Athlete Status Research Articles

‘Christ-Followers on Every Team, in Every Sport, in Every Nation’: Proselytizing Athletes and UCLA

North American sports ministries are a nexus for the relationship between sport, Christian fundamentalism, politics, and capitalism. These organizations have developed expansive evangelizing networks using the influential power of athletic celebrity status and institutional embedding. This article explores the nature of these organizations by focusing on the formation of Athletes in Action out of its sister ministry, Campus Crusade for Christ on the campus of the University of California, Los Angeles during the 1950s. To inform the analysis of CCC and AIA, a historical overview of the overlap of athletics, religion, politics, and capitalism during this period is provided.

Risk Factors for Glenoid Bone Loss in the Setting of Posterior Glenohumeral Instability.

Posterior instability has been reported to account for up to 24% of cases of shoulder instability in certain active populations. However, there is a paucity of data available regarding the risk factors associated with posterior glenoid bone loss. To characterize the epidemiology of, and risk factors associated with, glenoid bone loss within a cohort of patients who underwent primary arthroscopic shoulder stabilization for isolated posterior-type glenohumeral instability. Cross-sectional study; Level of evidence, 3. This was a retrospective analysis of patients who underwent primary arthroscopic shoulder stabilization for posterior-type instability between January 2011 and December 2019. Preoperative magnetic resonance arthrograms were used to calculate posterior glenoid bone loss using a perfect circle technique. Patient characteristics and revision rates were obtained. Bone loss (both in millimeters and as a percentage) was compared between patients based on sex, age, arm dominance, sports participation, time to surgery, glenoid version, history of trauma, and number of anchors used for labral repair. Included were 112 patients with a mean age of 28.66 ± 10.07 years; 91 patients (81.25%) were found to have measurable bone loss. The mean bone loss was 2.46 ± 1.68 mm (8.98% ± 6.12%). Significantly greater bone loss was found in athletes versus nonathletes (10.09% ± 6.86 vs 7.44% ± 4.56; P = .0232), female versus male patients (11.17% ± 6.53 vs 8.17% ± 5.80; P = .0212), and patients dominant arm involvement versus nondominant arm involvement (10.26% ± 5.63 vs 7.07% ± 6.38; P = .0064). Multivariate regression analysis identified dominant arm involvement as an independent risk factor for bone loss (P = .0033), and dominant arm involvement (P = .0024) and athlete status (P = .0133) as risk factors for bone loss >13.5%. At the conclusion of the study period, 7 patients had experienced recurrent instability (6.25%). The findings of this study are in alignment with existing data suggesting that posterior glenoid bone loss is highly prevalent in patients undergoing primary arthroscopic stabilization for posterior-type shoulder instability. Our results suggest that patients with dominant arm involvement are at risk for greater posterior glenoid bone loss. Athlete status and dominant arm involvement were identified as independent risk factors for bone loss >13.5%.

A Systematic Review and Meta-analysis of Risk Factors for an Infection After Anterior Cruciate Ligament Reconstruction.

Identifying risk factors for an infection after anterior cruciate ligament reconstruction (ACLR) and following targeted preventive strategies can effectively reduce this potentially serious complication. To perform a systematic review and meta-analysis to identify the risk factors for an infection after ACLR. Systematic review; Level of evidence, 4. The PubMed, Embase, and Web of Science databases were searched from inception to September 1, 2022, for prospective and retrospective studies investigating risk factors for any type of infection after ACLR. Odds ratios (ORs) or mean differences were calculated for potential risk factors if ≥2 studies assessed the same risk factor. A qualitative analysis of variables was performed if a meta-analysis could not be conducted. A total of 17 studies with 141,991 patients were included in this review. The overall pooled infection rate was 0.86% (range, 0.24%-5.50%). There were 20 risk factors identified for analysis. Of these, 7 variables independently increased the odds of an infection after ACLR: (1) male sex (OR, 1.90 [95% CI, 1.33-2.73]), (2) diabetes (OR, 2.69 [95% CI, 1.66-4.35]), (3) hamstring tendon autograft (OR, 2.51 [95% CI, 2.03-3.10]), (4) revision ACLR (OR, 2.31 [95% CI, 1.22-4.37]), (5) professional athlete status (OR, 6.21 [95% CI, 1.03-37.38]), (6) lateral tenodesis (OR, 3.45 [95% CI, 1.63-7.28]), and (7) corticosteroid use (OR, 7.83 [95% CI, 3.68-16.63]). No significant associations were found between postoperative infections and age, body mass index, smoking, meniscal repair, or outpatient surgery. This review revealed that an increased risk of infections after ACLR was associated with male sex, diabetes, hamstring tendon autograft, revision surgery, professional athlete status, lateral tenodesis, and steroid use. Knowledge of the risk factors associated with an infection after ACLR may facilitate the identification of high-risk cases and the implementation of preventive measures to mitigate the serious consequences of this complication.

Driving performance acutely after mTBI among young drivers

ObjectiveMild traumatic brain injury (mTBI) can impair executive function, learning, and memory, which can negatively impact driving ability. However, little is known how the driving performance of young drivers may be impacted acutely after mTBI. This study aimed to evaluate simulated driving within 96 h of mTBI among young drivers as compared to matched healthy controls, and assess the effects of increased cognitive load on driving performance. MethodsInjured young drivers ages 16 to 24 with physician-confirmed mTBI were enrolled from two sites (University of Alabama at Birmingham and Ohio State University) and completed the assessment on a high-fidelity driving simulator within 96 h of injury. Matched healthy controls were young drivers without mTBIs matched with an index mTBI by age, sex, athlete status, and driving experience. Participants drove four scenarios in a 2x2 design: with/without cognitive load and with/without critical events. Linear mixed models were used to compare the driving outcomes between mTBI drivers and healthy controls. ResultsA total of 38 participants were included, with 25 cases and 13 controls. Standard deviation of lateral position, following distance and reaction time were analyzed. The preliminary findings indicated that mTBI drivers tended to maintain more distance to the car in front of them than healthy controls. High cognitive load was associated with slower reaction time regardless of TBI status. ConclusionsThis study is the first to assess simulated driving performance among young drivers with mTBI acutely post-injury. The findings will have important clinical implications on when young drivers may return to driver post-mTBI and at what conditions. Additional research is warranted to confirm these results.

The Relationship between Changes in MYBPC3 Single-Nucleotide Polymorphism-Associated Metabolites and Elite Athletes' Adaptive Cardiac Function.

Athletic performance is a multifactorial trait influenced by a complex interaction of environmental and genetic factors. Over the last decades, understanding and improving elite athletes' endurance and performance has become a real challenge for scientists. Significant tools include but are not limited to the development of molecular methods for talent identification, personalized exercise training, dietary requirements, prevention of exercise-related diseases, as well as the recognition of the structure and function of the genome in elite athletes. Investigating the genetic markers and phenotypes has become critical for elite endurance surveillance. The identification of genetic variants contributing to a predisposition for excellence in certain types of athletic activities has been difficult despite the relatively high genetic inheritance of athlete status. Metabolomics can potentially represent a useful approach for gaining a thorough understanding of various physiological states and for clarifying disorders caused by strength-endurance physical exercise. Based on a previous GWAS study, this manuscript aims to discuss the association of specific single-nucleotide polymorphisms (SNPs) located in the MYBPC3 gene encoding for cardiac MyBP-C protein with endurance athlete status. MYBPC3 is linked to elite athlete heart remodeling during or after exercise, but it could also be linked to the phenotype of cardiac hypertrophy (HCM). To make the distinction between both phenotypes, specific metabolites that are influenced by variants in the MYBPC3 gene are analyzed in relation to elite athletic performance and HCM. These include theophylline, ursodeoxycholate, quinate, and decanoyl-carnitine. According to the analysis of effect size, theophylline, quinate, and decanoyl carnitine increase with endurance while decreasing with cardiovascular disease, whereas ursodeoxycholate increases with cardiovascular disease. In conclusion, and based on our metabolomics data, the specific effects on athletic performance for each MYBPC3 SNP-associated metabolite are discussed.

A Review of Research on the Effects of Hydration Status on Health and Athletic Performance in Athletes

The importance of hydration status as an important influence on athletic performance and health status has received increasing attention from athletes and coaches. This paper provides a detailed review of three aspects of factors affecting hydration status and the effects of hydration imbalance on athletic performance and health. Factors affecting athletes' hydration status were found to be education, exercise intensity, ambient temperature, sports rehydration fluid (dose and composition), training frequency, gender, medication, fasting, and race; hydration imbalance mainly affects athletes' aerobic endurance, although the mechanism is not clear, while the effect on anaerobic strength is debated; the main health effects of hydration imbalance are hyponatremia, cerebral infarction , body metabolism, cognitive function, immune function, cardiovascular health, gastrointestinal health, oral health, and urinary tract health.

The Role of AGT, AMPD1, HIF1α, IL-6 Gene Polymorphisms in the Athletes' Power Status: A Meta-Analysis.

This meta-analysis was designed to investigate the relationship between genetic polymorphisms (AGT rs699, AMPD1 rs17602729, HIF1α rs11549465, IL-6 rs1800795) and power athletes' status. Only case-control studies were included in the meta-analysis. A systematic search of the PubMed and Web of Science databases was performed to identify relevant studies and 23 studies met the inclusion criteria for the meta-analysis. The data from the included studies were pooled and analyzed using a random effects or fix effects model. The effect size was calculated as the odds ratio or a risk ratio with 95% confidence intervals. The results showed that certain genetic polymorphisms, AGT rs699 Thr allele, HIF1A rs11549465 Ser allele and AMPD1 rs17602729 C allele, were significantly more prevalent in power athletes (p < 0.05). When examining the genotype frequency distribution of AGT rs699 and AMPD1 rs17602729, significant differences were found in both the dominant and recessive models (p < 0.05). The results indicate that these gene polymorphisms play a role in power athlete status, however, new and more comprehensive studies are needed to confirm these results.

Time of day and athlete status effects on the modified clinical test of sensory integration and balance (mCTSIB) and stability evaluation test (SET)

BackgroundConcussions or musculoskeletal injuries may impair postural control, which is one diagnostic to help determine return-to-activity decisions. Postural control may be affected by diurnal rhythm. Research questionDoes time of day influence postural control as measured by two Neurocom Balance Master diagnostic protocols, the Modified Clinical Test of Sensory Interaction on Balance (mCTSIB) and the Stability Evaluation Test (SET)? MethodsFollowing Institutional Review Board (IRB) approval, consented participants completed the SET and mCTSIB twice: between 0700 and 1000; and between 1600 and 1900. We randomized and balanced testing order. Familiarization trials were completed for the mCTSIB and SET. Assessments were completed in a controlled laboratory environment. We instructed participants to get a normal night’s sleep prior to testing and refrain from caffeine use and exhaustive exercise on the day of testing. Sixty-nine participants (48 female, 21 male: age = 21.42±2.56 years, height = 168.20±7.53 cm, mass = 72.05±16.60 kg) completed the study. Thirty-one of the participants were National Association of Intercollegiate Athletes (NAIA) student-athletes from the sports of baseball, soccer and softball. Average postural sway velocity was measured and compared by time of day for each of the balance conditions in the mCTSIB and SET protocols. ResultsAccording to repeated measures ANOVA, there were no significant postural sway velocity main effects by time of day for any of the balance conditions. We found significant postural sway main effects by foam, stance and eyes. We also noted significant ANOVA between participants’ differences for athlete status, but not for sex. SignificanceThese results inform practitioners about the importance of controlling time-of-day between baseline and post-injury testing, which may allow for more flexible, accurate and reliable diagnosis and return-to-activity decisions. Athletes displayed better static postural control, possibly warranting different normative values for diagnostic comparison.

The bioelectrical impedance analysis (BIA) international database: aims, scope, and call for data.

Bioelectrical impedance analysis (BIA) is a technique widely used for estimating body composition and health-related parameters. The technology is relatively simple, quick, and non-invasive, and is currently used globally in diverse settings, including private clinicians' offices, sports and health clubs, and hospitals, and across a spectrum of age, body weight, and disease states. BIA parameters can be used to estimate body composition (fat, fat-free mass, total-body water and its compartments). Moreover, raw measurements including resistance, reactance, phase angle, and impedance vector length can also be used to track health-related markers, including hydration and malnutrition, and disease-prognostic, athletic and general health status. Body composition shows profound variability in association with age, sex, race and ethnicity, geographic ancestry, lifestyle, and health status. To advance understanding of this variability, we propose to develop a large and diverse multi-country dataset of BIA raw measures and derived body components. The aim of this paper is to describe the 'BIA International Database' project and encourage researchers to join the consortium. The Exercise and Health Laboratory of the Faculty of Human Kinetics, University of Lisbon has agreed to host the database using an online portal. At present, the database contains 277,922 measures from individuals ranging from 11 months to 102 years, along with additional data on these participants. The BIA International Database represents a key resource for research on body composition.

Identity in elite level disability sport: a systematic review and meta-study of qualitative research

ABSTRACT This meta-study evaluated qualitative identity literature within elite disabled sport. Following a systematic search of EBSCO SPORTDiscus, MEDLINE, PsycINFO, and Web of Science, nine articles met the inclusion criteria. The meta-study examined how identity was framed from participant or author perspectives, employing narrative analysis to understand the participant stories and broader storylines crafted by authors. Two distinct narratives were co-constructed; Re-birth: characterising athlete identity experiences and how overcoming career challenges developed traits necessary for elite athlete status, and Tragedy: how authors’ interpretations indicated that although athletes achieved personal sporting success, the ‘bigger battle’ of how disability was presented within society remained. The Re-birth and Tragedy narratives update the prospective gap between how elite disability athletes story their experiences and their framing within society.

Examination of the Service Quality Perceptions and Academic Engagement Levels of the Students of the Faculty of Sport Sciences

The purpose of this study is to examine the perceptions of service quality and academic engagement of athletic department students according to the variables of gender, age, department, class, type of education, athletic status, and origin from different states; to determine if there is a relationship between perceptions of service quality and academic engagement; and finally, to determine if service quality predicts academic engagement. The study was conducted using the survey model with quantitative approaches. 298 students of Karamanoğlu Mehmet bey University, Faculty of Physical Education voluntarily participated in the study. The service quality scale, academic engagement scale, and a personal information form prepared by the researchers were used for the study. The T-test, Analysis of Variance (ANOVA), Pearson's Correlation Coefficient, and Linear Regression analysis were used to analyse the data. According to the results, significant differences were found in the overall scale of service quality and/or its sub-dimensions depending on the variables other than the type of education. Significant differences were found in the academic engagement scale in relation to other variables, except for the variables of age and type of education. It was also found that there was a positive and moderately significant relationship between athletic department students' ratings on the quality of service scale and academic engagement. In addition, it was found that 22% of these students' academic engagement was determined by service quality and service quality was a significant contributor to the prediction of academic engagement. As indicated by the result, a high perception of service quality has a positive effect on academic engagement.Keywords: Academic Engagement, Higher Education, Service Quality

Youth sport participation, injury history, and current physical activity among young adults

Objective: To examine the interaction between high school (HS) sports participation and injury history with current moderate-to-vigorous physical activity (MVPA) among young adults. Participants: Participants (N = 236) were 18–25 years old, not currently injured, and reported no physical activity limitations. Methods: Participants completed online demographic, injury history, and physical activity surveys. A two-way analysis of covariance was used to test the interaction between HS athlete status and previous injury severity on current self-reported MVPA. Results: Participants were 22.2 ± 2.1 years, primarily White (81.8%) or Asian (6.4%), and female (77.5%). After including body mass index and race as covariates, there was a statistically significant interaction between HS athlete status and previous injury history such that current MVPA was higher among former HS athletes compared to HS recreational/nonathletes when individuals reported no injuries or mild injury severity. MVPA was similar across athlete status groups when participants reported high levels of injury severity. Conclusions: Future studies should examine whether young adults who have experienced multiple and/or severe injuries as competitive HS athletes have unique physical activity barriers.

Does Athlete Status Explain Sexual Violence Victimization and Perpetration on College Campuses? A Socio-Ecological Study.

In the United States, college students have been identified as a high-risk group for sexual violence (SV) victimization and perpetration, with one in three women and one in four men experiencing SV in their lifetimes. Therefore, studies investigating both perpetration and victimization across genders are pertinent. Additionally, in the context of higher education, athletics is often viewed as a high-risk environment for SV. Despite established relationships between SV and intercollegiate athletics, research on this topic is not conclusive due to the heterogeneous nature of college sports, as well as a dearth of research on recreational athletes. The primary purpose of this study was to examine the differences in SV victimization and perpetration among intercollegiate, recreational, and non-athlete populations. Additional context was provided by exploring variables at multiple levels of the socio-ecological model for violence prevention, as these factors can be important aspects of a person's development and may inform behavior. Utilizing a sample of 62,996 students from 199 institutions of higher education in the United States, multilevel logistic regression analyses were conducted to assess individual- (i.e., personal demographics), relationship- (i.e., athlete status), and community-level (i.e., institutional characteristics) predictors of SV victimization and perpetration. The results indicated that recreational athletes are the most at-risk group, experiencing and perpetrating SV at higher rates than non-athletes. Results on institutional status and individual characteristics, as well as implications for practitioners and future research is discussed.

The combined analysis of urine and blood metabolomics profiles provides an accurate prediction of the training and competitive status of Chinese professional swimmers.

Objective: The purpose of this study was to employ metabolomics for the analysis of urine metabolites in swimmers, with the aim of establishing models for assessing their athletic status and competitive potential. Furthermore, the study sought to compare the identification efficacy of multi-component (urine and blood) model versus single-component (urine or blood) models, in order to determine the optimal approach for evaluating training and competitive status. Methods: A total of 187 Chinese professional swimmers, comprising 103 elite and 84 sub-elite level athletes, were selected as subjects for this study. Urine samples were obtained from each participant and subjected to nuclear magnetic resonance (NMR) metabolomics analysis. Significant urine metabolites were screened through multivariable logistic regression analysis, and an identification model was established. Based on the previously established model of blood metabolites, this study compared the discriminative and predictive performance of three models: either urine or blood metabolites model and urine + blood metabolites model. Results: Among 39 urine metabolites, 10 were found to be significantly associated with the athletic status of swimmers (p < 0.05). Of these, levels of 2-KC, cis-aconitate, formate, and LAC were higher in elite swimmers compared to sub-elite athletes, while levels of 3-HIV, creatinine, 3-HIB, hippurate, pseudouridine, and trigonelline were lower in elite swimmers. Notably, 2-KC and 3-HIB exhibited the most substantial differences. An identification model was developed to estimate physical performance and athletic level of swimmers while adjusting for different covariates and including 2-KC and 3-HIB. The urine metabolites model showed an area under the curve (AUC) of 0.852 (95% CI: 0.793-0.912) for discrimination. Among the three identification models tested, the combination of urine and blood metabolites showed the highest performance than either urine or blood metabolites, with an AUC of 0.925 (95% CI: 0.888-0.963). Conclusion: The two urine metabolites, 2-KC and 3-HIV, can serve as significant urine metabolic markers to establish a discrimination model for identifying the athletic status and competitive potential of Chinese elite swimmers. Combining two screened urine metabolites with four metabolites reported exhibiting significant differences in blood resulted in improved predictive performance compared to using urine metabolites alone. These findings indicate that combining blood and urine metabolites has a greater potential for identifying and predicting the athletic status and competitive potential of Chinese professional swimmers.

Advances in Research on the Effects of Hydration Status on Exercise Performance and Health

The importance of hydration status as an important influence on athletic performance and health status has received increasing attention from athletes and coaches. This paper presents a detailed review of the factors affecting hydration status and the effects of hydration imbalance on athletic performance and health. Hydration imbalance was found to mainly affect athletes' aerobic endurance, although the mechanism is not clear, while the effect on anaerobic strength is debated; the main health effects of hydration imbalance are hyponatremia, cerebral infarction, body metabolism, cognitive function, immune function,cardiovascular health, gastrointestinal health, oral health, and urinary tract health.

Genes and Athletic Performance: The 2023 Update.

Phenotypes of athletic performance and exercise capacity are complex traits influenced by both genetic and environmental factors. This update on the panel of genetic markers (DNA polymorphisms) associated with athlete status summarises recent advances in sports genomics research, including findings from candidate gene and genome-wide association (GWAS) studies, meta-analyses, and findings involving larger-scale initiatives such as the UK Biobank. As of the end of May 2023, a total of 251 DNA polymorphisms have been associated with athlete status, of which 128 genetic markers were positively associated with athlete status in at least two studies (41 endurance-related, 45 power-related, and 42 strength-related). The most promising genetic markers include the AMPD1 rs17602729 C, CDKN1A rs236448 A, HFE rs1799945 G, MYBPC3 rs1052373 G, NFIA-AS2 rs1572312 C, PPARA rs4253778 G, and PPARGC1A rs8192678 G alleles for endurance; ACTN3 rs1815739 C, AMPD1 rs17602729 C, CDKN1A rs236448 C, CPNE5 rs3213537 G, GALNTL6 rs558129 T, IGF2 rs680 G, IGSF3 rs699785 A, NOS3 rs2070744 T, and TRHR rs7832552 T alleles for power; and ACTN3 rs1815739 C, AR ≥21 CAG repeats, LRPPRC rs10186876 A, MMS22L rs9320823 T, PHACTR1 rs6905419 C, and PPARG rs1801282 G alleles for strength. It should be appreciated, however, that elite performance still cannot be predicted well using only genetic testing.

Left atrial dyssynchrony in veteran endurance athletes with and without paroxysmal atrial fibrillation.

Prolonged endurance exercise increase the risk of atrial fibrillation (AF) in men. Functional parameters may help separate physiological from pathological atrial remodeling in athletes. LA mechanical dispersion (LA MD) is associated with AF in the general population, but the associations between prolonged exercise, LA MD and AF are not known. To describe LA MD in veteran athletes with and without paroxysmal AF (pAF) and to investigate LA MD's ability to identify veteran athletes with pAF. Two hundred and ninety-three men, skiers with (n=57) and without (n=87) pAF, and controls with (n=61) and without pAF (n=88) underwent an echocardiographic exam in sinus rhythm. LA reservoir strain (LASr) was measured, and LA MD defined as the standard deviation of time-to-peak strain (SD-TPS). Skiers (mean age 70.7±6.7 years) reported an average of 40-50 years of endurance exercise. LA volumes were associated with pAF and athletic status (p<.001). SD-TPS was associated with pAF (p<.001) but not athletic status (p=.173). We found no significant trend between years of exercise and SD-TPS in individuals without AF (p=.893). SD-TPS did not add incremental value in identifying athletes with pAF in addition to clinical markers, QRS width, LA volume, and LASr (p=.056). LA MD was associated with pAF regardless of athletic status but not related to years of endurance exercise, suggesting LA MD could be a promising marker of pathological atrial remodeling in athletes. However, we found no incremental value of LA MD identifying athletes with pAF when LASr was included in the model.

No relationship between proprioception and interoception in university athletes and non-athletes

Proprioception and interoception are two complex physiological functions believed to be dependent on a variety of factors. The present study examined the relationship between proprioception and interoception in a sample of undergraduate students to determine whether varsity athlete status moderated the relationship, as physical activity levels have been hypothesized to influence both proprioception and interoception. Participants (n = 24) completed two tasks: a heartbeat discrimination test of interoceptive accuracy and a joint position matching test of proprioceptive accuracy at the elbow joint. Participants completed a questionnaire to determine their status as a varsity athlete at the university and the amount of time they dedicated every week to physical activity. The relationship between proprioceptive and interoceptive accuracy scores was analyzed across the entire sample and compared across athletes and non-athletes. Despite differences in physical activity between athletes and non-athletes (p = 0.04, d = 0.87), results revealed no significant relationships between proprioceptive accuracy and interoceptive accuracy in the entire sample (r(22) = 0.16, p = 0.47), in athletes (r(9) = -0.31, p = 0.36), or in non-athletes (r(11) = 0.53, p = 0.06). Also, this relationship did not significantly differ between athletes and non-athletes (q = 0.91, p = 0.06), despite a large effect size. Overall, there were no significant relationships between athlete status, proprioceptive accuracy, and interoceptive accuracy.

Cognitive Deficits Following Concussion: A Systematic Review

Context In the U.S., approximately 1.6 to 3.8 million concussions occur yearly as a result of sports. Athletes are especially at risk of sustaining cognitive deficits as a result of a concussion. These can manifest as impairments of attention, verbal and visual memory, visual perception, and executive function. Objective The purpose of this study was to examine cognitive deficits following sport-related concussions in the acute, intermediate, and long-term time period after initial head trauma. Data Sources A systematic review of the literature was performed according to PRISMA guidelines using the PubMed, Psychinfo, and Web of Science databases. Study Selection Search terms included sports-related concussion, traumatic brain injury (TBI), and cognitive impairments. Studies were excluded if they measured non-cognitive deficits or had subjective results. Participant characteristics such as average age, gender, and athletic status were also included from all articles. Study Design Systematic Review. Level of Evidence Level 4. Data Extraction Studies were included if they met the following criteria: explicit time points following injury, focus on cognitive deficits, and injuries were not self-diagnosed. Results Twenty-six studies, with a total of 4,534 patients, were included. Ten of twenty-six (38.4%) studies were separated into control groups versus concussed groups, while nine of twenty-six (34.6%) compared baseline scores to post-injury scores. In the included studies, cognitive deficits were seen across all of the domains in all three time periods following an initial concussion. Conclusion A sports related concussion could result in cognitive deficits in the domains of visual memory, verbal memory, processing speed, executive function, and reaction time. Additionally, athletes typically experience cognitive deficits for only days to weeks following a sports related concussion, but symptoms can continue for months or years following the injury, depending on severity. These conclusions should be taken into consideration when determining inidivudalized return-to-play protocol for each athlete.

Association of ACTN3 R577X Polymorphism with Elite Basketball Player Status and Training Responses.

The α-actinin-3 (ACTN3) gene rs1815739 (C/T, R577X) polymorphism is a variant frequently associated with athletic performance among different populations. However, there is limited research on the impact of this variant on athlete status and physical performance in basketball players. Therefore, the aim of this study was twofold: (1) to determine the association of ACTN3 rs1815739 polymorphism with changes in physical performance in response to six weeks of training in elite basketball players using 30 m sprint and Yo-Yo Intermittent Recovery Test Level 2 (IR 2) tests, and (2) to compare ACTN3 genotype and allelic frequencies between elite basketball players and controls. The study included a total of 363 individuals, comprising 101 elite basketball players and 262 sedentary individuals. Genomic DNA was isolated from oral epithelial cells or leukocytes, and genotyping was performed by real-time PCR using KASP genotyping method or by microarray analysis. We found that the frequency of the ACTN3 rs1815739 XX genotype was significantly lower in basketball players compared to controls (10.9 vs. 21.4%, p = 0.023), suggesting that RR/RX genotypes were more favorable for playing basketball. Statistically significant (p = 0.045) changes were observed in Yo-Yo IRT 2 performance measurement tests in basketball players with the RR genotype only. In conclusion, our findings suggest that the carriage of the ACTN3 rs1815739 R allele may confer an advantage in basketball.