Evidence concerning physical activity and mental health remains less well documented for children and adolescents. An updated review of systematic reviews and meta-analyses was undertaken concerning ...physical activity and mental health in children and adolescents, and to judge the extent to which associations can be considered causal.
Systematic reviews and meta-analyses were identified to update our previous review of reviews (Biddle & Asare, 2011), with papers identified between November 2010 and the end of 2017. Criteria were used to judge causality (Hill, 1965), including strength of association, dose-response association, and experimental evidence.
Since 2011, the quantity (k = 42 reviews) and quality of research has increased in depression (evidence from 10 reviews), self-esteem (10 reviews) and cognitive functioning (25 reviews). Anxiety had only three new, small, reviews. Intervention effects for depression are moderate in strength while observational data show only small or null associations. Variable effect sizes are evident from interventions for the reduction of anxiety and improvement in self-esteem. Higher or improved fitness and physical activity are associated with better cognitive health and performance. There was partial support for a causal association with depression, a lack of support for self-esteem, but support for cognitive functioning.
There are significant increases in research activity concerning physical activity and depression, self-esteem, and cognitive functioning in young people. The strongest evidence for a causal association appears to be for cognitive functioning, and there is partial evidence for depression.
•Systematic reviews on physical activity and depression, self-esteem, and cognitive functioning in youth have expanded.•There is evidence for a causal association between physical activity and cognitive functioning in young people.•There is partial evidence for a causal association between physical activity and depression in young people.•There is no evidence for a causal association between physical activity and self-esteem in youth, but the field is complex.
Hamstring strains are one of most common sports injuries. The purpose of this literature review is to summarize studies on hamstring strain injury rate, mechanism, and risk factors in the last ...several decades with a focus on the prevention and rehabilitation of this injury. Hamstring injury commonly occurs in sporting events in which high speed sprinting and kicking are frequently performed, such as Australian football, English rugby, American football, and soccer. Basic science studies have demonstrated that a muscle strain injury occurs due to excessive strain in eccentric contraction instead of force, and that elongation speed and duration of activation before eccentric contraction affect the severity of the injury. Hamstring strain injury is likely to occur during the late swing phase and late stance phase of sprint running. Shortened optimum muscle length, lack of muscle flexibility, strength imbalance, insufficient warm-up, fatigue, lower back injury, poor lumbar posture, and increased muscle neural tension have been identified as modifiable risk factors while muscle compositions, age, race, and previous injuries are non-modifiable risk factors. The theoretical basis of some of these risk factors, however, is lacking, and the results of clinical studies on these risk factors are inconsistent. Future studies are needed to establish the cause-and-effect relationships between those proposed risk factors and the injury.
Background:
Grit is the disposition to strive for long-term goals despite setbacks and challenges. Given the lengthy, arduous process of rehabilitation after anterior cruciate ligament reconstruction ...(ACLR), an athlete's grit may predict postoperative outcomes across time.
Purpose/Hypothesis:
The primary aim of the study was to evaluate the relationships between baseline (preoperative) grit and postoperative knee outcomes across the year after ACLR among adolescents. We hypothesized that athletes with more grit would achieve better postoperative outcomes over time than less gritty athletes.
Study Design:
Cohort study; Level of evidence, 2.
Methods:
All participants completed the Short Grit Scale, the Pediatric International Knee Documentation Committee (Pedi-IKDC) Scale, the Lysholm Knee Scoring Scale, the Patient-Reported Outcomes Measurement Information System (PROMIS) pediatric scale for pain interference and mobility, the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS), and the Quality of Life in Neurological Disorders (NeuroQoL) Lower Extremity Function Short Form at a preoperative appointment and then again at approximately 3, 6, and 12 months after ACLR. We constructed linear mixed models to assess the relationships between baseline grit, time, age, sex, and postoperative outcome measures (statistical significance of α = .05).
Results:
We included 137 participants (mean age 15.8 ± 2.74 years, 70% female) from a prospective registry of athletes undergoing ACLR by 1 surgeon at a single institution. There were no statistically significant changes in grit over time or differences in grit between age and sex. Higher baseline grit was significantly associated with greater postoperative HSS Pedi-FABS scores (β = 3.72 ± 1.46; P = .01; 95% CI, 0.85-6.59) and NeuroQoL scores across time (β = 3.37 ± 0.93; P < .001; 95% CI, 1.55-5.20). There were no significant associations between baseline grit and Pedi-IKDC, Lysholm, and PROMIS pain interference or mobility scores.
Conclusion:
Athletes with higher baseline grit reported superior postoperative physical function and activity level over the course of 1 year after ACLR compared with less gritty athletes. Grit may be a useful measure in predicting success in regaining physical function across time after ACLR in adolescent athletes.
Since 2004, the International Olympic Committee (IOC) store all samples collected at summer Olympic Games (OG) for retrospective re-analysis with more advanced analytical techniques to catch doping ...athletes.
All announced Anti-Doping Rule Violations (ADRVs) from IOC re-tests of the 2004, 2008 and 2012 OG (via IOC, International Federations and Athletics Integrity Unit public data) and other ADRVs confirmed to impact OG results from 1968 to 2012 (via the list of Doping Irregularities on olympedia.org) were collated to investigate how many medals have been impacted by ADRVs, when the ADRV was identified relative to the OG in question and its cause.
One hundred and thirty-four medals were impacted by ADRVs but only 26% of these ADRVs were identified at the time of the OG. Most ADRVs impacting medal results (74%) were identified retrospectively, either from events prior to the OG (17%) or via IOC re-tests of samples from 2004, 2008 and 2012 (57%). ADRVs impacting medal results from these re-tests took a mean of 6.8 ± 2.0 years to be announced relative to the end of the OG in which the medal was originally won. Exogenous Anabolic Androgenic Steroid metabolites were present in 90% of all athlete (n = 142) samples from IOC re-tests with dehydrochloromethyltestosterone and stanozolol accounting for 79% of detected substances. Athletics (n = 64) and weightlifting (n = 62) were the most affected sports.
This analysis shows the frequency of targeted pre-OG Out-of-Competition testing should increase. We advocate for long-term sample storage to continue and additionally incorporate novel and potentially complementary technologies/sample matrices.
Background:
Medial ulnar collateral ligament (UCL) reconstruction is a common procedure performed on Major League Baseball (MLB) pitchers in the United States.
Purpose:
To determine (1) the rate of ...return to pitching (RTP) in the MLB after UCL reconstruction, (2) the RTP rate in either the MLB and minor league combined, (3) performance after RTP, and (4) the difference in the RTP rate and performance between pitchers who underwent UCL reconstruction and matched controls without UCL injuries.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Major League Baseball pitchers with symptomatic medial UCL deficiency who underwent UCL reconstruction were evaluated. All player, elbow, and surgical demographic data were analyzed. Controls matched by age, body mass index, position, handedness, and MLB experience and performance were selected from the MLB during the same years as those undergoing UCL reconstruction. An “index year” was designated for controls, analogous to the UCL reconstruction year in cases. Return to pitching and performance measures in the MLB were compared between cases and controls. Student t tests were performed for analysis of within-group and between-group variables, respectively.
Results:
A total of 179 pitchers with UCL tears who underwent reconstruction met the inclusion criteria and were analyzed. Of these, 148 pitchers (83%) were able to RTP in the MLB, and 174 pitchers were able to RTP in the MLB and minor league combined (97.2%), while only 5 pitchers (2.8%) were never able to RTP in either the MLB or minor league. Pitchers returned to the MLB at a mean 20.5 ± 9.72 months after UCL reconstruction. The length of career in the MLB after UCL reconstruction was 3.9 ± 2.84 years, although 56 of these patients were still currently actively pitching in the MLB at the start of the 2013 season. The revision rate was 3.9%. In the year before UCL reconstruction, pitching performance declined significantly in the cases versus controls in the number of innings pitched, games played, and wins and the winning percentage (P < .05). After surgery, pitchers showed significantly improved performance versus before surgery (fewer losses, a lower losing percentage, lower earned run average ERA, threw fewer walks, and allowed fewer hits, runs, and home runs) (P < .05). Comparisons between cases and controls for the time frame after UCL reconstruction (cases) or the index year (controls) demonstrated that cases had significantly (P < .05) fewer losses per season and a lower losing percentage. In addition, cases had a significantly lower ERA and allowed fewer walks and hits per inning pitched.
Conclusion:
There is a high rate of RTP in professional baseball after UCL reconstruction. Performance declined before surgery and improved after surgery. When compared with demographic-matched controls, patients who underwent UCL reconstruction had better results in multiple performance measures. Reconstruction of the UCL allows for a predictable and successful return to the MLB.
Dietary supplements in the sport Zdunek, Roksana; Strus, Karolina; Madera, Magdalena ...
Quality in Sport,
07/2024, Letnik:
15
Journal Article
Recenzirano
Odprti dostop
In recent years, the popularity of dietary supplements among athletes has surged, often aimed at enhancing sports performance and improving training outcomes. However, along with this popularity ...comes an increasing risk of using substances classified as doping in sports. This article examines the current state of knowledge regarding dietary supplements used by athletes, considering the potential risk of violating anti-doping regulations. The article discuss popular ingredients such creatine, beta-alanine, branched-chain amino acids and others.
The National Collegiate Athletic Association (NCAA) has published concussion-management practice guidelines consistent with recent position and consensus statements. Whereas NCAA Division I athletic ...trainers appear highly compliant, little is known about the concussion-management practice patterns of athletic trainers at smaller institutions where staffing and resources may be limited.
To descriptively define the concussion-management practice patterns of NCAA Division II and III athletic trainers.
Cross-sectional study.
Web-based questionnaire.
A total of 755 respondents (response rate = 40.2%) from NCAA Division II and Division III institutions.
The primary outcome measures were the rate of multifaceted concussion-assessment techniques, defined as 3 or more assessments; the specific practice patterns of each assessment battery; and tests used during a clinical examination.
Most respondents indicated using a multifaceted assessment during acute assessment (Division II = 76.9%, n = 473; Division III = 76.0%, n = 467) and determination of recovery (Division II = 65.0%, n = 194; Division III = 63.1%, n = 288) but not at baseline (Division II = 43.1%, n = 122; Division III = 41.0%, n = 176). Typically, when a postconcussion assessment was initiated, testing occurred daily until baseline values were achieved, and most respondents (80.6% 244/278) reported using a graded exercise protocol before return to participation.
We found limited use of the multifaceted assessment battery at baseline but higher rates at both acute assessment and return-to-participation time points. A primary reason cited for not using test-battery components was a lack of staffing or funding for the assessments. We observed limited use of neuropsychologists to interpret neuropsychological testing. Otherwise, most respondents reported concussion-management protocols consistent with recommendations, including a high level of use of objective measures and incorporation of a progressive return-to-participation protocol.
Accelerometry is a recent method used to quantify workload in team sports. A rapidly increasing number of studies supports the practical implementation of accelerometry monitoring to regulate and ...optimize training schemes. Therefore, the purposes of this study were: (1) to reflect the current state of knowledge about accelerometry as a method of workload monitoring in invasion team sports according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, and (2) to conclude recommendations for application and scientific investigations. The Web of Science, PubMed and Scopus databases were searched for relevant published studies according to the following keywords: "accelerometry" or "accelerometer" or "microtechnology" or "inertial devices", and "load" or "workload", and "sport". Of the 1383 studies initially identified, 118 were selected for a full review. The main results indicate that the most frequent findings were (i) devices' body location: scapulae; (b) devices brand: Catapult Sports; (iii) variables: PlayerLoadTM and its variations; (iv) sports: rugby, Australian football, soccer and basketball; (v) sex: male; (vi) competition level: professional and elite; and (vii) context: separate training or competition. A great number of variables and devices from various companies make the comparability between findings difficult; unification is required. Although the most common location is at scapulae because of its optimal signal reception for time-motion analysis, new methods for multi-location skills and locomotion assessment without losing tracking accuracy should be developed.
Purpose: This study examined the effect of manipulating advanced kinematic information about opponents' pitching movement on ball speed prediction, ball speed perception, and impact timing errors ...under strict temporal constraints (i.e., a softball game). Method: Three experiments were conducted using visual stimuli consisting of varied kinematic information-different pitching movements with the same ball trajectory. In Experiment 1, participants observed the pitching movement of the visual stimuli and predicted pitched ball speed as a two-interval forced choice discrimination task (2IFC). In Experiment 2, participants observed both the pitching movement and ball trajectory, and evaluated the pitched ball speed as a 2IFC. In Experiments 3a and 3b, they tried to swing against the pitched ball presented on the screen as accurately as possible with regard to timing. Results: Batters tended to predict the ball was moving faster when the pitching movement was faster (Experiment 1). Incorrectly predicting the ball speed due to the difference in advanced kinematic information also biased batters' perception of the speed (Experiment 2), and this biased prediction yielded congruent impact timing (Experiment 3a). The impact timing error of naive participants also was affected by kinematic information (Experiment 3b). Conclusion: Limitations of this study (representative task design, sample size, and experimental procedures) notwithstanding, results indicate that, under strict temporal constraints, batters' perceptions and actions are sensitive to advanced kinematic information, which could lead to biased perceptions and actions.
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