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残障人士足球世界锦标赛中的药物与补充剂使用情况

Medication and Supplement Use in Disability Football World Championships.

作者信息

Broman Daniel, Ahmed Osman Hassan, Tscholl Philippe M, Weiler Richard

机构信息

The FA Centre for Disability Football Research, St. George's Park, Burton-upon-Trent, DE13 9PD, United Kingdom; Institute of Sport, Exercise & Health, University College London, London, United Kingdom(∗).

The FA Centre for Disability Football Research, St. George's Park, Burton-upon-Trent, United Kingdom; Department of Physiotherapy, Poole Hospital NHS Foundation Trust, Poole, Dorset, United Kingdom(†).

出版信息

PM R. 2017 Oct;9(10):990-997. doi: 10.1016/j.pmrj.2017.02.017. Epub 2017 Mar 28.

DOI:10.1016/j.pmrj.2017.02.017
PMID:28363689
Abstract

BACKGROUND

Individuals with an impairment comprise more than 15% of the world's population, many of whom can benefit greatly from participation in sport. The provision of medical services in disability sport is a challenging area with a lack of scientific evidence. Given the positive impact that sport can have on the people with an impairment, it is vital that measures are taken to better understand the medical issues posed by disability sport. It is well established that medications and supplements are overused in sport, particularly within professional football, but there is no current evidence on medication or supplement use in elite disability football.

OBJECTIVE

To examine and describe the use of medication and supplements in disability football, before and during international tournaments, and to identify the profile of substances used by category.

DESIGN

Prospective, descriptive, cohort study.

SETTING

International Blind Sport Association Football World Cup 2015 and the International Federation of Cerebral Palsy Football World Cup 2015.

PARTICIPANTS

Two hundred forty-two elite-level disability footballers, classified with B1 visual impairment or cerebral palsy.

METHODS

Team clinicians were asked to document all medication and supplements taken in the 48 hours before each match.

RESULTS

This study recorded the use of 1648 substances in 242 players, with more than one half (53.1%) classified as supplements. There was an overall rate of 1.26 substances used per player per match and a medication use rate of 0.59 medications per player per match. Seventy percent (170/242) of players reported using at least one substance per tournament, with 57.9% (140/242) using at least one prescribed medication (63.6% of players at International Blind Sports Association World Games and 57.7% of players at International Federation of Cerebral Palsy World Cup). The most commonly prescribed category of medications was nonsteroidal anti-inflammatory drugs, representing 39.3% of all reported medications.

CONCLUSION

This study highlights the potential overuse of medication and supplements in disability football, particularly in the use of nonsteroidal anti-inflammatory drugs. These trends are comparable to previous research in Fédération Internationale de Football Association World Cup competitions.

LEVEL OF EVIDENCE

Not applicable.

摘要

背景

残障人士占世界人口的15%以上,其中许多人能从参与体育运动中大大受益。为残障人士体育赛事提供医疗服务是一个缺乏科学依据的具有挑战性的领域。鉴于体育运动能对残障人士产生积极影响,采取措施更好地了解残障人士体育赛事带来的医疗问题至关重要。众所周知,药物和补充剂在体育运动中被过度使用,尤其是在职业足球领域,但目前尚无关于精英残障人士足球赛事中药物或补充剂使用情况的证据。

目的

调查并描述国际比赛前和比赛期间残障人士足球运动员使用药物和补充剂的情况,并按类别确定所使用物质的概况。

设计

前瞻性描述性队列研究。

地点

2015年国际盲人体育协会足球世界杯和2015年国际脑瘫足球联合会世界杯。

参与者

242名精英级残障足球运动员,分为B1视力障碍或脑瘫类别。

方法

要求球队医生记录每场比赛前48小时内服用的所有药物和补充剂。

结果

本研究记录了242名运动员使用的1648种物质,其中一半以上(53.1%)归类为补充剂。每名运动员每场比赛使用物质的总体比率为1.26种,每名运动员每场比赛使用药物的比率为0.59种。70%(170/242)的运动员报告在每次比赛中至少使用一种物质,57.9%(140/242)的运动员使用至少一种处方药(国际盲人体育协会世界杯中63.6%的运动员和国际脑瘫足球联合会世界杯中57.7%的运动员)。最常开具的药物类别是非甾体抗炎药,占所有报告药物的39.3%。

结论

本研究强调了残障人士足球赛事中药物和补充剂可能存在过度使用的情况,尤其是非甾体抗炎药的使用。这些趋势与之前国际足联世界杯比赛的研究结果相当。

证据水平

不适用。

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