The Ivy League–Big Ten Epidemiology of Concussion Study: A Report on Methods and First Findings

2019 ◽  
Vol 47 (5) ◽  
pp. 1236-1247 ◽  
Author(s):  
Margot Putukian ◽  
Bernadette A. D’Alonzo ◽  
Carolyn S. Campbell-McGovern ◽  
Douglas J. Wiebe
Keyword(s):  
Student Athletes ◽  
Return To Sport ◽  
Median Number ◽  
University Student ◽  
Ice Hockey ◽  
American Football ◽  
Ivy League ◽  
Big Ten ◽  
Symptom Resolution ◽  
N 93

Background: Little is known about the nature of concussion injury among university student-athletes, including concussion incidence and rates across sports, the mechanisms of injury, the type of activity during competition or practice, and the time to return to academics, return to sport, and symptom resolution. Purpose: To describe methods of the Ivy League–Big Ten Epidemiology of Concussion Study and first epidemiologic findings. Study Design: Descriptive epidemiology study. Methods: A prospective cohort study was conducted with data accrued through a surveillance system that was launched in the 2013-2014 athletic season. Surveillance continues to operate by detecting and collecting sport-related concussion (SRC) cases and non-SRC cases in addition to outcomes among university student-athletes. Results: A total of 1922 cases of SRC (649 women, 1004 men) among athletes from 27 sports, including varsity sports and club rugby, were enrolled during the 5 athletic seasons from 2013-2014 through 2017-2018. American football had the most cases (n = 495, 25.8%), followed by women’s rugby (n = 199, 6.2%), men’s ice hockey (n = 106, 5.5%), men's lacrosse (n = 105, 5.5%), women's soccer (n = 103, 5.4%), wrestling (n = 93, 4.8%), and men's soccer (n = 89, 4.6%), and women's ice hockey (n = 78, 4.1%). The highest overall concussion rates occurred in women’s lacrosse (1.35 concussions per 1000 athletic exposures [AEs]) and football (1.26 per 1000 AEs). Rates of concussion were generally higher during competition than practice and were highest during wrestling competition (4.06 per 1000 AEs) and second highest during football competition (3.68 per 1000 AEs). The median number of concussion symptoms was 7. Time to symptom resolution was longer for athletes with ≥7 symptoms versus <7 ( P < .001) but did not differ across the 4 sports with rules comparable by sex and did not differ significantly between women and men (median, 8 vs 9 days, respectively). Women and men did not differ in days to return to academics, exertion activities, or competition. Conclusion: This multisite collaborative endeavor has produced a robust database yielding novel opportunities to better understand the epidemiology of concussion among university student-athletes participating in a variety of sports. Given the setting and number of cases, these findings add to our understanding of SRC and are the first of many that will be generated over the coming years from this large study that continues in its sixth year.

scholarly journals Clinical Recovery Timelines following Sport-Related Concussion in Men's and Women's Collegiate Sports

2021 ◽  
Author(s):  
Abigail C. Bretzin ◽  
Carrie Esopenko ◽  
Bernadette A. D'Alonzo ◽  
Douglas J. Wiebe
Keyword(s):  
Sex Differences ◽  
Median Time ◽  
Female Athletes ◽  
Symptom Duration ◽  
Athletic Activity ◽  
Collegiate Sports ◽  
Ivy League ◽  
Big Ten ◽  
Symptom Resolution ◽  
Full Activity

Abstract Context: Past work has identified sex differences in sport-related concussion (SRC) incidence and recovery time; however, few have examined sex differences in specific recovery trajectories: time to symptom resolution, return-to-academics, and return-to-athletic activity across collegiate sports. Objective: To examine sex differences in SRC recovery trajectories across a number of varsity sports with differing levels of contact. Design: Descriptive Epidemiology Study. Setting: College varsity and club sports. Patients or Other Participants: SRCs sustained by student-athletes (N=1,974; 38.7% female) participating in Ivy League sports were tracked from 2013/14-2018/19. Intervention(s): Athletic trainers collected concussive injury and recovery characteristics as part of the Ivy League-Big Ten Epidemiology of Concussion Study's surveillance system. Main Outcome Measure(s): Time to symptom resolution, return-to-academics, and return-to-limited and full athletic activity were collected. Survival analyses determined time from injury to each recovery outcome for males and females by sport. Peto tests compared recovery outcomes between males and female athletes and by sport. Results: The median time to symptom resolution overall was 9 days [IQR:4,18], return-to-academics was 8 days [IQR:3,15], return-to-limited activity was 12 days [IQR:8,23], and return-to-full activity was 16 days [IQR:10,29]. There were significant differences overall between sexes for median time to symptom resolution (males: 8 days [IQR:4,17], females: 9 days [IQR:5,20], p=0.029) and return-to-academics (males: 7 days [IQR:3,14], females: 9 days [IQR:4,17], p&lt;.001), but not return to athletics (limited activity, p=0.107; full activity, p=0.578). Within-sport comparisons found that female lacrosse athletes had longer symptom resolution (p=0.030) and return to academics (p=0.035) compared to males, while male volleyball athletes took longer to return to limited (p=0.020) and full (p=0.049) athletic activity compared to females. Conclusion: There were significant differences in recovery timelines between sexes. Females experienced longer symptom duration and time to return-to-academics compared to male athletes, but females and males presented similar timelines for return-to-athletics.

Mental health protective factors among flourishing Canadian women university student-athletes

2021 ◽  
Vol 52 ◽  
pp. 101847
Author(s):  
Kurtis Pankow ◽  
Tara-Leigh F. McHugh ◽  
Amber D. Mosewich ◽  
Nicholas L. Holt
Keyword(s):  
Mental Health ◽  
Protective Factors ◽  
Student Athletes ◽  
University Student

scholarly journals Monitoring urinary collagen metabolite changes following collagen peptide ingestion and physical activity using ELISA with anti active collagen oligopeptide antibody

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yoshihiro Osawa ◽  
Kaho Nomura ◽  
Yoshifumi Kimira ◽  
Seiji Kushibe ◽  
Ken-ichi Takeyama ◽  
...  
Keyword(s):  
Physical Activity ◽  
Student Athletes ◽  
Cross Reactivity ◽  
University Student ◽  
Collagen Metabolism ◽  
The Novel ◽  
Urinary Level ◽  
Collagen Peptide ◽  
Urinary Levels ◽  
Over Time

AbstractActive collagen oligopeptides (ACOP) are bioactive collagen-derived peptides detected by a recently-established ELISA. To facilitate studies of the function and metabolism of these products, this study aims to determine which of these peptides is recognized by a novel anti-ACOP antibody used in this ELISA. We then investigate the effect of collagen peptide (CP) ingestion and exercise on urinary ACOP concentrations in a cohort of university student athletes using colorimetric, LC–MS/MS, and ELISA. We observed that the antibody showed strong cross-reactivity to Pro-Hyp and Gly-Pro-Hyp and weak cross-reactivity to commercial CP. CP ingestion increased the urinary level of ACOP over time, which correlated highly with urinary levels of peptide forms of Hyp and Pro-Hyp. Physical activity significantly decreased the urinary ACOP level. This study demonstrates changes in urinary ACOP following oral CP intake and physical activity using ELISA with the novel anti-ACOP antibody. Thus, ACOP may be useful as a new biomarker for collagen metabolism.

scholarly journals Epidemiologic Measures for Quantifying the Incidence of Concussion in National Collegiate Athletic Association Sports

2017 ◽  
Vol 52 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Zachary Y. Kerr ◽  
Karen G. Roos ◽  
Aristarque Djoko ◽  
Sara L. Dalton ◽  
Steven P. Broglio ◽  
...  
Keyword(s):  
Student Athletes ◽  
National Collegiate Athletic Association ◽  
Injury Surveillance ◽  
Ice Hockey ◽  
Surveillance Program ◽  
Injury Rates ◽  
Policy Makers ◽  
Sports Concussion ◽  
Women's Basketball ◽  
Surveillance Programs

Context: Injury rates compare the relative frequency of sport-related concussions across groups. However, they may not be intuitive to policy makers, parents, or coaches in understanding the likelihood of concussion. Objective: To describe 4 measures of incidence (athlete-based rate, athlete-based risk, team-based rate, and team-based risk) during the 2011–2012 through 2014–2015 academic years. Design:  Descriptive epidemiology study. Setting: Aggregate injury and exposure data collected from the National Collegiate Athletic Association Injury Surveillance Program in 13 sports (men's baseball, basketball, football, ice hockey, lacrosse, soccer, and wrestling and women's basketball, ice hockey, lacrosse, soccer, softball, and volleyball). Patients or Other Participants: Collegiate student-athletes. Main Outcome Measure(s): Sport-related concussion data from the National Collegiate Athletic Association Injury Surveillance Program during the 2011–2012 through 2014–2015 academic years were analyzed. We calculated concussion rates per 1000 athlete-exposures (AEs), concussion risk, average number of concussions per team, and percentage of teams with at least 1 concussion. Results: During the 2011–2012 through 2014–2015 academic years, 1485 concussions were sustained by 1410 student-athletes across 13 sports. Concussion rates ranged from 0.09/1000 AEs in men's baseball to 0.89/1000 AEs in men's wrestling. Concussion risk ranged from 0.74% in men's baseball to 7.92% in men's wrestling. The average ± SD number of concussions per team ranged from 0.25 ± 0.43 in men's baseball to 5.63 ± 5.36 in men's football. The percentage of teams with a concussion ranged from 24.5% in men's baseball to 80.6% in men's football. Conclusions Although men's wrestling had a higher concussion rate and risk, men's football had the largest average number of concussions per team and the largest percentage of teams with at least 1 concussion. The risk of concussion, average number of concussions per team, and percentage of teams with concussions may be more intuitive measures of incidence for decision makers. Calculating these additional measures is feasible within existing injury surveillance programs, and this method can be applied to other injury types.

scholarly journals The Role of Gender in Association between Emotional Intelligence and Self-Control among University Student-Athletes

2021 ◽  
Vol 18 (22) ◽  
pp. 11819
Author(s):  
Audrone Dumciene ◽  
Saule Sipaviciene
Keyword(s):  
Emotional Intelligence ◽  
Student Athletes ◽  
University Student ◽  
The Self ◽  
Self Control ◽  
Control Scale ◽  
Forecasting Models ◽  
Healthy Habits ◽  
Control Construct

The purpose of this study was to reveal the peculiarities of undergraduate studies university student-athletes’ emotional intelligence and self-control indicators, and the role of gender as a predictor in the association between emotional intelligence and self-control. The study included students regularly involved in training at least three times a week. The sample consisted of 1395 student athletes from Lithuanian universities, among them 59.2% female and 40.8% male. For measurement, the SSRI inventory and a self-control scale were used. All values of emotional intelligence indicators were significantly higher for males than females. Estimates of the components of the self-control construct varied. The score for the healthy habits component was significantly higher for women than for men, the self-discipline component did not differ significantly, and the other three components were higher for males. Estimates of the components of the self-control construct varied. Models for predicting the values of self-control components were proposed. Only one component of the emotional intelligence construct, optimism, was repeated in all forecasting models, as well as gender. Other components of emotional intelligence vary in models.

scholarly journals Sport-life Balance and Mental Health in University Student-athletes: A Comparative Study by Admissions Pathway

2021 ◽  
Vol 31 (3) ◽  
pp. 3_341-3_349
Author(s):  
Hirokazu ARAI ◽  
Tatsuo SUGIMOTO ◽  
Masayuki MASUDA ◽  
Shotaro KAMANO ◽  
Akira TOKUYASU
Keyword(s):  
Mental Health ◽  
Comparative Study ◽  
Student Athletes ◽  
University Student ◽  
Life Balance

scholarly journals GENDER DIFFERENCES IN PERSONAL ISSUES RELATED STRESS AMONG UNIVERSITY STUDENT ATHLETES

2021 ◽  
Vol 17 (2) ◽  
pp. 154-174
Author(s):  
Eng Hoe Wee ◽  
Kang Mea Kee ◽  
Tah Fatt Ong ◽  
Hui Yin Ler ◽  
Wei Fong Cheng ◽  
...  
Keyword(s):  
Gender Differences ◽  
Student Athletes ◽  
University Student ◽  
Related Stress

scholarly journals Women and Concussion

Concussion ◽  
2019 ◽  
pp. 141-146
Author(s):  
Brian Hainline ◽  
Lindsey J. Gurin ◽  
Daniel M. Torres
Keyword(s):  
Ice Hockey ◽  
American Football ◽  
Men And Women ◽  
Gender Based ◽  
And Gender

Most of the concussion literature is devoted to concussion and men, and this literature focuses primarily on American football and ice hockey. Yet women appear to be more prone to sport-related concussion than men, and may manifest with more concussion-like symptoms both at both baseline and post-concussion. There may be both endocrinologic and biomechanical reasons why women’s concussive symptoms are different from men’s, but this remains incompletely understood. There may also be sex-based and gender-based differences in how men and women experience and describe concussion. It is important to understand these distinctions when managing concussion in women.

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