{"title":"Mechanisms of hypoxia (in)tolerance in prematurely born adults: PhD thesis (PhD Academy Award).","authors":"Giorgio Manferdelli","doi":"10.1136/bjsports-2024-108881","DOIUrl":"10.1136/bjsports-2024-108881","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1470-1472"},"PeriodicalIF":11.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142370970","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}
Iain Robert Murray, Navnit S Makaram, Chryssa Neo, Andrew G Geeslin, Jorge Chahla, Gilbert Moatshe, Kay Crossley, Michelle E Kew, Aileen Davis, Maria Tuca, Hollis Potter, Dina C Janse van Rensburg, Carolyn A Emery, SeungPyo Eun, Hege Grindem, Frank R Noyes, Robert G Marx, Chris Harner, Bruce A Levy, Enda King, James L Cook, Daniel B Whelan, George F Hatch, Christopher J Wahl, Kristian Thorborg, James J Irrgang, Nicolas Pujol, Michael J Medvecky, Michael J Stuart, Aaron J Krych, Lars Engebretsen, James P Stannard, Peter MacDonald, Romain Seil, Gregory C Fanelli, Travis G Maak, K Donald Shelbourne, Evert Verhagen, Volker Musahl, Michael T Hirschmann, Mark D Miller, Robert C Schenck, Robert F LaPrade
{"title":"Infographic. Multiligament knee injury (MLKI): an expert consensus statement on nomenclature, diagnosis, treatment and rehabilitation.","authors":"Iain Robert Murray, Navnit S Makaram, Chryssa Neo, Andrew G Geeslin, Jorge Chahla, Gilbert Moatshe, Kay Crossley, Michelle E Kew, Aileen Davis, Maria Tuca, Hollis Potter, Dina C Janse van Rensburg, Carolyn A Emery, SeungPyo Eun, Hege Grindem, Frank R Noyes, Robert G Marx, Chris Harner, Bruce A Levy, Enda King, James L Cook, Daniel B Whelan, George F Hatch, Christopher J Wahl, Kristian Thorborg, James J Irrgang, Nicolas Pujol, Michael J Medvecky, Michael J Stuart, Aaron J Krych, Lars Engebretsen, James P Stannard, Peter MacDonald, Romain Seil, Gregory C Fanelli, Travis G Maak, K Donald Shelbourne, Evert Verhagen, Volker Musahl, Michael T Hirschmann, Mark D Miller, Robert C Schenck, Robert F LaPrade","doi":"10.1136/bjsports-2024-109051","DOIUrl":"10.1136/bjsports-2024-109051","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1463-1465"},"PeriodicalIF":11.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575488","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":"How race and socioeconomic status moderate the association between moderate-to-vigorous physical activity and depressive symptoms: a cross-sectional study with compositional data.","authors":"Yujie Liu, Xin Ge, Ying Wang, Shan Qiao, Yong Cai","doi":"10.1136/bjsports-2024-108290","DOIUrl":"10.1136/bjsports-2024-108290","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored how race and socioeconomic status (SES) moderated the association between moderate-to-vigorous physical activity (MVPA) and depressive symptoms with compositional data.</p><p><strong>Methods: </strong>Participants were 2803 US adults from the 2005-2006 cycle of the National Health and Nutrition Examination Survey. Accelerometers were used to measure MVPA, light-intensity physical activity (LPA) and sedentary behaviours (SB). Participants self-reported sleep duration and depressive symptoms. SES was derived by latent class analysis using household income level, education attainment and occupation. The association between the relative time of MVPA and depressive symptoms and the moderating effects of race and SES were investigated through compositional data analysis. Isotemporal substitution analysis was employed to estimate the association of time reallocation from other movement behaviours to MVPA with depressive symptoms.</p><p><strong>Results: </strong>Increased time spent in MVPA relative to time spent in LPA, SB and sleep was inversely associated with depressive symptoms (OR (95% CI)=0.679 (0.538-0.855)). The relative time of MVPA significantly interacted with race and SES for depressive symptoms (P for interaction <0.05). Reallocating 10-30 min from sleep, SB or LPA to MVPA was associated with lower odds of depressive symptoms solely among non-Hispanic white individuals and those with higher SES.</p><p><strong>Conclusion: </strong>This study used compositional data to reveal a reverse association between MVPA and depressive symptoms among white individuals and those with higher SES. Our results provide evidence of how race and SES moderate the relationship between MVPA and depressive symptoms. Future research is needed to further explore these racial and socioeconomic differences.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1401-1408"},"PeriodicalIF":11.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141455413","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":"Critical incidents and traumatic events in elite sport: proposing the 5Cs approach for how sport medicine teams should care for the affected individual, team and the wider community in the post-traumatic period.","authors":"Elisabeth Kilcourse, Charlotte Taylor, Neil Heron","doi":"10.1136/bjsports-2024-108313","DOIUrl":"10.1136/bjsports-2024-108313","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1379-1380"},"PeriodicalIF":11.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521056","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}
BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
{"title":"Correction:Incidence and prevalence of hamstring injuries in field-based team sports: a systematic review and meta-analysis of 5952 injuries from over 7 million exposure hours","authors":"BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine","doi":"10.1136/bjsports-2021-104936corr1","DOIUrl":"https://doi.org/10.1136/bjsports-2021-104936corr1","url":null,"abstract":"Maniar N, Carmichael DS, Hickey JT, et al . Incidence and prevalence of hamstring injuries in field-based team sports: a systematic review and meta-analysis of 5952 injuries from over 7 million exposure hours. British Journal of Sports Medicine 2023;57:109-16.doi:10.1136/bjsports-2021-104936 Typographical errors were discovered in the analysis code pertaining to two outcome measures: prevalence and proportions. Correction of these errors result in minor changes to data reported in the results, figures 2 and 4, and some elements of online supplemental material. Our primary outcome variables (related to injury incidence) were unaffected by the error …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"199 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758485","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}
Patrick C Wheeler, Katie R Marino, Ralph Mitchell, Jean Wong, Stefan Kluzek
{"title":"Drawing 2024 to a close, and welcoming in 2025 …","authors":"Patrick C Wheeler, Katie R Marino, Ralph Mitchell, Jean Wong, Stefan Kluzek","doi":"10.1136/bjsports-2024-109398","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109398","url":null,"abstract":"On behalf of the British Association of Sport and Exercise Medicine (BASEM) we are delighted to welcome you to this edition of the BJSM, the last edition of 2024. It has been a busy year for all of us, and we are looking ahead at 2025, knowing life rarely seems to get less busy. As many readers know, BASEM is a co-owner of the British Journal of Sports Medicine (BJSM) and the UK’s largest multiprofessional sports medicine association, committed to advancing the education, research and practice of sport and exercise medicine (SEM). Central to our mission is the support of our members in their professional development. We recognise that sport and physical activity play a crucial role in enhancing health, fostering social cohesion and promoting inclusivity. Through BJSM and our other efforts, we support and disseminate research that drives innovation in musculoskeletal practice, injury prevention, physical performance and chronic disease management, ultimately benefiting diverse patient groups—whether elite athletes, weekend warriors, recreational participants or those with specific musculoskeletal health needs. Many BASEM members are readers of the BJSM, and they will know from our regular communications that BASEM itself has had a busy year as we are progressing plans with the Faculty of Sport and Exercise Medicine (FSEM) to form a …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"13 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142841427","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}
Christopher Leckey, Nicol van Dyk, Cailbhe Doherty, Aonghus Lawlor, Eamonn Delahunt
{"title":"Machine learning approaches to injury risk prediction in sport: a scoping review with evidence synthesis","authors":"Christopher Leckey, Nicol van Dyk, Cailbhe Doherty, Aonghus Lawlor, Eamonn Delahunt","doi":"10.1136/bjsports-2024-108576","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108576","url":null,"abstract":"Objective This study reviewed the current state of machine learning (ML) research for the prediction of sports-related injuries. It aimed to chart the various approaches used and assess their efficacy, considering factors such as data heterogeneity, model specificity and contextual factors when developing predictive models. Design Scoping review. Data sources PubMed, EMBASE, SportDiscus and IEEEXplore. Results In total, 1241 studies were identified, 58 full texts were screened, and 38 relevant studies were reviewed and charted. Football (soccer) was the most commonly investigated sport. Area under the curve (AUC) was the most common means of model evaluation; it was reported in 71% of studies. In 60% of studies, tree-based solutions provided the highest statistical predictive performance. Random Forest and Extreme Gradient Boosting (XGBoost) were found to provide the highest performance for injury risk prediction. Logistic regression outperformed ML methods in 4 out of 12 studies. Three studies reported model performance of AUC>0.9, yet the clinical relevance is questionable. Conclusions A variety of different ML models have been applied to the prediction of sports-related injuries. While several studies report strong predictive performance, their clinical utility can be limited, with wide prediction windows or broad definitions of injury. The efficacy of ML is hampered by small datasets and numerous methodological heterogeneities (cohort sizes, definition of injury and dependent variables), which were common across the reviewed studies. 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":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752845","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}
Margo Mountjoy, Karolien Adriaens, Astrid Junge, Helena Verhelle, Felien Laureys, Sandi Kirby, Lenka Dienstbach-Wech, Jeremy Foster, Tine Vertommen
{"title":"Association of self-reported health problems and interpersonal violence in sport: a cross-sectional study in world-level performing athletes.","authors":"Margo Mountjoy, Karolien Adriaens, Astrid Junge, Helena Verhelle, Felien Laureys, Sandi Kirby, Lenka Dienstbach-Wech, Jeremy Foster, Tine Vertommen","doi":"10.1136/bjsports-2024-109022","DOIUrl":"10.1136/bjsports-2024-109022","url":null,"abstract":"<p><strong>Objectives: </strong>A paucity of studies assesses the intersection of physical health (injury and illness), mental health and experiences of interpersonal violence (IV, also known as harassment and abuse) in sport. The objectives of this study were to examine the (a) frequency of self-reported physical and mental health problems of elite athletes in the 12 months prior to the survey, (b) differences in physical and mental health between male and female athletes and (c) relationship of athlete health with experiences of IV.</p><p><strong>Methods: </strong>Elite adult athletes from four sports were approached at eight international events to answer an online questionnaire on their physical and mental health, as well as experiences of IV in sport within the past 12 months.</p><p><strong>Results: </strong>A total of 562 athletes completed the questionnaire. Overall, 75% reported at least one physical symptom, most commonly headache and fatigue (n=188; 33.5% each), followed by musculoskeletal symptoms (n=169; 29.4%). 65.1% reported at least one mental health symptom, mostly of anxiety or depression. More female than male athletes reported physical (F:81.9%; M:68.3%; p<0.001) and mental (F:71.9%; M:58.4%; p<0.001) health problems, while addiction problems were more frequent in male athletes (F:1.8%; M:6.4%; p=0.006. 53.0% of the female and 42.3% of the male participants reported having experienced at least one form of IV. Linear regression analysis demonstrated that all forms of IV, except physical IV (all p's<0.001), were associated with an increasing number of physical and mental health symptoms. In addition, the analysis showed that female athletes had a higher increase in symptoms in response to IV than male athletes.</p><p><strong>Conclusions: </strong>This study demonstrates the relationship of elite athlete physical and mental health with IV. Injury and illness prevention programmes in international sport should include strategies to reduce IV.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1360-1368"},"PeriodicalIF":11.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582285","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}
Margo Mountjoy, Helena Verhelle, Jonathan T Finnoff, Andrew Murray, Amanda Paynter, Fabio Pigozzi, Camille Tooth, Evert Verhagen, Tine Vertommen
{"title":"#WhatWouldYouDo? A cross-sectional study of sports medicine physicians assessing their competency in managing harassment and abuse in sports.","authors":"Margo Mountjoy, Helena Verhelle, Jonathan T Finnoff, Andrew Murray, Amanda Paynter, Fabio Pigozzi, Camille Tooth, Evert Verhagen, Tine Vertommen","doi":"10.1136/bjsports-2024-108210","DOIUrl":"10.1136/bjsports-2024-108210","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the clinical competence of sports medicine physicians to recognise and report harassment and abuse in sports, and to identify barriers to reporting and the need for safeguarding education.</p><p><strong>Methods: </strong>We implemented a cross-sectional cohort study design recruiting through social media and international sports medicine networks in 2023. The survey captured participant perceptions related to the harmfulness of harassment and abuse. The survey incorporated the reasoned action approach as a theoretical framework to design survey questions to identify attitudes and self-efficacy to detect and report suspicions of harassment and abuse and to identify barriers to reporting.</p><p><strong>Results: </strong>Sports medicine physicians (n=406) from 115 countries completed the survey. The situations of harassment and abuse presented in the survey were described by sports medicine physicians as having occurred in the 12 months before participating in the survey. Despite recognising the situations as harmful, sports medicine physicians were somewhat uncomfortable being vigilant for the signs and symptoms and reporting suspicions and disclosures of harassment and abuse (M=2.13, SD=0.67). In addition, just over one-quarter (n<i>=</i>101, 26.9%) was unaware of where to report harassment and abuse, and over half did not know (n<i>=</i>114, 28.1%), or were uncertain (n<i>=</i>95, 23.4%) of who the safeguarding officer was in their sports organisation. Participants identified many barriers to reporting harassment and abuse, including concerns regarding confidentiality, misdiagnosis, fear of reprisals, time constraints and lack of knowledge. Over half felt insufficiently trained (n<i>=</i>223, 57.6%), and most respondents (n=324, 84.6%) desired more education in the field.</p><p><strong>Conclusions: </strong>Educational programmes to better recognise and report harassment and abuse in sports are needed for sports medicine trainees and practising clinicians. An international safeguarding code for sports medicine physicians should be developed.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1353-1359"},"PeriodicalIF":11.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406150","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}