Pub Date : 2024-11-08DOI: 10.1136/bjsports-2024-108717
Stephanie E Coen, Victoria Downie, Lucy Follett, Steve McCaig, Joanne L Parsons
Objective Women remain at increased risk for some sports injuries, such as anterior cruciate ligament rupture and concussion. This study applied a gendered environmental approach to identify modifiable features of women’s sport environments that may contribute to the gendered patterning of sports injuries. Our objectives were to identify features of gendered environments that mattered in athletes’ lived experiences and to trace pathways connecting these features to injury. Methods We employed a creative methodology combining semi-structured interviews with artefact-elicited storytelling and poetic transcription to actively centre women athletes’ voices and communicate their experiences in formats intended to stimulate reflection among sport system stakeholders. Results Drawing on insights from 20 recently retired women athletes across 11 UK high-performance sports, our reflexive thematic analysis identified five gendered environmental challenges shaping women’s injury experiences, risk and outcomes: (1) stereotypes trivialise injury, (2) physiology is all or nothing, (3) the ‘ideal’ female athlete, (4) in/visible inequities and (5) uneven power dynamics. Within these gendered environmental challenges, we identified mechanisms through which challenges manifest in the everyday experiences of athletes, highlighting these as potential points to disrupt the gendered environments-to-injury pathway. Conclusion Our findings provide an evidence-based framework for categorising and addressing gendered environmental challenges in women’s sport. Interventions to reconfigure the gendered status quo within sport should be embedded as part of injury prevention strategies. No data are available. Due to ethical considerations, datasets from this project are not publicly available.
{"title":"Gendered environmental pathways to sports injury: insights from retired athletes in the UK high-performance context","authors":"Stephanie E Coen, Victoria Downie, Lucy Follett, Steve McCaig, Joanne L Parsons","doi":"10.1136/bjsports-2024-108717","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108717","url":null,"abstract":"Objective Women remain at increased risk for some sports injuries, such as anterior cruciate ligament rupture and concussion. This study applied a gendered environmental approach to identify modifiable features of women’s sport environments that may contribute to the gendered patterning of sports injuries. Our objectives were to identify features of gendered environments that mattered in athletes’ lived experiences and to trace pathways connecting these features to injury. Methods We employed a creative methodology combining semi-structured interviews with artefact-elicited storytelling and poetic transcription to actively centre women athletes’ voices and communicate their experiences in formats intended to stimulate reflection among sport system stakeholders. Results Drawing on insights from 20 recently retired women athletes across 11 UK high-performance sports, our reflexive thematic analysis identified five gendered environmental challenges shaping women’s injury experiences, risk and outcomes: (1) stereotypes trivialise injury, (2) physiology is all or nothing, (3) the ‘ideal’ female athlete, (4) in/visible inequities and (5) uneven power dynamics. Within these gendered environmental challenges, we identified mechanisms through which challenges manifest in the everyday experiences of athletes, highlighting these as potential points to disrupt the gendered environments-to-injury pathway. Conclusion Our findings provide an evidence-based framework for categorising and addressing gendered environmental challenges in women’s sport. Interventions to reconfigure the gendered status quo within sport should be embedded as part of injury prevention strategies. No data are available. Due to ethical considerations, datasets from this project are not publicly available.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"151 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142598084","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}
Pub Date : 2024-11-07DOI: 10.1136/bjsports-2024-108871
Richard Weiler, Kristine Dalton, Anna Guenther, Katelyn Mitchell, Peter Van de Vliet, Shelina Babul, Cheri Blauwet, David Clarke, Jenny Dea, Wayne Derman, Carolyn Emery, Kristina Fagher, Vincent Gouttebarge, Mohammad Nadir Haider, Tamerah Hunt, Kenneth Lee, Jan Lexell, Ryan N Moran, Francine Pilon, Francois Prince, Phoebe Runciman, Racheal Smetana, Evert Verhagen, Nick Webborn, Osman Hassan Ahmed
The Amsterdam 2022 International Consensus Statement on Concussion in Sport (6th International Conference on Concussion in Sport) was the first Concussion in Sport Group (CISG) consensus to consider the para athlete.1 To date, a lack of research in para sport on most aspects of concussion has prevented the development of evidence-informed consensus on any aspects of concussion care for para athletes, resulting in a reliance on expert opinion.2 3 Prior to 2023, all CISG guidelines used the default that athletes all have ‘normal’ cognitive and neuromuscular (central and peripheral) functions. This default is not representative of the global population, and discounts para athletes who have impairments with wide heterogeneity, which may be visible or invisible. In 2021 the Concussion in Para Sport (CIPS) group, an international, voluntary, multidisciplinary group of para concussion-focused clinicians, researchers and athletes published the first position statement on concussion in para sport, which built on the 2017 CISG Consensus Statement.4 The prospective International Paralympic Committee injury and illness surveillance studies started in 2012, and while concussions were reported at the Pyeong Chang 2018 Paralympic Winter Games (n=4),5 the first detailed concussion information was reported for the Tokyo 2020 (n=9) and Beijing 2022 (n=4) Paralympic Games.6 7 Following publication of the Amsterdam 2022 Consensus on Concussion in Sport, the CIPS group present this editorial to (1) highlight that the guidance outlined in the first CIPS Position Statement can be adapted and applied to this most recent Amsterdam 2022 Consensus Statement …
{"title":"Para athlete concussion care following the Amsterdam 2022 International Consensus Statement on Concussion in Sport: an urgent need for inclusivity within concussion research","authors":"Richard Weiler, Kristine Dalton, Anna Guenther, Katelyn Mitchell, Peter Van de Vliet, Shelina Babul, Cheri Blauwet, David Clarke, Jenny Dea, Wayne Derman, Carolyn Emery, Kristina Fagher, Vincent Gouttebarge, Mohammad Nadir Haider, Tamerah Hunt, Kenneth Lee, Jan Lexell, Ryan N Moran, Francine Pilon, Francois Prince, Phoebe Runciman, Racheal Smetana, Evert Verhagen, Nick Webborn, Osman Hassan Ahmed","doi":"10.1136/bjsports-2024-108871","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108871","url":null,"abstract":"The Amsterdam 2022 International Consensus Statement on Concussion in Sport (6th International Conference on Concussion in Sport) was the first Concussion in Sport Group (CISG) consensus to consider the para athlete.1 To date, a lack of research in para sport on most aspects of concussion has prevented the development of evidence-informed consensus on any aspects of concussion care for para athletes, resulting in a reliance on expert opinion.2 3 Prior to 2023, all CISG guidelines used the default that athletes all have ‘normal’ cognitive and neuromuscular (central and peripheral) functions. This default is not representative of the global population, and discounts para athletes who have impairments with wide heterogeneity, which may be visible or invisible. In 2021 the Concussion in Para Sport (CIPS) group, an international, voluntary, multidisciplinary group of para concussion-focused clinicians, researchers and athletes published the first position statement on concussion in para sport, which built on the 2017 CISG Consensus Statement.4 The prospective International Paralympic Committee injury and illness surveillance studies started in 2012, and while concussions were reported at the Pyeong Chang 2018 Paralympic Winter Games (n=4),5 the first detailed concussion information was reported for the Tokyo 2020 (n=9) and Beijing 2022 (n=4) Paralympic Games.6 7 Following publication of the Amsterdam 2022 Consensus on Concussion in Sport, the CIPS group present this editorial to (1) highlight that the guidance outlined in the first CIPS Position Statement can be adapted and applied to this most recent Amsterdam 2022 Consensus Statement …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"9 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142596898","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}
Pub Date : 2024-11-07DOI: 10.1136/bjsports-2024-108763
Sylvie Parent, Stephanie Radziszewski, Osazemen Aghedo, Isabelle Daignault, Emma Kavanagh, Melanie Lang, Margo Mountjoy, Aurélie Pankowiak, Julia Topart, Mary Woessner, Tine Vertommen
Objective Our aim was to define the priorities for future research in safeguarding athletes from interpersonal violence (IV) in sport through a Delphi consensus study of researchers in the field. Methods An internet-based three-round Delphi method was used as a multistage facilitation technique to arrive at a group consensus (set at ≥75% agreement). A targeted literature search was conducted to develop a list of potential research priorities that were presented as short statements in the first round. Results A total of 52 participants (researchers in IV in sport) took part in the first round, 52 completed the second round and 44 completed the third round. Respectively, 47 items, 83 items and 60 items were included in each round. The participants achieved consensus on 11 statements in the first round, seven in the second round and 31 in the third round, for a total of 49 consensus research priorities. The first four priorities that reached consensus (78.8–80.8% agreement) directly following the first Delphi round were scored with high importance (between 6.2 and 6.3 on a scale of 7). Those four priorities included: (1) documenting the experiences of children athletes and minors, (2) studying the disclosure or reporting of violence, (3) developing, evaluating and advising on interventions targeting education and training and (4) documenting the experiences of violence of para athletes. Conclusion This study defines research priorities for IV in sport that may elucidate further gaps in current policies and practices. Data are available upon reasonable request. De-identified participant data could be made available by contacting the corresponding author (Sylvie Parent) at sylvie.parent@fse.ulaval.ca.
{"title":"Identifying future research priorities in the field of interpersonal violence (IV) towards athletes in sport: a Delphi study","authors":"Sylvie Parent, Stephanie Radziszewski, Osazemen Aghedo, Isabelle Daignault, Emma Kavanagh, Melanie Lang, Margo Mountjoy, Aurélie Pankowiak, Julia Topart, Mary Woessner, Tine Vertommen","doi":"10.1136/bjsports-2024-108763","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108763","url":null,"abstract":"Objective Our aim was to define the priorities for future research in safeguarding athletes from interpersonal violence (IV) in sport through a Delphi consensus study of researchers in the field. Methods An internet-based three-round Delphi method was used as a multistage facilitation technique to arrive at a group consensus (set at ≥75% agreement). A targeted literature search was conducted to develop a list of potential research priorities that were presented as short statements in the first round. Results A total of 52 participants (researchers in IV in sport) took part in the first round, 52 completed the second round and 44 completed the third round. Respectively, 47 items, 83 items and 60 items were included in each round. The participants achieved consensus on 11 statements in the first round, seven in the second round and 31 in the third round, for a total of 49 consensus research priorities. The first four priorities that reached consensus (78.8–80.8% agreement) directly following the first Delphi round were scored with high importance (between 6.2 and 6.3 on a scale of 7). Those four priorities included: (1) documenting the experiences of children athletes and minors, (2) studying the disclosure or reporting of violence, (3) developing, evaluating and advising on interventions targeting education and training and (4) documenting the experiences of violence of para athletes. Conclusion This study defines research priorities for IV in sport that may elucidate further gaps in current policies and practices. Data are available upon reasonable request. De-identified participant data could be made available by contacting the corresponding author (Sylvie Parent) at sylvie.parent@fse.ulaval.ca.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"59 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142597130","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}
Pub Date : 2024-11-07DOI: 10.1136/bjsports-2024-108720
Jörg Spörri, Kerry McGawley, Marine Alhammoud, Roald Bahr, Caitlin Dios, Lars Engebretsen, Matthias Gilgien, Vincent Gouttebarge, Helen Hanstock, Lars Haugvad, Hubert Hörterer, Tom Kastner, Gerald Mitterbauer, Margo Mountjoy, Kathrin Wagner, Dionne A Noordhof, Gerhard Ruedl, Johannes Scherr, Wolfgang Schobersberger, Torbjørn Soligard, Lisa Steidl-Müller, Oleane Marthea Rebne Stenseth, Astrid Uhrenholdt Jacobsen, Maarit Valtonen, Maria Westin, Benjamin Clarsen, Evert Verhagen
The International Olympic Committee’s (IOC) consensus statement on ‘methods for recording and reporting of epidemiological data on injury and illness in sport’ recommended standardising methods to advance data collection and reporting consistency. However, additional aspects need to be considered when these methods are applied to specific sports settings. Therefore, we have developed a snow sports-specific extension of the IOC statement to promote the harmonisation of injury and illness registration methods among athletes of all levels and categories in the different disciplines governed by the International Ski and Snowboard Federation (FIS), which is also applicable to other related snow sports such as biathlon, ski mountaineering, and to some extent, para snow sports. The panel was selected with the aim of representing as many different areas of expertise/backgrounds, perspectives and diversity as possible, and all members were assigned to thematic subgroups based on their profiles. After panel formation, all members were provided with an initial draft of this extension, which was used as a basis for discussion of aspects specific to the discipline, application context, level and sex within their snow sports subgroup topic. The outcomes were then aligned with the IOC’s existing consensus recommendations and incorporated into a preliminary manuscript draft. The final version of this snow sports-specific extension was developed and approved in two iterative rounds of manuscript revisions by all consensus panel members and a final meeting to clarify open discussion points. This snow sports-specific extension of the IOC statement is intended to guide researchers, international and national sports governing bodies, and other entities recording and reporting epidemiological data in snow sports to help standardise data from different sources for comparison and future research.
{"title":"Snow sports-specific extension of the IOC consensus statement: methods for recording and reporting epidemiological data on injury and illness in sports","authors":"Jörg Spörri, Kerry McGawley, Marine Alhammoud, Roald Bahr, Caitlin Dios, Lars Engebretsen, Matthias Gilgien, Vincent Gouttebarge, Helen Hanstock, Lars Haugvad, Hubert Hörterer, Tom Kastner, Gerald Mitterbauer, Margo Mountjoy, Kathrin Wagner, Dionne A Noordhof, Gerhard Ruedl, Johannes Scherr, Wolfgang Schobersberger, Torbjørn Soligard, Lisa Steidl-Müller, Oleane Marthea Rebne Stenseth, Astrid Uhrenholdt Jacobsen, Maarit Valtonen, Maria Westin, Benjamin Clarsen, Evert Verhagen","doi":"10.1136/bjsports-2024-108720","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108720","url":null,"abstract":"The International Olympic Committee’s (IOC) consensus statement on ‘methods for recording and reporting of epidemiological data on injury and illness in sport’ recommended standardising methods to advance data collection and reporting consistency. However, additional aspects need to be considered when these methods are applied to specific sports settings. Therefore, we have developed a snow sports-specific extension of the IOC statement to promote the harmonisation of injury and illness registration methods among athletes of all levels and categories in the different disciplines governed by the International Ski and Snowboard Federation (FIS), which is also applicable to other related snow sports such as biathlon, ski mountaineering, and to some extent, para snow sports. The panel was selected with the aim of representing as many different areas of expertise/backgrounds, perspectives and diversity as possible, and all members were assigned to thematic subgroups based on their profiles. After panel formation, all members were provided with an initial draft of this extension, which was used as a basis for discussion of aspects specific to the discipline, application context, level and sex within their snow sports subgroup topic. The outcomes were then aligned with the IOC’s existing consensus recommendations and incorporated into a preliminary manuscript draft. The final version of this snow sports-specific extension was developed and approved in two iterative rounds of manuscript revisions by all consensus panel members and a final meeting to clarify open discussion points. This snow sports-specific extension of the IOC statement is intended to guide researchers, international and national sports governing bodies, and other entities recording and reporting epidemiological data in snow sports to help standardise data from different sources for comparison and future research.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"70 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142597128","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}
Pub Date : 2024-11-05DOI: 10.1136/bjsports-2024-109022
Margo Mountjoy, Karolien Adriaens, Astrid Junge, Helena Verhelle, Felien Laureys, Sandi Kirby, Lenka Dienstbach-Wech, Jeremy Foster, Tine Vertommen
Objectives: A paucity of studies assesses the intersection of physical health (injury and illness), mental health and experiences of interpersonal violence (IV, also known as harassment and abuse) in sport. The objectives of this study were to examine the (a) frequency of self-reported physical and mental health problems of elite athletes in the 12 months prior to the survey, (b) differences in physical and mental health between male and female athletes and (c) relationship of athlete health with experiences of IV.
Methods: Elite adult athletes from four sports were approached at eight international events to answer an online questionnaire on their physical and mental health, as well as experiences of IV in sport within the past 12 months.
Results: A total of 562 athletes completed the questionnaire. Overall, 75% reported at least one physical symptom, most commonly headache and fatigue (n=188; 33.5% each), followed by musculoskeletal symptoms (n=169; 29.4%). 65.1% reported at least one mental health symptom, mostly of anxiety or depression. More female than male athletes reported physical (F:81.9%; M:68.3%; p<0.001) and mental (F:71.9%; M:58.4%; p<0.001) health problems, while addiction problems were more frequent in male athletes (F:1.8%; M:6.4%; p=0.006. 53.0% of the female and 42.3% of the male participants reported having experienced at least one form of IV. Linear regression analysis demonstrated that all forms of IV, except physical IV (all p's<0.001), were associated with an increasing number of physical and mental health symptoms. In addition, the analysis showed that female athletes had a higher increase in symptoms in response to IV than male athletes.
Conclusions: This study demonstrates the relationship of elite athlete physical and mental health with IV. Injury and illness prevention programmes in international sport should include strategies to reduce IV.
{"title":"Association of self-reported health problems and interpersonal violence in sport: a cross-sectional study in world-level performing athletes.","authors":"Margo Mountjoy, Karolien Adriaens, Astrid Junge, Helena Verhelle, Felien Laureys, Sandi Kirby, Lenka Dienstbach-Wech, Jeremy Foster, Tine Vertommen","doi":"10.1136/bjsports-2024-109022","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109022","url":null,"abstract":"<p><strong>Objectives: </strong>A paucity of studies assesses the intersection of physical health (injury and illness), mental health and experiences of interpersonal violence (IV, also known as harassment and abuse) in sport. The objectives of this study were to examine the (a) frequency of self-reported physical and mental health problems of elite athletes in the 12 months prior to the survey, (b) differences in physical and mental health between male and female athletes and (c) relationship of athlete health with experiences of IV.</p><p><strong>Methods: </strong>Elite adult athletes from four sports were approached at eight international events to answer an online questionnaire on their physical and mental health, as well as experiences of IV in sport within the past 12 months.</p><p><strong>Results: </strong>A total of 562 athletes completed the questionnaire. Overall, 75% reported at least one physical symptom, most commonly headache and fatigue (n=188; 33.5% each), followed by musculoskeletal symptoms (n=169; 29.4%). 65.1% reported at least one mental health symptom, mostly of anxiety or depression. More female than male athletes reported physical (F:81.9%; M:68.3%; p<0.001) and mental (F:71.9%; M:58.4%; p<0.001) health problems, while addiction problems were more frequent in male athletes (F:1.8%; M:6.4%; p=0.006. 53.0% of the female and 42.3% of the male participants reported having experienced at least one form of IV. Linear regression analysis demonstrated that all forms of IV, except physical IV (all p's<0.001), were associated with an increasing number of physical and mental health symptoms. In addition, the analysis showed that female athletes had a higher increase in symptoms in response to IV than male athletes.</p><p><strong>Conclusions: </strong>This study demonstrates the relationship of elite athlete physical and mental health with IV. Injury and illness prevention programmes in international sport should include strategies to reduce IV.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582285","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}
Pub Date : 2024-11-05DOI: 10.1136/bjsports-2024-108478
Andy Deprato, Stephanie-May Ruchat, Muhammad Usman Ali, Chenxi Cai, Milena Forte, Madelaine Gierc, Sarah Meyer, Talia Noel Sjwed, Safi Shirazi, Brittany A Matenchuk, Paris A T Jones, Allison Sivak, Margie H Davenport
Objective: To examine the influence of postpartum exercise on maternal depression and anxiety.
Design: Systematic review with random effects meta-analysis and meta-regression.
Data sources: Online databases up to 12 January 2024, reference lists, recommended studies and hand searches.
Eligibility criteria: Randomised controlled trials (RCTs) and non-randomised interventions of any publication date or language were included if they contained information on the Population (postpartum people), Intervention (subjective or objective measures of frequency, intensity, duration, volume, type, or mode of delivery of exercise), Comparator (no exercise or different exercise measures), and Outcome (postpartum depression, anxiety prevalence, and/or symptom severity).
Results: A total of 35 studies (n=4072) were included. Moderate certainty evidence from RCTs showed that exercise-only interventions reduced the severity of postpartum depressive symptoms (19 RCTs, n=1778, SMD: -0.52, 95% CI -0.80 to -0.24, I2=86%, moderate effect size) and anxiety symptoms (2 RCTs, n=513, SMD: -0.25, 95% CI -0.43 to -0.08, I2=0%, small effect size), and the odds of postpartum depression by 45% (4 RCTs, n=303 OR 0.55, 95% CI 0.32 to 0.95, I2=0%) compared with no exercise. No included studies assessed the impact of postpartum exercise on the odds of postpartum anxiety. To achieve at least a moderate reduction in the severity of postpartum depressive symptoms, postpartum individuals needed to accumulate at least 350 MET-min/week of exercise (eg, 80 min of moderate intensity exercise such as brisk walking, water aerobics, stationary cycling or resistance training).
Conclusions: Postpartum exercise reduced the severity of depressive and anxiety symptoms and the odds of postpartum depression.
目的：研究产后运动对产妇抑郁和焦虑的影响：研究产后运动对产妇抑郁和焦虑的影响：数据来源：截至 2024 年 1 月 12 日的在线数据库：截至 2024 年 1 月 12 日的在线数据库、参考文献列表、推荐研究和人工检索：任何出版日期或语言的随机对照试验（RCT）和非随机干预措施，只要包含以下信息均可纳入：研究对象（产后人群）、干预措施（对运动频率、强度、持续时间、运动量、运动类型或运动方式的主观或客观测量）、比较者（不进行运动或采取不同的运动措施）和结果（产后抑郁、焦虑的发生率和/或症状严重程度）：共纳入 35 项研究（n=4072）。来自研究性试验的中度确定性证据显示，单纯运动干预可降低产后抑郁症状的严重程度（19 项研究性试验，n=1778，SMD：-0.52，95% CI -0.80 to -0.24，I2=86%，中等效应大小）和焦虑症状（2 项研究，n=513，SMD：-0.25，95% CI -0.43~-0.08，I2=0%，小效应大小），与不运动相比，产后抑郁的几率降低了 45%（4 项研究，n=303 OR 0.55，95% CI 0.32~0.95，I2=0%）。没有纳入的研究评估了产后锻炼对产后焦虑几率的影响。为了使产后抑郁症状的严重程度至少达到中等程度的减轻，产后妇女每周至少需要进行350 MET-min的运动（例如，80 min的中等强度运动，如快步走、水中有氧运动、固定自行车或阻力训练）：结论：产后运动可降低抑郁和焦虑症状的严重程度以及产后抑郁症的发生几率。
{"title":"Impact of postpartum physical activity on maternal depression and anxiety: a systematic review and meta-analysis.","authors":"Andy Deprato, Stephanie-May Ruchat, Muhammad Usman Ali, Chenxi Cai, Milena Forte, Madelaine Gierc, Sarah Meyer, Talia Noel Sjwed, Safi Shirazi, Brittany A Matenchuk, Paris A T Jones, Allison Sivak, Margie H Davenport","doi":"10.1136/bjsports-2024-108478","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108478","url":null,"abstract":"<p><strong>Objective: </strong>To examine the influence of postpartum exercise on maternal depression and anxiety.</p><p><strong>Design: </strong>Systematic review with random effects meta-analysis and meta-regression.</p><p><strong>Data sources: </strong>Online databases up to 12 January 2024, reference lists, recommended studies and hand searches.</p><p><strong>Eligibility criteria: </strong>Randomised controlled trials (RCTs) and non-randomised interventions of any publication date or language were included if they contained information on the Population (postpartum people), Intervention (subjective or objective measures of frequency, intensity, duration, volume, type, or mode of delivery of exercise), Comparator (no exercise or different exercise measures), and Outcome (postpartum depression, anxiety prevalence, and/or symptom severity).</p><p><strong>Results: </strong>A total of 35 studies (n=4072) were included. Moderate certainty evidence from RCTs showed that exercise-only interventions reduced the severity of postpartum depressive symptoms (19 RCTs, n=1778, SMD: -0.52, 95% CI -0.80 to -0.24, I<sup>2</sup>=86%, moderate effect size) and anxiety symptoms (2 RCTs, n=513, SMD: -0.25, 95% CI -0.43 to -0.08, I<sup>2</sup>=0%, small effect size), and the odds of postpartum depression by 45% (4 RCTs, n=303 OR 0.55, 95% CI 0.32 to 0.95, I<sup>2</sup>=0%) compared with no exercise. No included studies assessed the impact of postpartum exercise on the odds of postpartum anxiety. To achieve at least a moderate reduction in the severity of postpartum depressive symptoms, postpartum individuals needed to accumulate at least 350 MET-min/week of exercise (eg, 80 min of moderate intensity exercise such as brisk walking, water aerobics, stationary cycling or resistance training).</p><p><strong>Conclusions: </strong>Postpartum exercise reduced the severity of depressive and anxiety symptoms and the odds of postpartum depression.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582269","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}
Pub Date : 2024-11-04DOI: 10.1136/bjsports-2024-109051
Iain Robert Murray, Navnit S Makaram, Chryssa Neo, Andrew G Geeslin, Jorge Chahla, Gilbert Moatshe, Kay Crossley, Michelle E Kew, Aileen Davis, Maria Tuca, Hollis Potter, Dina C Janse van Rensburg, Carolyn A Emery, SeungPyo Eun, Hege Grindem, Frank R Noyes, Robert G Marx, Chris Harner, Bruce A Levy, Enda King, James L Cook, Daniel B Whelan, George F Hatch, Christopher J Wahl, Kristian Thorborg, James J Irrgang, Nicolas Pujol, Michael J Medvecky, Michael J Stuart, Aaron J Krych, Lars Engebretsen, James P Stannard, Peter MacDonald, Romain Seil, Gregory C Fanelli, Travis G Maak, K Donald Shelbourne, Evert Verhagen, Volker Musahl, Michael T Hirschmann, Mark D Miller, Robert C Schenck, Robert F LaPrade
{"title":"Infographic. Multiligament knee injury (MLKI): an expert consensus statement on nomenclature, diagnosis, treatment and rehabilitation.","authors":"Iain Robert Murray, Navnit S Makaram, Chryssa Neo, Andrew G Geeslin, Jorge Chahla, Gilbert Moatshe, Kay Crossley, Michelle E Kew, Aileen Davis, Maria Tuca, Hollis Potter, Dina C Janse van Rensburg, Carolyn A Emery, SeungPyo Eun, Hege Grindem, Frank R Noyes, Robert G Marx, Chris Harner, Bruce A Levy, Enda King, James L Cook, Daniel B Whelan, George F Hatch, Christopher J Wahl, Kristian Thorborg, James J Irrgang, Nicolas Pujol, Michael J Medvecky, Michael J Stuart, Aaron J Krych, Lars Engebretsen, James P Stannard, Peter MacDonald, Romain Seil, Gregory C Fanelli, Travis G Maak, K Donald Shelbourne, Evert Verhagen, Volker Musahl, Michael T Hirschmann, Mark D Miller, Robert C Schenck, Robert F LaPrade","doi":"10.1136/bjsports-2024-109051","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109051","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":11.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575488","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}
Pub Date : 2024-11-01DOI: 10.1136/bjsports-2023-108059
Adam S Tenforde, Emily Kraus, Stephanie A Kliethermes, Mark A Fontana, Michelle T Barrack, Mary Dubon, Ida A Heikura, Karsten Hollander, Emily Kroshus, Mikel R Joachim, Alexandre Dias Lopes, Mitchell J Rauh, Ragen Chastain, Mark Harrast, Bryan Heiderscheit, Brian J Krabak, Emily M Miller, Christopher Napier, William O Roberts, Deborah Roche, Megan Roche, Allison N Schroeder, Dezmond Taylor-Douglas, Kate Tenforde, Evert Verhagen, Stuart J Warden, Richard W Willy, Brett G Toresdahl
Endurance events are popular worldwide and have many health benefits. However, runners and Para athletes may sustain musculoskeletal injuries or experience other health consequences from endurance events. The American Medical Society for Sports Medicine (AMSSM) Runner Health Consortium aimed to generate consensus-based survey items for use in prospective research to identify risk factors for injuries in runners and Para athletes training and competing in endurance events. The study design employed a modified Delphi approach, with a panel comprising 28 experts, including healthcare professionals, coaches, and athletes. Potential survey items were generated by panel members who subsequently engaged in three rounds of voting using Research Electronic Data Capture. Items were graded by clarity, relevance, and importance. Items achieving 80% consensus on all three aspects were retained. The response rate was 100% in R round 1 and 96% in Rrounds 2 and 3. Of 124 initial survey items, consensus was reached on 53, 34 and 22 items during Rrounds 1, 2, and 3, respectively. Two accepted items were removed due to redundancy. Combined with 10 non-voting items, 117 items covered key domains, including training and injury history, dietary behaviours and associated factors (such as menstrual function), footwear, mental health, and specific considerations for Para athletes. The consensus-based survey items should be considered by researchers to better understand the health of runners and Para athletes who train and compete in endurance sports to identify risk factors for injury.
{"title":"Standardising health history and injury surveillance of participants in endurance events: a modified Delphi consensus statement from the AMSSM runner health consortium","authors":"Adam S Tenforde, Emily Kraus, Stephanie A Kliethermes, Mark A Fontana, Michelle T Barrack, Mary Dubon, Ida A Heikura, Karsten Hollander, Emily Kroshus, Mikel R Joachim, Alexandre Dias Lopes, Mitchell J Rauh, Ragen Chastain, Mark Harrast, Bryan Heiderscheit, Brian J Krabak, Emily M Miller, Christopher Napier, William O Roberts, Deborah Roche, Megan Roche, Allison N Schroeder, Dezmond Taylor-Douglas, Kate Tenforde, Evert Verhagen, Stuart J Warden, Richard W Willy, Brett G Toresdahl","doi":"10.1136/bjsports-2023-108059","DOIUrl":"https://doi.org/10.1136/bjsports-2023-108059","url":null,"abstract":"Endurance events are popular worldwide and have many health benefits. However, runners and Para athletes may sustain musculoskeletal injuries or experience other health consequences from endurance events. The American Medical Society for Sports Medicine (AMSSM) Runner Health Consortium aimed to generate consensus-based survey items for use in prospective research to identify risk factors for injuries in runners and Para athletes training and competing in endurance events. The study design employed a modified Delphi approach, with a panel comprising 28 experts, including healthcare professionals, coaches, and athletes. Potential survey items were generated by panel members who subsequently engaged in three rounds of voting using Research Electronic Data Capture. Items were graded by clarity, relevance, and importance. Items achieving 80% consensus on all three aspects were retained. The response rate was 100% in R round 1 and 96% in Rrounds 2 and 3. Of 124 initial survey items, consensus was reached on 53, 34 and 22 items during Rrounds 1, 2, and 3, respectively. Two accepted items were removed due to redundancy. Combined with 10 non-voting items, 117 items covered key domains, including training and injury history, dietary behaviours and associated factors (such as menstrual function), footwear, mental health, and specific considerations for Para athletes. The consensus-based survey items should be considered by researchers to better understand the health of runners and Para athletes who train and compete in endurance sports to identify risk factors for injury.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"195 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563274","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}
Pub Date : 2024-11-01DOI: 10.1136/bjsports-2024-108761
José Afonso, Renato Andrade, Mário Sá, Ricardo Martins, Ivan Baptista, Tania Pizzari
Comparing apples to oranges is rational when comparing different fruits; comparing apples to beans is something else entirely. Likewise, injury prevention trials proposing warm-up interventions should strive to deliver reasonable comparisons. The contents and dosage of the intervention and control warm-ups may vary, especially in the context of pragmatic trials, but should be appropriately described to afford transparency and comparability. So, what is this elusive entity known as the ‘usual’ warm-up in injury prevention trials? And how may this affect the interpretation of the findings? This editorial explores the context and importance of the ‘usual’ warm-up in injury prevention trials and provides recommendations to harmonise future research. Warm-up protocols focused on injury prevention are often compared with other warm-ups to assess their relative effectiveness. Pragmatic trials often compare a standardised protocol (the intervention) to ‘usual’ warm-up (the comparator), and this is relevant to reflect current real-world practices. However, accurate evaluation of effectiveness requires clear descriptions of the content of the comparator warm-up protocols. Inadequate and incomplete reporting is more common than desirable, even in recent randomised studies published in high-profile journals.1–3 We describe three examples in detail to illustrate this problem. Example 1 : A cluster randomised trial compared the effectiveness of the warm-up programme ‘VolleyVeilig’ in reducing injuries (35 teams, n=282 players) to ‘usual’ warm-up (31 teams, n=236 players).1 While the ‘VolleyVeilig’ programme was described in detail, there was no information regarding the ‘usual’ …
{"title":"Elusive ‘usual’ warm-up in injury prevention trials: the problem of comparing apples to beans","authors":"José Afonso, Renato Andrade, Mário Sá, Ricardo Martins, Ivan Baptista, Tania Pizzari","doi":"10.1136/bjsports-2024-108761","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108761","url":null,"abstract":"Comparing apples to oranges is rational when comparing different fruits; comparing apples to beans is something else entirely. Likewise, injury prevention trials proposing warm-up interventions should strive to deliver reasonable comparisons. The contents and dosage of the intervention and control warm-ups may vary, especially in the context of pragmatic trials, but should be appropriately described to afford transparency and comparability. So, what is this elusive entity known as the ‘usual’ warm-up in injury prevention trials? And how may this affect the interpretation of the findings? This editorial explores the context and importance of the ‘usual’ warm-up in injury prevention trials and provides recommendations to harmonise future research. Warm-up protocols focused on injury prevention are often compared with other warm-ups to assess their relative effectiveness. Pragmatic trials often compare a standardised protocol (the intervention) to ‘usual’ warm-up (the comparator), and this is relevant to reflect current real-world practices. However, accurate evaluation of effectiveness requires clear descriptions of the content of the comparator warm-up protocols. Inadequate and incomplete reporting is more common than desirable, even in recent randomised studies published in high-profile journals.1–3 We describe three examples in detail to illustrate this problem. Example 1 : A cluster randomised trial compared the effectiveness of the warm-up programme ‘VolleyVeilig’ in reducing injuries (35 teams, n=282 players) to ‘usual’ warm-up (31 teams, n=236 players).1 While the ‘VolleyVeilig’ programme was described in detail, there was no information regarding the ‘usual’ …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"79 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563275","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}
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