British Journal of Sports Medicine最新文献

{"title":"Scarred no more-resolution of myocarditis.","authors":"Kentaro Yamagata, Peter P Swoboda, Gulraiz Ahmad, Aneil Malhotra","doi":"10.1136/bjsports-2024-108894","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108894","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373734","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":"Methodology for promoting equity-informed research in sport and exercise medicine: recommendations from the AMSSM Collaborative Research Network.","authors":"Katherine H Rizzone, Megan Agnew, Stephanie A Kliethermes, Megan Nicole Arthur, Monique Burton, Carly Day, Caitlin Nicholson, Julia Ray, Nicole Stern, Jonathan A Drezner, Emily Kroshus, Cheri Blauwet","doi":"10.1136/bjsports-2024-109286","DOIUrl":"10.1136/bjsports-2024-109286","url":null,"abstract":"<p><strong>Background: </strong>Limited guidance exists for conducting research on health disparities within the field of sport and exercise medicine (SEM). This review aimed to identify and summarise existing best practices for conducting equitable, diverse and inclusive research within SEM.</p><p><strong>Methods: </strong>A narrative review with evidence synthesis was conducted using electronic databases, reference lists, manual searches and relevant publications from other organisations. Search terms associated with steps of the research process were used in tandem with 'equity', 'inclusion' and 'health disparities'.</p><p><strong>Results: </strong>We developed a research roadmap for SEM researchers with methodological recommendations to develop and conduct equity-informed and equity-focused research. This roadmap serves as a tool for SEM researchers and clinicians to design, execute and disseminate research with a health disparities lens. We recommend SEM researchers should build an equitable, diverse and inclusive research team and include community members; apply a multilevel, intersectional framework; minimise and acknowledge potential biases in the study design and incorporate qualitative or mixed-methods approaches if appropriate; apply multiple inclusive strategies for recruiting and retaining diverse populations; collect accurate and representative data using inclusive data collection methods and tools with validity and reliability in the populations of interest; apply measures with evidence of validity and reliability in the populations of interest; implement a data analysis plan that reflects the conceptual and theoretical frameworks; and promote broad dissemination and interventions that ultimately address and reduce health inequities.</p><p><strong>Conclusion: </strong>SEM researchers should consider these methodological recommendations to conduct equity-informed and equity-focused research to address health disparities in SEM.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"272-282"},"PeriodicalIF":11.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073948","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":"'The right advice': a qualitative study examining enablers and barriers to recreational running and beliefs about knee health following knee surgery.","authors":"James L N Alexander, Allison M Ezzat, Adam G Culvenor, Danilo De Oliveira Silva, Melissa Haberfield, Jean-François Esculier, Christian J Barton","doi":"10.1136/bjsports-2024-108838","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108838","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the experiences, knowledge and beliefs of recreational runners with a history of knee surgery regarding (i) enablers and barriers to running participation, (ii) the association of running and knee joint health, and (iii) perceived benefits and motivations for running.</p><p><strong>Methods: </strong>17 runners (≥3 times/week, ≥10 km/week) with a history of knee surgery (7±7 years post-surgery, 9 women, age 36±8 years) participated in one-on-one semi-structured interviews. Interviews were recorded, transcribed verbatim and analysed using reflexive thematic analysis. Trustworthiness was built by following established qualitative research guidelines and by participant validation of findings in the final analysis stages.</p><p><strong>Results: </strong>We identified 9 themes (5 subthemes) for aim (i); 3 themes (10 subthemes) for aim (ii); and 2 themes (4 subthemes) for aim (iii). Positive health professional support including education, exercise rehabilitation and a tailored return-to-run plan enabled participants to return to running following surgery. Effective load management either independently or with coach assistance, and consistent strength training were considered key to maintaining participation. Barriers to running following surgery included unhelpful health professional encounters, persistent knee symptoms and muscle weakness, new running-related injuries, anxiety and fear about reinjury, and difficulty finding time. Participants had varying beliefs about running and knee joint health, although most believed that running benefited long-term knee health. Improved mental health and social connection were the most common motivators to run.</p><p><strong>Conclusion: </strong>Our qualitative findings may inform strategies to support adults to commence, or return to, and maintain running participation following knee surgery.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188371","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":"It is time to improve our research design, reporting and interpretation of sex and gender in exercise science and sports medicine research.","authors":"Amanda D Hagstrom, Joanne L Parsons, Sophia Nimphius, Matthew J Jordan, Stephanie E Coen, Robyn Norton","doi":"10.1136/bjsports-2024-109342","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109342","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188370","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":"Cardiorespiratory fitness is associated with cognitive function in late adulthood: baseline findings from the IGNITE study.","authors":"Lauren E Oberlin, Lu Wan, Chaeryon Kang, Allison Romano, Sarah Aghjayan, Alina Lesnovskaya, Hayley S Ripperger, Jermon Drake, Rae Harrison, Audrey M Collins, Cristina Molina-Hidalgo, George Grove, Haiqing Huang, Arthur Kramer, Charles H Hillman, Jeffrey M Burns, Eric D Vidoni, Edward McAuley, M Ilyas Kamboh, John M Jakicic, Kirk I Erickson","doi":"10.1136/bjsports-2024-108257","DOIUrl":"10.1136/bjsports-2024-108257","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the association between cardiorespiratory fitness (CRF) and cognition in a large sample of older adults, and to examine clinical and demographic factors that might moderate these associations.</p><p><strong>Methods: </strong>CRF was measured with a graded exercise test performed on a motorised treadmill. A confirmatory factor analysis was conducted using data from a comprehensive neuropsychological battery to obtain latent factors reflecting core cognitive domains. Linear regression models evaluated the association between CRF and each of the cognitive composites, and potential moderators including demographic factors (age, sex, education), apolipoprotein E ε4 (<i>APOE4</i>) carriage, beta-blocker use and components of maximal effort criteria during CRF testing.</p><p><strong>Results: </strong>The sample consisted of 648 adults (mean (SD) age 69.88 (3.75)), including 461 women (71.1%). The highest oxygen consumption obtained during testing (VO_2max) was mean (SD) = 21.68 (5.06) mL/kg/min. We derived a five-factor model composed of episodic memory, processing speed, working memory, executive function/attentional control and visuospatial function. Higher CRF was associated with better performance across all five cognitive domains after controlling for covariates. Age and <i>APOE4</i> carriage did not moderate observed associations. The relationship between CRF and cognitive performance was greater in women, those with fewer years of education and those taking beta-blockers in the domains of processing speed (sex: β=-0.447; p=0.015; education: β=-0.863; p=0.018) and executive function/attentional control (sex: β=-0.417; p=0.022; education β=-0.759; p=0.034; beta-blocker use: β=0.305; p=0.047).</p><p><strong>Conclusion: </strong>Higher CRF in older adulthood is associated with better cognitive performance across multiple domains susceptible to age-related cognitive decline. Sex, education and use of beta-blockers moderated observed associations within select cognitive domains.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":"167-176"},"PeriodicalIF":11.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806376","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":"Proposed minimum dataset for an athlete screening echocardiogram: the Standardised Transthoracic Echocardiogram Reporting in Athletes (STERA) protocol.","authors":"Belinda Gray, Angus Davis, Jessica J Orchard, Michael Papadakis, Aaron L Baggish, André La Gerche","doi":"10.1136/bjsports-2024-108974","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108974","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073949","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":"Long-term follow up from the Harvard Alumni Health Study: collegiate sport participation in males is associated with higher physical activity throughout midlife.","authors":"Meagan M Wasfy,Uzair Tahamid Siam,Sarah K Gustus,Kevin S Boyd,Adam S Tenforde,Howard Sesso,I-Min Lee","doi":"10.1136/bjsports-2024-109255","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109255","url":null,"abstract":"OBJECTIVETo compare physical activity (PA) over midlife between (1) former collegiate athletes and non-athletes and (2) among athletes in different sports.METHODSThe Harvard Alumni Health Study (HAHS) is a prospective cohort study of male undergraduates who completed serial questionnaires regarding PA and health status between 1962 and 1993. PA was categorised by intensity (<3 METs, light; 3 to <6 METs, moderate; ≥6 METs, vigorous), and energy expenditure (kilocalories (kcal)/week) was estimated at each intensity and in total. HAHS data were merged with university athletics records. Mixed linear models, adjusted for graduating class, survey date, age and smoking, were compared with PA between relevant groups.RESULTS22 201 participants completed 38 448 surveys when 30-65 years old, of which 1533 (6.9%) participants were athletes completing 2733 (7.1%) surveys. The age at the first survey was 46.8±9.7 years. Athletes were more active than non-athletes throughout midlife (p<0.001), from age 35 (total PA: +856.8 [704.6 to 1009.1] kcal/week) to age 65 (+524.2 [359.1 to 689.4] kcal/week). Total PA levels converged with older age, and differences resulted from more vigorous intensity PA in athletes. Multisport collegiate athletes were more active than single sport athletes (+544.6 [196.5 to 892.7] kcal/week, p=0.002). Compared with other athletes, PA in midlife was higher in tennis (+750.1 [223.9 to 1276.2] kcal/week, p=0.005) and basketball (+373.6 [28.7 to 718.5] kcal/week, p=0.03) players.CONCLUSIONCollegiate sport participation, particularly participation in multiple sports, is associated with higher midlife PA levels in males. These results underscore the importance of early life sport exposure in supporting health-promoting levels of later life PA.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"10 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143062059","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":"‘I wish I had been better prepared’: a mixed-methods study of psychological reactions, perceptions and opinions of cardiovascular preparticipation screening among young competitive athletes","authors":"Nicholas Grubic, Matthew Fraser, Meghan K Ford, Braeden Hill, Laura E Mantella, Valentina Mihajlovic, Ryan Bennett, Rohaan Syan, Anhadh Law, Jane S Thornton, Amer M Johri","doi":"10.1136/bjsports-2024-108921","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108921","url":null,"abstract":"Objective To evaluate the psychological reactions, perceptions and opinions of cardiovascular preparticipation screening (PPS) among young competitive athletes. Methods This convergent parallel mixed-methods study recruited 222 athletes (mean age: 18.7 years) who underwent PPS at a Canadian university. All athletes completed a cardiovascular history questionnaire, and a subgroup (n=165) additionally obtained an ECG and physical exam. On registering for PPS, athletes completed a psychological impact survey. Survey items were measured on a 5-point scale, ranging from −2 (strongly disagree) to 2 (strongly agree) and reported as means. After completing PPS, 18 athletes participated in focus groups or interviews to explore screening experiences. Qualitative data were analysed using reflexive thematic analysis, following an inductive and critical realist approach. Results Athletes reported minimal symptoms of anxiety (−1.29), stress (−1.41) or worry (−1.12) concerning their participation in PPS and agreed that screening was beneficial for their safety (1.25). Psychological symptoms were higher in athletes who reported cardiovascular symptoms or a family history than those who did not. Athletes required to undergo an ECG and physical exam were less anxious, stressed and worried about PPS but more interested in learning about their results than those screened with only a history questionnaire. Three themes described athletes’ responses to PPS: (1) importance of communication and service navigation; (2) distress surrounding the uncertainty of results and (3) screening as a non-disruptive and essential part of ‘being an athlete’. Conclusion The PPS process does not lead to excessive distress among young competitive athletes before, during or after screening. Athletes identified solutions to enhance the PPS experience, including tailored educational resources and an integrated support system to manage psychological symptoms. Data are available on reasonable request. Quantitative data may be made available on reasonable request to the corresponding author. Due to privacy and confidentiality reasons, focus group and individual interview transcripts or qualitative data analysis files will not be shared.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"24 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054891","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":"The association between Guardian Cap use during practices and sport-related concussion risk in high school American football players","authors":"Erin Hammer, Sam Mosiman, Mikel R Joachim, Ethan Taylor, Adam Cordum, M Alison Brooks, Timothy McGuine","doi":"10.1136/bjsports-2024-108945","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108945","url":null,"abstract":"Objective Guardian Caps (GCs) have been widely implemented at all levels of American football participation based on laboratory evidence that they may reduce head impact forces. The purpose of this study was to determine if GC use during practice was associated with a lower risk of sport-related concussion (SRC) during practices and games among high school football players. Methods Data were collected on 2610 athletes from 41 Wisconsin schools that self-selected into GC or Non-GC cohorts. Athletic trainers recorded practice and game exposures and SRCs through the 2023 season. Generalised linear mixed models were built to determine the effect of GC utilisation on SRC rates, accounting for school and player exposures. Results In the total cohort (Non-GC n=1188 (45.5%); GC n=1422 (54.5%)), 180 athletes (6.9%) sustained SRCs. 64 SRCs occurred during practice (GC n=33 (51.6%); Non-GC n=31 (48.4%)). GC use was not associated with a decreased risk of SRC during practice in the univariable analysis (relative risk (RR)=1.04, 95% CI 0.58 to 1.86, p=0.90) or after accounting for previous SRC within the last year (RR 1.01, 95% CI 0.57 to 1.79, p=0.97). No players of either cohort wore GCs during games. There were 116 SRCs sustained during games (GC n=68 (58.6%); Non-GC n=48 (41.4%)). GC use during practice was not associated with the risk of SRC during games in the univariable analysis (RR 1.13, 95% CI 0.72 to 1.78, p=0.60) or after accounting for previous SRC within the last year (RR 1.13, 95% CI 0.71 to 1.78, p=0.61). Conclusion GC use during practice in high school American football players was not associated with a decreased risk of sustaining SRC in practice or games. Data are available upon reasonable request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"16 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054897","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":"ReFORM synthesis of the 6th International Consensus Statement on Concussion in Sport","authors":"Géraldine Martens, Jon S Patricios, Kathryn J Schneider, Gavin A Davis, Cheri Blauwet, Nina Feddermann-Demont, Camille Tooth, Aurore Thibaut, Jean-François Kaux, Suzanne Leclerc","doi":"10.1136/bjsports-2024-109188","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109188","url":null,"abstract":"The sixth International Conference on Concussion in Sport took place 27–30 October 2022 in Amsterdam, Netherlands. It followed the fifth International Conference held in Berlin, Germany in October 2016, and aimed to provide updated recommendations regarding the prevention and management of concussions in sport based on the highest level of scientific evidence, the result of several systematic reviews of the literature.1–10 This editorial summarises key processes and recommendations from the Consensus Statement on Concussion in Sport.11 The preparation of these recommendations took several years, followed a robust methodology12 and was presented in a structured format. The organising committee was composed of representatives from international sports federations (Fédération Internationale de l'Automobile, Fédération Equestre Internationale, Fédération Internationale de Football Association, International Ice Hockey Federation, and World Rugby) and the International Olympic Committee. This organising committee proposed Co-Chairs of the Scientific Committee, who are also part of the Concussion in Sport Group (CISG). The Scientific Committee then invited lead authors and suggested coauthors (these recommendations were reviewed and amended by the lead authors) independent of the organising committee who had no input to the scientific process. A modified Delphi technique was used to devise the initial 12 questions that informed the Berlin International Conference on Concussion in Sport which were subsequently revised to 10 questions for the Amsterdam consensus.12 13 Ten themes around concussion were identified and evolved from previous iterations of the statement: prevention strategies, acute evaluation, office assessment, targeted interventions, rest and exercise, clinical recovery, evaluation of persisting symptoms, role of emerging technologies, retirement from sports and long-term effects. For each identified theme, the author group conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, with meta-analyses whenever possible, and then developed recommendations based on the results of these reviews.1–10 These …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"87 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027187","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}