School of Nursing, University of Michigan, Ann Arbor, Michigan.
Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan.
J Adolesc Health. 2019 Feb;64(2):272-275. doi: 10.1016/j.jadohealth.2018.08.023. Epub 2018 Nov 5.
Examine lifetime prevalence of diagnosed concussion in US-national samples of 8th, 10th, and 12th graders involved in 16 different competitive sports; examine associations between concussion and individual sports, controlling for demographic characteristics and multiple sports involvement.
Analysis of nationally representative Monitoring the Future data from 2 cohorts (2016-2017; n = 25,408).
Adolescents who participated in baseball, basketball, football, gymnastics, ice hockey, lacrosse, soccer, track, weightlifting, and 'other sports' had greater odds of reporting multiple diagnosed concussions compared with peers not participating in these sports. Adolescents who participated in tennis had lower odds of reporting any diagnosed concussion or multiple concussions. Females who participated in gymnastics, soccer, and swimming showed a stronger association in reporting a diagnosed concussion when compared with males who participated in these same types of sports.
The study provides needed epidemiological information on prevalence of reported diagnosed concussion among teens participating in popular school and community sports. Certain high contact (e.g., football) and high volume (e.g., basketball) sports need increased efforts to manage adolescent athletes who already have a history of concussion or repeated concussions.
在参与 16 项不同竞技运动的美国 8 年级、10 年级和 12 年级学生的全国样本中，检查终身确诊脑震荡的发生率；在控制人口统计学特征和多项运动参与的情况下，检查脑震荡与个别运动之间的关联。
对 2 个队列（2016-2017 年）的全国代表性监测未来数据进行分析（n=25408）。
与不参加这些运动的同龄人相比，参加棒球、篮球、足球、体操、冰球、长曲棍球、足球、田径、举重和“其他运动”的青少年报告多次确诊脑震荡的可能性更大。参加网球的青少年报告任何确诊脑震荡或多次脑震荡的可能性较低。与参加同一类型运动的男性相比，参加体操、足球和游泳的女性报告确诊脑震荡的关联更强。
该研究提供了关于参与流行的学校和社区运动的青少年报告的确诊脑震荡发生率的必要流行病学信息。某些高接触（如足球）和高容量（如篮球）运动需要加强管理，以管理已经有脑震荡或反复脑震荡病史的青少年运动员。
