BACKGROUND In pediatric and adolescent athletes,there is a lack of understanding about the impact of factors such as race on the structural or cardiovascular adaptations in response to exercise which may unnecessarily...BACKGROUND In pediatric and adolescent athletes,there is a lack of understanding about the impact of factors such as race on the structural or cardiovascular adaptations in response to exercise which may unnecessarily disqualify athletes from the competitive sport.We hypothesized that race has an impact on cardiac adaptions in non-adult athletes.AIM To explore the racial disparity in electrocardiographic(ECG)and echocardiographic(ECHO)parameters in healthy adolescent athletes.METHODS A comprehensive electronic systematic literature search using MEDLINE database was performed from inception to September 20,2024.Inclusion criteria included randomized or observational cohort studies that recruited adolescent competitive athletes in any sport discipline and compared between the Black and White races with an age range of 12-18 years.RESULTS Of 723 records that were identified by the literature search,seven studies(n=5036)were included.The mean age was 13.0-18.0 years old with male predominance.Black athletes had significantly longer PR interval[mean difference(MD)=17.49 millisecond,95% CI:11.70-23.29]and shorter QRS complex duration(MD=-7.35 millisecond,95% CI:-9.17 to-5.53)and corrected QT interval(MD=-4.95 millisecond,95% CI:-7.69 to-2.22)than the White athletes.Black athletes were approximately four times more likely to have first-degree atrioventricular(AV)block,inverted T wave,ST-segment elevation,and left atrium(LA)enlargement than their White counterparts.In terms of ECHO parameters,Black athletes had significantly greater septal wall thickness(MD=0.85 mm,95% CI:0.62-1.07),posterior wall thickness(MD=1.07 mm,95% CI:0.36-1.78),relative wall thickness(MD=0.03,95%CI:0.001-0.06),maximal wall thickness(MD=1.05 mm,95%CI:0.28-1.83),and LA diameter(MD=1.64 mm,95%CI:0.16-3.12).CONCLUSION Race has an impact on the ECG and ECHO parameters that reflect cardiac adaptations in adolescent athletes.Black athletes tend to have an increased prevalence of distinct ECG changes such as first-degree AV block and T-wave inversions compared with their White counterparts.Despite having thicker septal and posterior walls,the overall prevalence of left ventricular hypertrophy did not differ between the races.展开更多
Background:Preparticipation examinations(PPEs)are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season.However,many PPEs ...Background:Preparticipation examinations(PPEs)are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season.However,many PPEs include minimal and often nonspecific questions related to the health concerns of female athletes.A lack of female athlete specific health questions could result in missed red flags and subsequent injury or illness.As such,the objectives of this scoping review were to(a)determine what female athlete specific health questions currently exist in PPEs in the scientific literature to prevent injury and illness,and(b)map the results against the health domains outlined in the International Olympic Committee(IOC)consensus statement supplement on the female athlete.Methods:We searched Embase,Scopus,CINAHL,Medline Ovid,and SPORTDiscus from inception to December 2022.Any study with female athlete specific health PPE questions or recommendations for questions(i.e.,menstrual health,eating habits,musculoskeletal health,etc.)was included.Three reviewers independently screened titles and abstracts,followed by full text articles for eligibility and data extraction,with conflicts resolved by a third-party reviewer.Extracted data were summarized into 3 determined groupings.Results:Of the 1356 studies screened,41 were included in this study.Forty studies(98%)included questions/recommendations related to menstrual health.Thirty-one studies(76%)had questions/recommendations concerning disordered eating/eating habits.Twenty-four studies(59%)referred to body weight/image,and 16 studies(39%)referred to musculoskeletal health.No studies included questions on all IOC female athlete health domains.Conclusion:There is currently a gap in female athlete specific health content included in PPEs.A more comprehensive,standardized PPE with a focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.展开更多
BACKGROUND Fixed esotropia in high myopia,characterized by irreversible inward ocular deviation and abduction limitation,presents unique therapeutic challenges for athletes requiring precise binocular coordination.The...BACKGROUND Fixed esotropia in high myopia,characterized by irreversible inward ocular deviation and abduction limitation,presents unique therapeutic challenges for athletes requiring precise binocular coordination.The combination of Yokoyama surgery and medial rectus muscle recession has been proposed as an advanced technique addresses both myopia-induced globe displacement and muscular imbalance offering potential advantages over conventional strabismus surgery in this population.AIM To investigate the effects of the modified Yokoyama surgery coupled with medial rectus muscle recession in restoring ocular motility and correcting esotropia among athletes with high myopia and fixed esotropia.METHODS A retrospective study analyzed 30 highly myopia athletes(57 eyes)with fixed esotropia treated at our hospital from January 2022 to April 2024.The participants were allocated into two groups based on the surgical method:The traditional group(n=15,29 eyes)received conventional strabismus surgery,and the combined group(n=15,28 eyes)underwent modified Yokoyama surgery in combination with medial rectus muscle recession.Eye movement improvement,esotropia alleviation,and complications were compared preoperatively and at 1,3,and 6 months post-treatment.RESULTS Both surgical groups exhibited similar baseline scores(traditional:-4.04±0.38 vs combined:-4.12±0.45,P>0.05),showing severe preoperative limitations in ocular motility.Following the intervention,the combined group achieved significantly better outcomes at both 1 month(combined:-2.25±0.28 vs traditional:-2.67±0.32)and 3 months(combined:-1.48±0.28 vs traditional:-1.76±0.43),with statistically significant improvements(P<0.05).However,by 6 months,no significant difference was observed between the two groups(combined:-0.93±0.13;traditional:-1.03±0.18;P>0.05).Prior to treatment,all patients in both groups exhibited a compensatory head posture(CHP).Following treatment,the incidence of CHP decreased to 6.67%in the combined group and 20.00%in the traditional group,both reductions being significant compared to pretreatment levels(P<0.05).Nevertheless,the difference in CHP incidence between the two groups after treatment was not significant(P>0.05).The rates of improvement in esotropia showed an increasing trend in both groups at 1 month(46.43%vs 34.48%),3 months(78.57%vs 51.728%),and 6 months(100.00%vs 89.66%)post-treatment.Notably,the combined group had a significantly higher improvement rate than the traditional group at the 3-month follow-up(P<0.05).No significant difference was observed in the esotropia improvement rates between the two groups at 1 and 6 months post-treatment(P>0.05).The combined group experienced slightly lower but not significant(combined group:0.00%vs traditional:3.45%)as opposed to the traditional group(3.45%;P>0.05).CONCLUSION The combination of modified Yokoyama surgery and medial rectus muscle recession provides effective and safe approach to improving in eye movement and esotropia in athletes with high myopia and fixed esotropia,offering reliable clinical benefits.展开更多
Background:Iron facilitates key biological functions underpinning sports performance,and up to 60%of female athletes experience iron deficiency.However,the effects of iron deficiency on sports performance in female at...Background:Iron facilitates key biological functions underpinning sports performance,and up to 60%of female athletes experience iron deficiency.However,the effects of iron deficiency on sports performance in female athletes is unclear,as are the degree of benefits of iron supplementation(FeSup).This study characterizes the effects of iron deficiency and FeSup on sports performance in high-level female athletes.Methods:Searches of the electronic databases MEDLINE,SPORTDiscus,Web of Science,Scopus,and CINAHL were performed in July 2023.Studies were included that evaluated the effects of iron deficiency or FeSup on sports performance in high-level(maximal oxygen uptake(VO2max)>45 mL/kg/min,or trained>5 h/week)iron deficient(ID)(serum ferritin(sFer)<40 mg/L)female athletes.Studies were assessed using a modified Downs and Black Quality Assessment Checklist.Results:A total of 23 studies comprising 669 athletes(age range:13-47 years)across 16 sports were included in the review.Iron deficiency negatively affects endurance performance by 3%-4%.However,endurance performance improved by 2%-20%when ID athletes were treated with 100 mg/day of elemental iron for up to 56 days via oral supplementation,or bi-daily via parenteral administration over 8-10 days.ID nonanemic athletes with low sFer stores may be predisposed to reduced maximal aerobic capacity.However,maximal aerobic capacity improved by 6%-15%following 16 mg/day-100 mg/day of elemental iron for 36-126 days.Isokinetic strength and anaerobic power performance may be impeded(-23%to+4%)among ID athletes,but the effect of FeSup on anaerobic power varied markedly(-5%to+9%)following 100 mg/day of elemental iron over 42-56 days,or 100 mg of elemental iron bi-daily over 8-10 days.The quality of studies was moderate(77%),ranging from low(57%)to high(100%).Moststudies(n=18)contained group sizes-20 athletes,thus limiting the likelihood of detecting significant effects(statistical power>0.80).Conclusion:High-level ID female athletes experience a negative impact on endurance performance,which can be improved by supplementing with»100 mg of elemental iron per day or bi-daily.The decrements in other performance parameters characterizing a range of sports coincide with the severity of iron deficiency.展开更多
Background:A greater prevalence of arrhythmias has been described in endurance athletes,but it remains unclear whether this risk persists after detraining.We aimed to evaluate the prevalence of arrhythmias and their r...Background:A greater prevalence of arrhythmias has been described in endurance athletes,but it remains unclear whether this risk persists after detraining.We aimed to evaluate the prevalence of arrhythmias and their relationship with cardiac remodeling in lifelong and retired master endurance athletes compared to non-athletic controls.Methods:We performed a cross-sectional analysis of observational studies that used echocardiography and cardiac magnetic resonance to detail cardiac structure and function,and Holter monitors to identify atrial and ventricular arrhythmias in 185 endurance athletes and 81 non-athletic controls aged≥40 years.Athletes were categorized as active lifelong(n=144)or retired(n=41)based on hours per week of high-intensity endurance exercise within 5 years of enrollment and validated by percentage of predicted maximal oxygen consumption(VO_(2max)).Athletes with overt cardiomyopathies,channelopathies,pre-excitation,and/or myocardial infarction were excluded.Results:Lifelong athletes(median age=55 years(interquartile range(IQR):46-62),79%male)were significantly fitter than retired athletes(median age=66 years(IQR:58-71),95%male)and controls(median age=53 years(IQR:48-60),96%male),respectively(predicted VO_(2max):131%±18%vs.99%±14%vs.98%±15%,p<0.001).Compared to controls,athletes in our cohort had a higher prevalence of atrial fibrillation((AF):32%vs.0%,p<0.001)and non-sustained ventricular tachycardia((NSVT):9%vs.1%,p=0.007).There was no difference in prevalence of any arrhythmia between lifelong and retired athletes.Lifelong athletes had larger ventricular volumes than retired athletes,who had ventricular volumes similar to controls(left ventricular end-diastolic volume indexed to body surface area(LVEDVi):101±20 m L/m^(2)vs.86±16 mL/m^(2)vs.94±18 mL/m^(2),p<0.001;right ventricular end-diastolic volume indexed to body surface area(RVEDVi):117±23 mL/m^(2)vs.101±19 mL/m^(2)vs.100±19 mL/m^(2),p<0.001).Athletes had more scar(40%vs.18%,p=0.002)and larger left atria(median volume=45m L/m^(2)(IQR:38-52)vs.31 mL/m^(2)(IQR:25-38),p<0.001)than controls,with no difference in atrial volumes and non-ischaemic scar between the athlete groups.Conclusion:Master endurance athletes have a higher prevalence of AF and NSVT than non-athletic controls.Whereas ventricular remodeling tends to reverse with detraining,the propensity to arrhythmias persists regardless of whether they are actively exercising or retired.展开更多
Background: Biological maturation refers to the progressive process through which individuals transition toward an adult state during growth and development. To address the challenges posed by differences in biologica...Background: Biological maturation refers to the progressive process through which individuals transition toward an adult state during growth and development. To address the challenges posed by differences in biological maturity and the limitations of existing testing methods, particularly in adolescent sports contexts, there is a pressing need for a non-invasive method that is convenient, accurate, and broadly applicable to monitor the biological maturity of adolescent athletes comprehensively. In response to this need, a maturity assessment method based on the smartphone application Maturo has been developed. This study evaluates the accuracy and validity of the Maturo software, an automated tool for estimating biological age and related maturation metrics.Methods: A sample of 103 actively training teenage athletes aged 9-17 years. The sample included 76 males(age = 11.74 ± 1.55 years, mean ±SD) and 27 females(age = 13.95 ± 1.40 years), all without medical conditions that might impact growth or development.Results: Compared to traditional expert evaluations, the intraclass correlation coefficients(ICCs) and Pearson correlation coefficients demonstrated reliable positive correlations and significant agreement between the Maturo software and expert methods across multiple metrics, such as biological age(ICC = 0.965, R = 0.97), corrected biological age(ICC = 0.973, R = 0.99), predicted adult height(ICC = 0.991, R = 0.99), and percentage of adult height achieved(ICC = 0.955, R = 0.97). The Bland-Altman plots provided additional evidence of the validity of the Maturo software estimations, showing low systematic error in most measures. The linear regression analysis produced excellent adjusted R2values: 0.95for biological age and 0.99 for anticipated adult height. The Maturo approach demonstrated a high level of dependability in classifying teenagers into groups based on their maturity status and timing. The κ coefficients of 0.93 for maturity status and 0.82 for maturity timing indicate a nearly perfect agreement with the expert technique.Conclusion: While the Maturo software's non-invasive nature, cost-effectiveness, and ease of use could make it a potential tool for regular monitoring of growth and maturation in young athletes, its promising results in assessing maturation should be interpreted with caution due to limitations such as sample size and demographic constraints. Further longitude research with larger and more diverse populations is needed to validate these preliminary findings and strengthen the evidence for its broader applicability.展开更多
High-intensity interval training(HIIT),a highly efficient and distinctive exercise format,has sparked growing academic interest in sports performance training.This article synthesizes theoretical and applied evidence ...High-intensity interval training(HIIT),a highly efficient and distinctive exercise format,has sparked growing academic interest in sports performance training.This article synthesizes theoretical and applied evidence to analyze mechanisms of HIIT in neuromuscular activation,hormonal responses,muscle fiber adaptation,and metabolic pathway effects.It focuses on its effectiveness in enhancing explosive power,maximum strength,and strength endurance,while also examining the integration of HIIT with traditional resistance training,periodized programming,and personalized prescription.Scientific implementation of HIIT can effectively diversify or even replace conventional strength training,not only offering positive directional changes for strength development but also introducing innovative approaches to sports performance training practices.展开更多
1|Goalie Phenomenon The goalie phenomenon describes a group of health issues that may become apparent in children who prefer playing as goalkeepers.This preference might not only be about the excitement of the role bu...1|Goalie Phenomenon The goalie phenomenon describes a group of health issues that may become apparent in children who prefer playing as goalkeepers.This preference might not only be about the excitement of the role but also as a coping mechanism for underlying health issues that make continuous running and high physical exertion challenging.The term highlights how certain positions in sports can sometimes obscure or reveal hidden health conditions,particularly among young athletes[1–3].To our knowledge,this is the first paper to formally introduce the term“Goalie phenomenon”in the literature exploring exerciseinduced asthma and sports role preferences in children.展开更多
In order to help athletes optimize their performances in competitions while prevent overtraining and the risk of overuse injuries,it is important to develop science-based strategies for optimally designing training pr...In order to help athletes optimize their performances in competitions while prevent overtraining and the risk of overuse injuries,it is important to develop science-based strategies for optimally designing training programs.The purpose of the present study is to develop a novel method by the combined use of optimal control theory and a training-performance model for designing optimal training programs,with the hope of helping athletes achieve the best performance exactly on the competition day while properly manage training load during the training course for preventing overtraining.The training-performance model used in the proposed optimal control framework is a conceptual extension of the Banister impulse-response model that describes the dynamics of performance,training load(served as the control variable),fitness(the overall positive effects on performance),and fatigue(the overall negative effects on performance).The objective functional of the proposed optimal control framework is to maximize the fitness and minimize the fatigue on the competition day with the goal of maximizing the performance on the competition day while minimizing the cumulative training load during the training course.The Forward-Backward Sweep Method is used to solve the proposed optimal control framework to obtain the optimal solutions of performance,training load,fitness,and fatigue.The simulation results show that the performance on the competition day is higher while the cumulative training load during the training course is lower with using optimal control theory than those without,successfully showing the feasibility and benefits of using the proposed optimal control framework to design optimal training programs for helping athletes achieve the best performance exactly on the competition day while properly manage training load during the training course for preventing overtraining.The present feasibility study lays the foundation of the combined use of optimal control theory and training-performance models to design personalized optimal training programs in real applications in athletic training and sports science for helping athletes achieve the best performances in competitions while prevent overtraining and the risk of overuse injuries.展开更多
AIM:To analyze stress fractures in athletes based on experience from our sports medicine clinic.METHODS:We investigated the association between stress fractures and age,sex,sports level,sports activity,and skeletal si...AIM:To analyze stress fractures in athletes based on experience from our sports medicine clinic.METHODS:We investigated the association between stress fractures and age,sex,sports level,sports activity,and skeletal site in athletes seen at our sports medicine clinic between September 1991 and April 2009.Stress fractures of the pars interarticularis were excluded from this analysis.RESULTS:During this period(18 years and 8 mo),14276 patients(9215 males and 5061 females)consulted our clinic because of sports-related injuries,and 263 patients(1.8%)[171 males(1.9%)and 92 females(1.8%)]sustained stress fractures.The average age of the patients with stress fractures was 20.2 years(range 10-46 years);112 patients(42.6%)were 15-19 years of age and 90(34.2%)were 20-24 years of age.Altogether,90 patients(34.2%)were active at a high recreational level and 173(65.8%)at a competitive level.The highest proportion of stress fractures was seen in basketball athletes(21.3%),followed by baseball(13.7%),track and field(11.4%),rowing(9.5%),soccer(8.4%),aerobics(5.3%),and classical ballet(4.9%).The most common sites of stress fractures in these patients were the tibia(44.1%),followed by the rib(14.1%),metatarsal bone(12.9%),ulnar olecranon(8.7%)and pelvis(8.4%).The sites of the stress fractures varied from sport to sport.The ulnar olecranon was the most common stress fracture site in baseball players,and the rib was the most common in rowers.Basketball and classical ballet athletes predominantly sustained stress fractures of the tibia and metatarsal bone.Track and field and soccer athletes predominantly sustained stress fractures of the tibia and pubic bone.Aerobics athletes predominantly sustained stress fractures of the tibia.Middle and long distance female runners who sustained multiple stress fractures had the female athlete triad.CONCLUSION:The results of this analysis showed that stress fractures were seen in high-level young athletes,with similar proportions for males and females,and that particular sports were associated with specific sites for stress fractures.Middle and long distance female runners who suffered from multiple stress fractures had the female athlete triad.展开更多
Purpose:The purposes of this study were to examine the trajectories of athlete burnout across a 2-month period characterized by high physical,psychological,and social demands to explore(1)whether several subgroups of ...Purpose:The purposes of this study were to examine the trajectories of athlete burnout across a 2-month period characterized by high physical,psychological,and social demands to explore(1)whether several subgroups of athletes representing distinct burnout trajectories emerged from the analyses and(2)whether athlete burnout symptoms(reduced accomplishment,sport devaluation,and exhaustion)developed in tandem or whether some burnout dimensions predicted downstream changes in other dimensions(causal ordering model).Methods:One hundred and fifty-nine table tennis players in intensive training centers completed a self-reported athlete burnout measure across 3 time points within a 2-month period characterized by high demands.Data were analyzed through latent class growth analysis.Results:Results of latent class growth analysis showed 3 distinct trajectories for each athlete burnout dimension,indicating not only linear or quadratic change but also stability in longitudinal athlete burnout perceptions.Results also suggested that the 3 dimensions of athlete burnout did not develop in tandem.Rather,the likelihood of belonging to particular emerging trajectories of sport devaluation and physical/emotional exhaustion was significantly influenced by the athletes’perception of reduced accomplishment assessed at Time 1.Thus,reduced accomplishment predicted downstream changes in the 2 other athlete burnout dimensions.Conclusion:As a whole,these results highlighted that the multinomial heterogeneity in longitudinal athlete burnout symptoms needs to be accounted for in future research.展开更多
AIM：To compare visual efficiency,specifically accommodation,vergence,and oculomotor functions among athletes and non-athletes.METHODS：A cross-sectional study on sports vision screening was used to evaluate the visua...AIM：To compare visual efficiency,specifically accommodation,vergence,and oculomotor functions among athletes and non-athletes.METHODS：A cross-sectional study on sports vision screening was used to evaluate the visual skills of 214elementary students（107 athletes,107 non-athletes）,aged between 13 and 16y.The visual screening assessed visual parameters such as ocular motor alignment,accommodation,and vergence functions.RESULTS：Mean visual parameters were compared between age-group matched athletes（mean age14.82±0.98y）and non-athletes（mean age 15.00±1.04y）.The refractive errors of all participants were corrected to maximal attainable best corrected visual acuity of log MAR0.0.Accommodation function assessment evaluated amplitude of accommodation and accommodation facility.Vergence functions measured the near point of convergence,vergence facility,and distance fusional vergence at break and recovery point.Ocular motor alignment was not statistically significant between both groups.Athletes had a statistically significant amplitude of accommodation for both the right eye（t=2.30,P=0.02）and the left eye（t=1.99,P=0.05）.Conversely,non-athletes had better accommodation facility（t=-2.54,P=0.01）and nearpoint of convergence（t=4.39,P〈0.001）when compared to athletes.Vergence facility was found to be better among athletes（t=2.47,P=0.01）.Nevertheless,non-athletes were significantly better for both distance negative and positive fusional vergence.CONCLUSION：Although the findings are still inconclusive as to whether athletes had superior visual skills as compared to non-athletes,it remains important to identify and elucidate the key visual skills needed by athletes in order for them to achieve higher performance in their sports.展开更多
We assessed 16 student-athletes in their first year of college on several dimensions, including severity of psychological and physical symptoms, mental health upset, academic concerns, suicidal tendencies, depressive ...We assessed 16 student-athletes in their first year of college on several dimensions, including severity of psychological and physical symptoms, mental health upset, academic concerns, suicidal tendencies, depressive outlook, anxiety and tension, attention difficulties, and alcohol abuse. We assessed half during their sports’ competition season and half during their off-season. Results pointed to increased perceived stress during the down time of off season. It may be that for student-athletes, the structure of competition season offsets the stress of competition, such that when the structure is removed or lessened, perceived stress increases. Implications of these data are discussed as well as plans for developing follow-up studies.展开更多
Acute ankle sprain is the most common lower limb injury in athletes and accounts for 16%-40%of all sports-related injuries.It is especially common in basketball,American football,and soccer.The majority of sprains aff...Acute ankle sprain is the most common lower limb injury in athletes and accounts for 16%-40%of all sports-related injuries.It is especially common in basketball,American football,and soccer.The majority of sprains affect the lateral ligaments,particularly the anterior talofibular ligament.Despite its high prevalence,a high proportion of patients experience persistent residual symptoms and injury recurrence.A detailed history and proper physical examination are diagnostic cornerstones.Imaging is not indicated for the majority of ankle sprain cases and should be requested according to the Ottawa ankle rules.Several interventions have been recommended in the management of acute ankle sprains including rest,ice,compression,and elevation,analgesic and anti-inflammatory medications,bracing and immobilization,early weight-bearing and walking aids,foot orthoses,manual therapy,exercise therapy,electrophysical modalities and surgery(only in selected refractory cases).Among these interventions,exercise and bracing have been recommended with a higher level of evidence and should be incorporated in the rehabilitation process.An exercise program should be comprehensive and progressive including the range of motion,stretching,strengthening,neuromuscular,proprioceptive,and sport-specific exercises.Decision-making regarding return to the sport in athletes may be challenging and a sports physician should determine this based on the self-reported variables,manual tests for stability,and functional performance testing.There are some common myths and mistakes in the management of ankle sprains,which all clinicians should be aware of and avoid.These include excessive imaging,unwarranted non-weightbearing,unjustified immobilization,delay in functional movements,and inadequate rehabilitation.The application of an evidence-based algorithmic approach considering the individual characteristics is helpful and should be recommended.展开更多
Purpose:The purpose of the current study was to develop and validate a sport-specific mindfulness measure,the Athlete Mindfulness Questionnaire(AMQ),through 5 related studies using 4 separate samples of Chinese athlet...Purpose:The purpose of the current study was to develop and validate a sport-specific mindfulness measure,the Athlete Mindfulness Questionnaire(AMQ),through 5 related studies using 4 separate samples of Chinese athletes.The AMQ is a 3-factor measure designed to assess mindfulness that reflects present-moment attention,awareness,and acceptance in a sport context.Methods:In Study 1,an initial pool of items was generated based on previous literature,existing mindfulness scales,as well as interviews with and feedback from the athletes,coaches,and mindfulness experts.Initial support for the 3-factor structure of the AMQ was established via exploratory factor analysis in Study 2,and cross-validated through confirmatory factor analysis in Studies 3 and 4.In Study 5,a modified 3-factor AMQ with direct-worded acceptance items was examined in a fourth independent sample.Results:Convergent and concurrent validities of the acceptance subscale failed to be established in Studies 3 and 4 which may be due to the inattention and confusion of the athletes whilst interpreting the reverse-worded items.A modified 16-item AMQ in Study 5 displayed satisfactory model fit and acceptable internal consistencies.Most importantly,convergent and concurrent validities of the 16-item AMQ were supported.The3 subscales showed significant positive associations with mindfulness,flow,well-being,and positive affect and significant negative associations with experiential avoidance,burnout,and negative affect.Conclusion:The AMQ is a psychometrically sound measure of mindfulness in a sport context.The importance of using direct-worded acceptance items is discussed.展开更多
Purpose:The purpose of present study was to investigate the impact of sport experience on response inhibition and response re-engagement in expert badminton athletes during the stop-signal task and change-signal task....Purpose:The purpose of present study was to investigate the impact of sport experience on response inhibition and response re-engagement in expert badminton athletes during the stop-signal task and change-signal task.Methods:A total of 19 badminton athletes and 20 nonathletes performed both the stop-signal task and change-signal task.Reaction times(RTs)and event-related potentials were recorded and analyzed.Results:Behavioral results indicated that badminton athletes responded faster than nonathletes to go stimuli and to change signals,with faster change RTs and change-signal RTs,which take into consideration the variable stimulus onset time mean.During successful change trials in the change-signal task,the amplitudes of the event-related potential components N2 and P3 were smaller for badminton athletes than for nonathletes.Moreover,change-signal RTs and N2 amplitudes as well as change RTs and P3 amplitudes were significantly correlated in badminton athletes.A significant correlation was also found between the amplitude of the event-related potential component N1 and response accuracy to change signals in badminton athletes.Conclusion:Moderation of brain cortical activity in badminton athletes was more associated with their ability to rapidly inhibit a planned movement and re-engage with a new movement compared with nonathletes.The superior inhibitory control and more efficient neural mechanisms in badminton athletes compared with nonathletes might be a result of badminton athletes’ professional training experience.展开更多
In order to investigate the feasibility of serum creatine kinase （CK） and blood urea nitrogen （BUN） in monitoring pre-competition training of badminton athletes, the pre-competition training load of 20 badminton a...In order to investigate the feasibility of serum creatine kinase （CK） and blood urea nitrogen （BUN） in monitoring pre-competition training of badminton athletes, the pre-competition training load of 20 badminton athletes was studied, and serum CK and BUN were determined before, immediate and next morning after training. The results showed that after intensive training for one week, serum CK levels were significantly increased by 57.53 mmol/L （P〈0.05）. After regulation of the training intensity, average serum CK levels were increased by 21.79 mmol/L （P〈0.05）. BUN contents were increased by 0.83 mmol/L on average with the difference being not significant （P〉0.05）. After intermittent training, there was significant difference in the average increased levels of serum CK in athletes （P〈0.05）. There was significant difference before and after regulation of training （P〈0.05）. The increased levels of BUN were 0.78 mmol/L without significant difference （P〉0.05）. It was concluded that serum CK was one of the biochemical indicators monitoring the training load sensitivity of badminton athletes, but BUN was of little value in monitoring the training load. Both serum CK and BUN recovered slowly after one-week intensive training and intermittent training, suggesting the metabolic mechanism of human body in training needs further study.展开更多
Intense exercise may cause heart remodeling to compensate increases in blood pressure or volume by increasing muscle mass. Cardiac changes do not involve only the left ventricle, but all heart chambers. Physiological ...Intense exercise may cause heart remodeling to compensate increases in blood pressure or volume by increasing muscle mass. Cardiac changes do not involve only the left ventricle, but all heart chambers. Physiological cardiac modeling in athletes is associated with normal or enhanced cardiac function, but recent studies have documented decrements in left ventricular function during intense exercise and the release of cardiac markers of necrosis in athlete's blood of uncertain significance. Furthermore, cardiac remodeling may predispose athletes to heart disease and result in electrical remodeling, responsible for arrhythmias. Athlete's heart is a physiological condition and does not require a specific treatment. In some conditions, it is important to differentiate the physiological adaptations from pathological conditions, such as hypertrophic cardiomyopathy, arrhythmogenic dysplasia of the right ventricle, and non-compaction myocardium, for the greater risk of sudden cardiac death of these conditions. Moreover, some drugs and performance-enhancing drugs can cause structural alterations and arrhythmias, therefore, their use should be excluded.展开更多
Background:Team-sport players have a particularly high injury risk.Although female sex is considered a risk factor,it is still unknown whether female and male team-sport players,in fact,differ in their injury rates.We...Background:Team-sport players have a particularly high injury risk.Although female sex is considered a risk factor,it is still unknown whether female and male team-sport players,in fact,differ in their injury rates.We aimed to compare injury rates between female and male players by systematically reviewing and meta-analyzing injury surveillance studies of both sexes in order to evaluate sex-specific differences in team-sport injuries.Methods:Studies that prospectively collected injury data for high-level female and male players(age≥16 years)in basketball,field hockey,football(soccer),handball,rugby(union and sevens),and volleyball were included.Two reviewers(AZ and ALR)independently assessed study quality and extracted data for overall,match,training,and severe injuries(>28 days’time loss)as well as data regarding injury locations and types.Incidence rate ratios(IRRs)were pooled in a meta-analysis,and meta-regression analysis was performed when 10 or more studies were available.Results:Of 20 studies,9 studies reported injury data from football,3 studies from rugby,3 studies from handball,1 study from basketball,1 study from field hockey,2 studies from volleyball,and 1 study from basketball and field hockey.For overall injuries,the pooled IRR=0.86(95%confidence interval(95%CI):0.76-0.98)indicated significantly more injuries in male than in female players.For injury location,the pooled IRR showed higher injury rates in male athletes than in female athletes for upper extremity,hip/groin,thigh,ande foot injuries.Female players had a significantly higher rate of anterior cruciate ligament injuries(IRR=2.15,95%CI:1.27-3.62)than male players.No significant sex-specific differences in IRR were found for match,training,severe injuries,concussions,or ankle sprains.Conclusion:Our meta-analysis provides evidence for sex-specific differences in the injury rates in team sports.Further epidemiological studies including both sexes in sports other than football are needed in order to strengthen the evidence.展开更多
文摘BACKGROUND In pediatric and adolescent athletes,there is a lack of understanding about the impact of factors such as race on the structural or cardiovascular adaptations in response to exercise which may unnecessarily disqualify athletes from the competitive sport.We hypothesized that race has an impact on cardiac adaptions in non-adult athletes.AIM To explore the racial disparity in electrocardiographic(ECG)and echocardiographic(ECHO)parameters in healthy adolescent athletes.METHODS A comprehensive electronic systematic literature search using MEDLINE database was performed from inception to September 20,2024.Inclusion criteria included randomized or observational cohort studies that recruited adolescent competitive athletes in any sport discipline and compared between the Black and White races with an age range of 12-18 years.RESULTS Of 723 records that were identified by the literature search,seven studies(n=5036)were included.The mean age was 13.0-18.0 years old with male predominance.Black athletes had significantly longer PR interval[mean difference(MD)=17.49 millisecond,95% CI:11.70-23.29]and shorter QRS complex duration(MD=-7.35 millisecond,95% CI:-9.17 to-5.53)and corrected QT interval(MD=-4.95 millisecond,95% CI:-7.69 to-2.22)than the White athletes.Black athletes were approximately four times more likely to have first-degree atrioventricular(AV)block,inverted T wave,ST-segment elevation,and left atrium(LA)enlargement than their White counterparts.In terms of ECHO parameters,Black athletes had significantly greater septal wall thickness(MD=0.85 mm,95% CI:0.62-1.07),posterior wall thickness(MD=1.07 mm,95% CI:0.36-1.78),relative wall thickness(MD=0.03,95%CI:0.001-0.06),maximal wall thickness(MD=1.05 mm,95%CI:0.28-1.83),and LA diameter(MD=1.64 mm,95%CI:0.16-3.12).CONCLUSION Race has an impact on the ECG and ECHO parameters that reflect cardiac adaptations in adolescent athletes.Black athletes tend to have an increased prevalence of distinct ECG changes such as first-degree AV block and T-wave inversions compared with their White counterparts.Despite having thicker septal and posterior walls,the overall prevalence of left ventricular hypertrophy did not differ between the races.
基金supported by the Ontario Women's Health Scholars Postdoctoral awarda Western's Bone&Joint Institute Collaborative Training in Musculoskeletal Heath Program Trainee Award.
文摘Background:Preparticipation examinations(PPEs)are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season.However,many PPEs include minimal and often nonspecific questions related to the health concerns of female athletes.A lack of female athlete specific health questions could result in missed red flags and subsequent injury or illness.As such,the objectives of this scoping review were to(a)determine what female athlete specific health questions currently exist in PPEs in the scientific literature to prevent injury and illness,and(b)map the results against the health domains outlined in the International Olympic Committee(IOC)consensus statement supplement on the female athlete.Methods:We searched Embase,Scopus,CINAHL,Medline Ovid,and SPORTDiscus from inception to December 2022.Any study with female athlete specific health PPE questions or recommendations for questions(i.e.,menstrual health,eating habits,musculoskeletal health,etc.)was included.Three reviewers independently screened titles and abstracts,followed by full text articles for eligibility and data extraction,with conflicts resolved by a third-party reviewer.Extracted data were summarized into 3 determined groupings.Results:Of the 1356 studies screened,41 were included in this study.Forty studies(98%)included questions/recommendations related to menstrual health.Thirty-one studies(76%)had questions/recommendations concerning disordered eating/eating habits.Twenty-four studies(59%)referred to body weight/image,and 16 studies(39%)referred to musculoskeletal health.No studies included questions on all IOC female athlete health domains.Conclusion:There is currently a gap in female athlete specific health content included in PPEs.A more comprehensive,standardized PPE with a focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.
文摘BACKGROUND Fixed esotropia in high myopia,characterized by irreversible inward ocular deviation and abduction limitation,presents unique therapeutic challenges for athletes requiring precise binocular coordination.The combination of Yokoyama surgery and medial rectus muscle recession has been proposed as an advanced technique addresses both myopia-induced globe displacement and muscular imbalance offering potential advantages over conventional strabismus surgery in this population.AIM To investigate the effects of the modified Yokoyama surgery coupled with medial rectus muscle recession in restoring ocular motility and correcting esotropia among athletes with high myopia and fixed esotropia.METHODS A retrospective study analyzed 30 highly myopia athletes(57 eyes)with fixed esotropia treated at our hospital from January 2022 to April 2024.The participants were allocated into two groups based on the surgical method:The traditional group(n=15,29 eyes)received conventional strabismus surgery,and the combined group(n=15,28 eyes)underwent modified Yokoyama surgery in combination with medial rectus muscle recession.Eye movement improvement,esotropia alleviation,and complications were compared preoperatively and at 1,3,and 6 months post-treatment.RESULTS Both surgical groups exhibited similar baseline scores(traditional:-4.04±0.38 vs combined:-4.12±0.45,P>0.05),showing severe preoperative limitations in ocular motility.Following the intervention,the combined group achieved significantly better outcomes at both 1 month(combined:-2.25±0.28 vs traditional:-2.67±0.32)and 3 months(combined:-1.48±0.28 vs traditional:-1.76±0.43),with statistically significant improvements(P<0.05).However,by 6 months,no significant difference was observed between the two groups(combined:-0.93±0.13;traditional:-1.03±0.18;P>0.05).Prior to treatment,all patients in both groups exhibited a compensatory head posture(CHP).Following treatment,the incidence of CHP decreased to 6.67%in the combined group and 20.00%in the traditional group,both reductions being significant compared to pretreatment levels(P<0.05).Nevertheless,the difference in CHP incidence between the two groups after treatment was not significant(P>0.05).The rates of improvement in esotropia showed an increasing trend in both groups at 1 month(46.43%vs 34.48%),3 months(78.57%vs 51.728%),and 6 months(100.00%vs 89.66%)post-treatment.Notably,the combined group had a significantly higher improvement rate than the traditional group at the 3-month follow-up(P<0.05).No significant difference was observed in the esotropia improvement rates between the two groups at 1 and 6 months post-treatment(P>0.05).The combined group experienced slightly lower but not significant(combined group:0.00%vs traditional:3.45%)as opposed to the traditional group(3.45%;P>0.05).CONCLUSION The combination of modified Yokoyama surgery and medial rectus muscle recession provides effective and safe approach to improving in eye movement and esotropia in athletes with high myopia and fixed esotropia,offering reliable clinical benefits.
文摘Background:Iron facilitates key biological functions underpinning sports performance,and up to 60%of female athletes experience iron deficiency.However,the effects of iron deficiency on sports performance in female athletes is unclear,as are the degree of benefits of iron supplementation(FeSup).This study characterizes the effects of iron deficiency and FeSup on sports performance in high-level female athletes.Methods:Searches of the electronic databases MEDLINE,SPORTDiscus,Web of Science,Scopus,and CINAHL were performed in July 2023.Studies were included that evaluated the effects of iron deficiency or FeSup on sports performance in high-level(maximal oxygen uptake(VO2max)>45 mL/kg/min,or trained>5 h/week)iron deficient(ID)(serum ferritin(sFer)<40 mg/L)female athletes.Studies were assessed using a modified Downs and Black Quality Assessment Checklist.Results:A total of 23 studies comprising 669 athletes(age range:13-47 years)across 16 sports were included in the review.Iron deficiency negatively affects endurance performance by 3%-4%.However,endurance performance improved by 2%-20%when ID athletes were treated with 100 mg/day of elemental iron for up to 56 days via oral supplementation,or bi-daily via parenteral administration over 8-10 days.ID nonanemic athletes with low sFer stores may be predisposed to reduced maximal aerobic capacity.However,maximal aerobic capacity improved by 6%-15%following 16 mg/day-100 mg/day of elemental iron for 36-126 days.Isokinetic strength and anaerobic power performance may be impeded(-23%to+4%)among ID athletes,but the effect of FeSup on anaerobic power varied markedly(-5%to+9%)following 100 mg/day of elemental iron over 42-56 days,or 100 mg of elemental iron bi-daily over 8-10 days.The quality of studies was moderate(77%),ranging from low(57%)to high(100%).Moststudies(n=18)contained group sizes-20 athletes,thus limiting the likelihood of detecting significant effects(statistical power>0.80).Conclusion:High-level ID female athletes experience a negative impact on endurance performance,which can be improved by supplementing with»100 mg of elemental iron per day or bi-daily.The decrements in other performance parameters characterizing a range of sports coincide with the severity of iron deficiency.
基金funded by the National Health and Medical Research Council of Australia(Grant No.APP1130353)supported by a Royal Australian College of Physicians Research Entry Scholarship(Grant No.2023RES00039)+4 种基金The National Health and Medical Research Council Postgraduate Scholarship(Grant No.2031119)a Heart Foundation PhD Scholarship(Grant No.107659)supported through an Australian Government Research Training Program Scholarshipsupported as a postdoctoral clinical researcher by the Fund for Scientific Research Flanderssupported by a National Health and Medical Research Council of Australia Investigator Grant(Grant No.APP 2027105)。
文摘Background:A greater prevalence of arrhythmias has been described in endurance athletes,but it remains unclear whether this risk persists after detraining.We aimed to evaluate the prevalence of arrhythmias and their relationship with cardiac remodeling in lifelong and retired master endurance athletes compared to non-athletic controls.Methods:We performed a cross-sectional analysis of observational studies that used echocardiography and cardiac magnetic resonance to detail cardiac structure and function,and Holter monitors to identify atrial and ventricular arrhythmias in 185 endurance athletes and 81 non-athletic controls aged≥40 years.Athletes were categorized as active lifelong(n=144)or retired(n=41)based on hours per week of high-intensity endurance exercise within 5 years of enrollment and validated by percentage of predicted maximal oxygen consumption(VO_(2max)).Athletes with overt cardiomyopathies,channelopathies,pre-excitation,and/or myocardial infarction were excluded.Results:Lifelong athletes(median age=55 years(interquartile range(IQR):46-62),79%male)were significantly fitter than retired athletes(median age=66 years(IQR:58-71),95%male)and controls(median age=53 years(IQR:48-60),96%male),respectively(predicted VO_(2max):131%±18%vs.99%±14%vs.98%±15%,p<0.001).Compared to controls,athletes in our cohort had a higher prevalence of atrial fibrillation((AF):32%vs.0%,p<0.001)and non-sustained ventricular tachycardia((NSVT):9%vs.1%,p=0.007).There was no difference in prevalence of any arrhythmia between lifelong and retired athletes.Lifelong athletes had larger ventricular volumes than retired athletes,who had ventricular volumes similar to controls(left ventricular end-diastolic volume indexed to body surface area(LVEDVi):101±20 m L/m^(2)vs.86±16 mL/m^(2)vs.94±18 mL/m^(2),p<0.001;right ventricular end-diastolic volume indexed to body surface area(RVEDVi):117±23 mL/m^(2)vs.101±19 mL/m^(2)vs.100±19 mL/m^(2),p<0.001).Athletes had more scar(40%vs.18%,p=0.002)and larger left atria(median volume=45m L/m^(2)(IQR:38-52)vs.31 mL/m^(2)(IQR:25-38),p<0.001)than controls,with no difference in atrial volumes and non-ischaemic scar between the athlete groups.Conclusion:Master endurance athletes have a higher prevalence of AF and NSVT than non-athletic controls.Whereas ventricular remodeling tends to reverse with detraining,the propensity to arrhythmias persists regardless of whether they are actively exercising or retired.
文摘Background: Biological maturation refers to the progressive process through which individuals transition toward an adult state during growth and development. To address the challenges posed by differences in biological maturity and the limitations of existing testing methods, particularly in adolescent sports contexts, there is a pressing need for a non-invasive method that is convenient, accurate, and broadly applicable to monitor the biological maturity of adolescent athletes comprehensively. In response to this need, a maturity assessment method based on the smartphone application Maturo has been developed. This study evaluates the accuracy and validity of the Maturo software, an automated tool for estimating biological age and related maturation metrics.Methods: A sample of 103 actively training teenage athletes aged 9-17 years. The sample included 76 males(age = 11.74 ± 1.55 years, mean ±SD) and 27 females(age = 13.95 ± 1.40 years), all without medical conditions that might impact growth or development.Results: Compared to traditional expert evaluations, the intraclass correlation coefficients(ICCs) and Pearson correlation coefficients demonstrated reliable positive correlations and significant agreement between the Maturo software and expert methods across multiple metrics, such as biological age(ICC = 0.965, R = 0.97), corrected biological age(ICC = 0.973, R = 0.99), predicted adult height(ICC = 0.991, R = 0.99), and percentage of adult height achieved(ICC = 0.955, R = 0.97). The Bland-Altman plots provided additional evidence of the validity of the Maturo software estimations, showing low systematic error in most measures. The linear regression analysis produced excellent adjusted R2values: 0.95for biological age and 0.99 for anticipated adult height. The Maturo approach demonstrated a high level of dependability in classifying teenagers into groups based on their maturity status and timing. The κ coefficients of 0.93 for maturity status and 0.82 for maturity timing indicate a nearly perfect agreement with the expert technique.Conclusion: While the Maturo software's non-invasive nature, cost-effectiveness, and ease of use could make it a potential tool for regular monitoring of growth and maturation in young athletes, its promising results in assessing maturation should be interpreted with caution due to limitations such as sample size and demographic constraints. Further longitude research with larger and more diverse populations is needed to validate these preliminary findings and strengthen the evidence for its broader applicability.
文摘High-intensity interval training(HIIT),a highly efficient and distinctive exercise format,has sparked growing academic interest in sports performance training.This article synthesizes theoretical and applied evidence to analyze mechanisms of HIIT in neuromuscular activation,hormonal responses,muscle fiber adaptation,and metabolic pathway effects.It focuses on its effectiveness in enhancing explosive power,maximum strength,and strength endurance,while also examining the integration of HIIT with traditional resistance training,periodized programming,and personalized prescription.Scientific implementation of HIIT can effectively diversify or even replace conventional strength training,not only offering positive directional changes for strength development but also introducing innovative approaches to sports performance training practices.
文摘1|Goalie Phenomenon The goalie phenomenon describes a group of health issues that may become apparent in children who prefer playing as goalkeepers.This preference might not only be about the excitement of the role but also as a coping mechanism for underlying health issues that make continuous running and high physical exertion challenging.The term highlights how certain positions in sports can sometimes obscure or reveal hidden health conditions,particularly among young athletes[1–3].To our knowledge,this is the first paper to formally introduce the term“Goalie phenomenon”in the literature exploring exerciseinduced asthma and sports role preferences in children.
基金funded by the National Science and Technology Council,grant number NSTC 113-2221-E-002-136-.
文摘In order to help athletes optimize their performances in competitions while prevent overtraining and the risk of overuse injuries,it is important to develop science-based strategies for optimally designing training programs.The purpose of the present study is to develop a novel method by the combined use of optimal control theory and a training-performance model for designing optimal training programs,with the hope of helping athletes achieve the best performance exactly on the competition day while properly manage training load during the training course for preventing overtraining.The training-performance model used in the proposed optimal control framework is a conceptual extension of the Banister impulse-response model that describes the dynamics of performance,training load(served as the control variable),fitness(the overall positive effects on performance),and fatigue(the overall negative effects on performance).The objective functional of the proposed optimal control framework is to maximize the fitness and minimize the fatigue on the competition day with the goal of maximizing the performance on the competition day while minimizing the cumulative training load during the training course.The Forward-Backward Sweep Method is used to solve the proposed optimal control framework to obtain the optimal solutions of performance,training load,fitness,and fatigue.The simulation results show that the performance on the competition day is higher while the cumulative training load during the training course is lower with using optimal control theory than those without,successfully showing the feasibility and benefits of using the proposed optimal control framework to design optimal training programs for helping athletes achieve the best performance exactly on the competition day while properly manage training load during the training course for preventing overtraining.The present feasibility study lays the foundation of the combined use of optimal control theory and training-performance models to design personalized optimal training programs in real applications in athletic training and sports science for helping athletes achieve the best performances in competitions while prevent overtraining and the risk of overuse injuries.
文摘AIM:To analyze stress fractures in athletes based on experience from our sports medicine clinic.METHODS:We investigated the association between stress fractures and age,sex,sports level,sports activity,and skeletal site in athletes seen at our sports medicine clinic between September 1991 and April 2009.Stress fractures of the pars interarticularis were excluded from this analysis.RESULTS:During this period(18 years and 8 mo),14276 patients(9215 males and 5061 females)consulted our clinic because of sports-related injuries,and 263 patients(1.8%)[171 males(1.9%)and 92 females(1.8%)]sustained stress fractures.The average age of the patients with stress fractures was 20.2 years(range 10-46 years);112 patients(42.6%)were 15-19 years of age and 90(34.2%)were 20-24 years of age.Altogether,90 patients(34.2%)were active at a high recreational level and 173(65.8%)at a competitive level.The highest proportion of stress fractures was seen in basketball athletes(21.3%),followed by baseball(13.7%),track and field(11.4%),rowing(9.5%),soccer(8.4%),aerobics(5.3%),and classical ballet(4.9%).The most common sites of stress fractures in these patients were the tibia(44.1%),followed by the rib(14.1%),metatarsal bone(12.9%),ulnar olecranon(8.7%)and pelvis(8.4%).The sites of the stress fractures varied from sport to sport.The ulnar olecranon was the most common stress fracture site in baseball players,and the rib was the most common in rowers.Basketball and classical ballet athletes predominantly sustained stress fractures of the tibia and metatarsal bone.Track and field and soccer athletes predominantly sustained stress fractures of the tibia and pubic bone.Aerobics athletes predominantly sustained stress fractures of the tibia.Middle and long distance female runners who sustained multiple stress fractures had the female athlete triad.CONCLUSION:The results of this analysis showed that stress fractures were seen in high-level young athletes,with similar proportions for males and females,and that particular sports were associated with specific sites for stress fractures.Middle and long distance female runners who suffered from multiple stress fractures had the female athlete triad.
基金supported by the French Federation of Table Tennis.
文摘Purpose:The purposes of this study were to examine the trajectories of athlete burnout across a 2-month period characterized by high physical,psychological,and social demands to explore(1)whether several subgroups of athletes representing distinct burnout trajectories emerged from the analyses and(2)whether athlete burnout symptoms(reduced accomplishment,sport devaluation,and exhaustion)developed in tandem or whether some burnout dimensions predicted downstream changes in other dimensions(causal ordering model).Methods:One hundred and fifty-nine table tennis players in intensive training centers completed a self-reported athlete burnout measure across 3 time points within a 2-month period characterized by high demands.Data were analyzed through latent class growth analysis.Results:Results of latent class growth analysis showed 3 distinct trajectories for each athlete burnout dimension,indicating not only linear or quadratic change but also stability in longitudinal athlete burnout perceptions.Results also suggested that the 3 dimensions of athlete burnout did not develop in tandem.Rather,the likelihood of belonging to particular emerging trajectories of sport devaluation and physical/emotional exhaustion was significantly influenced by the athletes’perception of reduced accomplishment assessed at Time 1.Thus,reduced accomplishment predicted downstream changes in the 2 other athlete burnout dimensions.Conclusion:As a whole,these results highlighted that the multinomial heterogeneity in longitudinal athlete burnout symptoms needs to be accounted for in future research.
基金Supported by the Ministry of Higher Education Malaysia Sports Grant[No.KPT.N.660-7 Jld 7(3)]UKM Research Code NN-2013-069
文摘AIM：To compare visual efficiency,specifically accommodation,vergence,and oculomotor functions among athletes and non-athletes.METHODS：A cross-sectional study on sports vision screening was used to evaluate the visual skills of 214elementary students（107 athletes,107 non-athletes）,aged between 13 and 16y.The visual screening assessed visual parameters such as ocular motor alignment,accommodation,and vergence functions.RESULTS：Mean visual parameters were compared between age-group matched athletes（mean age14.82±0.98y）and non-athletes（mean age 15.00±1.04y）.The refractive errors of all participants were corrected to maximal attainable best corrected visual acuity of log MAR0.0.Accommodation function assessment evaluated amplitude of accommodation and accommodation facility.Vergence functions measured the near point of convergence,vergence facility,and distance fusional vergence at break and recovery point.Ocular motor alignment was not statistically significant between both groups.Athletes had a statistically significant amplitude of accommodation for both the right eye（t=2.30,P=0.02）and the left eye（t=1.99,P=0.05）.Conversely,non-athletes had better accommodation facility（t=-2.54,P=0.01）and nearpoint of convergence（t=4.39,P〈0.001）when compared to athletes.Vergence facility was found to be better among athletes（t=2.47,P=0.01）.Nevertheless,non-athletes were significantly better for both distance negative and positive fusional vergence.CONCLUSION：Although the findings are still inconclusive as to whether athletes had superior visual skills as compared to non-athletes,it remains important to identify and elucidate the key visual skills needed by athletes in order for them to achieve higher performance in their sports.
文摘We assessed 16 student-athletes in their first year of college on several dimensions, including severity of psychological and physical symptoms, mental health upset, academic concerns, suicidal tendencies, depressive outlook, anxiety and tension, attention difficulties, and alcohol abuse. We assessed half during their sports’ competition season and half during their off-season. Results pointed to increased perceived stress during the down time of off season. It may be that for student-athletes, the structure of competition season offsets the stress of competition, such that when the structure is removed or lessened, perceived stress increases. Implications of these data are discussed as well as plans for developing follow-up studies.
文摘Acute ankle sprain is the most common lower limb injury in athletes and accounts for 16%-40%of all sports-related injuries.It is especially common in basketball,American football,and soccer.The majority of sprains affect the lateral ligaments,particularly the anterior talofibular ligament.Despite its high prevalence,a high proportion of patients experience persistent residual symptoms and injury recurrence.A detailed history and proper physical examination are diagnostic cornerstones.Imaging is not indicated for the majority of ankle sprain cases and should be requested according to the Ottawa ankle rules.Several interventions have been recommended in the management of acute ankle sprains including rest,ice,compression,and elevation,analgesic and anti-inflammatory medications,bracing and immobilization,early weight-bearing and walking aids,foot orthoses,manual therapy,exercise therapy,electrophysical modalities and surgery(only in selected refractory cases).Among these interventions,exercise and bracing have been recommended with a higher level of evidence and should be incorporated in the rehabilitation process.An exercise program should be comprehensive and progressive including the range of motion,stretching,strengthening,neuromuscular,proprioceptive,and sport-specific exercises.Decision-making regarding return to the sport in athletes may be challenging and a sports physician should determine this based on the self-reported variables,manual tests for stability,and functional performance testing.There are some common myths and mistakes in the management of ankle sprains,which all clinicians should be aware of and avoid.These include excessive imaging,unwarranted non-weightbearing,unjustified immobilization,delay in functional movements,and inadequate rehabilitation.The application of an evidence-based algorithmic approach considering the individual characteristics is helpful and should be recommended.
文摘Purpose:The purpose of the current study was to develop and validate a sport-specific mindfulness measure,the Athlete Mindfulness Questionnaire(AMQ),through 5 related studies using 4 separate samples of Chinese athletes.The AMQ is a 3-factor measure designed to assess mindfulness that reflects present-moment attention,awareness,and acceptance in a sport context.Methods:In Study 1,an initial pool of items was generated based on previous literature,existing mindfulness scales,as well as interviews with and feedback from the athletes,coaches,and mindfulness experts.Initial support for the 3-factor structure of the AMQ was established via exploratory factor analysis in Study 2,and cross-validated through confirmatory factor analysis in Studies 3 and 4.In Study 5,a modified 3-factor AMQ with direct-worded acceptance items was examined in a fourth independent sample.Results:Convergent and concurrent validities of the acceptance subscale failed to be established in Studies 3 and 4 which may be due to the inattention and confusion of the athletes whilst interpreting the reverse-worded items.A modified 16-item AMQ in Study 5 displayed satisfactory model fit and acceptable internal consistencies.Most importantly,convergent and concurrent validities of the 16-item AMQ were supported.The3 subscales showed significant positive associations with mindfulness,flow,well-being,and positive affect and significant negative associations with experiential avoidance,burnout,and negative affect.Conclusion:The AMQ is a psychometrically sound measure of mindfulness in a sport context.The importance of using direct-worded acceptance items is discussed.
基金the Natural Science Foundation of China (31571151,31700985)the Scientific and Technological Commission of Shanghai(17080503100)
文摘Purpose:The purpose of present study was to investigate the impact of sport experience on response inhibition and response re-engagement in expert badminton athletes during the stop-signal task and change-signal task.Methods:A total of 19 badminton athletes and 20 nonathletes performed both the stop-signal task and change-signal task.Reaction times(RTs)and event-related potentials were recorded and analyzed.Results:Behavioral results indicated that badminton athletes responded faster than nonathletes to go stimuli and to change signals,with faster change RTs and change-signal RTs,which take into consideration the variable stimulus onset time mean.During successful change trials in the change-signal task,the amplitudes of the event-related potential components N2 and P3 were smaller for badminton athletes than for nonathletes.Moreover,change-signal RTs and N2 amplitudes as well as change RTs and P3 amplitudes were significantly correlated in badminton athletes.A significant correlation was also found between the amplitude of the event-related potential component N1 and response accuracy to change signals in badminton athletes.Conclusion:Moderation of brain cortical activity in badminton athletes was more associated with their ability to rapidly inhibit a planned movement and re-engage with a new movement compared with nonathletes.The superior inhibitory control and more efficient neural mechanisms in badminton athletes compared with nonathletes might be a result of badminton athletes’ professional training experience.
文摘In order to investigate the feasibility of serum creatine kinase （CK） and blood urea nitrogen （BUN） in monitoring pre-competition training of badminton athletes, the pre-competition training load of 20 badminton athletes was studied, and serum CK and BUN were determined before, immediate and next morning after training. The results showed that after intensive training for one week, serum CK levels were significantly increased by 57.53 mmol/L （P〈0.05）. After regulation of the training intensity, average serum CK levels were increased by 21.79 mmol/L （P〈0.05）. BUN contents were increased by 0.83 mmol/L on average with the difference being not significant （P〉0.05）. After intermittent training, there was significant difference in the average increased levels of serum CK in athletes （P〈0.05）. There was significant difference before and after regulation of training （P〈0.05）. The increased levels of BUN were 0.78 mmol/L without significant difference （P〉0.05）. It was concluded that serum CK was one of the biochemical indicators monitoring the training load sensitivity of badminton athletes, but BUN was of little value in monitoring the training load. Both serum CK and BUN recovered slowly after one-week intensive training and intermittent training, suggesting the metabolic mechanism of human body in training needs further study.
文摘Intense exercise may cause heart remodeling to compensate increases in blood pressure or volume by increasing muscle mass. Cardiac changes do not involve only the left ventricle, but all heart chambers. Physiological cardiac modeling in athletes is associated with normal or enhanced cardiac function, but recent studies have documented decrements in left ventricular function during intense exercise and the release of cardiac markers of necrosis in athlete's blood of uncertain significance. Furthermore, cardiac remodeling may predispose athletes to heart disease and result in electrical remodeling, responsible for arrhythmias. Athlete's heart is a physiological condition and does not require a specific treatment. In some conditions, it is important to differentiate the physiological adaptations from pathological conditions, such as hypertrophic cardiomyopathy, arrhythmogenic dysplasia of the right ventricle, and non-compaction myocardium, for the greater risk of sudden cardiac death of these conditions. Moreover, some drugs and performance-enhancing drugs can cause structural alterations and arrhythmias, therefore, their use should be excluded.
文摘Background:Team-sport players have a particularly high injury risk.Although female sex is considered a risk factor,it is still unknown whether female and male team-sport players,in fact,differ in their injury rates.We aimed to compare injury rates between female and male players by systematically reviewing and meta-analyzing injury surveillance studies of both sexes in order to evaluate sex-specific differences in team-sport injuries.Methods:Studies that prospectively collected injury data for high-level female and male players(age≥16 years)in basketball,field hockey,football(soccer),handball,rugby(union and sevens),and volleyball were included.Two reviewers(AZ and ALR)independently assessed study quality and extracted data for overall,match,training,and severe injuries(>28 days’time loss)as well as data regarding injury locations and types.Incidence rate ratios(IRRs)were pooled in a meta-analysis,and meta-regression analysis was performed when 10 or more studies were available.Results:Of 20 studies,9 studies reported injury data from football,3 studies from rugby,3 studies from handball,1 study from basketball,1 study from field hockey,2 studies from volleyball,and 1 study from basketball and field hockey.For overall injuries,the pooled IRR=0.86(95%confidence interval(95%CI):0.76-0.98)indicated significantly more injuries in male than in female players.For injury location,the pooled IRR showed higher injury rates in male athletes than in female athletes for upper extremity,hip/groin,thigh,ande foot injuries.Female players had a significantly higher rate of anterior cruciate ligament injuries(IRR=2.15,95%CI:1.27-3.62)than male players.No significant sex-specific differences in IRR were found for match,training,severe injuries,concussions,or ankle sprains.Conclusion:Our meta-analysis provides evidence for sex-specific differences in the injury rates in team sports.Further epidemiological studies including both sexes in sports other than football are needed in order to strengthen the evidence.
