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Prevalence of sport-relatedanalgesic use in German elite handball Players 德国优秀手球运动员运动相关止痛药使用的流行情况
Q3 Health Professions Pub Date : 2023-05-01 DOI: 10.5960/dzsm.2023.568
JM John, J Bursik, C Burgstahler, D Büsch, P Luig, F Kühnle, J Mayer, A Reussner, A Thiel
With its high physical demands on players’ bodies and high rates of injury, elite-level handball constitutes an ideal environment for studying analgesic use. We aimed to investigate the career and season prevalence of sport-related analgesics use among elite youth and elite senior handball players. We explored the frequency of analgesic use on practice and competition days within one season. The sample consisted of 459 elite handball players (233 female, 226 male). Sport-related analgesic use was assessed with two replicable measures of prevalence complemented by two frequency measures. χ2 analyses were performed to determine group differences in prevalences for gender, age group, contract situation, and role within the team. We conducted hierarchical binomial linear regression analyses for the analgesic prevalences to evaluate the prediction of the prevalences from the independent variables. The sport-related career prevalence of analgesic use was 70.7% (95% CI[66.6, 74.9]). Throughout one season, 55.6% (95% CI[51.0-60.1]) of handball players used analgesics. Gender, age, contract status, and role within the team seemed to impact the use of analgesics. Further, analgesics were used significantly more often on competition than on practice days. Our findings indicate that the sport-related use of analgesics is relatively common among elite handball players, with female players, senior players, players with a contract, and perceived rotation players reporting significantly higher career and season prevalences. Therewith, our findings offer a starting point for targeted prevention strategies.
由于对运动员身体的高要求和高受伤率,精英水平的手球构成了研究止痛药使用的理想环境。我们的目的是调查优秀青年和优秀老年手球运动员在职业生涯和赛季中运动相关镇痛药的使用情况。我们探讨了在一个赛季的训练日和比赛日使用镇痛药的频率。样本包括459名优秀手球运动员(233名女性,226名男性)。通过两种可重复的流行率测量和两种频率测量来评估运动相关止痛药的使用。采用χ2分析确定不同性别、年龄、合同情况和团队角色的患病率的组间差异。我们对镇痛药的患病率进行了层次二项线性回归分析,以评估自变量对患病率的预测。运动相关职业中使用镇痛药的发生率为70.7% (95% CI[66.6, 74.9])。在一个赛季中,55.6% (95% CI[51.0-60.1])的手球运动员使用了镇痛药。性别、年龄、合同状态和团队中的角色似乎会影响镇痛药的使用。此外,镇痛药在比赛中使用的频率明显高于训练日。我们的研究结果表明,在优秀手球运动员中,与运动相关的止痛药使用相对普遍,女性球员,资深球员,合同球员和感知轮换球员报告了显著更高的职业生涯和赛季患病率。因此,我们的研究结果为有针对性的预防策略提供了一个起点。
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引用次数: 0
Sports medicine professorships in Germany – „Quo-Vadis“? 德国的运动医学教授——“Quo-Vadis”?
Q3 Health Professions Pub Date : 2023-05-01 DOI: 10.5960/dzsm.2023.569
AM Niess
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引用次数: 0
Respiratory muscle training with an app-based device improves persistent shortness of breath in patients after SARS-CoV-2 Infection – a randomized controlled trial 一项随机对照试验表明,使用基于应用程序的设备进行呼吸肌训练可以改善SARS-CoV-2感染后患者的持续呼吸短促
Q3 Health Professions Pub Date : 2023-05-01 DOI: 10.5960/dzsm.2023.570
J Kirsten, A Jerg, L Matits, J Zorn, L Mentz, SVW Schulz, JM Steinacker
Background: Post-acute sequelae of SARS-CoV-2 infection (PASC) is defined as persistent or newly experienced symptoms after the disease. Shortness of breath is a common symptom reported by individuals with PASC. Respiratory muscle training (RMT) to strengthen respiratory muscles (e.g diaphragm, intercostal muscles) can improve symptoms in various diseases. The aim of the study therefore was to investigate the effectiveness of RMT for the reduction of PASC-related shortness of breath by a daily home-based app-guided training intervention. Methods: Sixteen patients (age 32.0±16.1 years (Mean±SD), female N=9) suffering from persistent shortness of breath after SARS-CoV-2 infection were randomized to either an Intervention-first-group (IfG) starting with RMT immediately or an Intervention-second-group (IsG) receiving RMT after a control period of one month. RMT was conducted using a commercially available training device and daily app-based RMT instructions. Severity of respiratory symptoms was measured using the St. Georges Respiratory questionnaire (SGRQ). Ventilation parameters and peak oxygen consumption (V˙ O2peak) were assessed by cardio pulmonary exercise testing (CPET). Results: Fifteen patients completed the study. The RMT intervention led to a significant improvement of subjective symptoms (SGRQ reduction: -11.41±8.28, p<0.001, d=-1.38, 95% CI [-0.65, -2.08], Subjective health: 12.43±11.51%, p=0.001, d=1.08, 95% CI [0.40, 1.73]) and improved maximum ventilation (8.94±9.23 l/min, p=0.003, d=0.97, 95% CI [0.31, 1.59]). Exercise capacity and V˙ O2peak significantly increased in a subgroup of patients with low VO2peak values at study inclusion (relPmax: 0.24±0.26 W/kg, p=0.022, d=0.95, 95% CI [1.13, 1.72]), relVO2peak: 2.98±5.79 ml/min*kg, p=0.013, d=1.10 95% CI 0.21,1.89]). During the control period (only IsG) symptoms, maximum power output and VO2peak remained unchanged with only maximum ventilation significantly decreasing. Conclusions: Patients with persistent shortness of breath after SARS-CoV-2 infection benefit from intense, regular RMT over one month. Patients reported an increase in overall health status and an improvement in V˙O2peak and exercise capacity was reached in those with low VO2peak values at the beginning.
背景:SARS-CoV-2感染急性后后遗症(PASC)被定义为疾病后持续或新出现的症状。呼吸短促是PASC患者的常见症状。呼吸肌训练(RMT),以加强呼吸肌(如横膈膜、肋间肌),可改善各种疾病的症状。因此,本研究的目的是通过每日基于家庭的应用程序指导的训练干预来调查RMT减少pasc相关呼吸短促的有效性。方法:将16例SARS-CoV-2感染后出现持续性呼吸短促的患者(年龄32.0±16.1岁(Mean±SD),女性N=9)随机分为立即开始RMT的干预第一组(IfG)和对照期1个月后接受RMT的干预第二组(IsG)。RMT使用市售的训练设备和每日基于应用程序的RMT指导进行。使用St. Georges呼吸系统问卷(SGRQ)测量呼吸道症状的严重程度。通过心肺运动试验(CPET)评估通气参数和峰值耗氧量(V˙o2峰值)。结果:15例患者完成了研究。RMT干预导致主观症状显著改善(SGRQ降低:-11.41±8.28,p<0.001, d=-1.38, 95% CI[-0.65, -2.08],主观健康:12.43±11.51%,p=0.001, d=1.08, 95% CI[0.40, 1.73])和最大通气量改善(8.94±9.23 l/min, p=0.003, d=0.97, 95% CI[0.31, 1.59])。研究纳入时,低vo2峰值患者亚组的运动能力和V˙o2峰值显著增加(relPmax: 0.24±0.26 W/kg, p=0.022, d=0.95, 95% CI [1.13, 1.72]), relvo2峰值:2.98±5.79 ml/min*kg, p=0.013, d=1.10, 95% CI 0.21,1.89])。在控制期间(只有IsG症状),最大功率输出和VO2peak保持不变,只有最大通风量显著下降。结论:SARS-CoV-2感染后持续呼吸短促的患者可从1个月的高强度、定期RMT中获益。患者报告整体健康状况有所改善,并且在开始时vo2峰值较低的患者中,V˙o2峰值和运动能力有所改善。
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引用次数: 0
Application of different methods for body composition determination among female elite level rhythmic gymnasts in Germany 不同测定方法在德国艺术体操优秀女子运动员身体成分中的应用
Q3 Health Professions Pub Date : 2023-05-01 DOI: 10.5960/dzsm.2023.567
S Wagner, D Haigis, C Kopp, AM Niess
Problem: Female athletes of rhythmic gymnastics (ARGs) are often associated with underweight and malnutrition. Body composition (BC) determinations can help to make statements about nutritional status and health. However, there is no BC database among ARGs in Germany. Method: BC determinations were performed among German ARGs using calipometry and different bioelectrical impedance analysis (BIA). All devices were compared in terms of percentual fat mass (FM%) using ANOVA. Additional parameters for the BIA devices were tested for differences using t-tests. Bland-Altman plot was created to compare the BIA devices in terms of FM%. Results: Twenty-five ARGs (M=15.2 years, SD±2.11) were measured. FM% was determined by calipometry (M=7.51, SD±1.35), InBody (M=11.87, SD±5.1), and BIVA 101 devices (M=16.2, SD±4.26). ANOVA showed significant differences for FM% (F[2, 48]=64.46, p<0.001; partial η²=0.729). For Bonferroni-corrected post-hoc tests, significant differences (p < 0.001) between the three measurement methods were determined. The t-tests in BC parameters also showed significant differences (p<0.001) between the two BIA devices. Discussion: Compared to calipometry, BIA provides additional BC parameters. Nevertheless, the use of different measurement methods and devices in the comparison of BC parameters is not recommended. Reference values must be adapted to the respective devices. Conclusion: Uniform measurements in larger samples and generation of reference values are necessary to explore the prediction in BC on health status among ARG.
问题:艺术体操(ARGs)的女运动员通常与体重不足和营养不良有关。身体成分(BC)的测定有助于对营养状况和健康状况作出说明。然而,在德国的arg中没有BC数据库。方法:采用量测法和不同生物电阻抗分析法(BIA)对德国ARGs进行BC测定。使用方差分析比较所有设备的脂肪量百分比(FM%)。使用t检验检验BIA装置的其他参数的差异。创建Bland-Altman图来比较BIA装置的FM%。结果:共测得25例ARGs (M=15.2年,SD±2.11)。FM%采用量尺法(M=7.51, SD±1.35)、InBody (M=11.87, SD±5.1)和BIVA 101 (M=16.2, SD±4.26)测定。方差分析显示FM%有显著差异(F[2,48]=64.46, p<0.001;部分η²= 0.729)。对于bonferroni校正的事后检验,显著差异(p <0.001)。BC参数的t检验也显示两种BIA装置之间存在显著差异(p<0.001)。讨论:与测径法相比,BIA提供了额外的BC参数。然而,不建议在比较BC参数时使用不同的测量方法和设备。参考值必须适应各自的设备。结论:大样本的统一测量和参考值的产生是探讨BC对ARG健康状况预测的必要条件。
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引用次数: 0
Supplements, analgesics and alcohol use of German amateur golfers 德国业余高尔夫球手的补品、止痛药和酒精使用情况
Q3 Health Professions Pub Date : 2023-05-01 DOI: 10.5960/dzsm.2023.566
B Werdelmann, E Isenmann, P Diel
Problem: To cope with the increasing pressure to perform, more and more amateur athletes are turning to performance-enhancing substances. Although the use of dietary supplements, non-steroidal anti-inflammatory drugs and alcohol does not fall into the category of ‘doping’, it nevertheless harbors risks and side effects during sporting activity. Methods: An online questionnaire developed specifically for this study was used to research the consumption of supplements, analgesics, and alcohol among golfers. Results: A total of 877 golfers (257 women, 619 men; 1 diverse person; age: M=56; SD=15 years) participated in the survey. The results of the survey showed that 40.1% of golfers consumed supplements, 46.6% analgesics, and 40.4% alcohol. Dependent on participation in golf tournaments, the consumption of supplements (43.0%), analgesics (52.1%) and alcohol (47.2%) increases significantly. Gender correlates significantly with the consumption of alcohol at golf tournaments (p=0.001); more men consume alcohol than women. Age correlates significantly and negatively with the consumption of supplements at golf tournaments (r=- 0.131; p=0.001) and the consumption of alcohol at golf tournaments (r=- 0.238; p=0.000). Discussion: The frequency of consumption was alarming for a large proportion of the golfers surveyed. Therefore, there is an urgent need to educate golfers about the risks associated with increased consumption of supplements, analgesics, and alcohol in connection with sporting activities to avoid damage to one’s body.
问题:为了应对越来越大的比赛压力,越来越多的业余运动员开始使用提高成绩的药物。虽然使用膳食补充剂、非甾体抗炎药和酒精不属于“兴奋剂”的范畴,但在体育活动中仍存在风险和副作用。方法:一份专门为本研究开发的在线问卷用于研究高尔夫球手对补品、镇痛药和酒精的消耗。结果:共有877名高尔夫球手(女257人,男619人;1 .多元化的人;年龄:56 M =;SD=15岁)参加调查。调查结果显示,40.1%的高尔夫球手服用补品,46.6%服用止痛剂,40.4%服用酒精。由于参加高尔夫比赛,补品(43.0%)、止痛药(52.1%)和酒精(47.2%)的消费量显著增加。性别与高尔夫比赛中的酒精消费量显著相关(p=0.001);喝酒的男人比女人多。年龄与高尔夫比赛补品的摄入量呈显著负相关(r=- 0.131;P =0.001)和高尔夫比赛中酒精的消耗(r=- 0.238;p = 0.000)。讨论:对于大部分接受调查的高尔夫球手来说,消费的频率令人担忧。因此,迫切需要对高尔夫球手进行教育,让他们了解在体育活动中增加补充剂、止痛药和酒精的摄入所带来的风险,以避免对身体造成损害。
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引用次数: 0
Relative Energy Deficiency in Sport (RED-S): Scientific, Clinical, and Practical Implications for the Female Athlete. 运动中的相对能量缺乏(RED-S):对女运动员的科学、临床和实践意义。
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5960/dzsm.2022.546
H E Cabre, S R Moore, A E Smith-Ryan, A C Hackney

Problem: If athletes develop low energy availability (LEA), it can lead to a Relative Energy Deficiency in Sport (RED-S) syndrome which has severe health consequences if not treated.

Methodology: A narrative review of the most recent and pertinent literature on the topic, with special emphasis on women.

Results: In assessing the current literature, we have synthesized: i) the scientific implications of LEA and RED-S, ii) the clinical manifestations of the conditions currently available for detection, as well as iii) the practical implications for healthcare and support for female athletes and teams in planning intervention or prevention strategies (maintaining EA >45 kcal/kg FFM/day).

Discussion: The 'Female Athlete Triad" emerged in the 1990s as researchers understood more of the etiological adaptation of female athlete health to sports training. In the last 10 years, the scientific community has recognized that the 'Triad' approach was too narrow in focus, and the broader concept of RED-S emerged. Both the Triad and RED-S are consequences of a frequently prevalent LEA in athletes (<30 kcal/kg FFM/day). Developing LEA and RED-S compromises training adaptation, performance capacity, and health in athletes. For these reasons, it is critical that an athlete's support team recognize the behaviors that may indicate RED-S evolution. In this way, we can assist female athletes in reaching their full potential in sports while protecting their health.

问题:如果运动员出现低能量可用性(LEA),就会导致运动中相对能量缺乏症(RED-S)综合征,如果不加以治疗,会对健康造成严重后果。方法:对关于这一主题的最新和相关文献进行叙述审查,特别强调妇女问题。结果:在评估现有文献时,我们综合了:i) LEA和RED-S的科学意义,ii)目前可检测的疾病的临床表现,以及iii)在制定干预或预防策略(保持EA >45 kcal/kg FFM/day)时对女运动员和团队的医疗保健和支持的实际意义。讨论:“女运动员三位一体”出现于20世纪90年代,当时研究人员对女运动员健康对运动训练的病因学适应了解得更多。在过去的10年里,科学界已经认识到,“三位一体”方法的重点过于狭隘,于是出现了更广泛的RED-S概念。Triad和RED-S都是运动员中普遍存在的LEA的结果(
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引用次数: 6
Effects of high-intensity aerobic exercise and resistance training on cardiometabolic risk in early-postmenopausal women 高强度有氧运动和抗阻训练对早期绝经后妇女心脏代谢风险的影响
Q3 Health Professions Pub Date : 2021-02-01 DOI: 10.5960/DZSM.2020.449
Michael Hettchen, S. Stengel, M. Kohl, M. Murphy, M. Shojaa, Mansour Ghasemikaram, L. Bragonzoni, Francesco Benvenuti, C. Ripamonti, G. Benedetti, M. Julin, Tapani Risto, W. Kemmler
The menopausal transition with its very pronounced decline of estradiol levels cause predominately negative effects on all tissue with estrogen receptors (25) included the negative influence on risk factors that promote cardiovascular disease (1). Women between 55 and 69 years of age are particularly at risk (36). Cardiometabolic and cardiovascular diseases, in addition to muscular and skeletal disorders, also contribute to high morbidity in this age group (26, 33). For these reasons, an exercise program should be developed that counteracts precisely these problems. Unfortunately there is a lack of studies that focus on this issue, particularly with respect to cardiometabolic risk factors related to menopausal Estradiol decline (27, 34). There is considerable evidence that tailored exercise interventions can reduce cardioMichael Hettchen Institut für Medizinische Physik Friedrich-Alexander Universität Erlangen-Nürnberg Henkestrasse 91, 91052 Erlangen, Germany : michael.hettchen@imp.uni-erlangen.de SCHLÜSSELWÖRTER: Metabolisches Syndrom, MetS Z-Score, Wechseljahre
绝经过渡期雌二醇水平明显下降,对所有雌激素受体组织造成主要的负面影响(25),包括对促进心血管疾病的危险因素的负面影响(1)。55岁至69岁的女性尤其危险(36)。除了肌肉和骨骼疾病外,心脏代谢和心血管疾病也导致这一年龄组的高发病率(26,33)。由于这些原因,应该制定一项锻炼计划来抵消这些问题。不幸的是,缺乏关注这一问题的研究,特别是关于与绝经期雌二醇下降相关的心脏代谢危险因素的研究(27,34)。有相当多的证据表明,量身定制的运动干预可以减少心脏病。michael Hettchen Institut f r Medizinische Physik Friedrich-Alexander Universität Erlangen- n rnberg Henkestrasse 910,91052 Erlangen,德国:michael.hettchen@imp.uni-erlangen.de SCHLÜSSELWÖRTER:代谢综合征,MetS Z-Score, Wechseljahre
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引用次数: 2
Psyche and sport in times of COVID-19 2019冠状病毒病时期的精神与体育
Q3 Health Professions Pub Date : 2020-05-01 DOI: 10.5960/dzsm.2020.435
M. Claussen, S. Fröhlich, Jörg Spörri, E. Seifritz, VZ Markser, J. Scherr
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引用次数: 0
Fact sheet: Sport psychiatric andpsychotherapeutic aspects in competitive sports in times of the COVID 19 pandemic 简报:2019冠状病毒病大流行时期竞技体育中的体育精神病学和心理治疗方面
Q3 Health Professions Pub Date : 2020-05-01 DOI: 10.5960/dzsm.2020.436
M. Claussen, S. Fröhlich, Jörg Spörri, A. Hasan, E. Seifritz, J. Scherr, VZ Markser
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引用次数: 4
Letter to the Editor: COVID-19 in a Thai Boxing Area in Thailand 致编辑的信:泰国泰拳区新冠肺炎疫情
Q3 Health Professions Pub Date : 2020-05-01 DOI: 10.5960/dzsm.2020.430
W. Sriwijitalai, V. Wiwanitkit
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引用次数: 2
期刊
Deutsche Zeitschrift fur Sportmedizin
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