Brain Inj. 2024 Sep 22:1-11. doi: 10.1080/02699052.2024.2405209. Online ahead of print.

ABSTRACT

BACKGROUND: Former professional collision sport (CS) athletes, particularly American football players, are at risk of developing chronic health conditions; however, little is known about the health outcomes of amateur athletes.

METHODS: A 60-item health survey examined self-reported symptoms and diagnoses among former Division 1 Collegiate CS athletes and non- or limited-contact sport (non-CS) athletes. Binary logistic regressions tested the association between playing CS and health outcomes.

RESULTS: Five hundred and two (6.2%) participants completed the survey: 160 CS athletes (mean age: 59.2, SD = 16.0) and 303 non-CS athletes (mean age: 54.0, SD = 16.9). CS athletes had increased odds of reported cognitive complaints and neuropsychiatric symptoms including memory (P_adj < 0.01), attention/concentration (P_adj = 0.01), problem solving/multi-tasking (P_adj = 0.05), language (P_adj = 0.02), anxiety (P_adj = 0.04), impulsivity (P_adj = 0.02), short-fuse/rage/explosivity (P_adj < 0.001), and violence/aggression (P_adj = 0.02). CS athletes also reported higher rates of sleep apnea (P_adj = 0.02). There were no group differences in cardiovascular and physical health outcomes.

CONCLUSIONS: Former CS athletes reported more cognitive and neuropsychiatric complaints. The low response rate is a limitation of this study; however, over 500,000 athletes play college sports each year, thus research on long-term health outcomes in this population is critical.

PMID:39306858 | DOI:10.1080/02699052.2024.2405209