British Journal of Sports Medicine最新文献

{"title":"Innovative exercise for extrapulmonary benefits in chronic obstructive pulmonary disease: feasibility, physiological responses and methodology (PhD Academy Award).","authors":"Johan Jakobsson","doi":"10.1136/bjsports-2026-112300","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112300","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":15.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817550","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":"Epistemic injustice in sports medicine: framing return-to-play beyond hard data.","authors":"Silvia Gandini, Giulia Sesa","doi":"10.1136/bjsports-2026-111587","DOIUrl":"10.1136/bjsports-2026-111587","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1196-1198"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238894","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 and feasibility of home-based physical exercise interventions for children and adolescents with chronic diseases: a systematic review and meta-analysis.","authors":"Sofia Mendes Sieczkowska, Danilo Reis Coimbra, Fabiana Infante Smaira, Bruna Caruso Mazzolani, Gabriela Paticcié, Camila Astley, Amanda Iraha, Hamilton Roschel, Tiago Peçanha, Bruno Gualano","doi":"10.1136/bjsports-2025-110204","DOIUrl":"10.1136/bjsports-2025-110204","url":null,"abstract":"<p><strong>Objective: </strong>(1) To synthesise the available evidence on the clinical effectiveness of home-based physical exercise interventions in improving aerobic capacity, functional capacity, muscle strength and quality of life in children and adolescents with chronic diseases, as well as to evaluate their feasibility; and (2) to assess the reporting quality of these interventions using the Consensus on Exercise Reporting Template, with the aim of identifying gaps in methodological transparency that may limit reproducibility and scalability.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Data sources: </strong>Medline (via PubMed), Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), SportDiscus and CINAHL database (via EBSCOhost) were searched until 31 December 2025.</p><p><strong>Eligibility criteria: </strong>Eligible studies included intervention designs (randomised controlled trials (RCTs), non-randomised trials and before-after studies) that evaluated home-based physical exercise interventions in children and adolescents with chronic diseases. Studies were required to include a comparator (eg, centre-based interventions, alternative home-based interventions, such as motor imagery, constraint-induced movement therapy or hand-arm bimanual intensive therapy or no intervention) or to report within-group (baseline-to-follow-up) comparisons. Outcomes of interest were aerobic capacity, functional capacity, muscle strength and quality of life.</p><p><strong>Results: </strong>A total of 81 studies were included, comprising 2923 children and adolescents. The most frequently represented conditions were cerebral palsy (n=26; 32.1%), cystic fibrosis (n=10; 12.3%) and idiopathic arthritis (n=8; 9.8%). Of the 45 RCTs identified, 19 met the criteria for inclusion in the meta-analysis. Home-based physical exercise interventions were effective in increasing aerobic capacity (p<0.0001; standardised mean differences: 0.53; 95% CI 0.32 to 0.74) compared with the control group. No significant differences were observed between home-based interventions and control conditions for functional capacity or quality of life. However, functional capacity gains are similar when comparing centre-based and home-based approaches. A meta-analysis of muscle strength could not be performed due to insufficient data. Adherence to home-based physical exercise interventions was higher than 80% in 27 of the 50 studies that reported this information. Most studies reported no adverse events of home-based physical exercise interventions, with few studies reporting only mild adverse effects (eg, muscle soreness, stiffness and fatigue).</p><p><strong>Conclusions: </strong>Our meta-analysis of randomised controlled trials comparing home-based interventions with control conditions suggests that home-based physical exercise is feasible and improves aerobic capacity, but does not confer significant benefits for functional capacit","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1259-1269"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004887","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":"Unlocking the potential of light-intensity physical activity for public health: a call to action for research.","authors":"Stephanie A Prince, Jean-Philippe Chaput, Rachel C Colley, Paddy C Dempsey, Ulf Ekelund, Ian Janssen, Justin J Lang, Emmanuel Stamatakis, Jakob Tarp, Mark S Tremblay, Marisol T Betancourt, Gregory P Butler, Karen C Roberts","doi":"10.1136/bjsports-2025-111179","DOIUrl":"10.1136/bjsports-2025-111179","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1193-1196"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833976","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":"Role of exercise in improving bone health in young paediatric patients with a history of cancer (PhD Academy Award).","authors":"Andres Marmol-Perez","doi":"10.1136/bjsports-2026-111951","DOIUrl":"10.1136/bjsports-2026-111951","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1275-1276"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962317","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":"Need to train clinicians for physical activity and exercise interventions: a call to action.","authors":"Daniel Neunhaeuserer, Irfan Asif, Jonathan A Drezner, Willem van Mechelen, Emiliano Scettri, Vincenzo Palmieri, Marco Vecchiato, Mark Stoutenberg, Francesca Battista, Andrea Ermolao","doi":"10.1136/bjsports-2026-111687","DOIUrl":"10.1136/bjsports-2026-111687","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1205-1207"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762763","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":"Infographic. Active commuting is linked to lower coronary atherosclerosis.","authors":"Peter Edholm, Patrik Wennberg, Marcel Ballin, Carl-Johan Östgren, Bledar Daka, Daniel Berglind, Cecilia Lenander, Viktor H Ahlqvist, Karin Rådholm, Pontus Henriksson, Ángel Herraiz-Adillo","doi":"10.1136/bjsports-2026-111851","DOIUrl":"10.1136/bjsports-2026-111851","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1270-1271"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148359711","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":"Dual-pillar phenotype of elite deaf female soccer players: reduced aerobic capacity and repeated-sprint ability coexisting with enhanced explosive power.","authors":"Adam Michał Szulc, Ildikó Balatoni, Grzegorz Przybylski, Andrzej Chęsy, Krzysztof Buśko","doi":"10.1136/bjsports-2026-111857","DOIUrl":"10.1136/bjsports-2026-111857","url":null,"abstract":"<p><strong>Purpose: </strong>Research on deaf and hard-of-hearing athletes suggests sensorimotor trade-offs from neuroplasticity. We tested divergent adaptation in elite female soccer players, hypothesising a phenotype with cardiorespiratory/repeated-sprint deficits with enhanced explosive power (H1), respiratory-perceptual fatigue (H2) and a sensory-endurance gradient (H3).</p><p><strong>Methods: </strong>This cross-sectional study compared 18 elite deaf (Polish National Team) and 21 hearing (top-tier) players. Assessments included cardiopulmonary exercise testing with maximal oxygen uptake (VO₂max) verification, Running-Based Anaerobic Sprint Test (RAST) and countermovement jump (CMJ) with allometric scaling. Analysis of covariance controlled for body fat and training experience.</p><p><strong>Results: </strong>Supporting H1, hearing athletes had higher adjusted VO₂max (50.3 vs 45.8 mL/kg/min, p=0.016) and RAST peak power (7.2 vs 6.1 W/kg, p<0.001), while deaf athletes generated greater allometrically scaled CMJ peak power (115.8 vs 107.4, p=0.011). Supporting H2, deaf athletes had shorter time to exhaustion (TTE) (12.35 vs 14.83 min, p<0.001) and lower attainment of respiratory exchange ratio >1.0 (33% vs 90%, p=0.0002), with dyspnoea cited as the limiting symptom (56% deaf vs 71% leg fatigue in hearing). Partially supporting H3, deeper hearing loss correlated with shorter TTE (r=-0.64, p=0.005) but not CMJ power.</p><p><strong>Conclusions: </strong>Findings evidence a neuro-respiratory trade-off in elite deaf female soccer players: cardiorespiratory and repeated-sprint deficits with an explosive power advantage. Fatigue appears governed by respiratory-perceptual factors rather than metabolic acidosis. This phenotype, likely from developmental neuroplasticity, necessitates individualised dual-track training.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1250-1258"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161918","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":"Joint non-linear dose-response associations of device-measured physical activity and cardiorespiratory fitness with cardiovascular disease: a cohort and Mendelian randomisation study.","authors":"Zhide Liang, Senyao Du, Shiao Zhao, Xianfei Wang, Qiang Yan, Baichao Xu, Sanfan Ng, Ziheng Ning","doi":"10.1136/bjsports-2025-111351","DOIUrl":"10.1136/bjsports-2025-111351","url":null,"abstract":"<p><strong>Objectives: </strong>To characterise the non-linear joint dose-response relationship of accelerometer-measured moderate-to-vigorous physical activity (MVPA) and cardiorespiratory fitness (CRF, estimated as maximal oxygen uptake (VO₂max)) with incident cardiovascular disease (CVD), and to assess causal consistency using Mendelian randomisation (MR).</p><p><strong>Methods: </strong>We conducted a cohort study in the UK Biobank using accelerometer data linked to hospital and death registries. A Cox generalised additive model characterised the joint MVPA-CRF association with incident CVD (atrial fibrillation, myocardial infarction, heart failure (HF) and stroke), adjusting for confounders. We derived a fitness-stratified matrix quantifying the weekly MVPA minutes associated with prespecified relative hazard reductions. Complementary two-sample MR analyses leveraged genome-wide association study summary statistics for device-measured physical activity (PA) traits and CRF to assess potential causal effects on cardiovascular outcomes.</p><p><strong>Results: </strong>Among 17 088 participants, 1233 incident CVD events occurred over a median follow-up of 7.85 years (IQR, 7.39-8.27). A significant non-linear interaction between MVPA and CRF was observed (p<0.001). Meeting the 150 min/week guideline yielded a modest ~8%-9% risk reduction across fitness levels, whereas achieving a >30% risk reduction required threefold to fourfold higher volumes (~560-610 min/week). Residual analysis indicated that fitness beyond what MVPA and covariates predicted retained a modest protective association with CVD risk (HR, 0.98 per 1 mL/kg/min; 95% CI 0.97 to 0.99; p<0.001). In MR analyses, genetically proxied higher CRF was associated with lower HF risk (OR, 0.79; 95% CI 0.63 to 0.99), whereas genetic evidence for PA traits was weaker and less consistent.</p><p><strong>Conclusion: </strong>Current MVPA guidelines provide a universal but modest safety margin, whereas optimal cardiovascular protection may require substantially higher activity volumes. The fitness-stratified prescription matrix offers quantitative behavioural targets, and genetic findings reinforce the independent importance of CRF in cardiovascular risk reduction.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1238-1249"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970350","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":"High-intensity circuit training combined with sleep or dietary interventions improves cardiometabolic health, sleep health and executive function (PhD Academy Award).","authors":"Borui Zhang","doi":"10.1136/bjsports-2026-111832","DOIUrl":"10.1136/bjsports-2026-111832","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"1277-1278"},"PeriodicalIF":15.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238897","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}