Sports Medicine
The paradox of endurance training: higher coronary plaque prevalence found in lifelong athletes
21 Mar, 2023 | 13:42h | UTCSummary: The Master@Heart study aimed to investigate the relationship between lifelong endurance exercise and coronary atherosclerosis measured by computed tomography coronary angiography (CTCA) in a cohort of 191 lifelong master endurance athletes, 191 late-onset athletes, and 176 healthy non-athletes. All participants were male with a low cardiovascular risk profile.
The study found that lifelong endurance sport participation was not associated with a more favorable coronary plaque composition compared to maintaining a healthy lifestyle. In fact, lifelong endurance athletes exhibited a higher prevalence of coronary plaques, including more non-calcified plaques in proximal segments, than fit and healthy individuals with a similarly low cardiovascular risk profile.
Further research is needed to understand how these findings on CTCA might translate into clinical events in endurance athletes.
Article: Lifelong endurance exercise and its relation with coronary atherosclerosis – European Heart Journal
Commentaries:
Lifelong Endurance Exercise and Coronary Atherosclerosis – American College of Cardiology
MASTER@HEART: Long-term Endurance Athletes Not Immune to Atherosclerosis – TCTMD
International society of sports nutrition position stand: energy drinks and energy shots
14 Mar, 2023 | 13:39h | UTC
M-A | Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes
8 Mar, 2023 | 14:33h | UTCSummary:
The study aimed to determine the association between non-occupational physical activity and chronic disease and mortality outcomes in the general adult population. The systematic review and meta-analysis included 196 articles covering 94 cohorts and over 30 million participants.
The results showed that higher activity levels were associated with a lower risk of all outcomes. The strongest associations were observed for all-cause and cardiovascular disease mortality, with weaker associations for cancer incidence.
The study also found that appreciable population health benefits could be gained from increasing physical activity levels of people who are inactive to just half the current health recommendations; doing that could prevent one in 10 premature deaths.
The findings support the current physical activity recommendations and suggest that even small increases in non-occupational physical activity in inactive adults can provide substantial protection against chronic disease outcomes.
It’s worth noting, however, that this study has the usual limitations of observational studies since all the included studies are cohort studies. Therefore, the results are subject to residual confounding, meaning that other factors not measured or accounted for in the studies could influence the observed associations.
News Releases:
1 in 10 early deaths averted if everyone met physical activity targets – BMJ Newsroom
Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews
3 Mar, 2023 | 14:11h | UTCSummary: This umbrella review summarized the evidence on the effects of physical activity interventions on symptoms of depression, anxiety, and psychological distress in adult populations. The study included 97 systematic reviews comprising 1039 randomized controlled trials and 128,119 participants. The results showed that physical activity had medium effects on depression, anxiety, and psychological distress compared to usual care across all populations. Higher-intensity physical activity was associated with greater improvements in symptoms, and the effectiveness of physical activity interventions diminished with longer-duration interventions. The authors concluded that physical activity is highly beneficial for improving symptoms of depression, anxiety, and distress in a wide range of adult populations, including those with mental health disorders and chronic diseases, and should be a mainstay approach in their management.
Article: Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews – British Journal of Sports Medicine (link to abstract – $ for full-text)
News Release: Exercise more effective than medicines to manage mental health – University of South Australia
Commentary from the authors: Exercise is even more effective than counselling or medication for depression. But how much do you need? – The Conversation
Commentary on Twitter
? Effectiveness of #PhysicalActivity for improving depression, anxiety and distress: an overview of #SystematicReviews ??#KeyPoints:
?Higher intensity = greater improvements ?️♂️
? Effect diminished with longer duration interventions ?? https://t.co/UJRRFVz7eG pic.twitter.com/5JT9xEVMsa
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) February 19, 2023
Study shows sudden cardiac arrest during sports activity is rare among older adults
3 Mar, 2023 | 13:38h | UTCSudden Cardiac Arrest During Sports Activity in Older Adults – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries:
Sports-related sudden cardiac arrest is rare in older adults – Cedars-Sinai Medical Center
Risk of Sports-Related Sudden Cardiac Arrest Low in Older Adults – TCTMD
RCT | Effects of an exercise and physical activity program in patients with atrial fibrillation
28 Feb, 2023 | 13:38h | UTCAn Exercise and Physical Activity Program in Patients With Atrial Fibrillation: The ACTIVE-AF Randomized Controlled Trial – JACC: Clinical Electrophysiology (link to abstract – $ for full-text)
Commentary: ACTIVE-AF Suggests Physical Activity May Reduce Atrial Fibrillation Risk – HCP Live
Guideline | Exercise-based knee and anterior cruciate ligament injury prevention
15 Feb, 2023 | 16:02h | UTC
A guide to indoor rock climbing injuries
13 Feb, 2023 | 12:31h | UTCA Guide to Indoor Rock Climbing Injuries – Current Sports Medicine Reports (free for a limited period)
Position Paper | Diagnosis, prevention and treatment of common shoulder injuries in sport
10 Feb, 2023 | 14:01h | UTC
Commentary on Twitter
Common shoulder injuries ? – grading the evidence on: ?
? Diagnosis – included 19 clinical tests
✋ Prevention – injury prevention programmes
?️♂️ Treatment – stretching, ice packs, strengthening, compressionStatement paper commissioned by DSSF
➡️ https://t.co/CN7usTd3HR pic.twitter.com/xavDN5MICY
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) January 16, 2023
Guideline | Management of anterior cruciate ligament injuries
8 Feb, 2023 | 12:31h | UTCRelated:
M-A | Primary surgery vs. primary rehabilitation for treating anterior cruciate ligament injuries.
A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster–Randomized Controlled Trials With Meta-analysis – American Journal of Sports Medicine (link to abstract – $ for full-text)
Guideline on rehabilitation after anterior cruciate ligament reconstruction
8 Feb, 2023 | 12:30h | UTCGuideline: Management of Anterior Cruciate Ligament Injuries Evidence-Based Clinical Practice Guideline
Commentary on Twitter
What are the components of #rehabilitation after #ACLR? Clinical practice #guideline based on 140 RCTs and agreement by 29 expert clinicians.
Open access ? https://t.co/cnLpV0rzgG#Recommendations ?? pic.twitter.com/Lyxuz5tVZE— Roula Kotsifaki (@RoulaKotsifaki) February 3, 2023
RCT | Time-restricted eating and exercise training improve HbA1c and body composition in women with overweight/obesity
7 Feb, 2023 | 13:54h | UTC
Commentary on Twitter
Time-restricted eating (TRE) and high-intensity interval training (HIIT) both improve glucose control and reduce fat mass in people w/ obesity.
Combining TRE (<10 hour eating window) with 3 x weekly HIIT enhances these benefits.
?:https://t.co/m051O3AUPW pic.twitter.com/6q6mtzDwVB
— Brady Holmer (@B_Holmer) October 4, 2022
Under a Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0) license
Opinion | Is it time to reconsider the indications for surgery in patients with tennis elbow?
7 Feb, 2023 | 13:51h | UTC
Position Paper | Exercise recommendations for people with type 1 and type 2 diabetes
2 Feb, 2023 | 14:55h | UTC
RCT | Diclofenac diethylamine 2.32% gel applied twice daily vs. 1.16% gel four times daily in patients with acute ankle sprain
2 Feb, 2023 | 14:49h | UTC
Cohort Study | Risk of total hip arthroplasty in former elite athletes
2 Feb, 2023 | 14:43h | UTCCommentary: Elite athletes 2x more likely to need hip arthroplasty – Orthopedics This Week
Effectiveness of a judo-specific injury prevention program: a randomized controlled trial in recreational judo athletes
1 Feb, 2023 | 13:15h | UTCEffectiveness of a judo-specific injury prevention programme: a randomised controlled trial in recreational judo athletes – British Journal of Sports Medicine (free for a limited period)
European fitness landscape for children and adolescents: updated reference values, fitness maps and country rankings
1 Feb, 2023 | 13:09h | UTC
Commentary on Twitter
? #NEW Original Research: Updated European fitness values for adolescents and children ?♀️
Physical fitness levels are a strong indicator of health in children. How can we use this study to guide health screening and policy?
READ HERE #OpenAccess ➡️ https://t.co/LwIf2t0bvH pic.twitter.com/x5mWSJtc45
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) January 16, 2023
RCT | Effects of an Extended Knee Control program for injury prevention in adolescent and adult amateur football players
1 Feb, 2023 | 13:00h | UTC
Commentary on Twitter
? #OriginalResearch Extended Knee Control Programme in #Football ⚽ ? #InjuryPrevention #OpenAccess
Randomised trial comparing knee control vs. adductor strengthening vs. self-selected exercises in lower limb injury prevalence
READ NOW ➡️ https://t.co/7tgFjARiDk pic.twitter.com/i7uQ11rK9F
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) November 8, 2022
Review | Exercise during pregnancy: effects on birth weight and on the risks of gestational diabetes and preterm delivery
31 Jan, 2023 | 13:45h | UTCRelated:
Cohort Study | Exercise volume vs. intensity and the progression of coronary atherosclerosis in middle-aged and older athletes
27 Jan, 2023 | 12:29h | UTCCommentaries:
Exercise Intensity, Not Volume, Linked to Atherosclerosis Progression in Men – TCTMD
Intense exercise encourages coronary artery calcification – News Medical
Commentary on Twitter
#OriginalResearch: MARC-2 Study reports that Very vigorous intensity exercise is associated with progression of CAC among middle-aged and older athletes @VAengevaeren @ThijsEijsvogels #AHAJournals https://t.co/rdZw3U8yxU pic.twitter.com/Uzqg1TbtEP
— Circulation (@CircAHA) January 6, 2023
RCT | Shoulder stretching vs. shoulder muscle strength training for the prevention of baseball-related arm injuries
27 Jan, 2023 | 11:57h | UTC
Commentary on Twitter
Shoulder stretching versus shoulder muscle strength training for the prevention of baseball-related arm injuries: a randomized, active-controlled, open-label, non-inferiority studyhttps://t.co/9tsPkWyVdU pic.twitter.com/eihYv5EdRE
— Physio Meets Science (@PhysioMeScience) December 22, 2022
M-A | Dose–response effects of exercise and caloric restriction on visceral adiposity in overweight and obese adults
26 Jan, 2023 | 12:52h | UTC
Commentary on Twitter
#NEW: effects of exercise and caloric restriction in visceral adiposity in overweight and obese adults ?♀️
? Is there a dose-response relationship?
READ HERE ➡️ https://t.co/bJl2ywH5ro pic.twitter.com/dcwvMTZVIH
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) January 21, 2023
M-A of Observational Studies | Physical activity and risk of major diabetes-related complications in individuals with diabetes
23 Jan, 2023 | 13:17h | UTC
Commentary on Twitter
Dose-response meta-analysis on physical activity and diabetes-related complications in prospective studies. Even at low levels, physical activity was associated with lower relative risk of complications. @DiabResearch
Read Here➡️https://t.co/x0ElyfWEDH pic.twitter.com/tcLRIsLExP
— Diabetes Care, a research journal of the ADA (@DiabetesCareADA) December 7, 2022
Multiligamentous knee injuries: acute management, associated injuries, and anticipated return to activity
23 Jan, 2023 | 13:13h | UTCMultiligamentous Knee Injuries: Acute Management, Associated Injuries, and Anticipated Return to Activity – Journal of the American Academy of Orthopaedic Surgeons (free for a limited period)