Sports Medicine
Position Statement | Mononucleosis and athletic participation
2 Jun, 2023 | 12:25h | UTC
Position Statement | Athletes with attention-deficit/hyperactivity disorder
2 Jun, 2023 | 12:24h | UTC
Systematic review | Analgesic use in sports
2 Jun, 2023 | 12:17h | UTC
FDA warns of use of selective androgen receptor modulators (SARMs) among teens, young adults
10 May, 2023 | 16:00h | UTCCommentaries:
FDA issues warning for bodybuilding products marketed to teens, young adults – AAP News
Young Men Are Using Banned ‘SARM’ Supplements to Bulk Up, With Harmful Results – HealthDay
Guidelines | Prevention and treatment of nonfreezing cold injuries and warm water immersion tissue injuries
5 May, 2023 | 15:21h | UTCRelated:
Wilderness Medical Society Clinical Practice Guidelines for Spinal Cord Protection
Wilderness Medical Society Clinical Practice Guidelines for Diabetes Management
ACSM expert consensus statement on exertional heat illness: recognition, management, and return to activity
19 Apr, 2023 | 13:27h | UTCRelated:
Exertional heat stroke: pathophysiology and risk factors – BMJ Medicine
Classic and exertional heatstroke – Nature Reviews Disease Primers
Treatment and Prevention of Heat-Related Illness – New England Journal of Medicine
RCT | Exercise and protein intervention may improve resilience and reduce frailty in seniors
17 Apr, 2023 | 13:04h | UTC
Adolescent sudden cardiac death: the role of underlying conditions and physical activity
5 Apr, 2023 | 13:26h | UTCSudden Cardiac Death Among Adolescents in the United Kingdom – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentary on Twitter
Among the causes of SCD in adolescents, arrhythmogenic #cardiomyopathy, coronary artery anomalies & commotio cordis are more common in young athletes who die suddenly than in similarly aged sedentary individuals.
Read more on this https://t.co/VHRIiNz1hE… pic.twitter.com/N3bev3Nv8i
— JACC Journals (@JACCJournals) March 14, 2023
Review | Exercise in octogenarians: how much is too little?
31 Mar, 2023 | 13:34h | UTCExercise in Octogenarians: How Much Is Too Little? – Annual Reviews of Medicine
An evidence-based guide to the efficacy and safety of isometric resistance training in hypertension
23 Mar, 2023 | 12:42h | UTC
Cohort study | Professional soccer players are at increased risk of Alzheimer’s disease and other dementias
21 Mar, 2023 | 13:46h | UTCSummary: The article reports on a cohort study conducted in Sweden to investigate whether male soccer players in the top division are at increased risk of neurodegenerative disease compared to matched controls from the general population. This is a topic of concern as there is a hypothesis that the repetitive mild head trauma sustained through heading the ball and concussions might cause neurodegenerative disease.
The study included 6007 football players and 56,168 controls and used nationwide registers to identify diagnoses of neurodegenerative disease. The study revealed that male professional soccer players in Sweden had a higher risk of neurodegenerative disease, particularly Alzheimer’s disease and other dementias, and outfield players had a higher risk than goalkeepers.
News Release: Elite football players are more likely to develop dementia, suggests Swedish study – Lancet
Commentaries:
Dementia risk higher for outfield players than goalkeepers – study – BBC
Neurodegenerative Diseases Are the Cost of Sports – Health Policy Watch
Related:
Dementia risk in former professional footballers is related to player position and career length.
Study: Neurodegenerative Disease Mortality Increased Among Former Professional Soccer Players
Comparative study highlights women’s lower susceptibility to sudden cardiac arrest during sports
21 Mar, 2023 | 13:44h | UTCSummary: This study assessed the incidence, characteristics, and outcomes of sports-related sudden cardiac arrest (Sr-SCA) in women. Data from three European registries were analyzed, identifying 34,826 SCA cases between 2006 and 2017, with 760 cases (2.2%) being Sr-SCA, including 54 in women.
The average annual incidence of Sr-SCA in women was 0.19 per million, over 10 times lower than in men (2.63 per million). When extrapolated to the European population, this translates to 98 cases per year in women and 1,350 cases in men.
Characteristics, bystander response, time to defibrillation, and survival rates did not significantly differ between women and men. The findings highlight the considerably lower risk of Sr-SCA in women compared to men and should be considered when designing preparticipation screening strategies in the future.
Article: Incidence of Cardiac Arrest During Sports Among Women in the European Union – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentary: Incidence of Cardiac Arrest During Sports Among Women – American College of Cardiology
Commentary on Twitter
Women are at very low risk of cardiac arrest during sports: incidence in women was calculated to be 13 times lower than in men in 3 European registries, w/ no differences in profile, circumstances, mgmt or outcomes. https://t.co/CLl6amlIHO#JACC #CardioTwitter #SportsCardio pic.twitter.com/ADpakbwUKt
— JACC Journals (@JACCJournals) March 15, 2023
The paradox of endurance training: higher coronary plaque prevalence found in lifelong athletes
21 Mar, 2023 | 13:42h | UTCSummary: The Master@Heart study aimed to investigate the relationship between lifelong endurance exercise and coronary atherosclerosis measured by computed tomography coronary angiography (CTCA) in a cohort of 191 lifelong master endurance athletes, 191 late-onset athletes, and 176 healthy non-athletes. All participants were male with a low cardiovascular risk profile.
The study found that lifelong endurance sport participation was not associated with a more favorable coronary plaque composition compared to maintaining a healthy lifestyle. In fact, lifelong endurance athletes exhibited a higher prevalence of coronary plaques, including more non-calcified plaques in proximal segments, than fit and healthy individuals with a similarly low cardiovascular risk profile.
Further research is needed to understand how these findings on CTCA might translate into clinical events in endurance athletes.
Article: Lifelong endurance exercise and its relation with coronary atherosclerosis – European Heart Journal
Commentaries:
Lifelong Endurance Exercise and Coronary Atherosclerosis – American College of Cardiology
MASTER@HEART: Long-term Endurance Athletes Not Immune to Atherosclerosis – TCTMD
International society of sports nutrition position stand: energy drinks and energy shots
14 Mar, 2023 | 13:39h | UTC
M-A | Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes
8 Mar, 2023 | 14:33h | UTCSummary:
The study aimed to determine the association between non-occupational physical activity and chronic disease and mortality outcomes in the general adult population. The systematic review and meta-analysis included 196 articles covering 94 cohorts and over 30 million participants.
The results showed that higher activity levels were associated with a lower risk of all outcomes. The strongest associations were observed for all-cause and cardiovascular disease mortality, with weaker associations for cancer incidence.
The study also found that appreciable population health benefits could be gained from increasing physical activity levels of people who are inactive to just half the current health recommendations; doing that could prevent one in 10 premature deaths.
The findings support the current physical activity recommendations and suggest that even small increases in non-occupational physical activity in inactive adults can provide substantial protection against chronic disease outcomes.
It’s worth noting, however, that this study has the usual limitations of observational studies since all the included studies are cohort studies. Therefore, the results are subject to residual confounding, meaning that other factors not measured or accounted for in the studies could influence the observed associations.
News Releases:
1 in 10 early deaths averted if everyone met physical activity targets – BMJ Newsroom
Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews
3 Mar, 2023 | 14:11h | UTCSummary: This umbrella review summarized the evidence on the effects of physical activity interventions on symptoms of depression, anxiety, and psychological distress in adult populations. The study included 97 systematic reviews comprising 1039 randomized controlled trials and 128,119 participants. The results showed that physical activity had medium effects on depression, anxiety, and psychological distress compared to usual care across all populations. Higher-intensity physical activity was associated with greater improvements in symptoms, and the effectiveness of physical activity interventions diminished with longer-duration interventions. The authors concluded that physical activity is highly beneficial for improving symptoms of depression, anxiety, and distress in a wide range of adult populations, including those with mental health disorders and chronic diseases, and should be a mainstay approach in their management.
Article: Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews – British Journal of Sports Medicine (link to abstract – $ for full-text)
News Release: Exercise more effective than medicines to manage mental health – University of South Australia
Commentary from the authors: Exercise is even more effective than counselling or medication for depression. But how much do you need? – The Conversation
Commentary on Twitter
📣 Effectiveness of #PhysicalActivity for improving depression, anxiety and distress: an overview of #SystematicReviews 🔎📄#KeyPoints:
🧠Higher intensity = greater improvements 🏋️♂️
🧠 Effect diminished with longer duration interventions 📉👉 https://t.co/UJRRFVz7eG pic.twitter.com/5JT9xEVMsa
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) February 19, 2023
Study shows sudden cardiac arrest during sports activity is rare among older adults
3 Mar, 2023 | 13:38h | UTCSudden Cardiac Arrest During Sports Activity in Older Adults – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries:
Sports-related sudden cardiac arrest is rare in older adults – Cedars-Sinai Medical Center
Risk of Sports-Related Sudden Cardiac Arrest Low in Older Adults – TCTMD
RCT | Effects of an exercise and physical activity program in patients with atrial fibrillation
28 Feb, 2023 | 13:38h | UTCAn Exercise and Physical Activity Program in Patients With Atrial Fibrillation: The ACTIVE-AF Randomized Controlled Trial – JACC: Clinical Electrophysiology (link to abstract – $ for full-text)
Commentary: ACTIVE-AF Suggests Physical Activity May Reduce Atrial Fibrillation Risk – HCP Live
Guideline | Exercise-based knee and anterior cruciate ligament injury prevention
15 Feb, 2023 | 16:02h | UTC
A guide to indoor rock climbing injuries
13 Feb, 2023 | 12:31h | UTCA Guide to Indoor Rock Climbing Injuries – Current Sports Medicine Reports (free for a limited period)
Position Paper | Diagnosis, prevention and treatment of common shoulder injuries in sport
10 Feb, 2023 | 14:01h | UTC
Commentary on Twitter
Common shoulder injuries 💪 – grading the evidence on: 📊
🔍 Diagnosis – included 19 clinical tests
✋ Prevention – injury prevention programmes
🏋️♂️ Treatment – stretching, ice packs, strengthening, compressionStatement paper commissioned by DSSF
➡️ https://t.co/CN7usTd3HR pic.twitter.com/xavDN5MICY
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) January 16, 2023
Guideline | Management of anterior cruciate ligament injuries
8 Feb, 2023 | 12:31h | UTCRelated:
M-A | Primary surgery vs. primary rehabilitation for treating anterior cruciate ligament injuries.
A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster–Randomized Controlled Trials With Meta-analysis – American Journal of Sports Medicine (link to abstract – $ for full-text)
Guideline on rehabilitation after anterior cruciate ligament reconstruction
8 Feb, 2023 | 12:30h | UTCGuideline: Management of Anterior Cruciate Ligament Injuries Evidence-Based Clinical Practice Guideline
Commentary on Twitter
What are the components of #rehabilitation after #ACLR? Clinical practice #guideline based on 140 RCTs and agreement by 29 expert clinicians.
Open access 🔓 https://t.co/cnLpV0rzgG#Recommendations 👇👇 pic.twitter.com/Lyxuz5tVZE— Roula Kotsifaki (@RoulaKotsifaki) February 3, 2023
RCT | Time-restricted eating and exercise training improve HbA1c and body composition in women with overweight/obesity
7 Feb, 2023 | 13:54h | UTC
Commentary on Twitter
Time-restricted eating (TRE) and high-intensity interval training (HIIT) both improve glucose control and reduce fat mass in people w/ obesity.
Combining TRE (<10 hour eating window) with 3 x weekly HIIT enhances these benefits.
🔗:https://t.co/m051O3AUPW pic.twitter.com/6q6mtzDwVB
— Brady Holmer (@B_Holmer) October 4, 2022
Under a Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0) license
Opinion | Is it time to reconsider the indications for surgery in patients with tennis elbow?
7 Feb, 2023 | 13:51h | UTC