Main health impairment in the middle-aged former athletes

Objective: to obtain the main reasons for seeking medical assistance in the cohort of former athletes.Materials and methods: health records of 116 former athletes (65 males and 51 females), including 30 high qualification sportsmen were examined during 2006–2020. Mean age (M ± m) was 53.9 ± 1.8 in males and 53.9 ± 1.9 years in females. 52.4 % of males and 54.9 % of females had health records in the Center of clinical diagnostics.Results: cardiovascular pathology and musculoskeletal conditions (neck or back pain or osteoarthritis of the knee or hip) were randomly distributed among males (43.1 and 44.7 % of cases), while there was significant predominance of musculoskeletal conditions in females (62.7 %) than cardiovascular diseases (39.2 %). Gastrointestinal pathology was seen in 18.5 and 23.5 % of cases. Polymorbidity was detected in 50 % of males and in 58.6 % of females.Conclusions: age and gender differences in occurrence of cardiovascular and musculoskeletal conditions give the opportunity to realize the preventive strategy in former athletes.

Vocational careers of retired Olympic athletes from Switzerland: A person-oriented study

For many high-performance athletes, competing in the Olympic Games is a major goal. Achieving this goal requires more than ever substantial investments of time and personal resources towards the sports career over several years. Thus, some athletes neglect other areas of life (e.g. education), which can pose a problem for the time after high-performance sport, while other athletes pursue a dual career. Previous studies have shown that former high-performance athletes achieved higher levels of education and better vocational positions than the general population. Due to the advancing professionalization and commercialization of high-performance sport, the question emerges whether these results are valid for athletes that are more recently retired. In addition, cross-cultural generalisability of these findings are of interest. For this purpose, 341 former athletes representing Switzerland at the Olympics were surveyed about their athletic, educational, and vocational careers. It turns out that these athletes obtained more degrees of higher education than the general population. Relative to their siblings, they have higher school-leaving certificates and work in more prestigious occupations. Following the holistic-interactionistic paradigm, person-oriented analyses was performed and revealed nine – mostly satisfactory – vocational career patterns. Hence, involvement in high-performance sport facilitates rather than hinders a successful vocational career.

Some indicators of free radical oxidation and antioxidant protection in the erythrocytes of former athletes

Objective: to study the main indicators of free radical oxidation and antioxidant protection in the erythrocytes of former athletes, depending on the period of termination of sports.Materials and methods: 24 former male athletes aged 19–29 years were examined, who were divided into 2 groups of 12 people each (1st group — former athletes who stopped training for up to 2 years; 2nd — over 2 years). The control group consisted of 15 practically healthy untrained student volunteers of the same age. In erythrocytes, spectrophotometrically (spectrophotometer Shimadzu 1240, Japan), the activity of antioxidant enzymes was determined: superoxide dismutase (SOD) (K.F. 1.15.1.1) — by inhibiting the reduction of nitro blue tetrazolium by superoxide anion radical at λ = 540 nm, after preliminary processing of erythrocytes by the method of Dubinina E.E. and others [8]; catalase (K.F. 1.11.1.6) — according to the rate of utilization of hydrogen peroxide at λ = 260 nm; glutathione peroxidase (HP) (KF 1.11.1.9) — by the change in the content of reduced glutathione in samples before and after incubation of the substrate with dithiobis-nitrobenzoic acid at λ = 412 nm; glutathione reductase (GR) (K.F. 1.6.4.2) — according to the catalytic NADPH ∙ H+-dependent transformation of the oxidized form of glutathione into the reduced form, the intensity of which was estimated by the rate of decrease in the extinction of samples at λ = 340 nm, at which the NADPH H+ solution has a maximum light absorption (Warburg test).Results: the direction of the shifts in the state of the oxidative balance was established depending on the period of detraining. A significantly lower value of the total antioxidant activity was revealed in the former athletes of the 1st group. This phenomenon is probably associated with a decrease in the efficiency of the enzymatic link of the antioxidant defense in the absence of regular physical exertion, and, as a consequence, an increased consumption of non-enzymatic antioxidants. It was found that the early post-sports period is characterized by significantly lower, in comparison with the control group, the values of the activity of the first-order enzymes (superoxide dismutase) against the background of the increased activity of the second-order enzymes (catalase).Conclusions: the obtained data can be recommended for monitoring the state of athletes who stopped playing sports and taken into account when prescribing rehabilitation measures for the corresponding contingent.

Mental Health and Wellbeing of Retired Elite and Amateur Rugby Players and Non-contact Athletes and Associations with Sports-Related Concussion: The UK Rugby Health Project

Background Concerns have intensified over the health and wellbeing of rugby union and league players, and, in particular, about the longer-term effects of concussion. The purpose of this study was to investigate whether there were differences in mental health, sleep and alcohol use between retired elite and amateur rugby code players and non-contact athletes, and to explore associations with sports-related concussion. Methods 189 retired elite (ER, n = 83) and amateur (AR, n = 106) rugby code players (rugby union n = 145; rugby league n = 44) and 65 former non-contact athletes (NC) were recruited to the UK Rugby Health Project between 2016 and 2018. Details on sports participation and concussion history were obtained by questionnaire, which also included questions on mental health, anger, sleep, mood, alcohol use, social connections and retirement from injury. Data were compared between sports groups (ER, AR and NC), between exposure of three or more or five or more concussions and for years in sport. Results ER reported more concussions than AR (5.9 ± 6.3 vs. 3.7 ± 6.3, p = 0.022) and NC (0.4 ± 1.0, p < 0.001). ER had a higher overall negative mental health score (indicating poor mental health) than AR (10.4 ± 6.3 vs. 7.4 ± 6.5, d = 0.47, p = 0.003) and NC (7.1 ± 4.8, d = 0.57, p = 0.006) and a lower overall positive score (indicating good mental health) than NC (8.9 ± 4.1 vs. 10.7 ± 3.4, d = 0.46, p = 0.021). Negative scores were highest and positive scores lowest in those reporting three or more concussions (d = 0.36, p = 0.008; d = 0.28, p = 0.040, respectively) or five or more concussions (d = 0.56, p < 0.001; d = 0.325, p = 0.035, respectively). Reported symptoms for sleep disruption were more prevalent in ER than NC, and in former athletes with three or more concussions (d = 0.41–0.605, p < 0.05). There were no significant differences in alcohol score (p = 0.733). Global anger score and covert anger expression was higher in former athletes with five or more concussions (d = 0.32, p = 0.035; d = 0.37, p = 0.016). AR reported greater attachment to friends than NC (d = 0.46, p = 0.033) and 20% of ER reported that they would not turn to anyone if they had a problem or felt upset about anything. Conclusion There was a significantly higher prevalence of adverse mental health and sleep disruption in ER and in former athletes who reported a higher number of concussions. Anger and irritability were more prevalent in former athletes with a history of five or more concussions. Strategies are needed to address mental health and sleep disturbance in elite rugby code athletes, who are also less likely to seek help should they need it. Further research is needed to elucidate causation, and the neurobiological connection between concussion, sub-concussions and longer-term psychological health and wellbeing.

Does Participation in Sport Protect Former Saudi Arabian Athletes from High Blood Glucose after Retirement?

<b><i>Introduction:</i></b> The prevalence of type 2 diabetes (T2D) has increased dramatically in the last decades in developed and developing countries. In this regard, the purpose of this study is to investigate the prevalence of prediabetes and diabetes in retired athletes in Saudi Arabia and compare it to nonathletes. This study hypothesizes that early participation in sport can prevent former athletes from abnormal blood glucose levels after retirement. <b><i>Methods:</i></b> : The leading methods of researching the issues of the study include the analysis of theoretical sources, analysis of statistics, and comparison. Seventy-three former athletes and 26 nonathletes aged between 20 and 60 years participated in this study. Height, weight, and blood glucose levels were collected by the researcher. The former athletes were divided into 3 groups according to their type of training: endurance, mixed sports, and power sports. <b><i>Results:</i></b> The study results showed that 40.59% of former athletes had prediabetes compared to 16.83% of nonathletes. Furthermore, 8.91% of the former athletes had T2D, while 3.96% of the nonathletes had T2D. The results of this study indicated that former athletes had lower average blood glucose than nonathletes. Also, the study results indicated that no statistically significant differences were found between former athletes and nonathletes after retirement. About fasting blood glucose, former power athletes had higher average blood glucose than endurance athletes and mixed sports athletes. <b><i>Conclusion:</i></b> It was concluded that no statistically significant differences were found between the former athlete groups.

Effectiveness of a lifestyle weight-loss intervention targeting inactive former elite athletes: the Champ4Life randomised controlled trial

ObjectivesMany athletes struggle in managing the end of their career, often gaining weight and adopting unhealthy lifestyles. Lifestyle programmes targeting former athletes who have gained substantial fat mass (FM) postsports career are lacking. We studied the effects of the Champ4Life programme on body composition and other health-related outcomes in former elite athletes with overweight or obesity.MethodsNinety-four former athletes(42.4±7.3 y, 34.0% female) were recruited and randomly assigned to either an intervention group (IG; n=49) or a control group (CG; n=45). The IG attended 12 educational sessions addressing physical activity, weight management and nutrition. They also had a nutrition appointment aimed to prescribe a moderate caloric deficit(~300–500 kcal/day). Dual-energy X-ray absorptiometry was used to assess body composition. The Short-Form Health Survey-36 questionnaire was used to measure general health-related quality of life. Blood samples were collected to assess cardiometabolic health parameters.ResultsAt 12 months, the IG lost more weight (estimated difference (ED)=−5.3 kg; −6.9 to −3.8), total FM (ED=−4.1 kg; −5.4 to −2.8) and abdominal FM (ED=−0.49 kg; −0.64 to −0.33) than did the CG (p’s<0.001). Cardiometabolic health markers also improved significantly (p<0.05) more in the IG at 12 months (insulin (ED=−4.9 μU/mL;−8.0 to −1.8); homoeostatic model assessment (ED=−1.2; −2.1 to −0.4); total cholesterol (ED=−21.8 mg/dL; -35.4 to −8.2); low-density lipoprotein (ED=18.2 mg/dL;−29.2 to −7.1)), as did quality-of-life dimensions (physical functioning (ED=11.7; 6.5 to 16.9); physical role (ED=17.6; 2.1 to 33.0); general health (ED=19.4; 11.4 to 27.4); vitality (ED=13.3; 5.3 to 21.3) and mental health (ED=12.3; 4.1 to 20.6)).ConclusionsThe Champ4Life programme was effective in substantially reducing total and abdominal FM while preserving fat-free mass and improving health-related markers. These findings will enable evidence-based decisions when implementing lifestyle interventions targeting retired elite athletes.Trial registeration numberNCT03031951.

The Athletic Identity of Collegiate Athletic Trainers: A Descriptive Study

Context: Empirical and anecdotal evidence suggest that many athletic trainers were former athletes and select the profession due to its affiliation with sport. Qualitative research has indicated that collegiate athletic trainers may have a strong athletic identity, but the concept of athletic identity has not been quantified in this population. Objective: To quantitatively asses the athletic identity of collegiate athletic trainers and determine if group differences exist. Design: Cross-sectional observational study. Setting: Collegiate clinical setting. Patients and Other Participants: A total of 257 (n = 93 (37%) males, n = 162 (63%) females) athletic trainers employed in the collegiate setting were included in data analysis. Main Outcome Measure(s): Data were collected via a web-based survey platform which was designed to measure athletic identity. Demographic information was analyzed for frequency and distribution. Mann-Whitney U tests and Kruskal-Wallis tests were calculated to determine if group differences existed. Results: The large majority of participants (90%) self-identified as having participated in organized sport yet scored moderately on the athletic identity measurement scale (22.9 ± 7.9). There were no sex differences in overall athletic identity (p = .446), but females did have higher levels of negative affectivity (p = .045) than males. Testing also revealed group differences based on current employment setting for social identity (p = .020), with NCAA Division I scores less than Division II, III, and NAIA. NCAA Division III exclusivity (p = .030) was lower than NCAA Division II and NAIA. Conclusions: It appears that components of athletic identity vary based on the employment setting of collegiate athletic trainers and may have a relationship to the number of hours worked in the summer. The moderate athletic identity scores of collegiate athletic trainers are comparable to former athletes who selected career paths outside of sport. This may indicate adaptive career decision processes.