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PubMed1995

High-risk behaviors in teenage male athletes.

This project studied high-risk activities in adolescent male athletes (ages 13-19) compared with a control group of adolescent male and female nonathletes. All athletes surveyed participated in one or more interscholastic sports. The prevalence of drug use by athletes compared to nonathletes was determined. Of the 19 drugs observed in this study, all were shown to have a lower prevalence of use among athletes in their senior year of high school, compared to the comparison group. Among the more commonly abused substances by the athlete population, beer, wine and whiskey, cigarettes, and marijuana were shown to have a lower use rate, by 25.5, 39.9, 57.5, and 57.7%, respectively. The prevalence of drug use by adolescent male athletes compared to adolescent nonathletes was also studied. Of the 19 individual drugs surveyed, all demonstrated a lower prevalence of use among athletes in their senior year of high school compared to the national data. The second high-risk activity measured was sexual activity. Of the athletes, 45.5% stated that they had never had sexual intercourse, compared to 50.0% of the nonathletes. Of the sexually active athletes, 81.9% had their first intercourse at between 13 and 15 years of age, whereas only 67.8% of the nonathlete control group had done so. This difference diminished significantly at age 16 and above. The results of this study suggest that participation in athletics by male athletes may lead to a significant decrease in drug and alcohol use and abuse but, also may increase early sexual contact. These trends were seen throughout all 4 years of high school in the athletes studied.

Adolescent↗
PubMed1999

Creatine supplement use in an NCAA Division I athletic program.

OBJECTIVE: To determine the prevalence and pattern of creatine use among varsity athletes at a National Collegiate Athletic Association (NCAA) Division I athletic program. DESIGN: Anonymous descriptive survey. SETTING: Institutional. PARTICIPANTS: Collegiate varsity and junior varsity athletes. MAIN OUTCOME MEASURES: Self-reports of creatine use, including pattern of use and dose, source of information on creatine, and expected and perceived effects from creatine use. RESULTS: Surveys were obtained from 93% of 806 eligible athletes. Overall, 68% of athletes had heard of creatine and 28% reported using it. Forty-eight percent of men reported having used creatine as compared with 4% of women. With two exceptions, all men's teams had at least 30% of athletes who reported a history of creatine use. Of athletes that had used creatine, about one-third had first used it in high school. Friends and teammates were the most common sources of creatine information. Increased strength and muscle size were the most common effects the athletes expected and perceived from creatine use. CONCLUSION: In this population of collegiate athletes, creatine use was widespread among men but was minimal among women. Athletes learned about creatine supplementation primarily from their peers, and substantial numbers began to take creatine while still in high school. Most athletes could not report their dosing of creatine. This study reported findings at one location for one academic year. Studies are needed at multiple locations and over time to further delineate creatine use patterns.

Adolescent↗
PubMed2002

Coronary artery disease risk factors & their association with physical activity in older athletes.

OBJECTIVE: To evaluate the effects of present-day physical activity on selected coronary artery disease (CAD) risk factors of older former athletes and to compare these selected risk factors with age-matched older non-athletes. METHODS: The selected CAD risk factors were compared among the active older athletes ( n= 52; 45.9 +/- 4.75 years), sedentary older athletes ( n= 54; 47.2 +/- 4.67 years), and sedentary older non-athletes (n = 56; 46.0 +/- 5.26 years) of Calcutta and surroundings. CAD risk factors including anthropometric obesity parameters, blood lipids and blood pressure were measured. The present-day total physical activity of each individual was assessed by a questionnaire and estimated through the sum of energy expended during habitual, professional, recreational and conditioning physical activities, and sleeping time. The total physical activity was expressed as energy expended in mega joules per kilogram of body weight per week (MJ.kg. week ). Maximal oxygen consumption (VO2 max) was assessed by maximal treadmill test. Body score distributions in each group were also calculated. RESULTS: The selected CAD risk factors differed significantly among the groups. The sedentary older athletes had significantly higher mean values in weight, BMI, body fat percentage, total cholesterol, low-density lipoprotein (LDL) cholesterol, triglycerides and ratio of total cholesterol to high-density lipoprotein cholesterol (total C/HDLC) than that of active older athletes and sedentary older non-athletes. A reverse trend was observed in the case of HDL cholesterol. On the other hand, the presently active older athletes had significantly favourable levels of most of the selected CAD risk factors than the sedentary older athletes and non-athletes. The present-day total physical activity had significant negative association with total cholesterol, ratio of total cholesterol to HDL cholesterol, LDL cholesterol, triglycerides, resting systolic blood pressure when controlling for the effects of age, body mass index and body fat percentages. So, it is confirmed from this analysis that the subjects in the present study who had a greater present-day total physical activity had favourable CAD risk factors. CONCLUSIONS: The results of this study indicate that the risk for CAD or levels of selected CAD risk factors of former athletes after retirement from active sports were more related to the present-day physical activity i.e., higher total physical activity lowers the risk of coronary artery disease.

Age Factors↗
PubMed2006

The use of dietary supplements and medications by Canadian athletes at the Atlanta and Sydney Olympic Games.

OBJECTIVE: To learn more about the prevalence of dietary supplement and medication use by Canadian athletes in the Olympic Games in Atlanta 1996 and Sydney 2000. SETTING AND PARTICIPANTS: Data were collected from personal interviews with Canadian athletes who participated at the 1996 Atlanta and 2000 Sydney Olympic Games. The athletes were interviewed by Canadian physicians regarding the use of vitamins, minerals, nutritional supplements, and prescribed and over-the-counter medications. Of the 271 Canadian athletes who participated at the Atlanta Olympics, 257 athletes were interviewed; at the Sydney Olympics, 300 of 304 Canadian athletes were interviewed. MAIN OUTCOME MEASUREMENT: A quantitative and qualitative description of the use of dietary supplements by Canadian athletes at the Atlanta and Sydney Olympics. RESULTS: At the Atlanta Games, 69% of the athletes used some form of dietary supplements, whereas 74% of the athletes used dietary supplements at the Sydney Games. Vitamins were taken by 59% of men and 66% of women in Atlanta, and 65% of men and 58% women in Sydney. Mineral supplements were used by 16% of men and 45% of women in Atlanta, and 30% of men and 21% of women in Sydney. Nutritional supplements were used by 35% of men and 43% of women in Atlanta, and 43% of men and 51% of women in Sydney. The most popular vitamins were multivitamins in both Olympics. The most popular mineral supplements were iron supplements. The most commonly used nutritional supplement in Atlanta was creatine (14%), but amino acids (15%) were the most commonly used nutritional supplement in Sydney. In Atlanta, 61% of the athletes were using some form of medication, 54% of the athletes were using medications in Sydney. Nonsteroidal antiinflammatory drugs (NSAIDS) were the most commonly used medications at both Olympic Games. Among all sports, the highest prevalence of vitamin use occurred in boxing (91%) in Atlanta and swimming (76%) in Sydney. Rowers (56%) and cyclists (73%) demonstrated the highest use of mineral supplements. Nutritional supplement use occurred most often in swimming (56%) and cycling (100%). The use of NSAIDs was highest in softball (60%) in Atlanta and gymnastics (100%) in Sydney. CONCLUSION: This review demonstrates that dietary supplement use was common among Canadian athletes at both the Atlanta and Sydney Olympic Games. There was a slight increase in total dietary supplement use at the Sydney Games. Widespread use of supplements, combined with an absence of evidence of their efficacy and a concern for the possibility of "inadvertent" doping, underscore the need for appropriately focused educational initiatives in this area.

Adult↗
PubMed2003

Eating patterns and meal frequency of elite Australian athletes.

We undertook a dietary survey of 167 Australian Olympic team athletes (80 females and 87 males) competing in endurance sports (n = 41), team sports (n = 31), sprint- or skill-based sports (n = 67), and sports in which athletes are weight-conscious (n = 28). Analysis of their 7-day food diaries provided mean energy intakes, nutrient intakes, and eating patterns. Higher energy intakes relative to body mass were reported by male athletes compared with females, and by endurance athletes compared with other athletes. Endurance athletes reported substantially higher intakes of carbohydrate (CHO) than other athletes, and were among the athletes most likely to consume CHO during and after training sessions. Athletes undertaking weight-conscious sports reported relatively low energy intakes and were least likely to consume CHO during a training session or in the first hour of recovery. On average, athletes reported eating on approximately 5 separate occasions each day, with a moderate relationship between the number of daily eating occasions and total energy intake. Snacks, defined as food or drink consumed between main meals, provided 23% of daily energy intake and were chosen from sources higher in CHO and lower in fat and protein than foods chosen at meals. The dietary behaviors of these elite athletes were generally consistent with guidelines for sports nutrition, but intakes during and after training sessions were often sub-optimal. Although it is of interest to study the periodicity of fluid and food intake by athletes, it is difficult to compare across studies due to a lack of standardized terminology.

Adult↗
PubMed2005

Participation in leanness sports but not training volume is associated with menstrual dysfunction: a national survey of 1276 elite athletes and controls.

OBJECTIVE: To examine the prevalence of menstrual dysfunction in the total population of Norwegian elite female athletes and national representative controls in the same age group. METHODS: A detailed questionnaire that included questions on training and/or physical activity patterns, menstrual, dietary, and weight history, oral contraceptive use, and eating disorder inventory subtests was administered to all elite female athletes representing the country at the junior or senior level (aged 13-39 years, n = 938) and national representative controls in the same age group (n = 900). After exclusion, a total of 669 athletes (88.3%) and 607 controls (70.2%) completed the questionnaire satisfactorily. RESULTS: Age at menarche was significantly (p<0.001) later in athletes (13.4 (1.4) years) than in controls (13.0 (1.3) years), and differed among sport groups. A higher percentage of athletes (7.3%) than controls (2.0%) reported a history of primary amenorrhoea (p<0.001). A similar percentage of athletes (16.5%) and controls (15.2%) reported present menstrual dysfunction, but a higher percentage of athletes competing in leanness sports reported present menstrual dysfunction (24.8%) than athletes competing in non-leanness sports (13.1%) (p<0.01) and controls (p<0.05). CONCLUSIONS: These novel data include virtually all eligible elite athletes, and thus substantially extend previous studies. Age at menarche occurred later and the prevalence of primary amenorrhoea was higher in elite athletes than in controls. A higher percentage of athletes competing in sports that emphasise thinness and/or a specific weight reported present menstrual dysfunction than athletes competing in sports focusing less on such factors and controls. On the basis of a comparison with a previous study, the prevalence of menstrual dysfunction was lower in 2003 than in 1993.

Adolescent↗
PubMed1976

Noninvasive evaluation of ventricular hypertrophy in professional athletes.

Athletes often exhibit ECG findings which are considered to be abnormal. Therefore, we used noninvasive graphic methods to study 42 active professional male basketball players, ranging in age from 21 to 31 years, without clinically evident heart disease. Of the 42, 11 (25%) met the Romhilt-Estes ECG voltage criteria for left ventricular hypertrophy, and 12 (29%) satisfied VCG criteria for left ventricular enlargement; nine (21%) had left ventricular hypertrophy by both methods. In 33 subjects (79%) the 0.04 sec vector in the horizontal plane was anterior, and 29 of these exhibited one or more standard criteria for right ventricular enlargement; the ECG and VCG were concordant for right ventricular hypertrophy in 16 subjects (38%). Submaximal treadmill exercise tests (Bruce protocol) were normal in eight athletes, while in one subject ventricular premature beats occurred during the test. In 24 of 25 athletes (96%) from whom phonocardiograms were obtained a third heart sound was recorded, while in 14 (56%), a fourth heart sound was present. Of the 14 athletes who had a fourth heart sound, 12 (86%) had either ECG or VCG evidence of ventricular hypertrophy. Only four of 23 athletes had an increased cardiothoracic ratio (greater than .50) on routine chest X-ray. Ten athletes and ten control subjects matched for height, weight and body surface area had echocardiograms satisfactory for analysis. The left ventricular end-diastolic dimension in the athletes averaged 53.7 +/- 1.3 (SE) mm compared with a value of 49.9 +/- 0.7 mm in the control subjects (P less than 0.02), and was increased (greater than or equal to 56 mm) in four. Left ventricular posterior wall thickness averaged 11.1 +/- 0.6 mm, compared with a value of 9.8 +/- 0.5 mm in the control subjects (P less than 0.05), and was increased (greater than or equal to 11 mm) in six athletes. The right ventricular end-diastolic dimension averaged 20.8 +/- 1.1 mm compared with a value of 12.9 +/- 2.2 mm in the controls (P less than 0.004), and was increased (greater than or equal to 23 mm) in four athletes. No athlete or control subject exhibited paradoxical septal motion. In the athletes, ejection fraction (cube method) averaged 79 +/- 2.0% and mean Vcf averaged 1.13 +/- 0.04 circ/sec; these values did not differ from those of the control subjects. Thus, both right and left ventricular enlargement ("physiological hypertrophy") are often present in the well-trained athlete, but left ventricular performance remains normal in the basal state in such individuals. We condlude that these individuals represent a selected subgroup of subjects who are variants of normal.

Adult↗
PubMed2006

Exercise-related leg pain in female collegiate athletes: the influence of intrinsic and extrinsic factors.

BACKGROUND: Exercise-related leg pain is a common complaint among athletes, but there is little evidence regarding risk factors for this condition in female collegiate athletes. PURPOSE: To examine prospectively the effect of selected extrinsic and intrinsic factors on the development of exercise-related leg pain in female collegiate athletes. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Subjects were 76 female collegiate athletes participating in fall season sports, including cross-country running, field hockey, soccer, and volleyball. Athletes were seen for a pre-season examination that included measures of height, weight, foot pronation, and calf muscle length as well as a questionnaire for disordered eating behaviors. Body mass index was calculated from height and weight (kg/m(2)). Those athletes who developed exercise-related leg pain during the season were seen for follow-up. All athletes who developed the condition and a matched group without such leg pain underwent bone mineral density and body composition testing. Statistical analyses of differences and relationships were conducted. RESULTS: Of the 76 athletes, 58 (76%) reported a history of exercise-related leg pain, and 20 (26%) reported occurrence of exercise-related leg pain during the season. A history of this condition was strongly associated with its occurrence during the season (odds ratio, 13.2). Exercise-related leg pain was most common among field hockey and cross-country athletes and least common among soccer players. There were no differences between athletes with and without such leg pain regarding age, muscle length, self-reported eating behaviors, body mass index, menstrual function, or bone mineral density. Athletes with exercise-related leg pain had significantly (P < .05) greater navicular drop compared with those without. CONCLUSION: Exercise-related leg pain was common among this group of female athletes. The results suggest that there are certain factors, including foot pronation, sport, and a history of this condition, that are associated with an increased risk of exercise-related leg pain.

Adult↗
PubMed2004

Toward the development of a test for growth hormone (GH) abuse: a study of extreme physiological ranges of GH-dependent markers in 813 elite athletes in the postcompetition setting.

There is a need to develop a test to detect GH abuse by elite athletes. Measured levels of GH in blood or urine, however, provide little information on the GH-IGF-I axis. Previous studies have identified a series of indirect markers of GH action that are markedly altered by the administration of GH, but to a lesser degree by acute exercise. This study was undertaken to determine the physiological range of these GH-dependent variables in elite athletes after a competitive event to determine whether such values differ from resting values in normal and athletic subjects and to establish whether any adjustments to this range are required on the basis of age, gender, demographic characteristics, or the nature of the exercise performed. Serum samples were collected from 813 elite athletes (537 males and 276 females; age range, 17-64 yr) from 15 sporting disciplines within 2 h of completion of a major competitive event. IGF-I, IGF-binding protein 2 (IGFBP-2), IGFBP-3, acid-labile subunit, and the bone and soft tissue markers, osteocalcin, carboxyl-terminal propeptide of type I procollagen, carboxyl-terminal cross-linked telopeptide of type I collagen, and procollagen type III were measured. Sporting category, gender, age, height, weight, body mass index (BMI), and racial group of the athlete were documented, and results were compared both to normative data and to values obtained from elite athletes under resting conditions. Forty-one percent of IGF-I values in male athletes and 41% of values in female athletes were above the upper limits of 99% reference ranges derived from resting values in a normal population. Postcompetition levels of all variables except carboxyl-terminal propeptide of type I procollagen and carboxyl-terminal cross-linked telopeptide of type I collagen differed from resting values. There was a consistent age-dependent fall in measured levels of all variables (P < 0.0001) with the exception of IGFBP-2, which increased with age (P < 0.0001). BMI, but not height, exerted a small, but significant, influence on several variables. After adjustment for age, there were no significant differences in the levels of any of the measured variables between sporting categories. IGFBP-2 and IGFBP-3 were lower in 35 black athletes compared with those in 35 white athletes matched for age, gender, height, BMI, and sporting category. We have demonstrated that there are predictable age-dependent levels of GH-dependent markers in elite athletes that are consistent even at the extremes of physical exertion and that these are independent of sporting category. Normative data applicable to white athletes are provided. This provides important groundwork for the development of a test for GH abuse, although these values may be specific for the reagents and assays used.

Adult↗
PubMed2005

Allergic rhinitis and pharmacological management in elite athletes.

INTRODUCTION: Only a few studies have examined the occurrence of atopy and clinically apparent allergic disease and their pharmacological management in elite athletes. The aim of the study was to assess the frequency of allergic rhinitis and the use of antiallergic medication within the subgroups of elite athletes as compared with a representative sample of young adults of the same age. METHODS: A cross-sectional survey was carried out in 2002. All the athletes (N = 494) financially supported by the National Olympic Committee comprised the study group. Of them, 446 (90.3%) filled in a structured questionnaire concerning asthma and allergies, the use of medication, characteristics of sport activities, and smoking habits. A representative sample of Finnish young adults (N = 1504) served as controls. RESULTS: The endurance athletes reported physician-diagnosed allergic rhinitis more often (36.1%) than other athletes (23.4%) or control subjects (20.2%). The use of antiallergic medication was reported by 33.3, 15.7, and 15.6% of those, respectively. Among both athletes and controls, females reported the use of antiallergic medication more often than males. Only half of those athletes reporting allergic rhinitis had used antiallergic medication during the past year. After adjusting for age and sex, OR (95% CI) for allergic rhinitis and the use of antiallergic medication were 2.24 (1.48-3.39) and 2.79 (1.82-4.28), respectively, in endurance athletes as compared with the controls. CONCLUSIONS: Endurance athletes have physician-diagnosed allergic rhinitis, and they use antiallergic medication more often than athletes in other events or control subjects. Only half of those athletes reporting allergic rhinitis take antiallergic medication. More attention needs to be paid to the optimal management of allergic rhinitis, especially in highly trained endurance athletes.

Adolescent↗
PubMed1995

Characteristics of body shape of female athletes based on factor analysis.

We examined the body shape of female athletes in comparison with female adult non-athletes by factor analysis. The subjects were 433 adult non-athletes and 464 athletes participating in 11 different sporting events. The physique, skinfold thickness and body composition of each subject were measured. The values obtained from non-athletes were analyzed by factor analysis, and the body shape of the athletes was then analyzed according to these factors. Four main factors with which 80 percent of total variance could be explained were body fat (Factor 1), mass (Factor 2), leg length to height ratio (Factor 3) and length (Factor 4), and were extracted from the values from non-athletes. The body shape of the athletes could be classified into 4 categories by cluster analysis for factor score of sporting events: less body fat and slim type, average type like non-athletes, muscular and well-balanced type, and tall and well-developed mass. Compared with non-athletes, female athletes for all sporting events had less body fat. Moreover, the athletes had a body shape suitable for their sporting events; i.e., their mass, length of leg and height.

Adult↗
PubMed1986

Lower prevalence of diabetes in female former college athletes compared with nonathletes.

The prevalence rate of diabetes was determined for 5398 living college alumnae (2622 former college athletes and 2776 nonathletes) from data on medical history, athletic training, and diet. For all ages, the prevalence rate among the former athletes was 0.57% (15/2622) and among the nonathletes was 1.3% (37/2776). The former college athletes and the nonathletes had similar percentages in family history of diabetes, i.e., 12.0 and 13.5%, respectively. For cases occurring at age greater than or equal to 20 yr (thus assessing the effects of college athletic training), 0.5% (13/2622) of the former college athletes had diabetes compared to 1.2% (32/2776) of the nonathletes; the relative risk is 2.24 [95% confidence limits (CL), 1.19 and 4.74, respectively]. Omitting cases of gestational diabetes, the relative risk of diabetes in nonathletes versus athletes is 3.41 (95% CL, 1.33 and 8.70). The percentages of former athletes and nonathletes that are insulin-using, non-insulin-using, and gestational diabetics did not differ significantly. The athletes were leaner than the nonathletes at all ages up to 70 yr. Of the former college athletes, 82% had been on precollege teams, compared to 25% of the college nonathletes; 74% of the former athletes were exercising regularly, compared to 57% of the nonathletes. We conclude that long-term athletic training is associated with a lower risk of the development of diabetes.

Adult↗
PubMed2003

Sex Differences and the Incidence of Concussions Among Collegiate Athletes.

OBJECTIVE: To compare sex differences regarding the incidence of concussions among collegiate athletes during the 1997-1998, 1998-1999, and 1999-2000 seasons. DESIGN AND SETTING: A cohort study of collegiate athletes using the National Collegiate Athletic Association (NCAA) Injury Surveillance System; certified athletic trainers recorded data during the 1997-2000 academic years. SUBJECTS: Collegiate athletes participating in men's and women's soccer, lacrosse, basketball, softball, baseball, and gymnastics. MEASUREMENTS: Certified athletic trainers from participating NCAA institutions recorded weekly injury and athlete-exposure data from the first day of preseason practice to the final postseason game. Injury rates and incidence density ratios were computed. Incidence density ratio is an estimate of the relative risk based on injury rates per 1000 athlete-exposures. RESULTS: Of 14 591 reported injuries, 5.9% were classified as concussions. During the 3-year study, female athletes sustained 167 (3.6%) concussions during practices and 304 (9.5%) concussions during games, compared with male athletes, who sustained 148 (5.2%) concussions during practices and 254 (6.4%) concussions during games. Chi-square analysis revealed significant differences between male and female soccer players (chi(2)(1) = 12.99, P =.05) and basketball players (chi(2)(1) = 5.14, P =.05). CONCLUSIONS: Female athletes sustained a higher percentage of concussions during games than male athletes. Of all the sports, women's soccer and men's lacrosse were found to have the highest injury rate of concussions. Incidence density ratio was greatest for male and female soccer players.

Journal Article↗
PubMed2004

Analysis of Injury Rates and Treatment Patterns for Time-Loss and Non-Time-Loss Injuries Among Collegiate Student-Athletes.

OBJECTIVE: To compare the injury rates for time-loss and non-time-loss injuries among selected intercollegiate athletic programs and to describe the number of treatments associated with these injuries. DESIGN AND SETTING: A volunteer, cross-sectional cohort study of 50 collegiate athletic programs representing the 3 National Collegiate Athletic Association divisions, the National Association of Intercollegiate Athletics, and the National Junior College Athletic Association during the 2000-2002 academic years. SUBJECTS: Individuals listed on the team rosters for the participating institutions and representing the sports associated with the institution's athletic programs. MEASUREMENTS: The athletic training staff and students recorded the injury and treatment data for the participating institutions. The data included information for time-loss and non- time-loss injuries, daily treatments, and daily athlete-exposures. RESULTS: Non-time-loss injury rates were 3.5 (confidence interval = 3.4, 3.6) times the time-loss rate for men and 5.1 (confidence interval = 4.9, 5.2) times the time-loss rate for women. Non-time-loss injuries required more treatments over the course of the year than did time-loss injuries. For men's sports, 22% of the injuries resulted in loss of participation time, with 47% of the treatments associated with these injuries. For women's sports, 16% of the injuries and 34% of the treatments were associated with time-loss injuries. CONCLUSIONS: Throughout the sports medicine year, athletic training staff and students spent more time delivering treatments to athletes who were not missing participation time than to athletes who were missing time. A noteworthy difference in the workforce available to provide health care among the various levels of intercollegiate athletics may contribute to the frequency of injury and treatments reported.

Journal Article↗
PubMedDate not supplied

Current trends in athletic training practice for concussion assessment and management.

CONTEXT: Athletic trainers surveyed in 1999 demonstrated little consensus on the use of concussion grading scales and return-to-play criteria. Most relied on clinical examination or symptom checklists to evaluate athletes with concussion. OBJECTIVE: To investigate the current trends of certified athletic trainers in concussion assessment and management. DESIGN: Subjects were invited to participate in a 32-question Internet survey. SETTING: An Internet link to the survey was e-mailed to the subjects. PATIENTS OR OTHER PARTICIPANTS: A total of 2750 certified athletic trainers and members of the National Athletic Trainers' Association were randomly e-mailed and invited to participate. MAIN OUTCOME MEASURE(S): Survey questions addressed topics including years of certification, number of concussions evaluated each year, methods of assessing concussion, and guidelines used for return to play. Compliance with the recent position statement of the National Athletic Trainers' Association on sport-related concussion was also evaluated. RESULTS: Certified athletic trainers averaged 9.9 +/- 7.3 years of certification and evaluated an average of 8.2 +/- 6.5 concussions per year. To assess concussion, 95% reported using the clinical examination, 85% used symptom checklists, 48% used the Standardized Assessment of Concussion, 18% used neuropsychological testing, and 16% used the Balance Error Scoring System. The most frequently used concussion grading scale and return-to-play guideline belonged to the American Academy of Neurology (30%). When deciding whether to return an athlete to play, certified athletic trainers most often used the clinical examination (95%), return-to-play guidelines (88%), symptom checklists (80%), and player self-report (62%). The most important tools for making a return-to-play decision were the clinical examination (59%), symptom checklists (13%), and return-to-play guidelines (12%). Only 3% of certified athletic trainers surveyed complied with the recent position statement, which advocated using symptom checklists, neuropsychological testing, and balance testing for managing sport-related concussion. CONCLUSIONS: Our findings suggest that only a small percentage of certified athletic trainers currently follow the guidelines proposed by the National Athletic Trainers' Association. Various assessment methods and tools are currently being used, but clinicians must continue to implement a combination of methods and tools in order to comply with the position statement.

Journal Article↗
PubMed1994

Injured athletes and the risk of suicide.

Research on the emotional responses of athletes to injury shows significant depression that may be profound and may last a month or more, paralleling the athlete's perceived recovery. Injured athletes cared for by athletic trainers are often between the ages of 15 to 24, the high-risk age group for suicide, which is currently a leading cause of death for young Americans. The purposes of this paper are to discuss postinjury depression, the incidence and risk factors of suicide, athletic injury as a psychosocial risk factor, the features common to suicide attempts in case studies of five injured athletes, and the motivation of athletes for sport participation. We also suggest ways in which athletic trainers can assess injured athletes for depression and risk of suicide. The five injured athletes who attempted suicide shared several common factors. All had experienced 1) considerable success before sustaining injury; 2) a serious injury requiring surgery; 3) a long, arduous rehabilitation with restriction from their preferred sport; 4) a lack of preinjury competence on return to sport; and 5) being replaced in their positions by teammates. Also, all were in the highrisk age group for suicide. As a primary care provider, the certified athletic trainer is in an ideal position to detect serious postinjury depression and to determine whether the injured athlete is at risk for suicide.

Journal Article↗
PubMed1996

Use of computer-based instruction in athletic training education.

Computer-based instruction is being widely used in the education programs of many allied health professions. However, there has been little, if any, documentation of computer-based instruction use in athletic training education. The primary purpose of this study was to determine what percentage of undergraduate and graduate NATA-approved athletic training education programs are using some form of computer-based instruction (ie, computer-assisted instruction or interactive video). We also addressed the following research questions: 1) What athletic training educational software is currently being used by athletic training students and educators? 2) What factors currently impede the use of computer-based instruction in athletic training education? 3) What instructional methods are commonly used to incorporate computer-based instruction into the athletic training curricula? and 4) What are the attitudes of athletic training program directors toward the use of computer-based instruction in athletic training education? Surveys were mailed to the program directors (n = 97) of all graduate and undergraduate NATA-approved athletic training education programs. Eighty-six (87.7%) usable surveys were returned. Forty-eight (55.8%) of the respondents reported using some form of computer-based instruction in their athletic training education program; 47 (54.7%) used computer-assisted instruction and 9 (10.6%) used interactive video. Respondents also identified the educational software they use and their method for implementing this software. Software was used most often to supplement traditional instructional methods. A lack of funds was reported to be the primary impeding factor for those programs not using computer-based instruction. Respondents reported an overall positive attitude toward computer-based instruction use in athletic training education and indicated the need for increased development of athletic training/sports medicine software.

Journal Article↗
PubMed1997

Hepatitis B Immunization of Athletic Trainers in NATA District IX.

OBJECTIVE: Preventive measures for transmission of bloodborne pathogens in athletic training should include hepatitis B virus (HBV) immunization of all certified athletic training staff and all student athletic trainers. Previously, no research has been undertaken to examine if athletic training programs follow these recommendations. The intent of this study was to investigate the number of certified athletic trainers (ATCs) and student athletic trainers (SATs) in the collegiate athletic training setting who have been immunized against HBV. DESIGN AND SETTING: Surveys were sent to all four-year institutions (n=173) in the National Athletic Trainers' Association (NATA) District IX. Both certified and student athletic trainers at each institution were instructed to complete and return surveys. SUBJECTS: Certified and student athletic trainers working in four-year colleges and universities in the states (n=7) belonging to NATA District IX. MEASUREMENTS: Returned surveys were evaluated by simple descriptive statistics for prevalence of ATC and SAT immunization. Other variables examined on surveys were how immunizations were paid for, amount of contact with bloodborne pathogens, use of protective barriers when in contact with bodily fluids, and differences in immunization practices according to athletic affiliation. RESULTS: One hundred and six (61%) institutions returned 599 surveys. Of 375 SATs returning surveys, 189 (50%) identified themselves as immunized, while 168 of 223 (75%) ATCs claimed to be immunized. CONCLUSIONS: According to the findings of this study, more emphasis should be placed on HBV immunization in the collegiate athletic training setting for the prevention of infection, especially with regard to SATs.

Journal Article↗