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1.
Sci Rep ; 14(1): 12838, 2024 06 04.
Article En | MEDLINE | ID: mdl-38834634

Disorders related to gut health are a significant cause of morbidity among athletes in wheelchair. This pilot feasibility trial aims to investigate whether probiotics compared to prebiotics can improve inflammatory status and gut microbiome composition in elite athletes in wheelchair. We conducted a 12-week, randomized, cross-over controlled trial involving 14 elite Swiss athletes in wheelchair. Participants were given a multispecies-multistrain probiotic or prebiotic (oat bran) daily for 4 weeks (Clinical trials.gov NCT04659408 09/12/2020). This was followed by a 4-week washout and then crossed over. Thirty inflammatory markers were assessed using bead-based multiplex immunoassays (LegendPlex) from serum samples. The gut microbiome was characterized via 16S rRNA sequencing of stool DNA samples. Statistical analyses were conducted using linear mixed-effect models (LMM). At baseline, most athletes (10/14) exhibited low levels of inflammation which associated with higher gut microbiome alpha diversity indices compared to those with high inflammation levels. The use of probiotic had higher decrease in 25 (83%) inflammatory markers measured compared to prebiotic use. Probiotic has the potential in lowering inflammation status and improving the gut microbiome diversity. The future trial should focus on having sufficient sample sizes, population with higher inflammation status, longer intervention exposure and use of differential abundance analysis.


Athletes , Cross-Over Studies , Gastrointestinal Microbiome , Inflammation , Prebiotics , Probiotics , Humans , Probiotics/administration & dosage , Probiotics/therapeutic use , Prebiotics/administration & dosage , Male , Pilot Projects , Adult , Female , Wheelchairs , Young Adult , RNA, Ribosomal, 16S/genetics , Biomarkers , Feces/microbiology
4.
Curr Sports Med Rep ; 23(6): 237-244, 2024 Jun 01.
Article En | MEDLINE | ID: mdl-38838687

ABSTRACT: Achilles tendinopathy is a common overuse injury that is traditionally managed with activity modification and a progressive eccentric strengthening program. This narrative review describes the available evidence for adjunctive procedural interventions in the management of midportion and insertional AT, specifically in the athletic population. Safety and efficacy data from available literature on extracorporeal shockwave therapy, platelet-rich plasma, high-volume injectate with or without tendon scraping, and percutaneous needle tenotomy are used to propose an algorithm for treatment of Achilles tendinopathy for the in-season athlete.


Achilles Tendon , Athletic Injuries , Platelet-Rich Plasma , Tendinopathy , Humans , Tendinopathy/therapy , Achilles Tendon/injuries , Athletic Injuries/therapy , Extracorporeal Shockwave Therapy , Tenotomy/methods , Athletes , Algorithms
5.
J Musculoskelet Neuronal Interact ; 24(2): 159-167, 2024 Jun 01.
Article En | MEDLINE | ID: mdl-38825998

OBJECTIVE: To compare the effects of anchor reconstruction of posterior tibial tendon with the traditional Kidner's procedure for accessory navicular bone syndrome. METHODS: A retrospective analysis was conducted on 40 young athletes diagnosed with accessory navicular bone syndrome who were admitted to our hospital from 2018 to 2021. Among them, 20 patients underwent the modified Kidner procedure for the anchor reconstruction of the posterior tibial tendon (Experimental group), while the remaining 20 patients were treated with the traditional Kidner's procedure (Control group). Regular follow-ups were conducted to evaluate the degree of relief of foot symptoms and functional recovery. RESULTS: All patients were followed up for 12 to 24 months (mean duration: 18.6±3.7) after the operation. At the last follow-up, significant differences were observed in the function and symptom relief of the affected foot compared to the preoperative state. The experimental group had a mean operation time of 52.10 ± 3.41 minutes, significantly shorter than the control group's 61.25 ± 2.75 minutes. The mean time to return to normal activity was 12.65 ± 1.23 weeks for the experimental group, compared to 15.25 ± 1.16 weeks for the control group. CONCLUSION: The modified Kidner procedure demonstrates a higher patient satisfaction rate compared to the traditional Kidner procedure. This is attributed to its shorter duration, reduced trauma, and quicker recovery of normal activity.


Plastic Surgery Procedures , Tarsal Bones , Humans , Male , Tarsal Bones/surgery , Tarsal Bones/diagnostic imaging , Tarsal Bones/abnormalities , Female , Retrospective Studies , Adolescent , Plastic Surgery Procedures/methods , Athletes , Treatment Outcome , Tendons/surgery , Child , Young Adult , Foot Diseases
6.
J Musculoskelet Neuronal Interact ; 24(2): 127-138, 2024 Jun 01.
Article En | MEDLINE | ID: mdl-38825995

OBJECTIVES: The aim of this study was to compare torque-velocity profiles, muscle architecture, tendon dimensions, and bilateral-symmetry between competitive cyclists (CY), competitive runners (RN), ice-hockey players (IH), basketball players (BP), and physically-active individuals (CN) (n=10 for each group). METHODS: Vastus lateralis (VL) muscle and patellar tendon (PT) structures were determined with B-mode ultrasonography, and maximal knee extensor isokinetic torque was assessed at three different velocities. RESULTS: Optimal torque and velocity were lower in runners than CY, BP and IH (p<0.05). Maximal power was similar between the athlete groups but greater than CN (p<0.05). Furthermore, RN and BP reached their peak-torque at longer muscle lengths compared to IH and CY (p<0.05). RN had the lowest VL muscle thickness and the greatest fascicle length, while CY had the greatest pennation angle (p<0.05). CY had the greatest PT thickness, particularly at the proximal and medial sites, while BP at the distal point (p<0.05), with similar trends observed for PT cross-sectional-area. CONCLUSIONS: Our findings show that even if power generating capacity is similar between athletic disciplines, there are discipline-specific muscle adaptations, where particularly runners appear to have muscles adapted for speed rather than torque development, while in cyclists, velocity is sacrificed for torque development.


Athletes , Torque , Humans , Male , Adult , Young Adult , Muscle, Skeletal/physiology , Muscle, Skeletal/anatomy & histology , Muscle, Skeletal/diagnostic imaging , Ultrasonography/methods , Patellar Ligament/physiology , Patellar Ligament/diagnostic imaging , Patellar Ligament/anatomy & histology , Running/physiology
7.
J Musculoskelet Neuronal Interact ; 24(2): 209-215, 2024 Jun 01.
Article En | MEDLINE | ID: mdl-38826004

OBJECTIVES: The aim of this study is to examine the effect of a six-week French contrast method applied to professional Soccer players on jumping, sprinting, and dynamic balance performance values. METHODS: A total of 21 male Soccer players voluntarily participated in the study, all of whom played professionally for 1461 Trabzonspor club. Data on gender, age, body weight (kg), body fat percentage (%BF), body mass index (BMI), vertical jump (cm), 30m sprint, and dynamic balance were obtained from the players. The Shapiro-Wilk test was used to assess the normality of the data. Since the data showed normal distribution, paired samples T-test statistical analysis was applied. RESULTS: According to the statistical results obtained from professional Soccer players, there is a statistically significant difference between vertical jump, 30m sprint, and dynamic balance values (p<0.05). Based on these findings, it can be stated that the applied French contrast training method is effective on the mentioned variables. CONCLUSION: French contrast training program applied to professional Soccer players can be considered effective in improving vertical jump, 30m sprint, and dynamic balance values.


Athletic Performance , Postural Balance , Running , Soccer , Soccer/physiology , Humans , Male , Athletic Performance/physiology , Young Adult , Postural Balance/physiology , Running/physiology , Adult , Athletes
8.
J Coll Physicians Surg Pak ; 34(6): 707-712, 2024 Jun.
Article En | MEDLINE | ID: mdl-38840356

The present study aimed to identify the impact of various periodisation approaches used in training athletes and to identify the effect size of the periodisation technique in improving athletes' peak performance before the main event. Inclusion criteria comprised recruitment of all those studies in which the effects of periodisation training were identified on athletes' peak performance. Various databases such as Google Scholar, Pedro, MEDLINE, Cochrane Library, EMBASE, and Web of Science were searched by independent reviewers using the MeSH terms including 'interval training', 'aerobic exercise', 'periodisation,' 'peak performance', and 'athletes'. A sample size of n = 121 participants included in six studies were analysed in which the effects of periodisation methods of training among athletes were estimated for improving their peak performance by assessing jump height and speed, pool effects in the form of random, and fixed effect model were provided to depict cumulative results of all the included studies. In achieving optimisation in athletes' peak performance, inculcating the concept of periodisation is a practical approach. While incorporating periodisation in training, models of training principles must be given ardent importance. Key Words: Exercise training, Sports, Athletes, Periodisation, Peak performance.


Athletes , Athletic Performance , Humans , Athletic Performance/physiology , Physical Conditioning, Human/physiology , Physical Conditioning, Human/methods , Exercise/physiology , Sports/physiology
9.
PLoS One ; 19(6): e0304912, 2024.
Article En | MEDLINE | ID: mdl-38843216

OBJECTIVE: To analyze the physical fitness characteristics of elite freestyle skiing aerials athletes, thereby enhancing the understanding of exercise physiologists, sports scientists, and coaches regarding the demands in this discipline. METHODS: After health screenings, 29 athletes from the Chinese National Freestyle Skiing Aerials Team were divided into elite and general groups, including males and females. Physical fitness indexes were determined through literature reviews, expert interviews, and the Delphi method, followed by physical fitness tests assessing body morphology, physiological function, and physical quality. Data normality was verified using the Shapiro-Wilk test. Differences between the two groups were then evaluated using independent sample t-tests or Mann-Whitney U tests, after which effect sizes were calculated to assess the magnitude of the differences. RESULTS: Significant body morphology differences were noted between elite and general groups in fat-free body weight, leg, and waist circumferences (P < 0.05). Male athletes in the elite group exhibited a significantly lower percentage of body fat (P < 0.05), whereas the reduction in body fat percentage among female elite athletes was not statistically significant. In terms of physiological function assessment, elite athletes demonstrated superior performance in both maximum anaerobic capacity and relative maximum anaerobic capacity compared to their counterparts in the general group (P < 0.05). Notably, the difference in maximum anaerobic capacity was highly significant among male athletes (P < 0.01), and the relative maximum anaerobic capacity among female athletes was also markedly significant (P < 0.01). Regarding physical quality indexes, elite athletes outperformed those in the general group in all aspects except for the quick v-up and 12-minute run tests (P < 0.05 or P<0.01). CONCLUSION: Elite athletes exhibit superior physical fitness characteristics compared to general athletes, attributable to differences in age, years of training, and their participation in ongoing specialized physical training within structured, cyclical programs. Specifically, elite athletes demonstrated higher fat-free body weight, larger waist and leg circumferences in terms of body morphology. Particularly, male athletes showed a trend towards lower body fat percentage. Physiologically, they exhibited stronger anaerobic metabolism capabilities. In terms of physical quality, elite athletes displayed superior limb strength, lower limb explosive power, and specialized core strength, along with better speed, agility, and overall coordination.


Athletes , Physical Fitness , Skiing , Humans , Male , Female , Physical Fitness/physiology , Skiing/physiology , Adult , Young Adult , Body Weight
10.
Sci Rep ; 14(1): 12885, 2024 06 05.
Article En | MEDLINE | ID: mdl-38839913

This study aimed to investigate the potential differences in the match running performance of professional soccer players 5 min. before scoring and conceding a goal in the Polish Ekstraklasa. The sample consisted of 278 matches with 570 goals scored during official matches of the 2022/23 Polish Ekstraklasa season. All data was collected utilising the computerised multiple-camera optical tracking system TRACAB. Total distance covered (TD), standing distance (StD; < 0.72 km h-1), walking distance (WD; 0.73-7.2 km h-1), jogging distance (JG; 7.21-14.4 km h-1), running distance (RD; 14.41-19.8 km h-1), high-speed running distance (HSR; 19.81-25.2 km h-1) and sprinting distance (SprD; > 25.2 km h-1) were analysed in 5-min intervals prior to a goal scored for both teams. The employed linear mixed models showed that all examined match-running performance metrics were higher in teams that scored a goal compared to teams that conceded a goal. Within 5 min before scoring a goal in Polish Ekstraklasa matches, the scoring team produced significantly greater TD (∆ 95%CI 256.8-300.4 m; p = 0.001), WD (∆ 95%CI 52.3-95.8 m; p = 0.001), JG (∆ 95%CI 100.5-144.1 m; p = 0.001) and RD (∆ 95%CI 16.2-59.8 m; p = 0.001) compared to the conceding team, although no differences were found for HSR and SprD. These results demonstrate the enhanced identification potential of key physical performance factors influencing goal scoring in the Polish Ekstraklasa, thereby optimising the training process and improving overall performance. To enhance the effectiveness of soccer training, coaching and performance staff should consider this study's findings, that indicate an increase in the volume of medium- and low-intensity running efforts preceding a goal.


Athletic Performance , Running , Soccer , Humans , Running/physiology , Athletic Performance/physiology , Male , Adult , Athletes , Poland
11.
PeerJ ; 12: e17295, 2024.
Article En | MEDLINE | ID: mdl-38827290

This study aimed to examine the influence of sport skill levels on behavioural and neuroelectric performance in visuospatial attention and memory visuospatial tasks were administered to 54 participants, including 18 elite and 18 amateur table tennis players and 18 nonathletes, while event-related potentials were recorded. In all the visuospatial attention and memory conditions, table tennis players displayed faster reaction times than nonathletes, regardless of skill level, although there was no difference in accuracy between groups. In addition, regardless of task conditions, both player groups had a greater P3 amplitude than nonathletes, and elite players exhibited a greater P3 amplitude than amateurs players. The results of this study indicate that table tennis players, irrespective of their skill level, exhibit enhanced visuospatial capabilities. Notably, athletes at the elite level appear to benefit from an augmented allocation of attentional resources when engaging in visuospatial tasks.


Attention , Cognition , Evoked Potentials , Reaction Time , Humans , Male , Young Adult , Attention/physiology , Cognition/physiology , Evoked Potentials/physiology , Reaction Time/physiology , Female , Tennis/physiology , Tennis/psychology , Adult , Space Perception/physiology , Athletes/psychology , Athletic Performance/physiology , Visual Perception/physiology , Electroencephalography , Adolescent
12.
PeerJ ; 12: e17443, 2024.
Article En | MEDLINE | ID: mdl-38827313

Background: High-intensity sprint exercises (HIS) are central to sprinter training and require careful monitoring of athlete muscle fatigue to improve performance and prevent injury. While the countermovement jump (CMJ) may be used to monitor neuromuscular fatigue (NMF), little is known about the specific effects from HIS. The purpose of this study is to investigate the effects of HIS on the CMJ to assess its utility for assessing NMF following HIS. Methods: Ten male collegiate 400 m sprinters completed a 400 m sprint fatigue protocol and underwent five CMJ-testing sessions (baseline, 3 minutes, 10 minutes, 1 hour and 24 hours) over two days. Three CMJ trials, performed on a force plate, were completed each trial, with rating of perceived exertion (RPE) recorded as a subjective fatigue measure. Changes in RPE, CMJ variables, force-time and power-time curves at baseline and post fatigue were assessed. Results: Significant changes were observed in most variables following the fatigue protocol. In particular, concentric mean power remained significantly lower after 24 hours compared to baseline. In addition, the force-time curves exhibited a significant reduction in all conditions following the fatigue protocol. This decline was most pronounced within 50-75%of the concentric phase relative to baseline measurements. Conclusion. Results indicate that the CMJ may be a useful tool for monitoring fatigue in at least 400 m sprinters. These data also indicate that HIS may disproportionately reduce force output in during concentric movement. These insights may improve training prescriptions and injury prevention strategies for sprint athletes.


Muscle Fatigue , Running , Humans , Male , Muscle Fatigue/physiology , Young Adult , Running/physiology , Athletic Performance/physiology , Exercise Test/methods , Muscle, Skeletal/physiology , Athletes
13.
PLoS One ; 19(6): e0304638, 2024.
Article En | MEDLINE | ID: mdl-38829827

The demands of professional tennis, including physical and psychological aspects, contribute to the frequency of retirements at elite levels of the sport. The aim of this study was to analyze epidemiological patterns and risk factors associated with retirements in previous ATP and WTA Tour tournaments. A retrospective cohort study was conducted. This study focused on previous ATP and WTA Tour tournaments. The ATP database encompassed 584,806 matches, while the WTA database included 267,380 matches. To assess retirements, potential risk factors such as playing surface, tournament category, match round, and player age were analyzed. Incidence rates were calculated for the period between 1978-2019 for men and 1994-2018 for women. The overall incidence rate was 1.56 (95%CI: 1.54, 1.59) and 1.36 (95%CI: 1.33, 1.39) retirements per 1000 games played in male and female competitions, respectively. Retirements increased over the years. Higher incidence rates were observed on hard (1.59 [95%CI: 1.56, 1.63] and 1.39 [95%CI: 1.34, 1.44]) and clay (1.60 [95%CI: 1.57, 1.63] and 1.36 [95%CI: 1.32, 1.41]) compared to grass courts (0.79 [95%CI: 0.65, 0.94] and 1.06 [95%CI: 0.88, 1.27]). Risk factors differed by gender, with tournament category significant in males (IRR: 1.23 [95%CI: 1.19, 1.28] in ITF vs ATP) and match round in females (IRR: 0.92 [95%CI: 0.88, 0.98] in preliminary vs final). This study provides valuable insights for coaches, players, support teams, and epidemiologists regarding retirements and associated risk factors in previous ATP and WTA Tour tournaments, contributing to injury prevention strategies.


Athletes , Tennis , Humans , Female , Male , Retrospective Studies , Athletes/psychology , Athletes/statistics & numerical data , Retirement/statistics & numerical data , Risk Factors , Adult , Incidence
14.
Sci Rep ; 14(1): 12691, 2024 06 03.
Article En | MEDLINE | ID: mdl-38830986

Young athletes commonly encounter various mental health challenges due to the distinct pressures inherent in sports environments. This study investigates the effectiveness of mobile-delivered mindfulness meditation interventions in alleviating mental health indicators of depression, perceived stress, and anxiety, and enhancing self-esteem and resilience among young male judo athletes in South Korea. Pre- and post-test questionnaires were completed by 53 judo athletes. Participants were then allocated to the intervention group (N = 27; Mage = 13.77 [SD = 1.11]), which used a mobile meditation software program, or the control group (N = 27; Mage = 13.56 [SD = 1.05]). Data analysis compared intervention and control group scores using multiple statistical methods, including independent sample t-tests, paired sample t-tests, and 2 (time) × 2 (group) repeated measures analysis of variance. Following the intervention, the mindfulness group exhibited significant enhancements in the mental health indicators of depression (GMD = 2.74 [95% CI 0.90-4.56], Cohen's D = 0.84), perceived stress (GMD = 0.35 [95% CI 0.002-0.70], Cohen's D = 0.56), and anxiety (GMD = 0.2 [95% CI 0.001-0.40, Cohen's D = 0.56]. Self-esteem also had a significant increase (GMD = 0.55 [95% CI - 0.22 to - 0.88], Cohen's D = 0.95). The findings of this study underscore the potential benefits of mobile-delivered mindfulness meditation interventions in addressing mental health challenges among young male judo athletes. The significant enhancements observed in scores on measures of depression, perceived stress, anxiety, and self-esteem among participants in the mindfulness group highlight the effectiveness of such interventions in promoting mental health in sports settings.


Anxiety , Athletes , Depression , Martial Arts , Meditation , Mental Health , Mindfulness , Humans , Male , Mindfulness/methods , Meditation/methods , Meditation/psychology , Athletes/psychology , Republic of Korea , Martial Arts/psychology , Adolescent , Depression/therapy , Depression/psychology , Anxiety/therapy , Anxiety/psychology , Stress, Psychological/therapy , Self Concept , Surveys and Questionnaires
15.
JAMA Netw Open ; 7(6): e2415983, 2024 Jun 03.
Article En | MEDLINE | ID: mdl-38848061

Importance: Sport-related concussion (SRC), a form of mild traumatic brain injury, is a prevalent occurrence in collision sports. There are no well-established approaches for tracking neurobiologic recovery after SRC. Objective: To examine the levels of serum glial fibrillary acidic protein (GFAP) and neurofilament light (NfL) in Australian football athletes who experience SRC. Design, Setting, and Participants: A cohort study recruiting from April 10, 2021, to September 17, 2022, was conducted through the Victorian Amateur Football Association, Melbourne, Australia. Participants included adult Australian football players with or without SRC. Data analysis was performed from May 26, 2023, to March 27, 2024. Exposure: Sport-related concussion, defined as at least 1 observable sign and/or 2 or more symptoms. Main Outcomes and Measures: Primary outcomes were serum GFAP and NfL levels at 24 hours, and 1, 2, 4, 6, 8, 12, and 26 weeks. Secondary outcomes were symptoms, cognitive performance, and return to training times. Results: Eighty-one individuals with SRC (median age, 22.8 [IQR, 21.3-26.0] years; 89% male) and 56 control individuals (median age, 24.6 [IQR, 22.4-27.3] years; 96% male) completed a total of 945 of 1057 eligible testing sessions. Compared with control participants, those with SRC exhibited higher GFAP levels at 24 hours (mean difference [MD] in natural log, pg/mL, 0.66 [95% CI, 0.50-0.82]) and 4 weeks (MD, 0.17 [95% CI, 0.02-0.32]), and NfL from 1 to 12 weeks (1-week MD, 0.31 [95% CI, 0.12-0.51]; 2-week MD, 0.38 [95% CI, 0.19-0.58]; 4-week MD, 0.31 [95% CI, 0.12-0.51]; 6-week MD, 0.27 [95% CI, 0.07-0.47]; 8-week MD, 0.36 [95% CI, 0.15-0.56]; and 12-week MD, 0.25 [95% CI, 0.04-0.46]). Growth mixture modeling identified 2 GFAP subgroups: extreme prolonged (16%) and moderate transient (84%). For NfL, 3 subgroups were identified: extreme prolonged (7%), moderate prolonged (15%), and minimal or no change (78%). Individuals with SRC who reported loss of consciousness (LOC) (33% of SRC cases) had higher GFAP at 24 hours (MD, 1.01 [95% CI, 0.77-1.24]), 1 week (MD, 0.27 [95% CI, 0.06-0.49]), 2 weeks (MD, 0.21 [95% CI, 0.004-0.42]) and 4 weeks (MD, 0.34 [95% CI, 0.13-0.55]), and higher NfL from 1 week to 12 weeks (1-week MD, 0.73 [95% CI, 0.42-1.03]; 2-week MD, 0.91 [95% CI, 0.61-1.21]; 4-week MD, 0.90 [95% CI, 0.59-1.20]; 6-week MD, 0.81 [95% CI, 0.50-1.13]; 8-week MD, 0.73 [95% CI, 0.42-1.04]; and 12-week MD, 0.54 [95% CI, 0.22-0.85]) compared with SRC participants without LOC. Return to training times were longer in the GFAP extreme compared with moderate subgroup (incident rate ratio [IRR], 1.99 [95% CI, 1.69-2.34]; NfL extreme (IRR, 3.24 [95% CI, 2.63-3.97]) and moderate (IRR, 1.43 [95% CI, 1.18-1.72]) subgroups compared with the minimal subgroup, and for individuals with LOC compared with those without LOC (IRR, 1.65 [95% CI, 1.41-1.93]). Conclusions and Relevance: In this cohort study, a subset of SRC cases, particularly those with LOC, showed heightened and prolonged increases in GFAP and NfL levels, that persisted for at least 4 weeks. These findings suggest that serial biomarker measurement could identify such cases, guiding return to play decisions based on neurobiologic recovery. While further investigation is warranted, the association between prolonged biomarker elevations and LOC may support the use of more conservative return to play timelines for athletes with this clinical feature.


Athletic Injuries , Biomarkers , Brain Concussion , Glial Fibrillary Acidic Protein , Humans , Brain Concussion/blood , Brain Concussion/physiopathology , Brain Concussion/complications , Male , Female , Biomarkers/blood , Adult , Glial Fibrillary Acidic Protein/blood , Athletic Injuries/blood , Athletic Injuries/complications , Athletic Injuries/physiopathology , Young Adult , Football/injuries , Australia , Neurofilament Proteins/blood , Cohort Studies , Recovery of Function/physiology , Athletes/statistics & numerical data
16.
BMJ Open ; 14(5): e078558, 2024 May 07.
Article En | MEDLINE | ID: mdl-38719280

INTRODUCTION: The use of androgenic anabolic steroids (AASs) among recreational athletes is steadily increasing. However, knowledge regarding the potentially harmful effects of AAS primarily originates from case reports and small observational studies. This large-scale study aims to investigate the impact of AAS use on vascular plaque formation, preclinical coronary disease, cardiac function, circulating cardiovascular risk markers, quality of life (QoL) and mental health in a broad population of illicit AAS users. METHODS AND ANALYSES: A nationwide cross-sectional cohort study including a diverse population of men and women aged ≥18 years, with current or previous illicit AAS use for at least 3 months. Conducted at Odense University Hospital, Denmark, the study comprises two parts. In part A (the pilot study), 120 recreational athletes with an AAS history will be compared with a sex-matched and age-matched control population of 60 recreational athletes with no previous AAS use. Cardiovascular outcomes include examination of non-calcified coronary plaque volume and calcium score using coronary CT angiography, myocardial structure and function via echocardiography, and assessing carotid and femoral artery plaques using ultrasonography. Retinal microvascular status is evaluated through fundus photography. Cardiovascular risk markers are measured in blood. Mental health outcomes include health-related QoL, interpersonal difficulties, body image concerns, aggression dimensions, anxiety symptoms, depressive severity and cognitive function assessed through validated questionnaires. The findings of our comprehensive study will be used to compose a less intensive investigatory cohort study of cardiovascular and mental health (part B) involving a larger group of recreational athletes with a history of illicit AAS use. ETHICS AND DISSEMINATION: The study received approval from the Regional Committee on Health Research Ethics for Southern Denmark (S-20210078) and the Danish Data Protection Agency (21/28259). All participants will provide signed informed consent. Research outcomes will be disseminated through peer-reviewed journals and scientific conferences. TRIAL REGISTRATION NUMBER: NCT05178537.


Athletes , Doping in Sports , Mental Health , Quality of Life , Humans , Denmark/epidemiology , Cross-Sectional Studies , Male , Female , Athletes/psychology , Adult , Anabolic Agents/adverse effects , Testosterone Congeners/adverse effects , Pilot Projects , Cardiovascular Diseases/epidemiology , Cohort Studies , Heart Disease Risk Factors , Research Design , Androgens/adverse effects , Anabolic Androgenic Steroids
17.
BMJ Open ; 14(5): e076799, 2024 May 09.
Article En | MEDLINE | ID: mdl-38724051

OBJECTIVES: To understand the factors influencing young athletes' perceptions of quality of life (QOL) following an anterior cruciate ligament (ACL) rupture, prior to reconstructive surgery. DESIGN: Qualitative descriptive study using semi-structured interviews and thematic analysis of data. SETTING: Tertiary sports medicine clinic with patients recruited from the practices of three specialist orthopaedic surgeons. PARTICIPANTS: Twenty athletes aged 14-25 provided consent to participate in the study and completed interviews prior to their ACL reconstruction surgery. Participants were eligible to participate if they were scheduled to undergo ACL reconstruction, were 25 years of age or younger, identified as athletes (participated in any level of organised sport), could communicate in English and agreed to be audio recorded. Participants were not eligible if they had experienced a multiligament injury or fracture. RESULTS: Young athletes shared common factors that made up their QOL; social connections and support, sport, health, and independence. However, participants' perceptions of their current QOL were quite variable (13-95/100 on a Visual Analogue Scale). Participants who were able to reframe their injury experience by shifting focus to the positive or unaffected aspects of their lives tended to have more favourable perceptions of their QOL than participants who shifted focus to the losses associated with injury. CONCLUSIONS: Young athletes who have experienced an ACL injury define their QOL based on social support, sport, health and independence. Individual processes of adaptation and cognitive reframing in response to an ACL injury may exert a greater influence on postinjury QOL than the physical ramifications of the injury itself. Understanding individual perceptions may help target potential interventions or supports to enhance athletes' adaptation to injury.


Anterior Cruciate Ligament Injuries , Anterior Cruciate Ligament Reconstruction , Athletes , Qualitative Research , Quality of Life , Humans , Male , Anterior Cruciate Ligament Injuries/surgery , Anterior Cruciate Ligament Injuries/psychology , Female , Adolescent , Young Adult , Anterior Cruciate Ligament Reconstruction/psychology , Athletes/psychology , Adult , Athletic Injuries/psychology , Athletic Injuries/surgery , Interviews as Topic , Social Support
18.
PLoS One ; 19(5): e0298872, 2024.
Article En | MEDLINE | ID: mdl-38718011

BACKGROUND: Effectively managing their athletic and academic projects is a major challenge for student-athletes. The salience of the identity they develop in each of these contexts can affect their well-being and is therefore an important variable to consider. Examining these mechanisms in countries and student-athlete support systems other than the United States is also important. AIM: This study aims to both translate and evaluate the psychometric properties of a French version of the Academic and Athletic Identity Scale, the AAIS-FR, and to examine the additive and interactive relationships of the two identities with sport burnout and engagement. METHODS: Participants were 359 French student-athletes (50.42% female) who were competing at various levels (ranging from regional to international). RESULTS: Results from analyses using a slightly modified version of the original scale provided evidence of construct (i.e., factor structure) and concurrent (i.e., expected relationships between both identities and several correlates identified in previous work) validity, as well as reliability (i.e., internal consistency) and invariance across gender and sport competition levels of the AAIS-FR. In addition, regression analyses revealed a favourable relationship between athletic identity and sport well-being (i.e., positive with engagement and negative with burnout), no relationship between academic identity and sport well-being, and no interaction between the two identities. CONCLUSION: While further research is needed to provide additional evidence for the validity of the AAIS-FR, researchers can still use this tool to measure the salience of the two identities of French-speaking student-athletes.


Athletes , Psychometrics , Sports , Humans , Female , Male , Athletes/psychology , Psychometrics/methods , Sports/psychology , Young Adult , Surveys and Questionnaires , Reproducibility of Results , France , Students/psychology , Adolescent , Adult
19.
PLoS One ; 19(5): e0298806, 2024.
Article En | MEDLINE | ID: mdl-38718055

The transition period from high school to post-secondary can be particularly challenging for many, including varsity student-athletes (SAs). To better support SAs through this transitional experience, some institutions have created peer mentor programs. What is unclear, however, is the perceived value of these mentorship programs from the perspectives of multiple stakeholder positions. This paper contributes to the Scholarship of Teaching and Learning by presenting findings of a program evaluation that investigated the perceived value of a peer mentor program to its stakeholders. To accomplish this, semi-structured interviews were conducted with 30 participants to discuss SA's experiences with being a first year student, making the transition from high school to post-secondary studies, and also, to discuss their lived experiences with the peer mentor program developed for SAs. Using the findings from the inductive thematic analyses, the peer mentor program's effectiveness, areas of strengths, and areas of improvement are discussed to better align with the stakeholders' needs and experiences. Findings offer insights into a) the trials and tribulations of the first year SA experience, b) how peer mentor programs can better support SA's transition to post-secondary education, c) the benefits of conducting a program evaluation, and d) strategies to enhance the peer mentor program to better support students' needs.


Athletes , Mentors , Peer Group , Program Evaluation , Students , Humans , Canada , Male , Female , Athletes/psychology , Adolescent , Students/psychology , Mentoring/methods
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