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Alternative models to support weight loss in chronic musculoskeletal conditions: effectiveness of a physiotherapist-delivered intensive diet programme for knee osteoarthritis, the POWER randomised controlled trial Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-18 Kim Allison, Sarah Jones, Rana S Hinman, Jesse Pardo, Peixuan Li, Anurika DeSilva, Jonathan George Quicke, Priya Sumithran, Jodie Prendergast, Elena George, Melanie A Holden, Nadine E Foster, Kim L Bennell
Objectives To determine if physiotherapists can deliver a clinically effective very low energy diet (VLED) supplementary to exercise in people with knee osteoarthritis (OA) and overweight or obesity. Methods 88 participants with knee OA and body mass index (BMI) >27 kg/m2 were randomised to either intervention (n=42: VLED including two daily meal replacement products supplementary to control) or control
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First, do no harm: a call to action to improve the evaluation of harms in clinical exercise research Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-18 Simon Nørskov Thomsen, Alejandro Lucia, Rosalind R Spence, Fabiana Braga Benatti, Michael J Joyner, Ronan Martin Griffin Berg, Mathias Ried-Larsen, Casper Simonsen
Exercise as medicine has emerged as an independent discipline in clinical research. Over the last decades, numerous randomised controlled trials (RCTs) have documented the beneficial effects of exercise on various patient-related, disease-related and health-related outcomes in clinical populations.1 Nevertheless, the evaluation of harms in clinical exercise research remains unsatisfactory (table 1)
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Imaging associations enhance the understanding of ECG abnormalities in male Brazilian football players: findings from the B-Pro Foot ECG study Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-15 Filipe Ferrari, Anderson D da Silveira, Patrícia K Ziegelmann, Haroldo Aleixo, Guilherme D Dilda, Luiz G M Emed, Flávia C O Magalhães, Fernando B Cardoso, Henrique C da Silva, Felipe E F Guerra, Luciano G Soares, Fernando Bassan, Fabrício Braga, Artur H Herdy, Victor Froelicher, Ricardo Stein
Objectives To evaluate the prevalence of abnormal ECG findings and their association with imaging results in male Brazilian football players. Methods The ‘B-Pro Foot ECG’ is a multicentre observational study conducted in 82 Brazilian professional clubs. It analysed 6125 players aged 15–35 years (2496 white, 2004 mixed-race and 1625 black individuals) who underwent cardiovascular screening from 2002
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The 11+ injury prevention programme decreases rate of hamstring strain injuries in male collegiate soccer players Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-10 Holly Silvers-Granelli, Richard Silverman, Mario Bizzini, Kristian Thorborg, Robert H Brophy
Objectives To investigate if the 11+ injury prevention programme decreases the risk of hamstring injury and improves recovery time and determine whether compliance with the 11+ affects hamstring injury risk. Methods This study is a secondary analysis from a prospective cluster randomised controlled trial that included 65 National Collegiate Athletic Association (NCAA) division I and II men’s soccer
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Strength, power and aerobic capacity of transgender athletes: a cross-sectional study Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-10 Blair Hamilton, Andrew Brown, Stephanie Montagner-Moraes, Cristina Comeras-Chueca, Peter G Bush, Fergus M Guppy, Yannis P Pitsiladis
Objective The primary objective of this cross-sectional study was to compare standard laboratory performance metrics of transgender athletes to cisgender athletes. Methods 19 cisgender men (CM) (mean±SD, age: 37±9 years), 12 transgender men (TM) (age: 34±7 years), 23 transgender women (TW) (age: 34±10 years) and 21 cisgender women (CW) (age: 30±9 years) underwent a series of standard laboratory performance
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Championing mental health: sport and exercise psychiatry for low- and middle-income countries using a model from South Africa Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-09 James W Burger, Bonginkosi Mafuze, Janine Brooker, Jon S Patricios
Sport and exercise medicine (SEM) has gained recognition as a clinical specialty in South Africa, laying the foundation for the emergence of sport and exercise psychiatry (SEP) as a vital complementary discipline supporting the biopsychosocial approach to medical care for athletic populations. The mental health of athletes has been identified internationally as an area for prioritisation, supported
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Cardiorespiratory fitness is a strong and consistent predictor of morbidity and mortality among adults: an overview of meta-analyses representing over 20.9 million observations from 199 unique cohort studies Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-09 Justin J Lang, Stephanie A Prince, Katherine Merucci, Cristina Cadenas-Sanchez, Jean-Philippe Chaput, Brooklyn J Fraser, Taru Manyanga, Ryan McGrath, Francisco B Ortega, Ben Singh, Grant R Tomkinson
Objective To examine and summarise evidence from meta-analyses of cohort studies that evaluated the predictive associations between baseline cardiorespiratory fitness (CRF) and health outcomes among adults. Design Overview of systematic reviews. Data source Five bibliographic databases were searched from January 2002 to March 2024. Results From the 9062 papers identified, we included 26 systematic
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Expression of concern about content of which Dr Paul McCrory is a single author Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-09 BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
This paper is authored by Dr Paul McCrory. During 2021 and 2022 there was an investigation by …
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Applying diffusion innovation theory to evaluate the attributes of the new tackle law in rugby football codes Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-05 Sharief Hendricks, Ross Tucker, Lara Paul, Cameron Owen, Marelise Badenhorst, James Craig Brown, Carolyn A Emery, Keith A Stokes, Ben Jones
Evaluating an injury prevention intervention at the population level is challenging. To guide the evaluation of a sports injury prevention intervention, Finch (2011) recommended the use of theoretical frameworks which have proven meaningful in public health-related prevention studies.1 However, the application of these frameworks in sports injury prevention research has been slow. One of these frameworks
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Mass-gatherings in sport: medicine, leadership and mentorship Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-05 Sharief Hendricks, Adrian Rotunno, Leigh Gordon, Janesh Ganda, Phathokuhle Cele Zondi, Wayne Derman, Louis Holtzhausen, Éanna Cian Falvey, Dina Christina (Christa) Janse van Rensburg
The World Health Organistion (WHO) defines a mass gathering as a planned or spontaneous event where the number of people attending could strain the planning and response resources of the community or country hosting the event.1 The seed for mass-gathering medicine as a specialty was sown in the 2009 Hajj, which was held during the 2009 HIN1 influenza pandemic.2 ,3 Major international sporting events
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Suicide in National Collegiate Athletic Association athletes: a 20-year analysis Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-04 Bridget M Whelan, Stephanie A Kliethermes, Kelly A Schloredt, Ashwin Rao, Kimberly G Harmon, Bradley J Petek
Objectives To determine the incidence rate of suicide from 2002 to 2022 among athletes from the National Collegiate Athletic Association (NCAA) and assess for potential differences by, sex, race, division and sport. Methods NCAA athlete deaths over a 20-year period from 2002 to 2022 were identified. Poisson regression models were built to assess changes in incidence rates over time. Linear and quadratic
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CyberAbuse in sport: beware and be aware! Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-04 Emma Kavanagh, Margo Mountjoy
As demonstrated in the social media posts of netball athletes Stacey Francis-Bayman and Jo Harten, online abuse of athletes is shockingly violent and unfiltered, and radiates beyond those who experience it directly to those who witness it (figure 1). There are benefits associated with time spent online such as the opportunity for self-presentation and representation, providing a platform for advocacy
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TENDINopathy Severity assessment–Achilles (TENDINS-A): evaluation of reliability and validity in accordance with COSMIN recommendations Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-04 Myles Calder Murphy, Fergus McCleary, Dana Hince, Ruth Chimenti, Paola Chivers, J Turner Vosseller, Sophia Nimphius, Nonhlanhla Sharon Mkumbuzi, Peter Malliaras, Nicola Maffulli, Robert-Jan de Vos, Ebonie Kendra Rio
Objective To evaluate the construct validity (structural validity and hypothesis testing), reliability (test–retest reliability, measurement error and internal consistency) and minimal important change (MIC) of the 13-item TENDINopathy Severity assessment–Achilles (TENDINS-A). Methods Participants with Achilles pain completed an online survey including: demographics, TENDINS-A, Foot and Ankle Outcome
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Low socioeconomic status is associated with worse treatment outcomes in patients with Achilles tendinopathy Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-03 Tjerk Sleeswijk Visser, Stefano Brul, Jie Deng, Joshua Bonsel, Eline van Es, Denise Eygendaal, Robert-Jan de Vos
Objective To assess whether there is a difference in symptom severity at baseline and 24 weeks follow-up between conservatively managed patients with Achilles tendinopathy (AT) with low socioeconomic status (SES) compared with those with high SES. Methods In this prospective cohort study, 200 patients with AT were included and treated according to current guidelines. We linked a neighbourhood SES indicator
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Active travel and health equity: towards an intersectional approach Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-03 Rachel Aldred, Robin Mazumder
Active travel covers walking, cycling and for instance, push-scooting, skateboarding, manual wheelchair use, electrically assisted bikes and handcycles. Increased active travel is one of the most effective ways of increasing population physical activity, as it can form part of daily life, whereas leisure time physical activity may be more expensive and/or time-consuming. Various factors including housing
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South African sport and exercise medicine: shaping health, fostering responsibility Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-03 Phathokuhle Cele Zondi, Jon S Patricios, Sharief Hendricks
In its earlier years as a discipline, sport and exercise medicine (SEM) was perceived primarily as a specialty tailored for elite athletes. We now know that this initial perspective fails to capture the extensive benefits SEM can offer towards public health. This scope of practice may be even more relevant to lower-income countries where SEM interventions can play a key role in reducing disease burden
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Premature ventricular beats in athletes: to detrain or not to detrain? Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Alessandro Biffi, Stefano Palermi, Flavio D'Ascenzi, Marco Bonifazi, Alessandro Zorzi, Domenico Corrado
Long-term physical activity induces structural, functional and electrical changes in the heart, reflecting adaptive physiological responses to the increased cardiac output during exercise.1 These effects are usually reversible after short detraining periods. Differentiating between exercise-induced cardiac changes and early signs of cardiac pathology often poses a clinical challenge, especially in
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Accelerometer-derived physical activity and the risk of death, heart failure, and stroke in patients with atrial fibrillation: a prospective study from UK Biobank Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Hyo-Jeong Ahn, Eue-Keun Choi, Tae-Min Rhee, JungMin Choi, Kyung-Yeon Lee, Soonil Kwon, So-Ryoung Lee, Seil Oh, Gregory Y H Lip
Objective Data on cardiovascular outcomes according to objectively measured physical activity (PA) in patients with atrial fibrillation (AF) are scarce. This study explored the associations between PA derived from wrist-worn accelerometers and the risk of death, incident heart failure (HF), and incident stroke in patients with AF. Methods From 37 990 patients with AF in UK Biobank, 2324 patients with
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‘You can change your life through sports’—physical activity interventions to improve the health and well-being of adults experiencing homelessness: a mixed-methods systematic review Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Jo Dawes, Raphael Rogans-Watson, Julie Broderick
Objectives Systematically synthesise evidence of physical activity interventions for people experiencing homelessness (PEH). Design Mixed-methods systematic review. Data sources EMBASE, Web of Science, CINAHL, PubMed (MEDLINE), PsycINFO, SPORTDiscus and Cochrane Library, searched from inception to October 2022. Eligibility criteria PICO framework: population (quantitative/qualitative studies of PEH
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Moving from ethnic exclusions to cultural safety: how is athlete ethnicity discussed in research on menstrual health in sports? A scoping review Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Agatha Elizabeth Gibbons, Charles Pedlar, Keakaokawai Varner Hemi, Georgie Bruinvels, Bruce Hamilton, Holly Thorpe
Objective This study aims to investigate how athlete ethnicity is discussed in the inclusion and exclusion criteria, methodology, findings, and conclusions of research focused on menstrual health in sports science and medicine. Design A scoping review of sports-based research conducted on athletes related to (1) menstrual health and ethnicity, (2) how researchers include/exclude participants based
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Cardiac player health and safety: a call to action Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Matthew Martinez, Jonathan H Kim, Eli M Friedman, Eugene H Chung
On 2 January 2023, Damar Hamlin of the Buffalo Bills suffered sudden cardiac arrest (SCA) in front of millions of viewers on Monday Night Football, and on 16 December 2023, international football (soccer) star Tom Lockyer suffered SCA on the pitch in Luton’s match against Bournemouth. These events are a stark reminder that the keystone of cardiac health and safety in athletes is a well-planned, well-rehearsed
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Physical fitness in male adolescents and atherosclerosis in middle age: a population-based cohort study Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Ángel Herraiz-Adillo, Viktor H Ahlqvist, Sara Higueras-Fresnillo, Kristofer Hedman, Emil Hagström, Melony Fortuin-de Smidt, Bledar Daka, Cecilia Lenander, Daniel Berglind, Carl Johan Östgren, Karin Rådholm, Francisco B Ortega, Pontus Henriksson
Objectives To examine the associations between physical fitness in male adolescents and coronary and carotid atherosclerosis in middle age. Methods This population-based cohort study linked physical fitness data from the Swedish Military Conscription Register during adolescence to atherosclerosis data from the Swedish CArdioPulmonary bioImage Study in middle age. Cardiorespiratory fitness was assessed
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All-cause mortality risks among participants in mass-participation sporting events Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Esmée A Bakker, Vincent L. Aengevaeren, Duck-Chul Lee, Paul D Thompson, Thijs M.H. Eijsvogels
Objectives Exercise transiently increases the risk for sudden death, whereas long-term exercise promotes longevity. This study assessed acute and intermediate-term mortality risks of participants in mass-participation sporting events. Methods Data of participants in Dutch running, cycling and walking events were collected between 1995 and 2017. Survival status was obtained from the Dutch Population
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No sign of weakness: a systematic review and meta-analysis of hip and calf muscle strength after anterior cruciate ligament injury Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-27 Michael Girdwood, Adam G Culvenor, Brooke Patterson, Melissa Haberfield, Ebonie Kendra Rio, Michael Hedger, Kay M Crossley
Objective We aimed to determine hip and lower-leg muscle strength in people after ACL injury compared with an uninjured control group (between people) and the uninjured contralateral limb (between limbs). Design Systematic review with meta-analysis. Data sources MEDLINE, EMBASE, CINAHL, Scopus, Cochrane CENTRAL and SportDiscus to 28 February 2023. Eligibility criteria Primary ACL injury with mean age
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Infographic. All health professionals should talk about physical activity with patients Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-26 Karen Milton, Jade L Morris, Matthew McLaughlin, Andrea Cameron, Sarah Dewhurst, Suzanne Gardner, Sjaan Gomersall, Jamie Blackshaw
Regular physical activity contributes to the prevention and management of non-communicable diseases, including cardiovascular disease, stroke, diabetes and cancer, as well as improved mental health, sleep and cognitive function.1 Despite these benefits, populations worldwide are insufficiently active.2 Enabling people with the lowest levels of physical activity to become more active is where the greatest
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Infographic. Injury mechanisms and situational patterns of severe lower limb muscle injuries in male professional football (soccer) players: a systematic video analysis study on 103 cases Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-25 Francesco Della Villa, Bruno Massa, Antonio Bortolami, Gianni Nanni, Jesus Olmo, Adam Virgile, Matthew Buckthorpe
Muscle injuries are the most common type of injury in elite male football and constitute to about a third of total time loss.1 Hamstring injuries are on the rise and now account for nearly one in every four injuries.2 Most muscle injuries in football have short lay-off times (within 4 weeks), while 11% are severe (absence >28 days).1 These severe injuries are the most challenging ones to treat and
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Efficacy of a new injury prevention programme (FUNBALL) in young male football (soccer) players: a cluster-randomised controlled trial Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-22 Rilind Obërtinca, Rina Meha, Ilir Hoxha, Bujar Shabani, Tim Meyer, Karen aus der Fünten
Objectives To evaluate the efficacy of a new multicomponent, exercise-based injury prevention programme in football players 13–19 years old. Methods Two-arm cluster-randomised controlled trial with clubs as the unit of randomisation. 55 football teams from Kosovo of the under 15, under 17 and under 19 age groups were randomly assigned to the intervention (INT; 28 teams) or the control group (CON; 27
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Enduring the unseen battle: navigating the mental toll of long-term sports injuries Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-22 Nicole Whitehill
Simply put, dealing with long-term injuries is difficult for athletes. It entails spending a significant amount of time on the sidelines, undergoing extensive rehabilitation and dealing with mental health issues that frequently go unnoticed. I have firsthand knowledge of this struggle, having suffered from multiple anterior cruciate ligamnet (ACL) ruptures throughout my football career, beginning at
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Epidemiology of musculoskeletal injury in professional and amateur golfers: a systematic review and meta-analysis Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-20 Thomas R Williamson, Robert S Kay, Patrick G Robinson, Andrew D Murray, Nicholas D Clement
Objective To determine the prevalence and incidence of musculoskeletal injury in amateur and professional golfers, and to identify common injury sites and factors associated with increased injury frequency. Design Systematic epidemiological review and meta-analysis. Data sources PubMed (Medline), Embase, the Cochrane Library and SPORTDiscus were searched in September 2023. Eligibility criteria Studies
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Time to treat the climate and nature crisis as one indivisible global health emergency Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Chris Zielinski
Over 200 health journals call on the United Nations (UN), political leaders and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency. The world is currently responding to the climate crisis and
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The game of life: sports’ contribution to improving the health of the planet Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Corinne Reid, Liz Grant, Jennifer Morris, Camilla L Brockett, Grant Jarvie, Andrew Murray
The sports community needs a healthy planet to survive. Whether it be local running groups or Olympic athletes, we all depend on clean air, reasonable ambient temperatures, water availability, food security and many nature-based resources to participate in sport or to train for mental and physical peak condition. Worsening climate conditions will challenge the health and safety of athletes and recreational
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Are we ready for wearable-based global physical activity surveillance? Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Nidhi Gupta, Patrick Crowley, Andreas Holtermann, Leon Straker, Emmanuel Stamatakis, Ding Ding
The health-enhancing benefits of physical activity are well established. Ongoing population physical activity surveillance is critical for benchmarking and priority-setting, especially in low- and middle-income countries (LMICs) where economic transitions have led to rapidly changing lifestyles and the rise in non-communicable diseases. Since its inception, global physical activity surveillance has
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Associations of the ‘weekend warrior’ physical activity pattern with all-cause, cardiovascular disease and cancer mortality: the Mexico City Prospective Study Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Gary O'Donovan, Fanny Petermann-Rocha, Gerson Ferrari, I-Min Lee, Mark Hamer, Emmanuel Stamatakis, Olga L Sarmiento, Agustín Ibáñez, Patricio Lopez-Jaramillo
Objectives The objective was to investigate the benefits of the ‘weekend warrior’ physical activity pattern in Latin America, where many people take part in high levels of non-exercise physical activity. Methods Participants in the Mexico City Prospective Study were surveyed from 1998 to 2004 and resurveyed from 2015 to 2019. Those who exercised up to once or twice per week were termed weekend warriors
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Association between change in cardiorespiratory fitness and prostate cancer incidence and mortality in 57 652 Swedish men Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Kate A Bolam, Emil Bojsen-Møller, Peter Wallin, Sofia Paulsson, Magnus Lindwall, Helene Rundqvist, Elin Ekblom-Bak
Objectives To examine the associations between changes in cardiorespiratory fitness (CRF) in adulthood and prostate cancer incidence and mortality. Methods In this prospective study, men who completed an occupational health profile assessment including at least two valid submaximal CRF tests, performed on a cycle ergometer, were included in the study. Data on prostate cancer incidence and mortality
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One-year effectiveness of high-load compared with low-load strengthening exercise on self-reported function in patients with hypermobile shoulders: a secondary analysis from a randomised controlled trial Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Behnam Liaghat, Birgit Juul-Kristensen, Daniel A Faber, Emil O Christensen, Karen Søgaard, Søren T Skou, Jens Søndergaard, Carsten B Juhl
Objectives To investigate the long-term effectiveness of high-load versus low-load strengthening exercise on self-reported function in patients with hypermobility spectrum disorder (HSD) and shoulder symptoms. Methods A secondary analysis of a superiority, parallel-group, randomised trial (balanced block randomisation 1:1, electronic concealment) including adult patients (n=100) from primary care with
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Effect of a coaching intervention to enhance physical activity and prevent falls in community-dwelling people aged 60+ years: a cluster randomised controlled trial Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Juliana S Oliveira, Catherine Sherrington, Chris Rissel, Kirsten Howard, Allison Tong, Dafna Merom, James Wickham, Adrian E Bauman, Stephen R Lord, Richard I Lindley, Judy M Simpson, Margaret Allman-Farinelli, Catherine Kirkham, Elisabeth Ramsay, Sandra O’Rourke, Anne Tiedemann
Objectives To evaluate the effect of a coaching intervention compared with control on physical activity and falls rate at 12 months in community-dwelling people aged 60+ years. Design Cluster randomised controlled trial. Setting Community-dwelling older people. Participants 72 clusters (605 participants): 37 clusters (290 participants) randomised to the intervention and 35 (315 participants) to control
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Aerobic exercise interventions for promoting cardiovascular health and mobility after stroke: a systematic review with Bayesian network meta-analysis Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Kevin Moncion, Lynden Rodrigues, Elise Wiley, Kenneth S Noguchi, Ahmed Negm, Julie Richardson, Maureen Jane MacDonald, Marc Roig, Ada Tang
Objective To determine the superiority of aerobic exercise (AE) interventions on key outcomes of stroke recovery, including cardiorespiratory fitness (V̇O2peak, primary outcome), systolic blood pressure (SBP) and mobility (6 min Walk Test (6MWT) distance and 10 m Usual Gait Speed) after stroke. Data sources MEDLINE, EMBASE, Web of Science, CINAHL, CENTRAL, SPORTDiscus, PsycINFO and AMED Allied and
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Extensor carpi ulnaris (ECU) tenosynovitis Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Ryan D Postle, Gulraiz Ahmad, Bruce B Forster
The patient is a 24-year-old right-handed amateur female tennis player who presented with a 4-week history of progressively worsening left ulnar-sided wrist pain (USWP). Onset of pain was gradual, with no inciting traumatic event. Specifically, her pain was most severe when hitting her two-handed backhand. Symptoms associated with instability such as wrist ‘clunking’ and neurological symptoms such
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‘Concussion conversations’ promotes collaborative care in rural New Zealand Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Aaron Marshall
Providing a health service in a rural area comes with its challenges: limited medical resources, reliance on ambulance and rescue helicopter services and, especially in New Zealand, a stoic rugby culture with a fear of missing the next big game! Working in New Zealand’s Tasman region in the beautiful but remote Golden Bay has had its fair share of curve balls for our sports physiotherapy practice.
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The sports and health programme for indigenous people at the Kampung Gumum, Pahang, Malaysia Br. J. Sports Med. (IF 18.4) Pub Date : 2024-04-01 Nurwina Anuar, Luqman Harith Suzaili, Amir Syafiq Daud, Azzarul Afzan Noor Din, Ain Natasha Khairuddin, Mohd Izzie Masah
There are approximately 206, 777 indigenous people in Malaysia, which is about 11% of the total population.1 While indigenous people are classified as a minority, they are included in the government’s development plan,2 although on a moderate and limited scale. Most indigenous people live in remote areas far from the city, making it difficult for them to receive medical assistance, resulting in them
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Coronary atherosclerosis in athletes: recent insights and clinical considerations Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-19 Vincent L Aengevaeren, Guido Claessen, Thijs MH Eijsvogels
Evidence from international cohort studies has shown increased coronary atherosclerosis in male athletes vs controls,1 whereas data for female athletes are scarce and contradictory but likely not different from controls.1 A larger lifelong exercise volume and greater proportion of very vigorous intensity exercise training were identified as independent predictors of the prevalence and progression of
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Calf injury in a padel player Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-19 Carles Pedret, Sandra Mecho, Ramon Balius, Gulraiz Ahmad
Calf injuries are common in sports that involve high speed running, increased running loads and rapid acceleration and deceleration such as in padel. Padel is a racquet sport that combines elements of tennis and squash played on an enclosed court surrounded by glass walls. In calf injuries, the medial head of the gastrocnemius is most commonly injured as the muscle extends over two joints (knee and
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In-match strategies to mitigate the effect of heat on football (soccer) players’ health and performance Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-08 George P Nassis, Olivier Girard, George Tom Chiampas, Peter Krustrup, Sebastien Racinais
Historical data between 2012 and 2021 reveal the potential weather challenges awaiting the upcoming 2026 Fédération Internationale de Football Association (FIFA) World Cup slated for June-July 2026 in the USA, Canada and Mexico.1 The Wet Bulb Globe Temperature (WBGT) is projected to range between 30°C and 35°C in six host cities (Atlanta, Dallas, Houston, Kansas City, Miami and Monterrey) in the afternoon
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Infographic. Head to toe considerations for the postpartum endurance athlete Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-06 Toqa Afifi, Michelle T Barrack, Ellen Casey, Molly Huddle, Stephanie A Kliethermes, Emily Kraus, Brett G Toresdahl, Meagan M Wasfy, Adam S Tenforde
The physical and psychological changes in the postpartum athlete directly impact their ability to return to sport post partum. Understanding the unique challenges and considerations surrounding the postpartum endurance athlete is essential to optimise health outcomes for both the athlete and the newborn. Key features are included in figure 1 and discussed below. Figure 1 Illustrates key aspects of
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Preventing hip osteoarthritis in athletes: is it really a mission impossible? Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-04 Joshua J Heerey, Pim van Klij, Rintje Agricola, Hendrik P Dijkstra, Lindsey Plass, Kay M Crossley, Joanne L Kemp
Hip osteoarthritis (OA) in athletes is important to acknowledge, with early hip OA associated with elite-level high joint impact sports, such as football, ice hockey and handball.1 Current management of hip OA is largely reactive (when OA disease is established and irreversible). Identifying athletes at risk of, or with early-stage hip OA, may improve treatment success and reduce disease burden. Clinicians
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What should be included in an Olympic Sports International Federations’ pregnancy and postpartum policy and guidance? Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-04 Thomas Fallon, Neil Heron, Isabel S Moore, Gráinne M Donnelly
Many women have to choose between having children and their athletic career.1 However, times are changing, and some elite female athletes are continuing to compete during pregnancy and the postpartum period (2 years following childbirth).1 2 Pregnant athletes should be encouraged, when medically safe, to exercise throughout their pregnancy and the postpartum period due to the health gains for both
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GRADE system in systematic reviews of prevalence or incidence studies evaluating sport-related injuries: why is GRADE important? Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-04 Javier Martínez-Calderon, Cristina García-Muñoz
Epidemiological systematic reviews are increasing in the field of sport and exercise medicine (SEM). For example, the prevalence or incidence rates of lower extremity (eg, knee), upper extremity (eg, hands), and head and neck injuries have been synthetised in different types of sports (eg, basketball).1–4 The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system is a rigorous
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The global arena of sports medicine! Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Ummukulthoum Bakare, Andrea Britt Mosler
The discourse surrounding equity, diversity and inclusion is gaining significant traction across various domains, and the world of sports medicine is no exception. Recognising the profound impact of societal structures, cultural norms, systemic and unconscious biases is imperative for all of us. We need to be comfortable with discomfort and address these issues head-on to move the field forward. By
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Highlighting gaps in sports physiotherapy and sports medicine research and education Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Genevieve Renaud, Christopher Napier
Continuing education is the cornerstone of most healthcare professional member organisations. Sport Physiotherapy Canada (SPC) is recognised as an international leader in continuing education for sport physiotherapists. SPC’s Fundamental and Advanced Core Competency Courses were designed as an avenue for physiotherapists to upgrade their knowledge and practical skills in the field of sport physiotherapy
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Correction: What should all health professionals know about movement behaviour change? An international Delphi-based consensus statement Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
Alsop T, Lehman E, Brauer S, et al . What should all health professionals know about movement behaviour …
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Do the associations of daily steps with mortality and incident cardiovascular disease differ by sedentary time levels? A device-based cohort study Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Matthew N Ahmadi, Leandro F M Rezende, Gerson Ferrari, Borja Del Pozo Cruz, I-Min Lee, Emmanuel Stamatakis
Objectives This study aims to examine the associations of daily step count with all-cause mortality and incident cardiovascular disease (CVD) by sedentary time levels and to determine if the minimal and optimal number of daily steps is modified by high sedentary time. Methods Using data from the UK Biobank, this was a prospective dose–response analysis of total daily steps across low (<10.5 hours/day)
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Exploring the association between cognitive activity and symptom resolution following concussion in adolescents aged 11–17 years Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Jingzhen Yang, Enas Alshaikh, Nichole Asa, Olivia VonDeylen, Nikhil Desai, Hudson Gerry Taylor, Thomas Pommering, James P MacDonald, Daniel M Cohen, Keith Owen Yeates
Objective As opposed to postconcussion physical activity, the potential influence of cognitive activity on concussion recovery is not well characterised. This study evaluated the intensity and duration of daily cognitive activity reported by adolescents following concussion and examined the associations between these daily cognitive activities and postconcussion symptom duration. Methods This study
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Women, concussion and disputing an old myth: the game of football is not ‘unsuitable for females’ Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Kerry Peek, Kotryna Fraser, Gabby M H Yearwood, Marnee J McKay
Despite the popularity of women’s football (soccer), in 1921 the Football Association in England outlawed women from playing on association members’ pitches and stated that ‘the game of football is quite unsuitable for females and ought not to be encouraged.’1 Many countries followed suit, with the ‘ban’ remaining in place for almost 50 years until the English Women’s Football Association was formed
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Association of accelerometer-measured physical activity and its change with progression to chronic kidney disease in adults with type 2 diabetes and overweight/obesity Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Mengyi Liu, Yanjun Zhang, Yuanyuan Zhang, Panpan He, Chun Zhou, Ziliang Ye, Sisi Yang, Xiaoqin Gan, Fan Fan Hou, Xianhui Qin
Objective To examine the long-term association of objectively measured moderate-to-vigorous physical activity (MVPA) and its longitudinal changes with progression to chronic kidney disease (CKD) in patients with type 2 diabetes (T2D) and overweight/obesity. Methods This study included 1746 participants in the Look AHEAD trial with baseline estimated glomerular filtration rate (eGFR)≥60 mL/min/1.73 m2
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Anterior T-wave inversion in black athletes: an African perspective Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Tochukwu Francis Ilodibia, Nathan Riding
International sporting organisations are increasingly using ECG-based screening to identify athletes at risk of sudden cardiac death (SCD).1 Since the introduction of athlete ECG interpretation criteria in 2005, numerous modifications have been made to improve their sensitivity and specificity.2 These include a nuanced classification of T-wave inversions (TWI), a potential feature of underlying cardiomyopathy
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Images in sports medicine: bone stress injury Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Yuka Tsukahara, Bruce B Forster, Benjamin E Plotkin, Suguru Torii
A female collegiate pole vaulter competing at the national level presented with constant pain in her non-dominant right lower leg. Initially, the assessing physician informed her that there were no signs of fracture or bone stress injury on the plain radiograph and told her to come back for an MRI if the pain in her non-take-off leg persisted. She continued to train without any improvement in symptoms
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Remembering Steven N Blair for making physical activity count every step of the way Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Benjamin D Boudreaux, Ann Blair Kennedy, Russell R Pate
Purposeful, intentional, supportive, influential, data driven and kind were how Dr Steven Noel Blair (4 July 1939–6 October 2023) lived his life. Previous tributes have already described his numerous accomplishments, awards and publications, but few have spoken about the full spectrum of his personal life, professional career, and service efforts towards physical activity and public health. He not
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Year-round injury and illness surveillance in UK summer paralympic sport athletes: 2016–2019 Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Michael Brownlow, Moses Wootten, Steve McCaig, Abbie Taylor, Nick Webborn, Pippa Bennett, Josh Wass, Dawn Ibrahim, Craig Ranson
Objective To identify the priority injuries and illnesses across UK summer Paralympic World Class Programmes (WCP). Methods Four years (2016–2019) of electronic medical records from 360 athletes across 17 Paralympic WCP sports were analysed. Methods were based on the 2021 International Paralympic Committee translation of the original 2020 International Olympic Committee consensus statement for epidemiological
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Depression, anxiety and stress among female student-athletes: a systematic review and meta-analysis Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Ling Beisecker, Patrick Harrison, Marzia Josephson, J D DeFreese
Objective To identify, quantify and analyse determinants of depression, anxiety and stress symptoms among female student-athletes. Design Systematic review and meta-analysis. Data sources Five online databases (PubMed, CINAHL, PsychInfo, SportDiscus and Web of Science) searched from inception through 14 September 2023. Hand-searches and contacting authors for eligible studies. Eligibility criteria
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Causes of sudden cardiac arrest and death and the diagnostic yield of sport preparticipation screening in children Br. J. Sports Med. (IF 18.4) Pub Date : 2024-03-01 Francesca Graziano, Maurizio Schiavon, Alberto Cipriani, Francesco Savalla, Monica De Gaspari, Barbara Bauce, Stefania Rizzo, Chiara Calore, Gaetano Thiene, Stefano Paiaro, Cristina Basso, Alessandro Zorzi
Objective Evidence on the increased risk of sports-related sudden cardiac arrest and death (SCA/D) and the potential benefit of cardiovascular preparticipation screening (PPS) in children is limited. We assessed the burden and circumstances of SCA/D and the diagnostic yield of cardiovascular PPS in children aged 8–15 years. Methods Data on the incidence and causes of SCA/D from 2011 to 2020 were obtained