首页> 外文期刊>Orthopaedic Journal of Sports Medicine >HEALTH OUTCOMES AMONG FORMER FEMALE COLLEGIATE GYMNASTS: THE INFLUENCE OF SPORT SPECIALIZATION, CONCUSSION, AND DISORDERED EATING
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HEALTH OUTCOMES AMONG FORMER FEMALE COLLEGIATE GYMNASTS: THE INFLUENCE OF SPORT SPECIALIZATION, CONCUSSION, AND DISORDERED EATING

机译:前女大学体操运动员的健康成果:体育专业化,脑震荡和紊乱的影响

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Background: Over 1,500 collegiate gymnasts compete each year. Injury rates among these athletes are high, yet little is known about their long-term health outcomes. Hypothesis/Purpose: The purpose of our study was to describe health-related outcomes of former collegiate gymnasts and to evaluate how early sport specialization, concussion history, and disordered eating (DE) influence current health. We hypothesized that gymnasts who specialize early would report more injuries and would have worse physical health currently; that gymnasts who sustained concussions will be more likely to seek mental health treatment during their sport careers; and that gymnasts with DE would report more injuries. Methods: 473 former female collegiate gymnasts completed a survey (Table 1) that was distributed through social media. Participants were grouped according to early (&14 years) or late (& or equal to 14 years) specialization, whether they sustained a concussion during gymnastics participation, and whether they reported a history of DE or not. We determined the number of participants who had time-loss injuries, menstrual dysfunction, reasons for retirement from sport, functional outcome measures, and whether participants had sought mental health care during college. Results: The median age of gymnastics specialization was 8 years [interquartile range=6-11 years]. A significantly greater proportion of early specializers sustained injuries requiring surgery (60% vs. 44%; p=0.02), however, the proportion of time-loss injuries sustained during college, reasons for retirement, and current pain and physical function scores did not significantly differ between the early and late specializers (Table 2). Forty-two percent of participants sustained a concussion. Those with a concussion were more likely to have sought mental health treatment during college (32% vs. 23%; p=0.03), and to have a diagnosis of anxiety disorder (16% vs. 9%; p=0.01) than those with no concussion history (Table 3). Thirty-four percent reported DE during college. Those in the DE group had an increased risk of osteoporosis during college (4% vs 0%; p=0.003), secondary amenorrhea (16% vs 9%; p=0.02), and had an increased risk of time-loss injury (78% vs 65%; p=0.004) (Table 4). In addition, they had worse PROMIS pain (11.5 vs 10.2; p=0.007) and physical function scores (12.2 vs 11; p=0.01) after college. Conclusion: It is important for clinicians, coaches, and gymnasts to be aware of the risks of early specialization, concussions, and DE, all of which are common in former collegiate gymnasts. Counseling regarding these risks and prevention strategies for these health problems should be a focus of further research.
机译:背景:每年超过1500名学院体操运动员竞争。这些运动员之间的伤害率很高,但对他们的长期健康成果而言,众所周知。假设/目的:我们的研究目的是描述前大学体操运动员的健康相关成果,并评估早期运动专业化,脑震荡历史和紊乱的饮食(DE)影响当前健康。我们假设专门提前报告更多伤害的体操运动员,目前会有更糟糕的身体健康;那些持续脑震荡的体操运动员将在体育职业生涯中更有可能寻求心理健康治疗;那个与de的体操运动员会报告更多的伤害。方法:473名前女大学体操运动员完成了通过社交媒体分发的调查(表1)。参与者根据早期(& 14年)或迟到(& 或等于14年)专业进行分组,他们是否在体操参与期间持续了脑震荡,以及他们是否报告了德国的历史。我们确定了有时间损失,月经功能障碍,退休的原因,从体育,功能结果措施的原因以及参与者在大学期间寻求心理保健的参与者的数量。结果:体操中位数专业年龄为8年[四分位数范围= 6-11岁]。然而,一部分更大比例的早期专长持续伤害需要手术(60%与44%; P = 0.02),但在大学期间持续的损失的比例,退休的原因,以及目前的痛苦和物理功能分数没有早期和晚期专业人员之间的显着差异(表2)。 42%的参与者持续了脑震荡。那些脑震荡的人更有可能在大学期间寻求心理健康治疗(32%对23%; P = 0.03),并诊断焦虑症(16%vs.9%; P = 0.01)没有脑震荡历史记录(表3)。大学期间有34%的百分之十四。 DE组中的人在大学期间的骨质疏松症风险增加(4%vs 0%; p = 0.003),二次闭经(16%vs 9%; p = 0.02),并且存在损失损伤的风险增加( 78%vs 65%; p = 0.004)(表4)。此外,他们的促销疼痛较差(11.5 Vs 10.2; p = 0.007)和学院后物理功能分数(12.2 vs 11; p = 0.01)。结论:对于临床医生,教练和体操运动员来说,要意识到早期专业化,脑震荡和DE的风险,所有这些都是常见的在前大学体操运动员。关于这些健康问题的这些风险和预防战略的咨询应该是进一步研究的重点。

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