey, Myles Calder Murphy, Richard Newsham-West, Katarina Maria Nilsson-Helander, Richard Norris, Francesco Oliva, Seth O’Neill, Koen Peers, Ebonie Kendra Rio, Igor Sancho, Alex Scott, Kayla D Seymore, Sze-Ee Soh, Patrick Vallance, Jan A N Verhaar, Arco C van der Vlist, Adam Weir, Jennifer Ann Zellers, Bill Vicenzino","doi":"10.1136/bjsports-2024-108263","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108263","url":null,"abstract":"To develop a core outcome set for Achilles tendinopathy (COS-AT) for use in clinical trials we performed a five-step process including (1) a systematic review of available outcome measurement instruments, (2) an online survey on truth and feasibility of the available measurement instruments, (3) an assessment of the methodological quality of the selected outcome measurement instruments, (4) an online survey on the outcome measurement instruments as COS and (5) a consensus in-person meeting. Both surveys were completed by healthcare professionals and patients. The Outcome Measures in Rheumatology guidelines with a 70% threshold for consensus were followed. We identified 233 different outcome measurement instruments from 307 included studies; 177 were mapped within the International Scientific Tendinopathy Symposium Consensus core domains. 31 participants (12 patients) completed the first online survey (response rate 94%). 22/177 (12%) outcome measurement instruments were deemed truthful and feasible and their measurement properties were evaluated. 29 participants (12 patients) completed the second online survey (response rate 88%) and three outcome measurement instruments were endorsed: the Victorian Institute of Sports Assessment-Achilles questionnaire, the single-leg heel rise test and evaluating pain after activity using a Visual Analogue Scale (VAS, 0–10). 12 participants (1 patient) attended the final consensus meeting, and 1 additional outcome measurement instrument was endorsed: evaluating pain during activity/loading using a VAS (0–10). It is recommended that the identified COS-AT will be used in future clinical trials evaluating the effectiveness of an intervention. This will facilitate comparing outcomes of intervention strategies, data pooling and further progression of knowledge about AT. As COS-AT is implemented, further evidence on measurement properties of included measures and new outcome measurement instruments should lead to its review and refinement.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"185 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142231289","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}