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Health-promoting behaviours and concussion history are associated with cognitive function, mood-related symptoms and emotional-behavioural dyscontrol in former NFL players: an NFL-LONG Study.
Walton, Samuel R; Kerr, Zachary Y; Brett, Benjamin L; Chandran, Avinash; DeFreese, J D; Smith-Ryan, Abbie E; Stoner, Lee; Echemendia, Ruben J; McCrea, Michael; Meehan Iii, William P; Guskiewicz, Kevin M.
Afiliação
  • Walton SR; Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • Kerr ZY; Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA zkerr@email.unc.edu.
  • Brett BL; Neurosurgery/Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Chandran A; Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • DeFreese JD; NCAA Injury Surveillance Program, Datalys Center for Sports Injury Research and Prevention, Indianapolis, Indiana, USA.
  • Smith-Ryan AE; Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • Stoner L; Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • Echemendia RJ; Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
  • McCrea M; Psychology, University of Missouri Kansas City, Kansas City, Missouri, USA.
  • Meehan Iii WP; Neuropsychology, University Orthopedics Center Concussion Clinic, State College, PA, USA.
  • Guskiewicz KM; Neurosurgery/Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Br J Sports Med ; 55(12): 683-690, 2021 Jun.
Article em En | MEDLINE | ID: mdl-33397673
ABSTRACT

OBJECTIVES:

To examine the relationships among self-reported sport-related concussion (SRC) history and current health-promoting behaviours (exercise frequency, diet quality and sleep duration) with self-reported measures of brain health (cognitive function, symptoms of depression and anxiety and emotional-behavioural dyscontrol) in former NFL players.

METHODS:

In this cross-sectional study, a questionnaire was sent to former NFL players. Respondents reported SRC history (categorical 0; 1-2; 3-5; 6-9; 10+ concussions), number of moderate-to-vigorous aerobic and resistance exercise sessions per week, diet quality (Rapid Eating Assessment for Participants-Shortened) and average nightly sleep duration. Outcomes were Patient-Reported Outcomes Measurement Information System Cognitive Function, Depression, and Anxiety, and Neuro-QoL Emotional-Behavioral Dyscontrol domain T-scores. Multivariable linear regression models were fit for each outcome with SRC history, exercise frequency, diet quality and sleep duration as explanatory variables alongside select covariates.

RESULTS:

Multivariable regression models (n=1784) explained approximately 33%-38% of the variance in each outcome. For all outcomes, SRC history (0.144≤|ß|≤0.217) was associated with poorer functioning, while exercise frequency (0.064≤|ß|≤0.088) and diet quality (0.057≤|ß|≤0.086) were associated with better functioning. Sleeping under 6 hours per night (0.061≤|ß|≤0.093) was associated with worse depressive symptoms, anxiety and emotional-behavioural dyscontrol.

CONCLUSION:

Several variables appear to be associated with mood and perceived cognitive function in former NFL players. SRC history is non-modifiable in former athletes; however, the effects of increasing postplaying career exercise frequency, making dietary improvements, and obtaining adequate sleep represent important potential opportunities for preventative and therapeutic interventions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Concussão Encefálica / Comportamentos Relacionados com a Saúde / Futebol Americano / Promoção da Saúde Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans / Male / Middle aged Idioma: En Revista: Br J Sports Med Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Concussão Encefálica / Comportamentos Relacionados com a Saúde / Futebol Americano / Promoção da Saúde Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans / Male / Middle aged Idioma: En Revista: Br J Sports Med Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos