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| 2. |
- Dahlström, Örjan, 1973-, et al.
(författare)
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Efficacy of pre-participation cardiac evaluation recommendations among athletes participating in World Athletics Championships
- 2020
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Ingår i: European Journal of Preventive Cardiology. - : Sage Publications. - 2047-4873 .- 2047-4881. ; 27:14, s. 1480-1490
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Tidskriftsartikel (refereegranskat)abstract
- Background Athletes competing in athletics (track and field) at international level may be participating with underlying undiagnosed life-threatening cardiovascular conditions. Our objective was to analyse variations in pre-participation cardiac evaluation prevalence among athletes participating in two International Association of Athletics Federations (IAAF) World Athletics Championships, with regard to the human developmental level and global region of their home countries, as well as athletes’ age category, gender, event group and medical insurance type.Design Cross-sectional web-based survey.MethodsA total of 1785 athletes competing in the IAAF World Under 18 Championships Nairobi 2017 and World Championships London 2017 were invited to complete a pre-participation health questionnaire investigating the experience of a pre-participation cardiac examination.Results A total of 704 (39%) of the athletes participated. Among these, 59% (60% of women; 58% of men) reported that they had been provided at least one type of pre-participation cardiac evaluation. Athletes from very high income countries, Europe and Asia, showed a higher prevalence of at least one pre-participation cardiac evaluation.Conclusions The prevalence of pre-participation cardiac evaluation in low to middle income countries, and the African continent in particular, needs urgent attention. Furthermore, increases in evaluation prevalence should be accompanied by the development of cost-effective methods that can be adopted in all global regions.
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| 3. |
- Drew, Michael K., et al.
(författare)
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Health Systems in High-Performance Sport: Key Functions to Protect Health and Optimize Performance in Elite Athletes
- 2023
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Ingår i: Sports Medicine. - : ADIS INT LTD. - 0112-1642 .- 1179-2035. ; 53:8, s. 1479-1489
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Tidskriftsartikel (refereegranskat)abstract
- Enabling athletes to achieve peak performances while also maintaining high levels of health is contextually complex. We aim to describe what a health system is and apply the essential functions of stewardship, financing, provision of services and resource generation to an Australian high-performance sport context. We introduce a fifth function that health systems should not detract from athletes ability to achieve their sports goals. We describe how these functions aim to achieve four overall outcomes of safeguarding the health of the athletes, responding to expectations, providing financial and social protection against the costs of ill health, and efficient use of resources. Lastly, we conclude with key challenges and potential solutions for developing an integrated health system within the overall performance system in high-performance sport.
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| 4. |
- Edouard, Pascal, et al.
(författare)
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An injury complaints in the months before the championships is a risk factor for injury during athletics championship
- 2016
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Ingår i: Annals of Physical and Rehabilitation Medicine. - : Elsevier. - 1877-0657 .- 1877-0665. ; 59
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveDuring international athletics championships, the incidence and characteristics of new injuries have been well described: about 10% of registered athletes have a new injury. It seemed also important to understand the complaints of athletes in terms of injuries in the period before and at the start of the championships and potential association with potential new injuries for identification of possible risk factors.The objective of this study was to determine the health of athletes before the start of an international athletics championship and to identify risk factors for new injuries.Patients and methodsIn the 2013 World Athletics Championships in Moscow, all athletes enrolled (n = 1784) were asked to complete a pre-participation health questionnaire (PHQ) collecting data on the health status during the months preceding the championships. During the period of the Championships, all new injuries were prospectively recorded.ResultsThe PHQ was completed by 698 (39%) of the athletes; 204 (29.2%) reported suffering such injury complaint during the month before the championships. The most common mode of onset of pain before championships was gradual (43.6%). Forty-nine athletes reported at least one new injury during the championships. Athletes who reported suffering injuries before championships had an increased risk of having a new injury during the championship [odds ratio (OR) = 2.09; 95% confidence interval (95% CI): 1.16–3.77; P = 0.014] and those who reported suffering injuries championships before a gradual fashion appearance were at increased risk of almost four times to re-injury with sport stop in the championship (OR = 3.92; 95% CI: 1.69–9.08; P = 0.001).Discussion/ConclusionApproximately one third of athletes participating in an international athletics championship and involved in this study reported an injury complaint during the month before the championships. This represented a risk factor to suffer a new injury during the championship.This study highlights the potential importance of a pre-participation health questionnaire as a screening tool to identify athletes at risk of injury before international athletics championships.
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| 5. |
- Fagher, Kristina, et al.
(författare)
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An eHealth Application of Self-Reported Sports-Related Injuries and Illnesses in Paralympic Sport : Pilot Feasibility and Usability Study
- 2017
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Ingår i: JMIR Human Factors. - Toronto, Canada : JMIR Publications. - 2292-9495. ; 4:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Sport participation is associated with a risk of sports-related injuries and illnesses, and Paralympic athletes’ additional medical issues can be a challenge to health care providers and medical staff. However, few prospective studies have assessed sports-related injuries and illnesses in Paralympic sport (SRIIPS) over time. Advances in mobile phone technology and networking systems offer novel opportunities to develop innovative eHealth applications for collection of athletes’ self-reports. Using eHealth applications for collection of self-reported SRIIPS is an unexplored area, and before initiation of full-scale research of SRIIPS, the feasibility and usability of such an approach needs to be ascertained.Objective: The aim of this study was to perform a 4-week pilot study and (1) evaluate the monitoring feasibility and system usability of a novel eHealth application for self-reported SRIIPS and (2) report preliminary data on SRIIPS.Methods: An eHealth application for routine collection of data from athletes was developed and adapted to Paralympic athletes. A 4-week pilot study was performed where Paralympic athletes (n=28) were asked to weekly self-report sport exposure, training load, general well-being, pain, sleep, anxiety, and possible SRIIPS. The data collection was followed by a poststudy use assessment survey. Quantitative data related to the system use (eg, completed self-reports, missing responses, and errors) were analyzed using descriptive statistics. The qualitative feasibility and usability data provided by the athletes were condensed and categorized using thematic analysis methods.Results: The weekly response rate was 95%. The athletes were of the opinion that the eHealth application was usable and feasible but stated that it was not fully adapted to Paralympic athletes and their impairments. For example, it was difficult to understand how a new injury or illness should be identified when the impairment was involved. More survey items related to the impairments were requested, as the athletes perceived that injuries and illnesses often occurred because of the impairment. Options for description of multifactorial incidents including an injury, an illness, and the impairment were also insufficient. Few technical issues were encountered, but athletes with visual impairment reported usability difficulties with the speech synthesizer. An incidence rate of 1.8 injuries and 1.7 illnesses per 100 hours of athlete exposure were recorded. The weekly pain prevalence was 56% and the impairment contributed to 20% of the reported incidents.Conclusions: The novel eHealth-based application for self-reported SRIIPS developed and tested in this pilot study was generally feasible and usable. With some adaptation to accommodate Paralympic athletes’ prerequisites and improved technical support for athletes with visual impairment, this application can be recommended for use in prospective studies of SRIIPS.
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| 6. |
- Jacobsson, Jenny, 1962-, et al.
(författare)
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Universal prevention through a digital health platform reduces injury incidence in youth athletics (track and field): a cluster randomised controlled trial
- 2023
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Ingår i: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 57:6, s. 364-371
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Tidskriftsartikel (refereegranskat)abstract
- Objectives To examine whether universal prevention via a digital health platform can reduce the injury incidence in athletics athletes aged 12-15 years and if club size had an influence on the effect of the intervention. Methods This was a cluster randomised trial where young athletics athletes were randomised through their club following stratification by club size into intervention (11 clubs; 56 athletes) and control (10 clubs; 79 athletes) groups. The primary endpoint was time from baseline to the first self-reported injury. Intervention group parents and coaches were given access to a website with health information adapted to adolescent athletes and were encouraged to log in and explore its content during 16 weeks. The control group continued training as normal. Training exposure and injury data were self-reported by youths/parents every second week, that is, eight times. The primary endpoint data were analysed using the log-rank test. Cox proportional hazards regression was used to analyse the second study aim with intervention status and club size included in the explanatory models. Results The proportion of completed training reports was 85% (n=382) in the intervention group and 86% (n=545) in the control group. The injury incidence was significantly lower (HR=0.62; chi(2)=3.865; p=0.049) in the intervention group. The median time to first injury was 16 weeks in the intervention group and 8 weeks in the control group. An interaction effect between the intervention and stratification factor was observed with a difference in injury risk between athletes in the large clubs in the intervention group versus their peers in the control group (HR 0.491 (95% CI 0.242 to 0.998); p=0.049). Conclusions A protective effect against injury through universal access to health information adapted for adolescent athletes was observed in youth athletics athletes. The efficacy of the intervention was stronger in large clubs.
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| 7. |
- Jacobsson, Jenny, 1962-, et al.
(författare)
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Youth athletes at Swedish sports high schools with an athletics specialism emphasise environmental support for injury risk management : a focus group study.
- 2023
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Ingår i: BMJ Open Sport & Exercise Medicine. - : BMJ Publishing Group Ltd. - 2055-7647. ; 9:2
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Tidskriftsartikel (refereegranskat)abstract
- In this study, we examined knowledge and understanding of sport-related injuries among youth athletics (track and field) athletes and assessed their needs in managing any health problems. Qualitative data were collected via 12 focus groups with youth athletes (16-19 years) studying at Swedish sports high schools with an athletics specialism. All focus group discussions were audiorecorded and transcribed before being analysed using a thematic analysis approach. Four researchers independently reviewed the transcripts, generated codes and developed themes. Three overarching themes related to the athletes' knowledge and understanding of sport-related injury were developed: (1) awareness of injuries, (2) perception of injuries, and (3) factors contributing to injuries. The youth athletes were typically uncertain about how to acknowledge a sport-related injury. They expressed that knowledge about injuries was obtained in part by reflecting on the lived experiences of their peers. It was also demonstrated that there appears to be a 'culture of acceptance' regarding injury occurrence. In contrast, causes of injuries were viewed as dependent on multiple factors (eg, lack of context-specific knowledge about training practices). Regarding athletes' needs in managing injuries, an additional three themes were developed: (1) creating functioning elite sports environments, (2) application of knowledge and (3) fostering athletes. An apparent lack of structure and organisation related to the school environment was identified as an important issue to review to create opportunities for sustainable athletic development. The study identified areas that can be improved in Swedish sports high schools with an athletic specialism and could be applied in other youth sports contexts. The results of this study guide school stakeholders, alongside the sport governing bodies who have the mandate to influence activities in youth sports contexts, whereby special attention should be directed towards improving the social environment for youth athletes.
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| 8. |
- Lundqvist, Carolina, 1977-, et al.
(författare)
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Aligning categories of mental health conditions with intervention types in high-performance sports: a narrative cornerstone review and classification framework
- 2024
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Ingår i: Journal of Science and Medicine in Sport. - 1440-2440 .- 1878-1861.
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Tidskriftsartikel (refereegranskat)abstract
- Epidemiological studies suggest that psychiatric disorders are as prevalent amongst high-performance athletes as in general populations, challenging the myth of invulnerability. Despite efforts of sport organisations to highlight the significance of athletes' mental health, it is still many times tough to combine the sport performance ethos with a discourse on mental health. This narrative cornerstone review examines challenges related to definitions and classifications of athlete mental health in high-performance sports and how these influence assessments and the implementation of interventions. We discuss challenges with concept creep and psychiatrisation and outline their consequences for sport healthcare professionals. Based on this, we present a framework that aligns different categories of athlete mental health conditions (from the reduction of wellbeing to psychiatric disorders) with intervention types (from the provision of supporting environments to pharmacotherapy). We conclude that researchers and sport practitioners need to carefully consider conceptual creep and the risk of pathologising normal and healthy, albeit emotionally aversive, reactions to athlete lifeworld events when assessing athlete mental health. A clear separation of terminology denoting the athlete's resources to handle the lifeworld (including salutogenic factors) and terms describing psychiatric conditions and their management is necessary to avoid misguidance in intervention planning.
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| 9. |
- Lundqvist, Carolina, 1977-, et al.
(författare)
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Det viktigaste du behöver veta om psykisk hälsa hos elitidrottare
- 2022
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Ingår i: Idrottsforskning.se. - Stockholm : Centrum för idrottsforskning. - 2002-3944.
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Psykiskt mående och prestation går hand i hand och för en långsiktig och hållbar elitidrottskarriär är båda delarna centrala och ofta sammanflätade. Det finns idag ett ökat intresse från idrotten att fördjupa sin kunskap kring psykisk hälsa, samtidigt tycker många att det är ett svårt ämne att få grepp om. I denna artikel försöker vi sammanfatta viktig grundläggande kunskap inom området, för dig som jobbar med eller kommer i kontakt med elitidrottare.
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| 10. |
- Lundqvist, Carolina, 1977-, et al.
(författare)
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Elite lean athletes at sports high schools face multiple risks for mental health concerns and are in need of psychosocial support
- 2023
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Ingår i: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 18:4
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Tidskriftsartikel (refereegranskat)abstract
- The combined demands on an adolescence in an elite sports high school can negativelyaffect mental health (eg, stress, burnout, depression, anxiety). Late adolescence is alsowhen elite-striving athletes typically transition from junior-to-senior level programs. In addition, adolescent elite lean sports athletes have an increased risk of suffering from abnormaleating pathology. The purpose of this study was to investigate the perceived psychosocialneeds that young, elite-striving lean sports athletes in sports high schools find essential fortheir sports careers and transition from junior-to-senior level sports. Eight Swedish elitestriving lean sports athletes (2 men and 6 women; median age 17.0 years, range: 16–18years) participated in this study and sports represented were athletics (n = 1), gymnastics (n= 3), and wrestling (n = 4). Semi-structured interviews were performed, and data was analyzed by thematic analysis. Results showed integration, both in the present situation and forthe future, as an overarching theme perceived as essential for a successful elite sportscareer over time. Three additional themes were also identified: (a) Psychosocial stress(combined performance demands, diminished social life, sports-related body weightdemands, taboo talking about eating disorders, injuries), (b) Protective psychosocial factors(social support and psychological safety, communication and coordination school andsports, self-care/health behaviors), and (c) support needs junior-to-senior transition (careeradvice and mentorship, individualized support). As a result, elite-striving, lean sports athletes attending sports high schools need additional support to excel in their academic andathletic endeavors. Sports developmental programs continue to provide inadequate supportbefore and during the junior-to-senior level transition. Similarly, despite the continued callsfor reducing the stigma of mental health, athletes in sports schools still encounter barriersfrom coaches and peers, making the subject taboo, particularly surrounding eatingpathologies.
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