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‘First, do no harm’: conducting research on interpersonal violence in sport 首先,不要伤害":开展体育运动中的人际暴力研究
IF 18.4 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-23 DOI: 10.1136/bjsports-2024-108767
Tine Vertommen, Mary Woessner, Emma Kavanagh, Sylvie Parent, Aurélie Pankowiak, Leen Haerens, Cleo Schyvinck, Bram Constandt, Ramón Spaaij, Vidar Stevens, Annick Willem, Margo Mountjoy
It was Hippocrates who stated ‘First, do no harm’, and we believe the sentiment of this medical principle is one that every researcher should embody when conducting research on interpersonal violence (IV) in sport. Conducting such research presents unique considerations for researchers, particularly in relation to supporting participant and researcher well-being. Similarly, approaching this sensitive topic with clear definitions of IV in sport and an understanding of trauma- and violence-informed care (TVIC) is paramount to the protection and care of everyone involved in the research. The landscape for researching IV in sport that has rapidly emerged to investigate its determinants from various lenses including ethical, sociological, psychological, criminological and organisational.1 2 The siloed nature of research on IV in sport also has led to inconsistency in terminology, hindering effective communication and collaboration within and outside the field. The terms used to describe and study IV in sport have a profound impact on how the problem is communicated and understood. The use of diverging definitions creates challenges for determining what is within or outside the scope of research, limits our ability to meaningfully compare prevalences and experiences reported across projects, and impacts methodological considerations such as the effective recruitment of participants. Currently, terms such as maltreatment, non-accidental violence, harm, harassment, abuse and IV are used interchangeably, and clarification on the use of terminologies is essential. This paper aligns with the latest International Olympic Committee (IOC) Consensus Statement1 and the WHO’s typology of violence3 and focuses on ‘ interpersonal violence’, which differs from self-directed and collective violence (box 1). Box 1 ### Glossary with operationalised definitions of interpersonal violence in sport
希波克拉底曾说过 "首先,不要伤害他人",我们相信,在对体育运动中的人际暴 力(IV)进行研究时,每位研究人员都应恪守这一医学原则。开展此类研究对研究人员提出了独特的考量,特别是在支持参与者和研究人员的福祉方面。同样,在研究这一敏感话题时,明确体育运动中人际暴力的定义并了解创伤和暴力知情护理 (TVIC),对于保护和护理参与研究的每个人至关重要。1 2 对体育运动中暴力行为的研究各自为政,也导致了术语的不一致,阻碍了该领域内外的 有效交流与合作。用于描述和研究体育运动中的 IV 的术语对如何交流和理解这一问题有着深远的影响。使用不同的定义会给确定哪些属于研究范围之内,哪些不属于研究范围之 外带来挑战,限制我们对各项目所报告的普遍性和经历进行有意义的比较,并影响到诸如有 效招募参与者等方法论方面的考虑。目前,虐待、非意外暴力、伤害、骚扰、凌辱和 IV 等术语被交替使用,因此澄清术语的使用至关重要。本文与最新的国际奥林匹克委员会(IOC)共识声明1 和世界卫生组织的暴力类型学3 保持一致,重点关注 "人际暴力",它不同于自发暴力和集体暴力(方框 1)。方框 1 ### 体育运动中的人际暴力操作化定义术语表
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引用次数: 0
Diagnostic effectiveness of the Sport Mental Health Assessment Tool 1 supplemented with a brief clinical intake interview in a cohort of Polish elite Olympic athletes 运动心理健康评估工具 1 辅以简短临床接诊访谈对波兰奥运精英运动员队列的诊断效果
IF 18.4 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-23 DOI: 10.1136/bjsports-2024-108919
Wojciech Waleriańczyk, Jarosław Krzywański, Joanna Gorgol, Katarzyna Konopka, Agata Kuśmierczyk, Grzegorz Lisek, Piotr Maleszka, Małgorzata Sławińska, Olga Surała, Grzegorz Więcław, Katarzyna Wójcik, Hubert Krysztofiak
Objective Several studies have used the Sport Mental Health Assessment Tool 1 (SMHAT-1) among athletes but none have combined SMHAT-1 with a subsequent clinical intake interview. The aim of this study was to evaluate the diagnostic effectiveness of SMHAT-1 supplemented by a brief, in-person clinical intake interview in evaluating the prevalence of mental health concerns in elite athletes. Methods Sections 1 and 2 from SMHAT-1 were administered in person during the routine biannual medical check-up for Olympic athletes at the National Centre for Sports Medicine in Poland. Immediately after completing the measures, all athletes were interviewed by qualified psychologists who evaluated their mental health and provided recommendations. Results A total of 1121 elite athletes (545 female, 576 male) aged 18–53 (M=24.39, SD=5.09) were evaluated 2–8 months before the 2024 Paris Olympic Games; 72.4% scored above the triage threshold and 51% were positively screened in SMHAT-1’s section 2. Based on the subsequent mental health evaluation, only 9.5% showed signs of persistent mental health concerns and required referral to a mental health specialist. In 24.2%, their distress levels/symptoms were assessed as occasional and normal in relation to demands, and they underwent a psychoeducational intervention or were advised to consult a sports psychologist. Female athletes scored significantly higher in most questionnaires. Conclusion SMHAT-1 proved a useful addition to the routine medical check-ups for elite athletes. Extending SMHAT-1 with a brief clinical intake interview substantially elevated the efficacy of the mental health evaluation, with an additional benefit of raising mental health literacy. All data relevant to the study are included in the article or uploaded as supplementary information. All data were anonymised and shared [online supplemental file 2][1]. [1]: #DC3
目的 有几项研究在运动员中使用了运动心理健康评估工具 1(SMHAT-1),但没有一项研究将 SMHAT-1 与随后的临床接诊访谈相结合。本研究的目的是评估运动心理健康评估工具 1 的诊断效果,并辅以简短的面对面临床接诊访谈,以评估精英运动员心理健康问题的普遍性。方法 在波兰国家运动医学中心对奥林匹克运动员进行一年两次的例行体检时,当面施测 SMHAT-1 的第 1 和第 2 部分。完成测量后,所有运动员都会立即接受合格心理学家的访谈,由他们对运动员的心理健康进行评估并提出建议。结果 在 2024 年巴黎奥运会举办前 2 至 8 个月,共有 1121 名年龄在 18 至 53 岁之间的精英运动员(女性 545 人,男性 576 人)(M=24.39,SD=5.09)接受了评估;72.4% 的运动员得分超过了分流阈值,51% 的运动员在 SMHAT-1 第 2 部分中得到了积极筛查。根据随后的心理健康评估,只有 9.5%的人表现出持续的心理健康问题,需要转诊至心理健康专家。有 24.2%的人,他们的痛苦程度/症状被评估为偶尔出现且与需求相关的正常情况,他们接受了心理教育干预或被建议咨询运动心理学家。女性运动员在大多数问卷中的得分都明显较高。结论 SMHAT-1 被证明是对精英运动员常规体检的有益补充。通过简短的临床入院访谈来扩展 SMHAT-1 大大提高了心理健康评估的效果,同时还能提高心理健康素养。与该研究相关的所有数据均包含在文章中或作为补充信息上传。所有数据均已匿名并共享[在线补充文件 2][1]。[1]:#DC3
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引用次数: 0
Identifying evidence-practice gaps for shoulder injury risk factors in competitive swimmers: uniting literature and expert opinion. 确定竞技游泳运动员肩部损伤风险因素的证据与实践差距:文献与专家意见的统一。
IF 11.6 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-22 DOI: 10.1136/bjsports-2023-108023
Alec Kenneth McKenzie, Andrea Hams, Jonathon Headrick, Alex Donaldson, Rick Dann, Joseph Coyne, Steven John Duhig

Objectives: To identify evidence-practice gaps regarding shoulder injury risk factors in competitive swimmers.

Methods: We gathered insights from 27 swimming experts including elite swimmers, coaches, high-performance staff and applied researchers using Concept Mapping. Participants brainstormed, sorted and rated (from 1 (least) to 10 (most) important and modifiable) their ideas of shoulder injury risk factors in competitive swimmers. Proposed risk factors rated above the grand mean for importance (6.2±0.4) or modifiability (6.5±0.5) ratings were considered highly important/modifiable. Expert opinions were then juxtaposed with systematic review findings to identify overlaps or convergences.

Results: Brainstorming generated 126 proposed shoulder injury risk factors for competitive swimmers, subsequently refined to 61 unique proposed risk factors by removing duplicates and combining similar responses. The participants sorted the 61 risk factors into seven distinct clusters. Experts perceived 36/61 proposed risk factors as highly important, of which 6 were supported by literature, 6 showed no association with injury, 2 had conflicting evidence and the remaining 22 have not yet been investigated, suggesting an evidence-practice gap. Three proposed risk factors 'inconsistent training load', 'poor stroke technique' and 'low posterior shoulder strength-endurance' exhibited high perceived importance, high perceived modifiability and supporting evidence.

Conclusion: An evidence-practice gap was identified for 28 proposed risk factors perceived as highly important by swimming experts despite either (1) no relevant empirical research (n=22), or (2) no association with injury (n=6) from synthesised evidence. Greater collaboration between researchers and practitioners is needed to effectively address shoulder injury risk factors in competitive swimmers.

目的找出竞技游泳运动员肩部受伤风险因素方面的证据与实践差距:我们使用概念图法收集了 27 位游泳专家的观点,其中包括精英游泳运动员、教练员、高性能工作人员和应用研究人员。与会人员集思广益,对他们关于竞技游泳运动员肩部受伤风险因素的想法进行了分类和评级(从 1(最不重要)到 10(最重要),并可进行修改)。重要程度(6.2±0.4)或可修改程度(6.5±0.5)高于平均值的风险因素被认为是非常重要/可修改的。然后将专家意见与系统综述结果并列,以确定重叠或趋同之处:结果:集思广益活动为竞技游泳运动员提出了 126 项肩部损伤风险因素,随后通过删除重复内容和合并类似回答,将这些风险因素细化为 61 项独特的风险因素。参与者将这 61 个风险因素分为七个不同的组别。专家们认为 36/61 个拟议风险因素非常重要,其中 6 个有文献支持,6 个显示与损伤无关,2 个证据相互矛盾,其余 22 个尚未调查,表明存在证据与实践之间的差距。三个拟议的风险因素 "训练负荷不一致"、"划水技术差 "和 "肩部后部力量-耐力低 "具有较高的认知重要性、较高的认知可修改性和支持性证据:尽管 (1) 没有相关的实证研究(22 项),或 (2) 综合证据显示与损伤没有关联(6 项),但仍有 28 项游泳专家认为非常重要的拟议风险因素存在证据-实践差距。研究人员和从业人员需要加强合作,以有效解决竞技游泳运动员肩部受伤的风险因素。
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引用次数: 0
Association between feel-like temperatures and injury risk during international outdoor athletic championships: a prospective cohort study on 29 579 athlete starts during 10 championships 国际室外田径锦标赛期间的体感温度与受伤风险之间的关系:对 10 届锦标赛期间 29 579 名运动员的起跑情况进行的前瞻性队列研究
IF 18.4 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-22 DOI: 10.1136/bjsports-2023-108050
Pascal Edouard, Pierre-Eddy Dandrieux, Milan Klöwer, Astrid Junge, Sébastien Racinais, Pedro Branco, Karsten Hollander, Laurent Navarro
Objective To analyse associations between feel-like temperatures measured with the universal thermal climate index (UTCI) and injury rates during international athletic championships. Methods During 10 international outdoor athletic championships from 2007 to 2022, in-competition injuries were collected by medical teams and local organising committees. UTCI was extracted hourly from a global reanalysis of observed atmospheric conditions during each championship. We performed Poisson regressions with incidence rates (number of injuries per 1000 athlete starts) as outcomes and UTCI as a predictive variable adjusted for sex, for all and time-loss injuries, for different injured tissue types (ie, muscle, tendon, ligament, articular, bone and skin) and specific discipline (ie, sprints, hurdles, jumps, throws, middle distance, long distance, marathon and race walking). Results A total of 1203 in-competition injuries were reported for 29 579 athlete starts. For all in-competition injuries (ie, all injured tissue types and all disciplines), higher UTCI was associated with lower incidence rates for time-loss injuries (IRR=0.98, 95% CI 0.97 to 0.98) but not for all injuries (IRR=1.00, 95% CI 1.00 to 1.01). Based on injured tissue type with all disciplines included, higher UTCI was associated with lower incidence rates for all (IRR=0.97, 95% CI 0.97 to 0.98) and time-loss (IRR=0.96, 95% CI 0.96 to 0.96) muscle injuries. Based on the specific discipline, higher UTCI was associated with lower incidence rates for all and time-loss muscle injuries for sprints (IRR=0.95, 95% CI 0.95 to 0.96, and IRR=0.94, 95% CI 0.93 to 0.94, respectively), hurdles (IRR=0.97, 95% CI 0.96 to 97, and IRR=0.95, 95% CI 0.94 to 0.96, respectively) and throws (IRR=0.97, 95% CI 0.97 to 0.98). Conclusions Higher feel-like temperatures were associated with a decreased risk of time-loss and muscle injuries, particularly in sprints, hurdles and throws. Although the precise mechanism for lower injury rates with higher feel-like temperatures requires further investigation, adapting preparations such as warm-up or clothing to forecasted weather conditions may be of benefit. Data are available upon reasonable request. Meteorological data are from ERA5 HEAT (Di Napoli, 2022) and specifically for the championships available at Navarro and Klöwer, 2024. Navarro, L, & Klöwer, M (2024). milankl/AthleticsChampionshipsHeat: Meteorological data and analysis scripts for BJSM 2024 publication (v2.0). Zenodo. . Injury data are available upon reasonable request. Requests for data sharing from appropriate researchers and entities will be considered on a case-by-case basis. Interested parties should contact the corresponding author Pascal Edouard (pascal.edouard@univ-st-etienne.fr).
目的 分析用通用热气候指数(UTCI)测量的体感温度与国际田径锦标赛期间受伤率之间的关系。方法 在 2007 年至 2022 年的 10 次国际户外田径锦标赛期间,由医疗队和当地组委会收集赛内受伤情况。UTCI是从每次锦标赛期间观测到的全球大气条件再分析中每小时提取的。我们进行了泊松回归,将发生率(每 1000 名运动员开始比赛时的受伤次数)作为结果,将UTCI 作为预测变量,并对性别、所有受伤和时间损失受伤、不同受伤组织类型(即肌肉、肌腱、韧带、关节、骨骼和皮肤)和特定学科(即短跑、跨栏、跳远、投掷、中长跑、马拉松和竞走)进行了调整。结果 29 579 名运动员共报告了 1203 次赛内受伤。对于所有赛内损伤(即所有受伤组织类型和所有项目),较高的UTCI与较低的时间损失损伤发生率相关(IRR=0.98,95% CI 0.97-0.98),但与所有损伤的发生率无关(IRR=1.00,95% CI 1.00-1.01)。根据包括所有学科在内的受伤组织类型,较高的UTCI与较低的所有(IRR=0.97,95% CI 0.97至0.98)和时间损失(IRR=0.96,95% CI 0.96至0.96)肌肉损伤发病率相关。就具体项目而言,UTCI 越高,短跑(IRR=0.95,95% CI 0.95 至 0.96;IRR=0.94,95% CI 0.93 至 0.94)、跨栏(IRR=0.97,95% CI 0.96 至 97;IRR=0.95,95% CI 0.94 至 0.96)和投掷(IRR=0.97,95% CI 0.97 至 0.98)的所有肌肉损伤和时间损失肌肉损伤的发生率越低。结论 较高的体感温度与较低的时间损失和肌肉损伤风险有关,尤其是在短跑、跨栏和投掷项目中。虽然感觉温度越高受伤率越低的确切机制还需要进一步研究,但根据预测的天气条件调整热身或服装等准备工作可能会有所裨益。如有合理要求,可提供相关数据。气象数据来自ERA5 HEAT(Di Napoli,2022年),具体的锦标赛数据可参见Navarro和Klöwer,2024年。Milankl/AthleticsChampionshipsHeat:气象数据和分析脚本,用于 2024 年北京奥运会出版物(v2.0)。Zenodo..如提出合理要求,可提供受伤数据。适当的研究人员和实体提出的数据共享请求将视具体情况予以考虑。有意者请联系通讯作者Pascal Edouard (pascal.edouard@univ-st-etienne.fr)。
{"title":"Association between feel-like temperatures and injury risk during international outdoor athletic championships: a prospective cohort study on 29 579 athlete starts during 10 championships","authors":"Pascal Edouard, Pierre-Eddy Dandrieux, Milan Klöwer, Astrid Junge, Sébastien Racinais, Pedro Branco, Karsten Hollander, Laurent Navarro","doi":"10.1136/bjsports-2023-108050","DOIUrl":"https://doi.org/10.1136/bjsports-2023-108050","url":null,"abstract":"Objective To analyse associations between feel-like temperatures measured with the universal thermal climate index (UTCI) and injury rates during international athletic championships. Methods During 10 international outdoor athletic championships from 2007 to 2022, in-competition injuries were collected by medical teams and local organising committees. UTCI was extracted hourly from a global reanalysis of observed atmospheric conditions during each championship. We performed Poisson regressions with incidence rates (number of injuries per 1000 athlete starts) as outcomes and UTCI as a predictive variable adjusted for sex, for all and time-loss injuries, for different injured tissue types (ie, muscle, tendon, ligament, articular, bone and skin) and specific discipline (ie, sprints, hurdles, jumps, throws, middle distance, long distance, marathon and race walking). Results A total of 1203 in-competition injuries were reported for 29 579 athlete starts. For all in-competition injuries (ie, all injured tissue types and all disciplines), higher UTCI was associated with lower incidence rates for time-loss injuries (IRR=0.98, 95% CI 0.97 to 0.98) but not for all injuries (IRR=1.00, 95% CI 1.00 to 1.01). Based on injured tissue type with all disciplines included, higher UTCI was associated with lower incidence rates for all (IRR=0.97, 95% CI 0.97 to 0.98) and time-loss (IRR=0.96, 95% CI 0.96 to 0.96) muscle injuries. Based on the specific discipline, higher UTCI was associated with lower incidence rates for all and time-loss muscle injuries for sprints (IRR=0.95, 95% CI 0.95 to 0.96, and IRR=0.94, 95% CI 0.93 to 0.94, respectively), hurdles (IRR=0.97, 95% CI 0.96 to 97, and IRR=0.95, 95% CI 0.94 to 0.96, respectively) and throws (IRR=0.97, 95% CI 0.97 to 0.98). Conclusions Higher feel-like temperatures were associated with a decreased risk of time-loss and muscle injuries, particularly in sprints, hurdles and throws. Although the precise mechanism for lower injury rates with higher feel-like temperatures requires further investigation, adapting preparations such as warm-up or clothing to forecasted weather conditions may be of benefit. Data are available upon reasonable request. Meteorological data are from ERA5 HEAT (Di Napoli, 2022) and specifically for the championships available at Navarro and Klöwer, 2024. Navarro, L, & Klöwer, M (2024). milankl/AthleticsChampionshipsHeat: Meteorological data and analysis scripts for BJSM 2024 publication (v2.0). Zenodo. <https://doi.org/10.5281/zenodo.13908135>. Injury data are available upon reasonable request. Requests for data sharing from appropriate researchers and entities will be considered on a case-by-case basis. Interested parties should contact the corresponding author Pascal Edouard (pascal.edouard@univ-st-etienne.fr).","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"31 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142487493","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}
引用次数: 0
Do not neglect injury severity and burden when assessing the effect of sports injury prevention interventions: time to paint the whole picture. 在评估运动损伤预防干预措施的效果时,不要忽视损伤的严重程度和负担:是时候描绘全貌了。
IF 11.6 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-22 DOI: 10.1136/bjsports-2024-108215
Evert Verhagen, Ben Clarsen, Larisa van der Graaff, Roald Bahr
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引用次数: 0
Twenty year analysis of professional men’s rugby union knee injuries from the English premiership shows high rates and burden 对英超男子橄榄球职业联赛膝伤进行的二十年分析表明,受伤率高、负担重
IF 18.4 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-22 DOI: 10.1136/bjsports-2024-108639
Stephen W West, Sam J Hudson, Lindsay Starling, Matthew Cross, Sean Williams, Carly D McKay, Dario Cazzola, John H M Brooks, Rory Murray, Andy Williams, Simon P T Kemp, Keith A Stokes
Objectives To determine the rates, severity and burden of knee injuries in professional male rugby union from the English Premiership. Methods Injury and exposure data were captured over 20 seasons using a prospective cohort design. Knee injury incidence, days’ absence and burden were recorded for each injury type and by pitch surface type for match and training. Results The rate of knee injury in matches was 9.8/1000 hours (95% CIs 9.3–10.3). Mean days lost were 50 (95% CI 46 to 53) in matches and 51 (95% CI 44 to 57) in training. In matches, medial collateral ligament injuries were the most common, while anterior cruciate ligament (ACL) injuries had the highest mean severity and burden. There was no significant change in the count of knee injuries over time; however, average severity increased significantly (annual change: 2.18 days (95% CI 1.60 to 2.77); p<0.001). The incidence of match knee injury was 44% higher on artificial pitches than grass pitches (incidence rate ratio: 1.44 (95% CI 1.21 to 1.69); p<0.01), with no significant difference in severity between surfaces. In matches, the tackle was the event most commonly associated with knee injuries for all diagnoses, except ACL injuries (running). In training, running was a more common injury event than the tackle. Conclusion Knee injuries in matches are common and severe in English professional men’s rugby union. Despite an increased focus on player conditioning and injury prevention throughout the study period, rates of knee injury remained stable, and resulting days’ absence increased. New strategies for the prevention of knee injuries should be considered a priority. All data relevant to the study are included in the article or uploaded as supplementary information. All publicly available data are included in the article or uploaded as online supplemental information. Furthermore, detail of all injury types are published annually as reports for the Professional Rugby Injury Surveillance Project.
目的 确定英超职业男子橄榄球联盟中膝关节损伤的发生率、严重程度和负担。方法 采用前瞻性队列设计获取 20 个赛季的受伤和暴露数据。记录了每种受伤类型的膝伤发生率、缺席天数和负担,并按比赛和训练的场地表面类型进行了分类。结果 比赛中的膝伤发生率为 9.8/1000 小时(95% CIs 9.3-10.3)。比赛中的平均损失天数为 50 天(95% CI 46 至 53 天),训练中的平均损失天数为 51 天(95% CI 44 至 57 天)。在比赛中,内侧副韧带损伤最为常见,而前十字韧带损伤的平均严重程度和负担最高。随着时间的推移,膝关节损伤的次数没有明显变化,但平均严重程度却显著增加(年变化:2.18 天(95% CI 1.60 至 2.77);P<0.001)。人工球场的比赛膝伤发生率比草地球场高 44%(发生率比:1.44 (95% CI 1.21 to 1.69);p<0.01),不同场地的膝伤严重程度没有明显差异。在比赛中,除了前交叉韧带损伤(跑步)外,擒抱是所有诊断中最常见的与膝关节损伤相关的事件。在训练中,跑步比擒抱更常见。结论 在英格兰职业男子橄榄球联盟中,比赛中的膝关节损伤既常见又严重。尽管在整个研究期间对球员体能调节和受伤预防的重视程度有所提高,但膝关节受伤率仍保持稳定,由此造成的缺席天数也有所增加。预防膝关节损伤的新策略应优先考虑。所有与研究相关的数据均包含在文章中或作为补充信息上传。所有公开数据均包含在文章中或作为在线补充信息上传。此外,所有损伤类型的详细信息每年都会作为职业橄榄球损伤监测项目的报告发布。
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引用次数: 0
Does sedentary behaviour cause spinal pain in children and adolescents? A systematic review with meta-analysis 久坐会导致儿童和青少年脊柱疼痛吗?系统回顾与荟萃分析
IF 18.4 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-22 DOI: 10.1136/bjsports-2024-108648
Laura R C Montgomery, Michael Swain, Amabile B Dario, Mary O'Keeffe, Tie P Yamato, Jan Hartvigsen, Simon French, Christopher Williams, Steve Kamper
Objective To evaluate whether sedentary behaviour is a risk or prognostic factor for spinal pain in children and adolescents. Specifically, to estimate the (1) direction and strength of the association; (2) risk of spinal pain onset and (3) effect on spinal pain prognosis. Design Systematic review with meta-analysis. Data sources Electronic searches of MEDLINE, Embase, CINAHL and Web of Science up to 23 March 2023. Eligibility criteria for selecting studies Reports estimating the effect of sedentary behaviour on spinal pain in young people (≤19 years). Results We included 129 reports, 14 were longitudinal (n = 8 433) and 115 were cross-sectional (n > 697 590). We incorporated 86 studies into meta-analyses. (1) From cross-sectional data, we found low certainty evidence of a small positive association between sedentary behaviour and spinal pain (adjusted odds ratio 1.25 (95% CI 1.17 to 1.33), k = 44, n > 92 617). (2) From longitudinal data, we found low certainty evidence of no increased risk for the onset of spinal pain due to sedentary behaviour (adjusted risk ratio 1.07 (95% CI 0.84 to 1.35), k = 4, n = 1 292). (3) No studies assessed prognosis. Conclusion Cross-sectional data suggest minimally higher odds of spinal pain for children and adolescents who engage in greater sedentary behaviours. However, longitudinal data do not support a causal relationship, indicating that sedentary behaviour does not increase the risk for onset of spinal pain. Due to the low certainty of evidence, these findings must be interpreted with caution. We found no evidence of the effect sedentary behaviour has on spinal pain prognosis in children and adolescents, highlighting a considerable gap in the literature. All data relevant to the study are included in the article or uploaded as online supplemental information.
目的 评估久坐是否是儿童和青少年脊柱疼痛的风险或预后因素。具体来说,评估(1)相关性的方向和强度;(2)脊柱疼痛的发病风险和(3)对脊柱疼痛预后的影响。设计 系统回顾与荟萃分析。数据来源 对截至 2023 年 3 月 23 日的 MEDLINE、Embase、CINAHL 和 Web of Science 进行电子检索。选择研究的资格标准 报告估计了久坐行为对年轻人(19 岁以下)脊柱疼痛的影响。结果 我们纳入了 129 篇报告,其中 14 篇为纵向研究(n = 8 433),115 篇为横截面研究(n > 697 590)。我们将 86 项研究纳入荟萃分析。(1)从横断面数据中,我们发现了久坐行为与脊柱疼痛之间存在微小正相关关系的低确定性证据(调整后的几率比1.25(95% CI 1.17至1.33),k = 44,n > 92 617)。(2)从纵向数据中,我们发现低确定性证据表明,久坐行为不会增加脊柱疼痛的发病风险(调整风险比 1.07(95% CI 0.84 至 1.35),k = 4,n = 1 292)。(3) 没有研究对预后进行评估。结论 横断面数据表明,久坐行为较多的儿童和青少年出现脊柱疼痛的几率略高。然而,纵向数据并不支持这种因果关系,表明久坐行为并不会增加脊柱疼痛的发病风险。由于证据的确定性较低,必须谨慎解释这些发现。我们没有发现久坐行为对儿童和青少年脊柱疼痛预后影响的证据,这凸显了文献中的巨大空白。与该研究相关的所有数据均包含在文章中或作为在线补充信息上传。
{"title":"Does sedentary behaviour cause spinal pain in children and adolescents? A systematic review with meta-analysis","authors":"Laura R C Montgomery, Michael Swain, Amabile B Dario, Mary O'Keeffe, Tie P Yamato, Jan Hartvigsen, Simon French, Christopher Williams, Steve Kamper","doi":"10.1136/bjsports-2024-108648","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108648","url":null,"abstract":"Objective To evaluate whether sedentary behaviour is a risk or prognostic factor for spinal pain in children and adolescents. Specifically, to estimate the (1) direction and strength of the association; (2) risk of spinal pain onset and (3) effect on spinal pain prognosis. Design Systematic review with meta-analysis. Data sources Electronic searches of MEDLINE, Embase, CINAHL and Web of Science up to 23 March 2023. Eligibility criteria for selecting studies Reports estimating the effect of sedentary behaviour on spinal pain in young people (≤19 years). Results We included 129 reports, 14 were longitudinal (n = 8 433) and 115 were cross-sectional (n > 697 590). We incorporated 86 studies into meta-analyses. (1) From cross-sectional data, we found low certainty evidence of a small positive association between sedentary behaviour and spinal pain (adjusted odds ratio 1.25 (95% CI 1.17 to 1.33), k = 44, n > 92 617). (2) From longitudinal data, we found low certainty evidence of no increased risk for the onset of spinal pain due to sedentary behaviour (adjusted risk ratio 1.07 (95% CI 0.84 to 1.35), k = 4, n = 1 292). (3) No studies assessed prognosis. Conclusion Cross-sectional data suggest minimally higher odds of spinal pain for children and adolescents who engage in greater sedentary behaviours. However, longitudinal data do not support a causal relationship, indicating that sedentary behaviour does not increase the risk for onset of spinal pain. Due to the low certainty of evidence, these findings must be interpreted with caution. We found no evidence of the effect sedentary behaviour has on spinal pain prognosis in children and adolescents, highlighting a considerable gap in the literature. All data relevant to the study are included in the article or uploaded as online supplemental information.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"25 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142487494","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}
引用次数: 0
Infographic. Muscle-strengthening exercise for older adults: a critical strategy for maintaining health and independence. 信息图表。老年人肌肉锻炼:保持健康和独立的关键策略。
IF 11.6 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-21 DOI: 10.1136/bjsports-2024-109204
Vitor Antonio Assis Alves Siqueira, Eurico Nestor Wilhelm, Emerson Sebastião
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引用次数: 0
Innovative approaches to injury prevention and performance enhancement in running: insights from PhD research on hamstring strengthening, running biomechanics and energetics, and wearable technology (PhD Academy Award). 预防受伤和提高跑步成绩的创新方法:博士研究对腿筋强化、跑步生物力学和能量学以及可穿戴技术的见解(博士学院奖)。
IF 11.6 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-21 DOI: 10.1136/bjsports-2024-109159
Bas Van Hooren
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引用次数: 0
Centering the female athlete voice in a sports science research agenda: a modified Delphi survey with Team USA athletes. 在体育科学研究议程中以女运动员的声音为中心:对美国队运动员进行的改良德尔菲调查。
IF 11.6 1区 医学 Q1 SPORT SCIENCES Pub Date : 2024-10-17 DOI: 10.1136/bjsports-2023-107886
Julie McCleery, Ellie Diamond, Rose Kelly, Longxi Li, Kathryn E Ackerman, William M Adams, Emily Kraus

Objectives: To co-construct a sports medicine and exercise science research and translational agenda with Team USA elite female athletes serving as the experts on their health, performance and well-being.

Methods: 40 Team USA female athletes across sports disciplines participated in an online, anonymous, modified Delphi survey by ranking topics on a Likert scale (1='strongly disagree' and 5='strongly agree') and providing qualitative justification regarding whether they believed having more information and research on each topic would support their athletic performance, health and well-being. After each Delphi round, quantitative rankings of topics and qualitative justifications were analysed, informing revisions to the list of topics for review in the subsequent round. Researchers provided athletes with a detailed report of findings and revisions following each round.

Results: The final list contained 14 ranked topics. The top five were menstrual cycle symptoms (4.58±0.74), recovery (4.58±0.59), birth control (4.55±0.89), mental health (4.50±0.55) and fueling and the menstrual cycle (4.43±0.74). New topics originating from athletes included recovery, menstrual cycle symptoms, fueling and the menstrual cycle, mental health and sports performance, team dynamics, and institutionalised sexism.

Conclusion: This is the first study to co-construct a research and translational agenda with Team USA elite female athletes. The list of sports science research topics developed by focusing on elite female athletes' voices lays the foundation for future research and provides valuable insight into the specific needs of female athletes.

目标:以美国队精英女运动员为专家,共同构建运动医学和运动科学研究及转化议程:方法:40 名美国队不同运动项目的女运动员参与了一项在线、匿名、改良德尔菲调查,她们用李克特量表(1="非常不同意",5="非常同意")对议题进行排序,并提供定性理由,说明她们是否认为获得更多有关每个议题的信息和研究将有助于她们的运动表现、健康和幸福。每轮德尔菲调查结束后,都会对议题的定量排名和定性理由进行分析,为下一轮审查议题清单的修订提供依据。研究人员在每一轮研究后都会向运动员提供一份详细的研究结果和修订报告:最终清单包含 14 个排名靠前的主题。前五名分别是月经周期症状(4.58±0.74)、恢复(4.58±0.59)、节育(4.55±0.89)、心理健康(4.50±0.55)以及加油和月经周期(4.43±0.74)。来自运动员的新话题包括恢复、月经周期症状、加油与月经周期、心理健康与运动表现、团队动力以及制度化的性别歧视:这是第一项与美国精英女运动员共同制定研究和转化议程的研究。通过关注精英女运动员的心声而制定的体育科学研究主题清单为未来的研究奠定了基础,并为了解女运动员的特殊需求提供了宝贵的见解。
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引用次数: 0
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British Journal of Sports Medicine
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