Weight Gain and Health Affliction Among Former National Football League Players
Weight Gain and Health Affliction Among Former National Football League Players
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DOI：
10.1016/j.amjmed.2018.07.042
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发表时间：
2018-12-01
影响因子：
5.9
通讯作者：
Baggish, Aaron L.
中科院分区：
文献类型：
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作者：
Churchill, Timothy W.;Krishnan, Supriya;Baggish, Aaron L.
背景：职业美式足球运动员是当代体育学科中体型最大的运动员之一。在参与足球比赛期间体重增加是很常见的，但这种早期体重增加对健康的影响仍然不完全清楚。我们试图定义前职业美式足球运动员的体重轨迹，并建立他们与5种常见健康疾病(心血管疾病、心脏代谢性疾病、神经认知障碍、睡眠呼吸暂停和慢性疼痛)的关系。方法：对前国家橄榄球联盟(NFL)球员进行健康调查。前球员报告了4个时间点的体重(高中、大学、职业和调查反应时间)以及最大退役体重。结果：在这组前NFL球员(n=3,506，年龄53+/-14岁)中，从高中到调查回应时间的平均体重增加为40+/-36磅，其中大部分体重增加发生在参与足球期间(从高中到大学和从大学到专业)。健康问题的患病率从9%(心血管疾病)到28%(慢性疼痛)不等。在调整了足球暴露、生活方式变量和职业生涯后体重增加的模型中，参加足球期间的体重增加与晚年多种健康问题的风险独立相关。结论：美式足球运动员的早期体重增加是常见的，并且与晚年健康状况不良的风险有关。这些发现确立了与足球相关的体重增加是职业生涯后健康的关键预测指标，并提出了关于定向体重增加在这一人群中的核心作用的重要问题。(C)2018 Elsevier Inc.保留所有权利。
BACKGROUND: Professional American-style football players are among the largest athletes across contemporary sporting disciplines. Weight gain during football participation is common, but the health implications of this early-life weight gain remain incompletely understood. We sought to define weight trajectories of former professional American-style football athletes and to establish their relationship with 5 common health afflictions (cardiovascular disease, cardiometabolic disease, neurocognitive impairment, sleep apnea, and chronic pain).METHODS: A health survey was distributed to former National Football League (NFL) players. Former players reported body weight at 4 time points (high school, college, professional, and time of survey response) as well as maximal retirement weight. Logistic regression was used to assess associations between weight gain during football participation and health affliction.RESULTS: In this cohort of former NFL players (n = 3,506, age 53 +/- 14 years), mean weight increase from high school to time of survey response was 40 +/- 36 pounds, with the majority of weight gain occurring during periods of football participation (high-school-to-college and college-to-professional). The prevalence of health afflictions ranged from 9% (cardiovascular disease) to 28% (chronic pain). Weight gain during football participation was independently associated with risk of multiple later-life health afflictions in models adjusted for football exposure, lifestyle variables, and post-career weight gain.CONCLUSIONS: Early-life weight gain among American-style football athletes is common and is associated with risk of adverse health profiles during later-life. These findings establish football-associated weight gain as a key predictor of post-career health and raise important questions about the central role of targeted weight gain in this population. (C) 2018 Elsevier Inc. All rights reserved.