Iverson Grant L, Terry Douglas P, Caccese Jaclyn B, Büttner Fionn, Merz Zachary C
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA.
J Neurotrauma. 2021 Mar;38(5):538-545. doi: 10.1089/neu.2020.7041. Epub 2020 Dec 11.
The purpose of this study was to determine if earlier age of first exposure (AFE) to football is associated with worse brain health in middle-aged men who played high school football. We assessed 123 men 35-55 years of age, who played high school football, using (1) a survey of demographic information as well as medical, sport participation, and concussion history; (2) the Patient Health Questionnaire-8 (PHQ-8); and (3) the British Columbia Post-Concussion Symptom Inventory (BC-PSI). Sixty-two (50.4%) men reported football participation starting before the age of 12 (i.e., AFE <12 years) and 61 (49.6%) reported football participation at or after the age of 12 (AFE 12 years). Compared with those with AFE 12 years, a similar proportion of former high school football players who began playing tackle football before age 12 reported that they had been prescribed medications for mental health problems or that they had recently experienced symptoms of anxiety, depression, memory loss, chronic pain, or headaches. Moreover, there was no significant difference in their lifetime history of treatment by a mental health professional. The groups did not differ significantly on PHQ-8 (U = 1839.0, = 0.791) or BC-PSI total scores (U = 1828.5, = 0.751). These findings suggest that earlier AFE to football is not associated with worse brain health in middle-aged men in this sample who played high school football.
本研究的目的是确定首次接触（AFE）足球的年龄较早是否与曾参加高中足球运动的中年男性较差的脑健康状况相关。我们评估了123名年龄在35至55岁之间、曾参加高中足球运动的男性，方法包括：（1）对人口统计学信息以及医疗、运动参与和脑震荡病史进行调查；（2）使用患者健康问卷-8（PHQ-8）；（3）使用不列颠哥伦比亚脑震荡症状量表（BC-PSI）。62名（50.4%）男性报告在12岁之前开始参加足球运动（即AFE<12岁），61名（49.6%）报告在12岁及之后开始参加足球运动（AFE≥12岁）。与AFE≥12岁的男性相比，类似比例的在12岁之前开始进行擒抱式橄榄球运动的前高中足球运动员报告称，他们曾被开了治疗心理健康问题的药物，或者最近经历过焦虑、抑郁、记忆力减退、慢性疼痛或头痛的症状。此外，他们接受心理健康专业人员治疗的终生病史没有显著差异。两组在PHQ-8（U = 1839.0，p = 0.791）或BC-PSI总分（U = 1828.5，p = 0.751）上没有显著差异。这些发现表明，在这个曾参加高中足球运动的样本中的中年男性中，较早的AFE与较差的脑健康状况无关。
