British Journal of Sports Medicine最新文献

{"title":"Quantifying the relative intensity of free-living physical activity: differences across age, association with mortality and clinical interpretation—an observational study","authors":"Alex V Rowlands, Mark W Orme, Benjamin D Maylor, Andrew P Kingsnorth, Joe Henson, Jonathan Goldney, Melanie Davies, Cameron Razieh, Kamlesh Khunti, Francesco Zaccardi, Thomas Yates","doi":"10.1136/bjsports-2024-108792","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108792","url":null,"abstract":"Objectives To describe age-related differences in the absolute and relative intensity of physical activity (PA) and associations with mortality. Methods UK Biobank participants with accelerometer-assessed PA (m g ) and fitness data (N=11 463; age: 43–76 years) were included. The intensity distribution of PA was expressed in absolute and relative terms. The outcome was mortality. Results PA volume (average acceleration) and absolute intensity were lower with increasing age (~−0.03 to −0.04 SD of mean value across all ages per year; p<0.001) but differences in relative intensity by age were markedly smaller in women (−0.003 SD; p<0.184) and men (−0.012 SD; p<0.001). Absolute intensity was higher in men, but relative intensity higher in women (p<0.001). Over a median (IQR) follow-up of 8.1 (7.5–8.6) years, 121 (2.4 per 1000-person-years) deaths occurred in women and 203 (5.0 per 1000-person-years) in men. Lower risk of mortality was observed for increasing absolute or relative intensity in women, but for absolute intensity only in men. In men, the lowest risk (HR 0.62, 95% CI 0.43, 0.91) was observed in those with high absolute intensity (80th centile), but low relative intensity (20th centile). Conversely, in women, the lowest risk was associated with high levels (80th centile) of both absolute and relative intensity (HR 0.59, 95% CI 0.41, 0.86). Conclusion Absolute PA intensity dropped with age, while relative intensity was fairly stable. Associations between PA intensity and mortality suggest that prescribing intensity in absolute terms appears appropriate for men, while either absolute or relative terms may be appropriate for women. Data may be obtained from a third party and are not publicly available. UK Biobank analyses were conducted using the UK Biobank Resource under Application 33266. The database supporting the conclusions of this article is available from UK Biobank project site, subject to registration and application process. Further details can be found at [https://www.ukbiobank.ac.uk][1]. Code availability: Accelerometer data were processed using the open-source R-package GGIR (version 2.3-0, [http://cran.r-project.org][2][www][3]. The relative intensity gradient was generated using open-source code available at [www.github.com/Maylor8/Relative-Intensity-Gradient][4]). Radar plots were generated in R using open-source code available at: [github.com/Maylor8/RadarPlotGenerator][3]. [1]: https://www.ukbiobank.ac.uk/ [2]: http://cran.r-project.org/ [3]: http://www.github.com/Maylor8/RadarPlotGenerator [4]: http://www.github.com/Maylor8/Relative-Intensity-Gradient","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"16 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143462887","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":"Depression, reduced physical activity and the risk of heart disease: a prospective cohort of European middle-aged and older adults","authors":"Miguel Peralta, Marcelo Nascimento, Gerson Ferrari, Élvio R. Gouveia, Adilson Marques","doi":"10.1136/bjsports-2024-108780","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108780","url":null,"abstract":"Objective To assess the impact of depression and physical activity (PA) of different intensities on the incidence of heart disease. Methods A prospective cohort study with 20 645 European middle-aged and older adults (mean baseline age 63 years; 55.1% women; median follow-up 9.5 years) was conducted using data from the Survey of Health, Ageing and Retirement in Europe. The EURO-D 12-item scale assessed depression. Moderate-intensity and vigorous-intensity PA and heart disease diagnoses were self-reported. We classified participants into the following four groups: (1) depression plus low PA, (2) no depression plus low PA, (3) depression plus moderate/high PA, (4) no depression plus moderate/high PA. Hazard ratio (HR) and 95% confidence interval (CI) were estimated using Cox proportional hazards models adjusted for confounders. Results Compared with having depression and low PA levels, adjusted HR for heart disease similarly decreased for participants with depression and moderate/high PA (moderate-intensity PA: HR=0.63, 95% CI=0.50, 0.78; vigorous-intensity PA: HR=0.69, 95% CI=0.53, 0.89) and participants without depression and low PA (moderate-intensity PA: HR=0.64, 95% CI=0.50, 0.82; vigorous-intensity PA: HR=0.68, 95% CI=0.58, 0.80). The greatest risk reduction was found in participants without depression and moderate/high PA (moderate-intensity PA: HR=0.46, 95% CI=0.37, 0.55; vigorous-intensity PA: HR=0.48, 95% CI=0.40, 0.58). Conclusion Moderate-intensity and vigorous-intensity PA seems to counteract the increased risk for heart disease associated with depression. This highlights the importance of PA as a possible intervention strategy aiming to manage the risk of heart disease among people with depression. Data are available upon reasonable request. The SHARE databases were assessed by registering and accepting the SHARE Research Data Center at <https://share-eric.eu/data/data-access> as long as the data is used for scientific purposes.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"50 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143462484","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":"Development of Australian mental health guidelines for community sport","authors":"Stewart Anthony Vella, Caitlin Liddelow, Simon M Rice, Richard Keegan, Kate Hall, Mark A Jones, David Revalds Lubans, Samantha McLeod, Anthony David Okely, Lisa S Olive, Rosemary Purcell, Lindsey J Reece, Simon Rosenbaum, Matthew J Schweickle, Kelsey Singh, Damien Stewart, Leisl Stimpson, Jordan T Sutcliffe, Megan Teychenne, Courtney C Walton, Christian Swann","doi":"10.1136/bjsports-2024-108749","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108749","url":null,"abstract":"Objective The need for clear and actionable guidelines for the promotion and protection of mental health in organised community sport has previously been identified. This study aimed to provide guidelines to promote and protect mental health in organised community sport in Australia. Methods Guideline development was informed by (1) systematic reviews of the evidence pertaining to existing mental health guidelines in sport and mental health interventions in community sport; (2) an expert Delphi consensus study and (3) key stakeholder input via focus groups. A Guideline Development Committee comprising experts and key stakeholder representatives articulated nine distinct guidelines. Results These guidelines address the areas of: mental health literacy training; mental health support pathways and processes; responding to mental health emergencies; responding to major events that may impact mental health; having a mental health plan in place; reducing stigmatising attitudes; appointing a dedicated mental health champion; coach education and promoting well-being within the organisation. Conclusions We provide guidance for promoting and protecting mental health in community sport. Monitoring uptake and measuring the effectiveness of the guidelines are important areas of future work to advance positive mental health for everybody involved in community sport. Data are available upon reasonable request. Not applicable.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"23 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451478","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":"Body composition, exercise-related performance parameters and associated health factors of transgender women, cisgender women and cisgender men volleyball players.","authors":"Leonardo Azevedo Alvares, Marcus Vl Dos Santos Quaresma, Fernanda Patti Nakamoto, Lívia Marcela Santos, Lucas Soglio Navarro, Giovanna Soglio Navarro, Bruno Marcos Mazoca Orozco, Beatriz Meconi Cardoso Sá, Gabriel Barasnevicius Achkar, Camila Guazzelli Marques, Renata Cleia Claudino Barbosa, Raphael Einsfeld Simões Ferreira","doi":"10.1136/bjsports-2024-108601","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108601","url":null,"abstract":"<p><strong>Objective: </strong>The inclusion of transgender athletes in competitive sports has promoted significant dialogue and controversy among exercise-related professionals. The objective of this study was to investigate body composition, exercise-related performance parameters and associated health-related factors of transgender women (TW), cisgender women (CW) and cisgender men (CM) amateur volleyball players.</p><p><strong>Methods: </strong>This was a cross-sectional study comprising TW, CW and CM amateur volleyball players eligible with the following characteristics: 'gender incongruent' (for TW only); age between 18 and 35 years; body mass index (BMI) between 18.0 and 29.9 kg/m²; 'very active' according to the International Physical Activity Questionnaire, and engaged in regular volleyball training for at least 1 year. All participants were assessed for body composition, blood biomarkers, handgrip strength, countermovement jump height (CMJ), squat jump height (SQJ) and maximum oxygen consumption (V̇O_2max).</p><p><strong>Results: </strong>69 amateur volleyball players were initially evaluated, but only 23 met the inclusion criteria and were included in the study (7 TW, 8 CW and 8 CM). Age (p=0.07) and BMI (p=0.26) were similar between groups. Estradiol (p=0.47), total testosterone (p=1.00) and haemoglobin (p=1.00) levels did not differ between TW and CW. However, analysis not adjusted by confounding variables showed that CM presented higher testosterone levels (p<0.001), haemoglobin levels (p=0.03), lean body mass (p=0.03), handgrip strength (p<0.001), CMJ (p<0.001), SQJ (p=0.012) and V̇O_2max (mL/min) (p=0.001) compared with TW. When adjusted by confounding variables, all p values were <0.05, except for SQJ (p=0.062).</p><p><strong>Conclusion: </strong>TW athletes displayed similar exercise performance and biomarkers compared with CW but lower results compared with CM.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448044","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":"ICRS-FIFA-Aspetar consensus on the management of knee cartilage injuries in football players: part 1 - appropriateness of surgery in different clinical scenarios using the RAND/UCLA appropriateness method.","authors":"Elizaveta Kon, Emmanuel Papakostas, Luca Andriolo, Andreas Serner, Andrew Massey, Peter Verdonk, Peter Angele, Claudia Arias, Camila Cohen Kaleka, Ramon Cugat, Pieter D'Hooghe, Francesco Della Villa, Cristiano Eirale, Christoph Erggelet, João Espregueira-Mendes, Christian Fink, Celeste Geertsema, Liesel Geertsema, Cassandra A Lee, Bert Mandelbaum, Norimasa Nakamura, David A Parker, Kristof Sas, Bertrand Sonnery-Cottet, Willem van der Merwe, Andy Williams, Stefano Zaffagnini, Bashir Ahmed Zikria, Giuseppe Filardo","doi":"10.1136/bjsports-2024-108960","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108960","url":null,"abstract":"<p><p>Knee cartilage lesions are frequent in football players, but evidence for surgical treatment is lacking. The aim of this International Cartilage Regeneration & Joint Preservation Society, Fédération Internationale de Football Association, and Aspetar (ICRS-FIFA-Aspetar) consensus was to develop specific expert-based, patient-specific practical recommendations on the appropriateness of non-surgical or surgical treatments for symptomatic knee cartilage lesions in competitive football players. The RAND/UCLA appropriateness method was used, and 17 voting experts provided recommendations on the appropriateness of surgical treatment in 96 different clinical scenarios defined on 6 variables: cartilage injury onset, lesion location, defect size, bone involvement, player symptom level and preference towards higher priority of a quick return to play or long-term results. Surgical treatment of a cartilage lesion was considered appropriate in 32% of the scenarios, in 21% inappropriate, while in 47% of the scenarios, the appropriateness was considered uncertain. The parameters with the highest appropriateness for the surgical treatment of a cartilage lesion in a football player were the inability to play (75.0% of appropriate scenarios), a lesion sized 2 cm² or bigger (47.9% of appropriate scenarios) and the preference of the player for long-term results (41.7% of appropriate scenarios). In this ICRS-FIFA-Aspetar expert consensus, surgical treatment for cartilage injuries in competitive football players was considered appropriate only in one-third of the clinical scenarios, and the choice was mainly driven by the level of symptoms. Surgical preference was also influenced by larger lesions, lesions of the condyles and trochlea with subchondral bone involvement and player's preference towards long-term results.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405820","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":"Group-mediated exercise for chronic conditions: an urgent need for implementation and scale-up.","authors":"Tim Rees, Mark R Beauchamp, Mark Stevens, Matthew Low, Thomas W Wainwright","doi":"10.1136/bjsports-2024-109318","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109318","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398293","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}