Head, Neck, and Traumatic Brain Injury Among Children Involved in Sports: Results From the Adolescent Brain Cognitive Development Study.

Head, Neck, and Traumatic Brain Injury Among Children Involved in Sports: Results From the Adolescent Brain Cognitive Development Study.
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DOI:
10.1016/j.jadohealth.2020.06.004
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发表时间:
2021-03
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
Eckner JT
Eckner JT
中科院分区:
其他
文献类型:
--
作者:
Veliz P;Ryan J;Eckner JT

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本研究的目的是使用青少年脑认知发育(ABCD)研究的基线队列,评估需要住院或急诊治疗的头颈部损伤(HNI)和创伤性脑损伤伴意识丧失(TBI-TBI)在青少年运动员和非运动员(9/10岁)中的患病率。ABCD研究基线队列的国家数据分析(2016-2018; n= 11,869)。分析发现,12.1%的样本在其生命周期内显示HNI,而0.8%的样本显示TBI-TBI。参加多种运动(aPRR=1.29,95%CI = 1.06,1.55)、接触性运动(aPRR=1.19,95%CI = 1.05,1.34)和参加运动5年或5年以上(aPRR=1.42,95%CI = 1.16,1.73)的人报告HNI的患病率比非参与者略高。未发现运动参与与TBI-TBI相关。这项研究提供了必要的流行病学信息,了解参加体育运动的青少年中HNI和TBI-Risk的患病率。虽然青少年运动员和非运动员的TBI-TBI风险似乎较低,但由于参与体育运动和参与高接触性运动的时间较长,更严重的头部损伤的风险可能会增加。
The purpose of this study was to assess the prevalence of head and neck injury (HNI) requiring hospitalization or emergency care and traumatic brain injury with loss of consciousness (TBI-LOC) among youth athletes and non-athletes (ages 9/10) using the baseline cohort of the Adolescent Brain Cognitive Development (ABCD) study. Analysis of national data from the baseline cohort of the ABCD study (2016–2018; n=11,869). The analysis found that 12.1% of the sample indicated HNI during their lifetime, while .8% indicated TBI-LOC. Participation in multiple sports (aPRR=1.29, 95% CI=1.06,1.55), contact sports (aPRR=1.19, 95% CI=1.05,1.34), and who had participated in sport for 5 or more years (aPRR=1.42, 95% CI =1.16,1.73) had modestly higher prevalence rate ratios of reporting HNI compared to nonparticipants. Sport participation was not found to be associated with TBI-LOC. The study provides needed epidemiological information on the prevalence of HNI and TBI-LOC among younger adolescents who participate in sports. While the risk of TBI-LOC appears to be low among youth athletes and non-athletes, the risk of more serious head injuries may increase due length of participation in sport and involvement in high contact sports.
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