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Baynham R, Weaver SRC, Rendeiro C, Veldhuijzen van Zanten JJCS. Fat intake impairs the recovery of endothelial function following mental stress in young healthy adults. Front Nutr 2023; 10:1275708. [PMID: 38024378 PMCID: PMC10665837 DOI: 10.3389/fnut.2023.1275708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 10/12/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction Mental stress has been identified as a trigger of cardiovascular events. A single episode of stress can induce acute impairments in endothelial function in healthy adults. Importantly, during stressful periods, individuals often resort to unhealthy behaviors, such as increased consumption of high-fat foods, which is also known to negatively impact endothelial function. Therefore, this study examined whether consumption of a high-fat meal would further exacerbate the negative effect of mental stress on vascular function. Methods In a randomized, counterbalanced, cross- over, postprandial intervention study, 21 healthy males and females ingested a high-fat (56.5 g fat) or a low-fat (11.4 g fat) meal 1.5 h before an 8-min mental stress task (Paced-Auditory-Serial-Addition-Task, PASAT). Plasma triglyceride (TAG) concentration was assessed pre-and post-meal. Forearm blood flow (FBF), blood pressure (BP), and cardiovascular activity were assessed pre-meal at rest and post-meal at rest and during stress. Endothelial function, measured by brachial flow-mediated dilatation (FMD) was assessed pre-meal and 30 and 90 min following mental stress. Results Plasma TAG concentration was significantly increased following the high-fat meal compared to the low-fat condition. Mental stress induced similar increases in peripheral vasodilation, BP, and cardiovascular activity, and impaired FMD 30 min post-stress, in both conditions. FMD remained significantly impaired 90 min following stress in the high-fat condition only, suggesting that consumption of fat attenuates the recovery of endothelial function following mental stress. Discussion Given the prevalence of fat consumption during stressful periods among young adults, these findings have important implications for dietary choices to protect the vasculature during periods of stress.
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Affiliation(s)
- Rosalind Baynham
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom
| | - Samuel R. C. Weaver
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom
- Centre for Human Brain Health, University of Birmingham, Birmingham, United Kingdom
| | - Catarina Rendeiro
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom
- Centre for Human Brain Health, University of Birmingham, Birmingham, United Kingdom
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Baynham R, Lucas SJE, Weaver SRC, Veldhuijzen van Zanten JJCS, Rendeiro C. Fat Consumption Attenuates Cortical Oxygenation during Mental Stress in Young Healthy Adults. Nutrients 2023; 15:3969. [PMID: 37764753 PMCID: PMC10534483 DOI: 10.3390/nu15183969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 09/08/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023] Open
Abstract
Mental stress has been associated with cardiovascular events and stroke, and has also been linked with poorer brain function, likely due to its impact on cerebral vasculature. During periods of stress, individuals often increase their consumption of unhealthy foods, especially high-fat foods. Both high-fat intake and mental stress are known to impair endothelial function, yet few studies have investigated the effects of fat consumption on cerebrovascular outcomes during periods of mental stress. Therefore, this study examined whether a high-fat breakfast prior to a mental stress task would alter cortical oxygenation and carotid blood flow in young healthy adults. In a randomised, counterbalanced, cross-over, postprandial intervention study, 21 healthy males and females ingested a high-fat (56.5 g fat) or a low-fat (11.4 g fat) breakfast 1.5 h before an 8-min mental stress task. Common carotid artery (CCA) diameter and blood flow were assessed at pre-meal baseline, 1 h 15 min post-meal at rest, and 10, 30, and 90 min following stress. Pre-frontal cortex (PFC) tissue oxygenation (near-infrared spectroscopy, NIRS) and cardiovascular activity were assessed post-meal at rest and during stress. Mental stress increased heart rate, systolic and diastolic blood pressure, and PFC tissue oxygenation. Importantly, the high-fat breakfast reduced the stress-induced increase in PFC tissue oxygenation, despite no differences in cardiovascular responses between high- and low-fat meals. Fat and stress had no effect on resting CCA blood flow, whilst CCA diameter increased following consumption of both meals. This is the first study to show that fat consumption may impair PFC perfusion during episodes of stress in young healthy adults. Given the prevalence of consuming high-fat foods during stressful periods, these findings have important implications for future research to explore the relationship between food choices and cerebral haemodynamics during mental stress.
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Affiliation(s)
- Rosalind Baynham
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK; (R.B.)
| | - Samuel J. E. Lucas
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK; (R.B.)
- Centre for Human Brain Health, University of Birmingham, Birmingham B15 2TT, UK
| | - Samuel R. C. Weaver
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK; (R.B.)
- Centre for Human Brain Health, University of Birmingham, Birmingham B15 2TT, UK
| | | | - Catarina Rendeiro
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK; (R.B.)
- Centre for Human Brain Health, University of Birmingham, Birmingham B15 2TT, UK
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Abed Alah M, Abdeen S, Selim N. Healthy Minds for Healthy Hearts: Tackling Stress-Induced Cardiac Events During the FIFA World Cup 2022. Vasc Health Risk Manag 2022; 18:851-856. [PMID: 36510577 PMCID: PMC9741484 DOI: 10.2147/vhrm.s390549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 11/22/2022] [Indexed: 12/07/2022] Open
Abstract
Millions of people are looking forward to the biggest event this year "FIFA World Cup 2022" taking place in the state of Qatar. This event is an opportunity for people around the world to socialize, connect, celebrate, and enjoy watching football matches. However, the emotional stress experienced by football players and fans during a such major sport event can sometimes result in unfavorable physiological responses that can adversely affect the heart leading to adverse cardiac consequences. In this mini-review, we summarized the evidence and pathophysiology of stress-induced cardiac events during football games, and the potential strategies to prevent stress-induced cardiac events during the FIFA World Cup 2022.
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Affiliation(s)
- Muna Abed Alah
- Community Medicine Department, Hamad Medical Corporation (HMC), Doha, Qatar,Correspondence: Muna Abed Alah, Email
| | - Sami Abdeen
- Community Medicine Department, Hamad Medical Corporation (HMC), Doha, Qatar
| | - Nagah Selim
- Community Medicine Department, Primary Health Care Corporation, Doha, Qatar,Public health and Preventive medicine department, Cairo University, Cairo, Egypt
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Negative Impact of the UEFA European Soccer Championship on Central Hemodynamics and Arterial Stiffness: A Multicenter Study. Life (Basel) 2022; 12:life12111696. [DOI: 10.3390/life12111696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 10/02/2022] [Accepted: 10/08/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: watching sporting events may trigger cardiovascular events by elevating emotional stress levels. The underlying reasons and specific populations at risk are not well defined. (2) Methods: we conducted a multicenter prospective trial at three German sites during the UEFA Soccer EC 2012 and 2021 comprising 52 healthy participants (noCVD) and 18 patients hospitalized with cardiovascular disease (CVD). Subjects were studied during matches of the German national team (GP) as well as corresponding matches without German participation (noGP). Peripheral and central blood pressure (BP) and parameters of arterial stiffness were measured (Mobil-O-Graph™, I.E.M., Stolberg, Germany) before, during, and after the matches. (3) Results: in terms of CVD, peripheral as well as central BP and heart rate increased significantly during GP as well as noGP matches and remained elevated beyond the end of the matches. Likewise, arterial stiffness parameters and vascular resistance were higher during the matches and remained elevated after the matches. No consistent significant differences were found between GP and noGP matches. (4) Conclusions: this is the first study on real-life changes in hemodynamics during sport-associated emotional stress, with comparison between noCVD and CVD. We found that alterations were profound in CVD and remained elevated even after the matches.
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Polimeni A, Spaccarotella C, Ielapi J, Esposito G, Ravera A, Martuscelli E, Ciconte V, Menichelli M, Varbella F, Imazio M, Navazio A, Sinagra G, Oberhollenzer R, Sibilio G, Cacciavillani L, Meloni L, Dominici M, Tomai F, Amico F, Corda M, Musumeci G, Lupi A, Zezza L, De Caterina R, Cernetti C, Metra M, Rossi L, Calabrò P, Murrone A, Volpe M, Caldarola P, Carugo S, Cortese B, Valenti R, Boriani G, Fedele F, Ventura G, Manes MT, Colavita AR, Feola M, Versaci F, Assennato P, Arena G, Ceravolo R, Amodeo V, Tortorici G, Nassiacos D, Antonicelli R, Esposito N, Favale S, Licciardello G, Tedesco L, Indolfi C. The impact of UEFA Euro 2020 football championship on Takotsubo Syndrome: Results of a multicenter national registry. Front Cardiovasc Med 2022; 9:951882. [PMID: 36247479 PMCID: PMC9554214 DOI: 10.3389/fcvm.2022.951882] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 08/10/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives The UEFA 2020 European Football Championship held in multiple cities across Europe from June 11 to July 11, 2021, was won by Italy, providing an opportunity to examine the relationship between emotional stress and the incidence of acute cardiovascular events (ACE). Methods and results Cardiovascular hospitalizations in the Cardiac Care Units of 49 hospital networks in Italy were assessed by emergency physicians during the UEFA Euro 2020 Football Championship. We compared the events that occurred during matches involving Italy with events that occurred during the remaining days of the championship as the control period. ACE was assessed in 1,235 patients. ACE during the UEFA Euro 2020 Football Championship semifinal and final, the most stressful matches ended with penalties and victory of the Italian team, were assessed. A significant increase in the incidence of Takotsubo Syndrome (TTS) by a factor of 11.41 (1.6-495.1, P < 0.003), as compared with the control period, was demonstrated during the semifinal and final, whereas no differences were found in the incidence of ACS [IRR 0.93(0.74-1.18), P = 0.57]. No differences in the incidence of ACS [IRR 0.98 (0.87-1.11; P = 0.80)] or TTS [IRR 1.66(0.80-3.4), P = 0.14] were found in the entire period including all matches of the UEFA Euro 2020 compared to the control period. Conclusions The data of this national registry demonstrated an association between the semifinal and final of UEFA Euro 2020 and TTS suggesting that it can be triggered by also positive emotions such as the victory in the European Football Championship finals.
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Affiliation(s)
- Alberto Polimeni
- Division of Cardiology and Center for Cardiovascular Research, University Magna Graecia, Catanzaro, Italy
| | - Carmen Spaccarotella
- Division of Cardiology, Department of Advanced Biomedical Science, Federico II University, Naples, Italy
| | - Jessica Ielapi
- Division of Cardiology and Center for Cardiovascular Research, University Magna Graecia, Catanzaro, Italy
| | - Giovanni Esposito
- Division of Cardiology, Department of Advanced Biomedical Science, Federico II University, Naples, Italy
| | - Amelia Ravera
- San Giovanni di Dio e Ruggi d'Aragona Hospital, Salerno, Italy
| | - Eugenio Martuscelli
- Dipartimento di Medicina Interna, Divisione Cardiologia, Università degli Studi di Roma Tor Vergata, Rome, Italy
| | | | | | | | - Massimo Imazio
- Cardiology, Cardiothoracic Department, University Hospital “Santa Maria della Misericordia”, ASUFC, Udine, Italy
| | - Alessandro Navazio
- IRCCS Azienda Unità Sanitaria Locale di Reggio Emilia, Reggio Emilia, Italy
| | - Gianfranco Sinagra
- Dipartimento Cardiotoracovascolare, Università degli Studi di Trieste, Trieste, Italy
| | | | | | - Luisa Cacciavillani
- Dipartimento Cardiotoracovascolare, Università degli Studi di Padova, Padua, Italy
| | - Luigi Meloni
- Dipartimento di Cardiologia, Università degli Studi di Cagliari, Cagliari, Italy
| | | | | | | | - Marco Corda
- SC Cardiologia UTIC, ARNAS “G. Brotzu”, Cagliari, Italy
| | | | - Alessandro Lupi
- Dipartimento di Cardiologia, Università degli Studi dell'Insubria, Varese, Italy
| | | | | | | | - Marco Metra
- Divisione di Cardiologia, Università degli Studi di Brescia, Brescia, Italy
| | - Lidia Rossi
- Azienda Ospedaliero-Universitaria Maggiore della Carità, Novara, Italy
| | - Paolo Calabrò
- Università degli Studi della Campania Luigi Vanvitelli, AORN Sant'Anna e San Sebastiano Caserta, Caserta, Italy
| | - Adriano Murrone
- Ospedali di Città di Castello e Gubbio - Gualdo Tadino Azienda USL Umbria 1, Perugia, Italy
| | - Massimo Volpe
- University of Rome Sapienza and Sant'Andrea Hospital, Rome, Italy
| | | | - Stefano Carugo
- Cardiology Unit, Internal Medicine Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Bernardo Cortese
- Cardiac Department Clinica Polispecialistica San Carlo, Milan, Italy,Fondazione Ricerca e Innovazione Cardiovascolare, Milan, Italy
| | | | - Giuseppe Boriani
- Divisione di Cardiologia, Dipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università degli Studi di Modena e Reggio Emilia, Policlinico di Modena, Modena, Italy
| | | | - Giorgio Ventura
- Istituto Ninetta Rosano - Casa di Cura Polispecialistica Tricarico, Belvedere Marittimo, Italy
| | | | | | - Mauro Feola
- Regina Montis Regalis Hospital, Mondovi, Italy
| | - Francesco Versaci
- Department of Cardiology, Santa Maria Goretti Hospital, Latina, Italy,Dipartimento di Medicina, University of Rome Tor Vergata, Rome, Italy
| | - Pasquale Assennato
- Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy
| | | | | | | | | | | | | | - Nicolino Esposito
- Divisione di Cardiologia, Ospedale Evangelico Betania, Naples, Italy
| | | | | | - Luigi Tedesco
- Presidio Ospedaliero S. Maria della Speranza, Battipaglia, Italy
| | - Ciro Indolfi
- Division of Cardiology and Center for Cardiovascular Research, University Magna Graecia, Catanzaro, Italy,Mediterranea Cardiocentro, Naples, Italy,*Correspondence: Ciro Indolfi
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Mahečić LM, Iljazović F, Mišigoj-Duraković M, Babić Z. Incidence of cardiovascular events when watching intense football matches - sex differences. Acta Cardiol 2022; 77:250-256. [PMID: 33827377 DOI: 10.1080/00015385.2021.1908703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
INTRODUCTION FIFA World Cup represent one of the world's greatest phenomena. The spectators watch the matches of national teams with great emotional involvement. It is well documented fact that emotional stress can be a trigger of unwanted cardiovascular (CV) event. AIM The aim of this retrospective study was to determine whether there had been an increase in the number of the emergency admissions for CVD in the Emergency Room and Clinic for Cardiovascular Diseases of the Sestre milosrdnice University Hospital Centre during and after the matches that the Croatian national team played in the FIFA World Cup 2018. METHODS The hospital's database was examined for the dates when Croatia played its matches, plus two more days after each match. An unexposed period that included the same dates in 2017 and 2019 was formed. RESULTS 1093 cases were assessed. The incidence of CV admissions during the exposed period was 1.15 (95% confidence interval [CI]; 1.02 to 1.31) times higher than during the unexposed period. There was a 1.30 (95% CI; 1.1 to 1.54) times higher incidence in women compared to the unexposed period. Arrhythmias and angina pectoris were the CVDs that occurred more frequently in the exposed period. CONCLUSION This study showed that watching Croatian national team's matches and cheering represented an additional risk for a CV incident, especially in women.
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Affiliation(s)
| | | | | | - Zdravko Babić
- Faculty for Kinesiology, University of Zagreb, Zadar, Croatia
- Department of Internal Medicine, University of Zagreb School of Medicine, Zadar, Croatia
- Intensive Cardiac Care Unit at the Department for Cardiovascular Diseases, Sestre milosrdnice University Hospital Centre, Zadar, Croatia
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Forstenpointner J, Elman I, Freeman R, Borsook D. The Omnipresence of Autonomic Modulation in Health and Disease. Prog Neurobiol 2022; 210:102218. [PMID: 35033599 DOI: 10.1016/j.pneurobio.2022.102218] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 12/13/2021] [Accepted: 01/10/2022] [Indexed: 10/19/2022]
Abstract
The Autonomic Nervous System (ANS) is a critical part of the homeostatic machinery with both central and peripheral components. However, little is known about the integration of these components and their joint role in the maintenance of health and in allostatic derailments leading to somatic and/or neuropsychiatric (co)morbidity. Based on a comprehensive literature search on the ANS neuroanatomy we dissect the complex integration of the ANS: (1) First we summarize Stress and Homeostatic Equilibrium - elucidating the responsivity of the ANS to stressors; (2) Second we describe the overall process of how the ANS is involved in Adaptation and Maladaptation to Stress; (3) In the third section the ANS is hierarchically partitioned into the peripheral/spinal, brainstem, subcortical and cortical components of the nervous system. We utilize this anatomical basis to define a model of autonomic integration. (4) Finally, we deploy the model to describe human ANS involvement in (a) Hypofunctional and (b) Hyperfunctional states providing examples in the healthy state and in clinical conditions.
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Affiliation(s)
- Julia Forstenpointner
- Center for Pain and the Brain, Boston Children's Hospital, Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Boston, MA, USA; Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital Schleswig-Holstein, Campus Kiel, SH, Germany.
| | - Igor Elman
- Center for Pain and the Brain, Boston Children's Hospital, Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Boston, MA, USA; Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
| | - Roy Freeman
- Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - David Borsook
- Center for Pain and the Brain, Boston Children's Hospital, Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Boston, MA, USA; Departments of Psychiatry and Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Abstract
Much of biology is rhythmical and comprises oscillators that can couple. These have optimized energy efficiency and have been preserved during evolution. The respiratory and cardiovascular systems contain numerous oscillators, and importantly, they couple. This coupling is dynamic but essential for an efficient transmission of neural information critical for the precise linking of breathing and oxygen delivery while permitting adaptive responses to changes in state. The respiratory pattern generator and the neural network responsible for sympathetic and cardiovagal (parasympathetic) tone generation interact at many levels ensuring that cardiac output and regional blood flow match oxygen delivery to the lungs and tissues efficiently. The most classic manifestations of these interactions are respiratory sinus arrhythmia and the respiratory modulation of sympathetic nerve activity. These interactions derive from shared somatic and cardiopulmonary afferent inputs, reciprocal interactions between brainstem networks and inputs from supra-pontine regions. Disrupted respiratory-cardiovascular coupling can result in disease, where it may further the pathophysiological sequelae and be a harbinger of poor outcomes. This has been well documented by diminished respiratory sinus arrhythmia and altered respiratory sympathetic coupling in animal models and/or patients with myocardial infarction, heart failure, diabetes mellitus, and neurological disorders as stroke, brain trauma, Parkinson disease, or epilepsy. Future research needs to assess the therapeutic potential for ameliorating respiratory-cardiovascular coupling in disease.
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Affiliation(s)
- James P Fisher
- Manaaki Manawa-The Centre for Heart Research, Department of Physiology, Faculty of Medical & Health Sciences, University of Auckland, Auckland, New Zealand
| | - Tymoteusz Zera
- Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Warsaw, Poland
| | - Julian F R Paton
- Manaaki Manawa-The Centre for Heart Research, Department of Physiology, Faculty of Medical & Health Sciences, University of Auckland, Auckland, New Zealand.
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Solo-Gabriele HM, Fiddaman T, Mauritzen C, Ainsworth C, Abramson DM, Berenshtein I, Chassignet EP, Chen SS, Conmy RN, Court CD, Dewar WK, Farrington JW, Feldman MG, Ferguson AC, Fetherston-Resch E, French-McCay D, Hale C, He R, Kourafalou VH, Lee K, Liu Y, Masi M, Maung-Douglass ES, Morey SL, Murawski SA, Paris CB, Perlin N, Pulster EL, Quigg A, Reed DJ, Ruzicka JJ, Sandifer PA, Shepherd JG, Singer BH, Stukel MR, Sutton TT, Weisberg RH, Wiesenburg D, Wilson CA, Wilson M, Wowk KM, Yanoff C, Yoskowitz D. Towards integrated modeling of the long-term impacts of oil spills. MARINE POLICY 2021; 131:1-18. [PMID: 37850151 PMCID: PMC10581399 DOI: 10.1016/j.marpol.2021.104554] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2023]
Abstract
Although great progress has been made to advance the scientific understanding of oil spills, tools for integrated assessment modeling of the long-term impacts on ecosystems, socioeconomics and human health are lacking. The objective of this study was to develop a conceptual framework that could be used to answer stakeholder questions about oil spill impacts and to identify knowledge gaps and future integration priorities. The framework was initially separated into four knowledge domains (ocean environment, biological ecosystems, socioeconomics, and human health) whose interactions were explored by gathering stakeholder questions through public engagement, assimilating expert input about existing models, and consolidating information through a system dynamics approach. This synthesis resulted in a causal loop diagram from which the interconnectivity of the system could be visualized. Results of this analysis indicate that the system naturally separates into two tiers, ocean environment and biological ecosystems versus socioeconomics and human health. As a result, ocean environment and ecosystem models could be used to provide input to explore human health and socioeconomic variables in hypothetical scenarios. At decadal-plus time scales, the analysis emphasized that human domains influence the natural domains through changes in oil-spill related laws and regulations. Although data gaps were identified in all four model domains, the socioeconomics and human health domains are the least established. Considerable future work is needed to address research gaps and to create fully coupled quantitative integrative assessment models that can be used in strategic decision-making that will optimize recoveries from future large oil spills.
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Affiliation(s)
- Helena M. Solo-Gabriele
- Department of Civil, Architectural, and Environmental Engineering, University of Miami, Coral Gables, FL 33146, USA
| | | | - Cecilie Mauritzen
- Department of Climate, Norwegian Meteorological Institute, Oslo, Norway
| | - Cameron Ainsworth
- College of Marine Science, University of South Florida, St. Petersburg, FL 33701, USA
| | - David M. Abramson
- School of Global Public Health, New York University, New York, NY 10003, USA
| | - Igal Berenshtein
- Department of Ocean Sciences, Rosenstiel School of Marine and Atmospheric Science, University of Miami, Miami, FL 33149, USA
- Cooperative Institute for Marine and Atmospheric Studies, Rosenstiel School of Marine and Atmospheric Science, University of Miami, Miami, FL 33149, USA
| | - Eric P. Chassignet
- Center for Ocean-Atmospheric Prediction Studies, Florida State University, Tallahassee, FL 32306, USA
| | - Shuyi S. Chen
- Department of Atmospheric Sciences, University of Washington, Seattle, WA, USA
| | - Robyn N. Conmy
- Office of Research and Development, US Environmental Protection Agency, Cincinnati, OH 45268, USA
| | - Christa D. Court
- Food and Resource Economics Department, Institute of Food and Agricultural Sciences, University of Florida, Gainesville, FL 32611, USA
| | - William K. Dewar
- Laboratoire de Glaciologie et Geophysique de l’Environnement, French National Center for Scientific Research (CNRS), Grenoble, France 38000, and Department of Earth, Ocean, and Atmospheric Science, Florida State University, Tallahassee, FL 32306, USA
| | | | - Michael G. Feldman
- Consortium for Ocean Leadership, Gulf of Mexico Research Initiative, Washington, DC 20005, USA
| | - Alesia C. Ferguson
- Built Environment Department, College of Science and Technology, North Carolina Agricultural and Technical State University, Greensboro, NC 27411, USA
| | | | | | - Christine Hale
- Harte Research Institute for Gulf of Mexico Studies, Texas A&M University Corpus Christi, Corpus Christi, TX 78412, USA
| | - Ruoying He
- Dept. of Marine, Earth, and Atmospheric Sciences, North Carolina State University, Raleigh, NC 27695, USA
| | - Vassiliki H. Kourafalou
- Department of Ocean Sciences, Rosenstiel School of Marine and Atmospheric Science, University of Miami, Miami, FL 33149, USA
| | - Kenneth Lee
- Fisheries and Oceans Canada, Ecosystem Science, Ottawa, Ontario, K1A 0E6, Canada
| | - Yonggang Liu
- College of Marine Science, University of South Florida, St. Petersburg, FL 33701, USA
| | - Michelle Masi
- Southeast Fisheries Science Center, National Marine Fisheries Service, NOAA, Galveston, TX 77551, USA
| | | | - Steven L. Morey
- School of the Environment, Florida Agricultural and Mechanical University, Tallahassee, FL 32307, USA
| | - Steven A. Murawski
- College of Marine Science, University of South Florida, St. Petersburg, FL 33701, USA
| | - Claire B. Paris
- Department of Ocean Sciences, Rosenstiel School of Marine and Atmospheric Science, University of Miami, Miami, FL 33149, USA
| | - Natalie Perlin
- Department of Atmospheric Sciences, Rosenstiel School of Marine and Atmospheric Science, University of Miami, Miami, FL 33149, USA
| | - Erin L. Pulster
- College of Marine Science, University of South Florida, St. Petersburg, FL 33701, USA
| | - Antonietta Quigg
- Department of Marine Biology, Texas A&M University at Galveston, Galveston, TX 77553, USA
| | - Denise J. Reed
- Pontchartrain Institute for Environmental Sciences, University of New Orleans, 2000 Lakeshore Drive, New Orleans, LA 70148, USA
| | - James J. Ruzicka
- Cooperative Institute for Marine Resources Studies, Oregon State University, Newport, OR 97365, USA
| | - Paul A. Sandifer
- Center for Coastal Environmental and Human Health, College of Charleston, Charleston, SC 29424, USA
| | - John G. Shepherd
- School of Ocean & Earth Science, National Oceanography Centre, University of Southampton, Southampton SO14 3ZH, UK
| | - Burton H. Singer
- Emerging Pathogens Institute, University of Florida, Gainesville, FL 32610, USA
| | - Michael R. Stukel
- Department of Earth, Ocean, and Atmospheric Science, Florida State University, Tallahassee, FL 32306, USA
| | - Tracey T. Sutton
- Guy Harvey Oceanographic Center, Halmos College of Arts and Sciences, Nova Southeastern University, Dania Beach, FL 33004, USA
| | - Robert H. Weisberg
- College of Marine Science, University of South Florida, St. Petersburg, FL 33701, USA
| | - Denis Wiesenburg
- School of Ocean Science and Engineering, University of Southern Mississippi, Hattiesburg, MS 39406, USA
| | | | - Monica Wilson
- Florida Sea Grant, University of Florida, St. Petersburg, FL 33701, USA
| | - Kateryna M. Wowk
- Harte Research Institute for Gulf of Mexico Studies, Texas A&M University Corpus Christi, Corpus Christi, TX 78412, USA
| | - Callan Yanoff
- Consortium for Ocean Leadership, Gulf of Mexico Research Initiative, Washington, DC 20005, USA
| | - David Yoskowitz
- Harte Research Institute for Gulf of Mexico Studies, Texas A&M University Corpus Christi, Corpus Christi, TX 78412, USA
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Total numbers and in-hospital mortality of patients with myocardial infarction in Germany during the FIFA soccer world cup 2014. Sci Rep 2021; 11:11330. [PMID: 34140541 PMCID: PMC8211804 DOI: 10.1038/s41598-021-90582-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Accepted: 05/05/2021] [Indexed: 02/04/2023] Open
Abstract
Environmental stress like important soccer events can induce excitation, stress and anger. We aimed to investigate (i) whether the FIFA soccer world cup (WC) 2014 and (ii) whether the soccer games of the German national team had an impact on total numbers and in-hospital mortality of patients with myocardial infarction (MI) in Germany. We analyzed data of MI inpatients of the German nationwide inpatient sample (2013-2015). Patients admitted due to MI during FIFA WC 2014 (12th June-13th July2014) were compared to those during the same period 2013 and 2015 (12th June-13th July). Total number of MI patients was higher during WC 2014 than in the comparison-period 2013 (18,479 vs.18,089, P < 0.001) and 2015 (18,479 vs.17,794, P < 0.001). WC was independently associated with higher MI numbers (2014 vs. 2013: OR 1.04 [95% CI 1.01-1.07]; 2014 vs. 2015: OR 1.07 [95% CI 1.04-1.10], P < 0.001). Patient characteristics and in-hospital mortality rate (8.3% vs. 8.3% vs. 8.4%) were similar during periods. In-hospital mortality rate was not affected by games of the German national team (8.9% vs. 8.1%, P = 0.110). However, we observed an increase regarding in-hospital mortality from 7.9 to 9.3% before to 12.0% at final-match-day. Number of hospital admissions due to MI in Germany was 3.7% higher during WC 2014 than during the same 31-day period 2015. While in-hospital mortality was not affected by the WC, the in-hospital mortality was highest at WC final.
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Cocoa Flavanols Improve Vascular Responses to Acute Mental Stress in Young Healthy Adults. Nutrients 2021; 13:nu13041103. [PMID: 33801767 PMCID: PMC8065749 DOI: 10.3390/nu13041103] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 03/10/2021] [Accepted: 03/18/2021] [Indexed: 11/17/2022] Open
Abstract
Mental stress has been shown to induce cardiovascular events, likely due to its negative impact on vascular function. Flavanols, plant-derived polyphenolic compounds, improve endothelial function and blood pressure (BP) in humans, however their effects during stress are not known. This study examined the effects of acute intake of cocoa flavanols on stress-induced changes on vascular function. In a randomised, controlled, double-blind, cross-over intervention study, 30 healthy men ingested a cocoa flavanol beverage (high-flavanol: 150 mg vs. low-flavanol < 4 mg (-)-epicatechin) 1.5 h before an 8-min mental stress task). Forearm blood flow (FBF), BP, and cardiovascular activity were assessed pre- and post-intervention, both at rest and during stress. Endothelial function (brachial flow-mediated dilatation, FMD) and brachial BP were measured before the intervention and 30 and 90 min post-stress. FMD was impaired 30 min post-stress, yet high-flavanol cocoa attenuated this decline and remained significantly higher compared to low-flavanol cocoa at 90 min post-stress. High-flavanol cocoa increased FBF at rest and during stress. Stress-induced cardiovascular and BP responses were similar in both conditions. Flavanols are effective at counteracting mental stress-induced endothelial dysfunction and improving peripheral blood flow during stress. These findings suggest the use of flavanol-rich dietary strategies to protect vascular health during stress.
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Maturana MA, Glover EA, Raja J, Dornbush SR, Alexander J, Blount C, Khouzam NR, Khouzam AR, Khouzam RN. Are Die-Hard Football or Other Sports Fans at Risk of Cardiovascular Events? Curr Probl Cardiol 2020; 46:100743. [PMID: 33280894 DOI: 10.1016/j.cpcardiol.2020.100743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 10/04/2020] [Indexed: 11/25/2022]
Abstract
Trigger factors such as earthquakes, war, and terrorism have been shown to increase the risk of cardiovascular events in different studies. Similarly, strong emotions and psychological stress have been associated with myocardial infarction, symptomatic arrhythmias, and sudden cardiac death. Die-hard soccer, rugby, football, and baseball fans seem to be at risk of cardiac events, particularly in individuals with prior history of coronary artery disease. Transient hemodynamic changes, endothelial dysfunction, and an overwhelming sympathetic nervous system stimulation appear to affect cardiac hemostasis creating a procoagulant and arrhythmogenic environment. High-risk behaviors such as tobacco abuse and binge drinking appear to contribute to this risk generating a proinflammatory state characterized by elevated levels of endothelin-1 and overexpression of sCD40L, sVCAM-1, MCP-1, and TNF-alpha. The outcome of the game and unexpected results, especially among fans of the defeated team, seem to further correlate with adverse cardiovascular effects.
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Affiliation(s)
- Miguel A Maturana
- Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN.
| | - Elizabeth A Glover
- University of Tennessee Health Science Center, College of Medicine, Memphis, TN
| | - Joel Raja
- Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN
| | - Sean R Dornbush
- Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN
| | - John Alexander
- Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN
| | - Courtland Blount
- Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN
| | | | | | - Rami N Khouzam
- Department of Internal Medicine, Division of Cardiovascular Diseases, University of Tennessee Health Science Center, Memphis, TN
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Sociopolitical stress and acute cardiovascular disease hospitalizations around the 2016 presidential election. Proc Natl Acad Sci U S A 2020; 117:27054-27058. [PMID: 33046627 DOI: 10.1073/pnas.2012096117] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Previous research suggests that stressors may trigger the onset of acute cardiovascular disease (CVD) events within hours to days, but there has been limited research around sociopolitical events such as presidential elections. Among adults ≥18 y of age in Kaiser Permanente Southern California, hospitalization rates for acute CVD were compared in the time period immediately prior to and following the 2016 presidential election date. Hospitalization for CVD was defined as an inpatient or emergency department discharge diagnosis of acute myocardial infarction (AMI) or stroke using International Classification of Diseases, 10th revision codes. Rate ratios (RR) and 95% confidence intervals (CIs) were calculated comparing CVD rates in the 2 d following the 2016 election to rates in the same 2 d of the prior week. In a secondary analysis, AMI and stroke were analyzed separately. The rate of CVD events in the 2 d after the 2016 presidential election (573.14 per 100,000 person-years [PY]) compared to the rate in the window prior to the 2016 election (353.75 per 100,000 PY) was 1.62 times higher (95% CI 1.17, 2.25). Results were similar across sex, age, and race/ethnicity groups. The RRs were similar for AMI (RR 1.67, 95% CI 1.00, 2.76) and stroke (RR 1.59, 95% CI 1.03, 2.44) separately. Transiently heightened cardiovascular risk around the 2016 election may be attributable to sociopolitical stress. Further research is needed to understand the intersection between major sociopolitical events, perceived stress, and acute CVD events.
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Howard S, Fitzgerald G, Gallagher S. Cardiovascular stress reactions in recent- and long-retired rugby players when watching a game. Physiol Behav 2020; 219:112832. [DOI: 10.1016/j.physbeh.2020.112832] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 11/08/2019] [Accepted: 02/05/2020] [Indexed: 11/17/2022]
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15
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Newson M, Shiramizu V, Buhrmester M, Hattori W, Jong J, Yamamoto E, Whitehouse H. Devoted fans release more cortisol when watching live soccer matches. Stress Health 2020; 36:220-227. [PMID: 31943736 DOI: 10.1002/smi.2924] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Revised: 01/06/2020] [Accepted: 01/07/2020] [Indexed: 11/07/2022]
Abstract
Why do some sports fans experience intense emotions when watching live matches? Identity fusion is a strong form of group alignment in which personal and group identities are activated synergistically to produce a visceral sense of 'oneness' with one's team. Here we examine the role of fusion (using a three-item state measure with high internal validity) in elevating salivary cortisol levels while watching football (n = 41). Our evidence was gathered at field laboratories during the 2014 sFIFA World Cup in Natal, Brazil, with live screenings of two Brazilian victories (Colombia, 2-1; Chile, 1-1 with penalties), and the historic semi-final loss to Germany (1-7). We replicated previous studies showing that salivary cortisol concentrations fluctuate during live football events and are related to group membershipbut we also extended them by showing that identity fusion is even more strongly related to cortisol concentrations than identification. We found an interaction between match outcome and cortisol, such that watching a loss, i.e. dysphoria, was associated with particularly high cortisol concentrations. While women were more fused to the team than men, there were no other gender effects. Taken together, these findings suggest that identity fusion modulates physiological reactivity, resulting in distinct psycho-physiological profiles during stressful events.
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Affiliation(s)
- Martha Newson
- Centre for Anthropology and Mind, University of Oxford, Oxford, UK
| | - Victor Shiramizu
- Institute of Neuroscience & Psychology, University of Glasgow, Glasgow, UK
| | | | - Wallisen Hattori
- Department of Public Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Jonathan Jong
- Belief, Brain, and Behaviour Lab, Coventry University, Coventry, UK
| | - Emilia Yamamoto
- Psychobiology Graduation Program, Federal University of Rio Grande do Norte, Natal, Brazil
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Wang H, Liang L, Cai P, Zhao J, Guo L, Ma H. Associations of cardiovascular disease morbidity and mortality in the populations watching major football tournaments: A systematic review and meta-analysis of observational studies. Medicine (Baltimore) 2020; 99:e19534. [PMID: 32195956 PMCID: PMC7220255 DOI: 10.1097/md.0000000000019534] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 02/03/2020] [Accepted: 02/08/2020] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND Whether or not increased hospitalizations and/or deaths due to cardiovascular disease during major football tournaments (MFTs) remains controversial. We undertook a systematic review and meta-analysis of published studies to assess the relationships of cardiovascular events and MFTs. METHODS Observational studies reporting relationship of cardiovascular disease morbidity and mortality with MFTs during the days of games or within 2 weeks after game season were included. Relative risk ratios (RR) with 95% confidence interval (CI) were pooled and analyzed using a random/fixed-effects model. RESULTS Nineteen cross-sectional observational studies that examined the association between MFTs and non-fetal cardiovascular events and mortality were found to be eligible from 3419 references, for inclusion in the systematic review and meta-analysis. Of the 10 studies reported hospitalizations due to non-fetal acute cardiovascular events, the pooled RR was 1.17 (95% CI 1.01-1.36). Of the 10 studies reported cardiovascular mortality the pooled RR was 1.03 (95% CI 1.00-1.05). Of the studies examining the mortality, 6 studies reported the lost or win of the national team. Pooling of four studies where their national teams lost the MFTs produced a RR for the mortality of 1.19 (95% CI: 1.09-1.30), and 4 studies of the 6 whose national teams won produced a pooled RR for cardiovascular mortality of 0.88 (0.79-0.98). CONCLUSION This systematic review and meta-analysis showed an increased risk of hospitalization due to non-fetal acute cardiovascular events and cardiovascular mortality with watching MFTs.
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Affiliation(s)
- Huajun Wang
- The People's Hospital of Luoding, Affiliated Luoding Hospital of Guangdong Medical University, Luoding
| | - Lunchang Liang
- The People's Hospital of Luoding, Affiliated Luoding Hospital of Guangdong Medical University, Luoding
| | - Ping Cai
- The People's Hospital of Luoding, Affiliated Luoding Hospital of Guangdong Medical University, Luoding
| | - Jianli Zhao
- Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Breast Tumor Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou
| | - Lan Guo
- Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China
| | - Huan Ma
- Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China
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Lee MJ, Lee TR, Lee SJ, Jang JS, Kim EJ. Machine Learning-Based Data Mining Method for Sentiment Analysis of the Sewol Ferry Disaster's Effect on Social Stress. Front Psychiatry 2020; 11:505673. [PMID: 33424646 PMCID: PMC7785789 DOI: 10.3389/fpsyt.2020.505673] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Accepted: 11/20/2020] [Indexed: 12/02/2022] Open
Abstract
The Sewol Ferry Disaster which took place in 16th of April, 2014, was a national level disaster in South Korea that caused severe social distress nation-wide. No research at the domestic level thus far has examined the influence of the disaster on social stress through a sentiment analysis of social media data. Data extracted from YouTube, Twitter, and Facebook were used in this study. The population was users who were randomly selected from the aforementioned social media platforms who had posted texts related to the disaster from April 2014 to March 2015. ANOVA was used for statistical comparison between negative, neutral, and positive sentiments under a 95% confidence level. For NLP-based data mining results, bar graph and word cloud analysis as well as analyses of phrases, entities, and queries were implemented. Research results showed a significantly negative sentiment on all social media platforms. This was mainly related to fundamental agents such as ex-president Park and her related political parties and politicians. YouTube, Twitter, and Facebook results showed negative sentiment in phrases (63.5, 69.4, and 58.9%, respectively), entity (81.1, 69.9, and 76.0%, respectively), and query topic (75.0, 85.4, and 75.0%, respectively). All results were statistically significant (p < 0.001). This research provides scientific evidence of the negative psychological impact of the disaster on the Korean population. This study is significant because it is the first research to conduct sentiment analysis of data extracted from the three largest existing social media platforms regarding the issue of the disaster.
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Affiliation(s)
- Min-Joon Lee
- BK21PLUS Program in Embodiment: Health-Society Interaction, Department of Health Science, Graduate School, Korea University, Seoul, South Korea
| | - Tae-Ro Lee
- BK21PLUS Program in Embodiment: Health-Society Interaction, School of Health Policy and Management, Korea University, Seoul, South Korea
| | - Seo-Joon Lee
- Research Institute of Health Science, Korea University, Seoul, South Korea
| | - Jin-Soo Jang
- Korea University Research Institute for Medical Bigdata Science, Korea University, Seoul, South Korea
| | - Eung Ju Kim
- Division of Cardiology, Department of Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea
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Abstract
The FIFA World Cup football tournament is one of the most widely watched sporting events in the world. Particularly, the Argentina national football team has appeared in five World-Cup finals and support for this team has been a long-standing tradition in this country. In the present study, we asked whether the FIFA World Cup constructs a significant collective memory and to what extent this informal memory is similar to collective memories acquired in more formal settings. An online memory task was conducted asking a large group of Argentinian adults (N=407) which country was the winner, the runner-up, and the host of each tournament from 1930 to 2014. In addition, participants were asked to rank the emotional content and the response confidence of each tournament. Finally, participants reported a number of keywords associated with each tournament, to measure memory detail. Our results reveal the existence of a robust collective memory for the World Cup events, showing a high degree of memory accuracy and detail with regard to the history of the tournaments. Furthermore, an independent replication study (N=124) confirmed our findings. More specifically, we found evidence for general principles of individual memories in FIFA World-Cup informal collective memories. These results suggest that informal collective memories share common attributes with more formal collective memories such as those found in presidents or wars. Thus, collective memory properties may be independent of the conditions under which their acquisition occurs.
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Lin LL, Gu HY, Yao YY, Zhu J, Niu YM, Luo J, Zhang C. The association between watching football matches and the risk of cardiovascular events: A meta-analysis. J Sports Sci 2019; 37:2826-2834. [PMID: 31500501 DOI: 10.1080/02640414.2019.1665246] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- Lu-Lu Lin
- Center for Evidence-Based Medicine and Clinical Research, Taihe Hospital, Hubei University of Medicine, Shiyan, China
- Department of pathology and pathophysiology, School of basic medicine, Wuhan University, Wuhan, China
| | - Hui-Yu Gu
- Department of Orthopedic, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China
| | - Yang-Yang Yao
- Center for Evidence-Based Medicine and Clinical Research, Taihe Hospital, Hubei University of Medicine, Shiyan, China
| | - Jie Zhu
- Trade Union, Taihe Hospital, Hubei University of Medicine, Shiyan, China
| | - Yu-Ming Niu
- Center for Evidence-Based Medicine and Clinical Research, Taihe Hospital, Hubei University of Medicine, Shiyan, China
| | - Jie Luo
- Center for Evidence-Based Medicine and Clinical Research, Taihe Hospital, Hubei University of Medicine, Shiyan, China
| | - Chao Zhang
- Center for Evidence-Based Medicine and Clinical Research, Taihe Hospital, Hubei University of Medicine, Shiyan, China
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20
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FIFA World Cup 2018: effect of emotional stress on conventional heart rate variability metrics. Clin Res Cardiol 2019; 109:266-270. [PMID: 31388740 DOI: 10.1007/s00392-019-01533-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Accepted: 07/22/2019] [Indexed: 12/13/2022]
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21
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Singh SM, Koh M, Fang J, Ko DT. Risk of cardiac events during the Super Bowl. Eur J Prev Cardiol 2019; 27:1222-1224. [PMID: 31067126 DOI: 10.1177/2047487319848534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Sheldon M Singh
- Schulich Heart Center, Sunnybrook Health Sciences Centre, University of Toronto, Canada
| | | | | | - Dennis T Ko
- Schulich Heart Center, Sunnybrook Health Sciences Centre, University of Toronto, Canada.,ICES, Toronto, Canada
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22
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Abstract
BACKGROUND Major incidents affecting large numbers of people may increase the rate of acute cardiovascular events, even among those who are not directly involved in the incident. It is hypothesized that the MV Sewol ferry disaster (South Korea) would increase the incidence of cardiovascular events nation-wide. METHODS Data on all adult patients (>18 years) who were diagnosed with acute cardiovascular events, including acute myocardial infarction (MI), angina, and cardiac arrhythmias, were extracted from the National Emergency Department Information System (NEDIS) from March 15 through June 17, during the years 2011-2014 (four weeks before to eight weeks after the event date). Poisson regression models were used to calculate the incidence rate ratios (IRRs) comparing the weekly changes in the occurrences of cardiovascular events from the week of the Sewol event (April 16-22, 2014) to eight weeks after the disaster (June 11-17, 2014), using the one-month period before Sewol as a reference period (March 15-April 15), adjusting for calendar years (years 2011-2014) and environmental factors. RESULTS During the study periods, cardiovascular events were identified in 73,823 patients. Compared to the reference period, the week of the Sewol disaster and the three weeks after the disaster showed a significant increase in the number of acute cardiovascular events, IRRs of 1.09 (95% CI, 1.03-1.15) and 1.08 (95% CI, 1.02-1.15), respectively (P <.01 for both). In particular, there was 21% increase in incidence of arrhythmia (IRR = 1.21; 95% CI, 1.02-1.44; P = .03) during the week of the Sewol disaster compared with the reference period. CONCLUSION This study showed a significant increase in the incidence of acute cardiovascular events during the week of, and the three weeks after, the Sewol ferry disaster in 2014. These additional cardiac emergencies may be triggered by emotional stressors related to the event, highlighting the public health importance of indirect exposure to a tragic catastrophe.Kong SY, Song KJ, Shin SD, Ro YS. Cardiovascular events after the Sewol ferry disaster, South Korea. Prehosp Disaster Med. 2019;34(2):142-148.
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Hagihara A, Onozuka D, Hasegawa M, Miyazaki S, Nagata T. Grand Sumo Tournaments and Out-of-Hospital Cardiac Arrests in Tokyo. J Am Heart Assoc 2018; 7:JAHA.118.009163. [PMID: 29980518 PMCID: PMC6064842 DOI: 10.1161/jaha.118.009163] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Background Sumo wrestling is a demanding sport. Although watching sumo wrestling may have cardiovascular effects, no studies of this relationship have been performed. Thus, we aimed to evaluate the association between sumo wrestling tournaments and the rate of out‐of‐hospital cardiac arrests. Methods and Results We counted the daily number of patients aged 18 to 110 years who had an out‐of‐hospital cardiac arrest of presumed‐cardiac origin in the Tokyo metropolis between 2005 and 2014. A Poisson regression was used to model out‐of‐hospital cardiac arrests of presumed‐cardiac origin per day. Exposure days were the days on which a sumo tournament was held and broadcast, whereas control days were all other days. Events that occurred on exposure days were compared with those that occurred on control days. Risk ratios for out‐of‐hospital cardiac arrests on Grand Sumo tournaments days compared with control days were estimated. In total, 71 882 out‐of‐hospital cardiac arrests met the inclusion criteria. We recorded a 9% increase in the occurrence of out‐of‐hospital cardiac arrests on the day of a sumo tournament compared with control days. In patients aged 75 to 110 years, we found a 13% increase in the occurrence of out‐of‐hospital cardiac arrests on the day of a sumo tournament compared with control days. Conclusions We found a significant increase in the occurrence of out‐of‐hospital cardiac arrests on the days of sumo tournaments compared with control days in the Tokyo metropolis between 2005 and 2014. Further studies are needed to verify these initial findings on sumo tournaments and cardiovascular events.
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Affiliation(s)
- Akihito Hagihara
- Department of Health Services Management and Policy, Kyushu University Graduate School of Medicine, Higashi-ku, Fukuoka, Japan
| | - Daisuke Onozuka
- Department of Health Services Management and Policy, Kyushu University Graduate School of Medicine, Higashi-ku, Fukuoka, Japan
| | - Manabu Hasegawa
- General Affairs Division, Health Service Bureau, Ministry of Health, Labour and Welfare, Chiyoda-ku, Tokyo, Japan
| | - Shogo Miyazaki
- Department of Acupuncture and Moxibustion, Faculty of Health Care, Teikyo Heisei University, Toshima-ku, Tokyo, Japan
| | - Takashi Nagata
- Department of Emergency and Critical Care Center, Kyushu University Hospital, Higashi-ku, Fukuoka, Japan
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Gebhard CE, Gebhard C, Maafi F, Bertrand MJ, Stähli BE, Wildi K, Galvan Z, Toma A, Zhang ZW, Smith D, Ly HQ. Hockey Games and the Incidence of ST-Elevation Myocardial Infarction. Can J Cardiol 2018; 34:744-751. [DOI: 10.1016/j.cjca.2017.12.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 12/24/2017] [Accepted: 12/26/2017] [Indexed: 10/17/2022] Open
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Rincón-Escobar EA, Escobar-González SS, Gómez-Mesa JE, Martínez-Cano JP. Relación entre eventos cardiovasculares y un mundial de fútbol. REVISTA COLOMBIANA DE CARDIOLOGÍA 2018. [DOI: 10.1016/j.rccar.2017.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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26
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Khairy LT, Barin R, Demonière F, Villemaire C, Billo MJ, Tardif JC, Macle L, Khairy P. Heart Rate Response in Spectators of the Montreal Canadiens Hockey Team. Can J Cardiol 2017; 33:1633-1638. [DOI: 10.1016/j.cjca.2017.08.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 08/02/2017] [Accepted: 08/02/2017] [Indexed: 10/18/2022] Open
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Birgisdóttir KH, Jónsson SH, Ásgeirsdóttir TL. Economic conditions, hypertension, and cardiovascular disease: analysis of the Icelandic economic collapse. HEALTH ECONOMICS REVIEW 2017; 7:20. [PMID: 28536969 PMCID: PMC5442036 DOI: 10.1186/s13561-017-0157-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2016] [Accepted: 05/15/2017] [Indexed: 06/07/2023]
Abstract
Previous research has found a positive short-term relationship between the 2008 collapse and hypertension in Icelandic males. With Iceland's economy experiencing a phase of economic recovery, an opportunity to pursue a longer-term analysis of the collapse has emerged. Using data from a nationally representative sample, fixed-effect estimations and mediation analyses were performed to explore the relationship between the Icelandic economic collapse in 2008 and the longer-term impact on hypertension and cardiovascular health. A sensitivity analysis was carried out with pooled logit models estimated as well as an alternative dependent variable. Our attrition analysis revealed that results for cardiovascular diseases were affected by attrition, but not results from estimations on the relationship between the economic crisis and hypertension. When compared to the boom year 2007, our results point to an increased probability of Icelandic women having hypertension in the year 2012, when the Icelandic economy had recovered substantially from the economic collapse in 2008. This represents a deviation from pre-crisis trends, thus suggesting a true economic-recovery impact on hypertension.
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Affiliation(s)
| | - Stefán Hrafn Jónsson
- Faculty of Social and Human Sciences, University of Iceland, Oddi v/Sturlugotu, 101 Reykjavik, Iceland
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28
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Neural bases of ingroup altruistic motivation in soccer fans. Sci Rep 2017; 7:16122. [PMID: 29170383 PMCID: PMC5700961 DOI: 10.1038/s41598-017-15385-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Accepted: 10/19/2017] [Indexed: 01/10/2023] Open
Abstract
Humans have a strong need to belong to social groups and a natural inclination to benefit ingroup members. Although the psychological mechanisms behind human prosociality have extensively been studied, the specific neural systems bridging group belongingness and altruistic motivation remain to be identified. Here, we used soccer fandom as an ecological framing of group membership to investigate the neural mechanisms underlying ingroup altruistic behaviour in male fans using event-related functional magnetic resonance. We designed an effort measure based on handgrip strength to assess the motivation to earn money (i) for oneself, (ii) for anonymous ingroup fans, or (iii) for a neutral group of anonymous non-fans. While overlapping valuation signals in the medial orbitofrontal cortex (mOFC) were observed for the three conditions, the subgenual cingulate cortex (SCC) exhibited increased functional connectivity with the mOFC as well as stronger hemodynamic responses for ingroup versus outgroup decisions. These findings indicate a key role for the SCC, a region previously implicated in altruistic decisions and group affiliation, in dovetailing altruistic motivations with neural valuation systems in real-life ingroup behaviour.
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Coronary artery disease, sudden death and implications for forensic pathology practice. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.mpdhp.2017.09.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Breve intervenção psicológica em doentes internados após síndrome coronária aguda: essencial ou acessória? Rev Port Cardiol 2017; 36:651-654. [DOI: 10.1016/j.repc.2017.07.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Abreu A. Brief psychological intervention in patients admitted after acute coronary syndrome: Essential or secondary? REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2017. [DOI: 10.1016/j.repce.2017.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Abstract
BACKGROUND Large marathons frequently involve widespread road closures and infrastructure disruptions, which may create delays in emergency care for nonparticipants with acute medical conditions who live in proximity to marathon routes. METHODS We analyzed Medicare data on hospitalizations for acute myocardial infarction or cardiac arrest among Medicare beneficiaries (≥65 years of age) in 11 U.S. cities that were hosting major marathons during the period from 2002 through 2012 and compared 30-day mortality among the beneficiaries who were hospitalized on the date of a marathon, those who were hospitalized on the same day of the week as the day of the marathon in the 5 weeks before or the 5 weeks after the marathon, and those who were hospitalized on the same day as the marathon but in surrounding ZIP Code areas unaffected by the marathon. We also analyzed data from a national registry of ambulance transports and investigated whether ambulance transports occurring before noon in marathon-affected areas (when road closures are likely) had longer scene-to-hospital transport times than on nonmarathon dates. We also compared transport times on marathon dates with those on nonmarathon dates in these same areas during evenings (when roads were reopened) and in areas unaffected by the marathon. RESULTS The daily frequency of hospitalizations was similar on marathon and nonmarathon dates (mean number of hospitalizations per city, 10.6 and 10.5, respectively; P=0.71); the characteristics of the beneficiaries hospitalized on marathon and nonmarathon dates were also similar. Unadjusted 30-day mortality in marathon-affected areas on marathon dates was 28.2% (323 deaths in 1145 hospitalizations) as compared with 24.9% (2757 deaths in 11,074 hospitalizations) on nonmarathon dates (absolute risk difference, 3.3 percentage points; 95% confidence interval, 0.7 to 6.0; P=0.01; relative risk difference, 13.3%). This pattern persisted after adjustment for covariates and in an analysis that included beneficiaries who had five or more chronic medical conditions (a group that is unlikely to be hospitalized because of marathon participation). No significant differences were found with respect to where patients were hospitalized or the treatments they received in the hospital. Ambulance scene-to-hospital transport times for pickups before noon were 4.4 minutes longer on marathon dates than on nonmarathon dates (relative difference, 32.1%; P=0.005). No delays were found in evenings or in marathon-unaffected areas. CONCLUSIONS Medicare beneficiaries who were admitted to marathon-affected hospitals with acute myocardial infarction or cardiac arrest on marathon dates had longer ambulance transport times before noon (4.4 minutes longer) and higher 30-day mortality than beneficiaries who were hospitalized on nonmarathon dates. (Funded by the National Institutes of Health.).
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Affiliation(s)
- Anupam B Jena
- From the Department of Health Care Policy, Harvard Medical School (A.B.J., A.O.), and Massachusetts General Hospital (A.B.J.) - both in Boston, and the National Bureau of Economic Research (A.B.J.) and Harvard University (L.N.W.), Cambridge - all in Massachusetts; and the Department of Pediatrics, University of Utah School of Medicine, and the National EMS Information System Technical Assistance Center - both in Salt Lake City (N.C.M.)
| | - N Clay Mann
- From the Department of Health Care Policy, Harvard Medical School (A.B.J., A.O.), and Massachusetts General Hospital (A.B.J.) - both in Boston, and the National Bureau of Economic Research (A.B.J.) and Harvard University (L.N.W.), Cambridge - all in Massachusetts; and the Department of Pediatrics, University of Utah School of Medicine, and the National EMS Information System Technical Assistance Center - both in Salt Lake City (N.C.M.)
| | - Leia N Wedlund
- From the Department of Health Care Policy, Harvard Medical School (A.B.J., A.O.), and Massachusetts General Hospital (A.B.J.) - both in Boston, and the National Bureau of Economic Research (A.B.J.) and Harvard University (L.N.W.), Cambridge - all in Massachusetts; and the Department of Pediatrics, University of Utah School of Medicine, and the National EMS Information System Technical Assistance Center - both in Salt Lake City (N.C.M.)
| | - Andrew Olenski
- From the Department of Health Care Policy, Harvard Medical School (A.B.J., A.O.), and Massachusetts General Hospital (A.B.J.) - both in Boston, and the National Bureau of Economic Research (A.B.J.) and Harvard University (L.N.W.), Cambridge - all in Massachusetts; and the Department of Pediatrics, University of Utah School of Medicine, and the National EMS Information System Technical Assistance Center - both in Salt Lake City (N.C.M.)
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Masters RSW, van der Kamp J, Jackson RC. Imperceptibly Off-Center Goalkeepers Influence Penalty-Kick Direction in Soccer. Psychol Sci 2016; 18:222-3. [PMID: 17444916 DOI: 10.1111/j.1467-9280.2007.01878.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- R S W Masters
- Institute of Human Performance, The University of Hong Kong, Hong Kong Special Administrative Region, China.
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Short-Term Public Health Impact of the July 22, 2011, Terrorist Attacks in Norway: A Nationwide Register-Based Study. Psychosom Med 2016; 78:525-31. [PMID: 27136496 DOI: 10.1097/psy.0000000000000323] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To examine increases in several health outcomes after the July 22, 2011 terrorist attacks in Norway. METHODS Retrospective analysis of nationwide registers (n = 4,953,000) where incidences of schizophrenia/psychosis hospitalizations, suicides, acute myocardial infarctions, and preterm births after the terrorist attacks were compared with corresponding periods the previous 3 years. RESULTS Compared with the same period the preceding 3 years, the observed number of hospitalizations from schizophrenia/psychosis was 14% higher during the first 4 weeks after the terrorist attack (incidence ratio [IR] = 1.14, 95% confidence interval [CI] = 1.07-1.21). The corresponding IRs for the first 3 days and the first week were 1.26 (95% CI = 0.99-1.58) and 1.10 (95% CI = 0.96-1.24). The observed number of suicides was increased by 45% the first 4 weeks (IR = 1.45, 95% CI = 1.12-1.86), 163% the first 3 days (IR = 2.63, 95% CI = 1.15-5.20), and 105% the first week (IR = 2.05, 95% CI = 1.14-3.42). For acute myocardial infarction, there was an increase of 5% the first 4 weeks. There were also more births the 4 weeks (IR = 1.04, 95% CI = 1.01-1.07, but this increase was not seen in preterm births of less than 37 weeks of gestation (IR = 0.93, 95% CI = 0.83-1.04). CONCLUSIONS We observed a general nationwide increase of health outcomes investigated in this study the first 4 weeks after the terrorist attacks. These results may contribute to the growing body of evidence on the adverse health outcomes that may accompany national stressors.
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Lob F, Kortüm K, Müller M, Märtz J, Leicht S, Prause K, Priglinger S, Kreutzer T. Inzidenz von Zentralvenen- und Venenastverschlüssen während der Fußballweltmeisterschaft 2014. Ophthalmologe 2016; 113:763-6. [DOI: 10.1007/s00347-016-0258-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Affiliation(s)
- S S Arri
- Cardiovascular Division, British Heart Foundation Centre of Research Excellence, King's College London, The Rayne Institute, London, UK
| | - M Ryan
- Cardiovascular Division, British Heart Foundation Centre of Research Excellence, King's College London, The Rayne Institute, London, UK
| | - S R Redwood
- Cardiovascular Division, British Heart Foundation Centre of Research Excellence, King's College London, The Rayne Institute, London, UK
| | - M S Marber
- Cardiovascular Division, British Heart Foundation Centre of Research Excellence, King's College London, The Rayne Institute, London, UK
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Y-Hassan S, Feldt K, Stålberg M. A missed penalty kick triggered coronary death in the husband and broken heart syndrome in the wife. Am J Cardiol 2015; 116:1639-42. [PMID: 26410607 DOI: 10.1016/j.amjcard.2015.08.033] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Revised: 08/04/2015] [Accepted: 08/04/2015] [Indexed: 11/29/2022]
Abstract
Events that induce emotional stress and frustration in a large number of subjects under specific circumstances, such as earthquakes, war conditions, and sporting occasions, may increase the incidence of cardiovascular events, such as acute myocardial infarction, arrhythmias, and sudden cardiac death. This report describes a married couple who expressed an apparently passionate interest in football with hazardous consequences after a tense football match during the FIFA 2014 World Championships. A series of emotional stressors initiated by defeat in this football game lead to cardiac arrest in a 58-year-old man caused by a thrombotic occlusion of the left anterior descending artery and ending in the death of the patient. An hour and 15 minutes after the onset of cardiac arrest of the patient, his 64-year-old wife also had chest pain caused by an acute midventricular takotsubo syndrome. She survived the acute stage of the disease, and there was complete resolution of the left ventricular dysfunction.
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Affiliation(s)
- Shams Y-Hassan
- Department of Cardiology, Karolinska Institute at Karolinska University Hospital, Stockholm, Sweden.
| | - Kari Feldt
- Department of Cardiology, Karolinska Institute at Karolinska University Hospital, Stockholm, Sweden
| | - Marcus Stålberg
- Department of Cardiology, Karolinska Institute at Karolinska University Hospital, Stockholm, Sweden
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Abstract
Atherosclerosis is a maladaptive, nonresolving chronic inflammatory disease that occurs at sites of blood flow disturbance. The disease usually remains silent until a breakdown of integrity at the arterial surface triggers the formation of a thrombus. By occluding the lumen, the thrombus or emboli detaching from it elicits ischaemic symptoms that may be life-threatening. Two types of surface damage can cause atherothrombosis: plaque rupture and endothelial erosion. Plaque rupture is thought to be caused by loss of mechanical stability, often due to reduced tensile strength of the collagen cap surrounding the plaque. Therefore, plaques with reduced collagen content are thought to be more vulnerable than those with a thick collagen cap. Endothelial erosion, on the other hand, may occur after injurious insults to the endothelium instigated by metabolic disturbance or immune insults. This review discusses the molecular mechanisms involved in plaque vulnerability and the development of atherothrombosis.
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Affiliation(s)
- G K Hansson
- Department of Medicine and Center for Molecular Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
| | - P Libby
- Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - I Tabas
- Department of Medicine, Department of Pathology and Cell Biology, and Department of Physiology, Columbia University Medical Center, New York, NY, USA
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Gallagher J, Parenti G, Doyle F. Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep? Curr Cardiol Rep 2015; 17:111. [DOI: 10.1007/s11886-015-0667-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Abstract
Previous research shows that the announcement of austerity measures leads to an immediate and short-lived increase in behaviour that demonstrates anxiety, stress, frustration and other mental effects. This paper uses evidence from the same natural experiment to study whether, for a given decision to commit suicide (as documented by the overall increase over the study period), suicides follow immediately after the announcement of austerity measures in Greece; or whether this is an effect that matures in peoples' minds before being transformed into action. We use evidence from a natural experiment and follow an econometric approach. Our findings show that, despite an overall sharp increase in suicides over the study period, the increase does not follow immediately in the first few days after each such negative event. This suggests that suicides are not spontaneous. They are rather decisions that take time to mature. This time lag implies that suicides arguably attributed to recessions are, in principle, preventable and underlines the importance of mental health services. We study whether, for a given decision to commit suicide, this happens immediately. We use evidence from a natural experiment involving austerity measure announcements. An OLS econometric approach is followed. Suicides are not spontaneous, but follow decisions that take time to mature. This time lag implies that suicides attributed to recessions may be preventable.
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Affiliation(s)
- Sotiris Vandoros
- King's College London, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, UK
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Fishbein MC, Fishbein GA. Arteriosclerosis: facts and fancy. Cardiovasc Pathol 2015; 24:335-42. [PMID: 26365806 DOI: 10.1016/j.carpath.2015.07.007] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2015] [Revised: 07/25/2015] [Accepted: 07/28/2015] [Indexed: 01/12/2023] Open
Abstract
Arterial vascular diseases comprise the leading cause of death in the industrialized world. Every physician learns about the pathology of these diseases in medical school. All pathologists evaluate arterial disease in surgical pathology and/or autopsy specimens. All clinicians encounter patients with clinical manifestations of these diseases. With such a common and clinically-important group of entities one would think there would be a general understanding of the "known" information that exists. That is, physicians and scientists should be able to separate what is fact and what is fancy. This review article is intended to generate thought in this regard.
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Affiliation(s)
- Michael C Fishbein
- David Geffen School of Medicine at UCLA, Department of Pathology and Laboratory Medicine, Los Angeles, CA 90095
| | - Gregory A Fishbein
- David Geffen School of Medicine at UCLA, Department of Pathology and Laboratory Medicine, Los Angeles, CA 90095
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Laborde S, Dosseville F, Allen MS. Emotional intelligence in sport and exercise: A systematic review. Scand J Med Sci Sports 2015; 26:862-74. [PMID: 26104015 DOI: 10.1111/sms.12510] [Citation(s) in RCA: 94] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/20/2015] [Indexed: 12/12/2022]
Abstract
This review targets emotional intelligence (EI) in sport and physical activity. We systematically review the available literature and offer a sound theoretical integration of differing EI perspectives (the tripartite model of EI) before considering applied practice in the form of EI training. Our review identified 36 studies assessing EI in an athletic or physical activity context. EI has most often been conceptualized as a trait. In the context of sport performance, we found that EI relates to emotions, physiological stress responses, successful psychological skill usage, and more successful athletic performance. In the context of physical activity, we found that trait EI relates to physical activity levels and positive attitudes toward physical activity. There was a shortage of research into the EI of coaches, officials, and spectators, non-adult samples, and longitudinal and experimental methods. The tripartite model proposes that EI operates on three levels - knowledge, ability, and trait - and predicts an interplay between the different levels of EI. We present this framework as a promising alternative to trait and ability EI conceptualizations that can guide applied research and professional practice. Further research into EI training, measurement validation and cultural diversity is recommended.
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Affiliation(s)
- S Laborde
- Institute of Psychology, German Sport University, Cologne, Germany.,UFR STAPS, EA 4260, University of Caen, Caen, France
| | - F Dosseville
- UFR STAPS, EA 4260, University of Caen, Caen, France
| | - M S Allen
- School of Psychology, University of Wollongong, Wollongong, Australia
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Kondo Y, Linhart M, Schwab JO, Andrié RP. Incidence of ventricular arrhythmias during World Cup football 2014 in patients with implantable cardioverter defibrillator. Int J Cardiol 2015; 187:307-8. [PMID: 25839629 DOI: 10.1016/j.ijcard.2015.03.279] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Accepted: 03/19/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Yusuke Kondo
- Department of Medicine-Cardiology, University of Bonn, Sigmund-Freud Str. 25, 53127 Bonn, Germany.
| | - Markus Linhart
- Department of Medicine-Cardiology, University of Bonn, Sigmund-Freud Str. 25, 53127 Bonn, Germany
| | - Joerg O Schwab
- Department of Medicine-Cardiology, University of Bonn, Sigmund-Freud Str. 25, 53127 Bonn, Germany
| | - René P Andrié
- Department of Medicine-Cardiology, University of Bonn, Sigmund-Freud Str. 25, 53127 Bonn, Germany
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Klainin-Yobas P, Koh KWL, Ambhore AA, Chai P, Chan SWC, He HG. A study protocol of a randomized controlled trial examining the efficacy of a symptom self-management programme for people with acute myocardial infarction. J Adv Nurs 2014; 71:1299-309. [PMID: 25522762 DOI: 10.1111/jan.12594] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/10/2014] [Indexed: 11/30/2022]
Abstract
AIM To report a study protocol of a randomized controlled trial examining if a symptom self-management programme helps patients with acute myocardial infarction self-manage their physical and psychological symptoms. BACKGROUND In addition to physical conditions, people with acute myocardial infarction often experience psychological symptoms. However, there is limited empirical evidence on how to help individuals self-manage these psychological symptoms. DESIGN A single-blinded, randomized controlled trial is proposed. METHODS A convenience sample of 90 will be recruited. Eligible participants will be adult patients with acute myocardial infarction hospitalized at a tertiary hospital in Singapore. Participants will be randomly assigned to one of the three treatment groups: Intervention 1 and standard care (n = 30), Intervention 2 and standard care (n = 30) and standard care alone (n = 30). Data will be collected by self-reported questionnaires, physiological measures and open-ended questions. Quantitative data will be analysed by descriptive statistics, t-test, analysis of covariance and repeated measures analysis of variance. Open-ended questions will be analysed by content analysis. DISCUSSION This study will identify a potentially efficacious symptom self-management programme for patients with acute myocardial infarction. If the efficacy of the programme is demonstrated, the programme can be integrated into hospital services to improve patient care. A new teaching method (virtual reality-based teaching) and new teaching materials (virtual reality videos and relaxation videos) derived from this study can be offered to patients. Future research with larger samples and multi-centre recruitment can be undertaken to further test the efficacy of the interventions.
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Affiliation(s)
| | | | - Anand Adinath Ambhore
- Cardiac Department, National University Heart Centre, National University Hospital, Singapore
| | - Ping Chai
- Cardiac Department, National University Heart Centre, National University Hospital, Singapore
| | - Sally Wai-Chi Chan
- School of Nursing and Midwifery, University of New Castle, Callaghan, New Castle, Australia
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
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Burden of cardiovascular morbidity and mortality following humanitarian emergencies: a systematic literature review. Prehosp Disaster Med 2014; 30:80-8. [PMID: 25499440 DOI: 10.1017/s1049023x14001356] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND The global burden of cardiovascular mortality is increasing, as is the number of large-scale humanitarian emergencies. The interaction between these phenomena is not well understood. This review aims to clarify the relationship between humanitarian emergencies and cardiovascular morbidity and mortality. METHODS With assistance from a research librarian, electronic databases (PubMed, Scopus, CINAHL, and Global Health) were searched in January 2014. Findings were supplemented by reviewing citations of included trials. Observational studies reporting the effect of natural disasters and conflict events on cardiovascular morbidity and mortality in adults since 1997 were included. Studies without a comparison group were not included. Double-data extraction was utilized to abstract information on acute coronary syndrome (ACS), acute decompensated heart failure (ADHF), and sudden cardiac death (SCD). Review Manager 5.0 (Version 5.2, The Nordic Cochrane Centre; Copenhagen Denmark,) was used to create figures for qualitative synthesis. RESULTS The search retrieved 1,697 unique records; 24 studies were included (17 studies of natural disasters and seven studies of conflict). These studies involved 14,583 cardiac events. All studies utilized retrospective designs: four were population-based, 15 were single-center, and five were multicenter studies. Twenty-three studies utilized historical controls in the primary analysis, and one utilized primarily geographical controls. DISCUSSION Conflicts are associated with an increase in long-term morbidity from ACS; the short-term effects of conflict vary by study. Natural disasters exhibit heterogeneous effects, including increased occurrence of ACS, ADHF, and SCD. CONCLUSIONS In certain settings, humanitarian emergencies are associated with increased cardiac morbidity and mortality that may persist for years following the event. Humanitarian aid organizations should consider morbidity from noncommunicable disease when planning relief and recuperation projects.
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Colombo A, Proietti R, Culić V, Lipovetzky N, Viecca M, Danna P. Triggers of acute myocardial infarction: a neglected piece of the puzzle. J Cardiovasc Med (Hagerstown) 2014; 15:1-7. [PMID: 24500234 DOI: 10.2459/jcm.0b013e3283641351] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The existence of specific risk factors for the development of coronary heart disease, both chronic and acute, has been extensively investigated and is well understood by cardiology professionals. Diabetes, hypertension, hypercholesterolemia, psychological patterns and smoking are assumed to interact in a complex way with individual heritable predisposition, thus determining the long-term probability of coronary disease. However, the possibility that defined circumstances and activities may act as immediate triggers of acute coronary syndromes, particularly acute myocardial infarction, has not been given comparable attention in clinical research. For example, the recently issued 2012 European guidelines on cardiovascular disease prevention completely overlook the topic of triggers and their possible prevention. This review presents a picture of the most reliable evidence regarding the triggering of myocardial infarction and contributes to further investigation in the field.
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Affiliation(s)
- Alessandro Colombo
- aCardiology Department, 'Luigi Sacco' Hospital, Milano, Italy bCardiology Division, University Hospital Centre, Split, Croatia cMaccabi Healthcare Services, Tel Aviv, Israel
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Pogosova N, Saner H, Pedersen SS, Cupples ME, McGee H, Höfer S, Doyle F, Schmid JP, von Känel R. Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology. Eur J Prev Cardiol 2014; 22:1290-306. [PMID: 25059929 DOI: 10.1177/2047487314543075] [Citation(s) in RCA: 161] [Impact Index Per Article: 16.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Accepted: 06/20/2014] [Indexed: 12/18/2022]
Abstract
A large body of empirical research shows that psychosocial risk factors (PSRFs) such as low socio-economic status, social isolation, stress, type-D personality, depression and anxiety increase the risk of incident coronary heart disease (CHD) and also contribute to poorer health-related quality of life (HRQoL) and prognosis in patients with established CHD. PSRFs may also act as barriers to lifestyle changes and treatment adherence and may moderate the effects of cardiac rehabilitation (CR). Furthermore, there appears to be a bidirectional interaction between PSRFs and the cardiovascular system. Stress, anxiety and depression affect the cardiovascular system through immune, neuroendocrine and behavioural pathways. In turn, CHD and its associated treatments may lead to distress in patients, including anxiety and depression. In clinical practice, PSRFs can be assessed with single-item screening questions, standardised questionnaires, or structured clinical interviews. Psychotherapy and medication can be considered to alleviate any PSRF-related symptoms and to enhance HRQoL, but the evidence for a definite beneficial effect on cardiac endpoints is inconclusive. A multimodal behavioural intervention, integrating counselling for PSRFs and coping with illness should be included within comprehensive CR. Patients with clinically significant symptoms of distress should be referred for psychological counselling or psychologically focused interventions and/or psychopharmacological treatment. To conclude, the success of CR may critically depend on the interdependence of the body and mind and this interaction needs to be reflected through the assessment and management of PSRFs in line with robust scientific evidence, by trained staff, integrated within the core CR team.
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Affiliation(s)
- Nana Pogosova
- Federal Health Center and Department of Internal Disease Prevention, National Research Center for Preventive Medicine, Russia
| | - Hugo Saner
- Cardiovascular Prevention, Rehabilitation and Sports Medicine, Bern University Hospital, Switzerland
| | - Susanne S Pedersen
- Department of Psychology, University of Southern Denmark, Denmark Department of Cardiology, Odense University Hospital, Denmark
| | - Margaret E Cupples
- UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University, Belfast, UK
| | - Hannah McGee
- Division of Population Health Sciences (Psychology), Royal College of Surgeons in Ireland, Ireland
| | - Stefan Höfer
- Medical Psychology, Innsbruck Medical University, Austria
| | - Frank Doyle
- Division of Population Health Sciences (Psychology), Royal College of Surgeons in Ireland, Ireland
| | - Jean-Paul Schmid
- Cardiology Clinic, Tiefenauspital, Bern University Hospital, Switzerland
| | - Roland von Känel
- Department of Neurology, Bern University Hospital, Switzerland Department of Psychosomatic Medicine, Clinic Barmelweid, Barmelweid, Switzerland
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Abstract
AbstractObjectives: To critically review the scientific literature relating to the timing of deliberate self harm behaviour and completed suicide.Method: A literature search of the Medline and CINAHL databases from 1970-2002 was performed, using deliberate self harm, overdose, self poisoning, suicide, parasuicide, and time, timing, day, week, month and season as key words. Relevant secondary references were retrieved and hand searching of important journals was done.Results: The time of day of non-fatal self harm shows a marked diurnal variation, with an evening peak that is related to non-violent episodes, concomitant alcohol use, and a younger age. It is not conclusively linked to the degree of suicidal intent or particular psychiatric diagnoses. Completed suicides more commonly occur earlier in the day, at the beginning of the week and during springtime, but show no overall increase during many national events and holidays.Conclusions: Circadian biological mechanisms involving the serotonin-melatonin axis, Cortisol secretion and sleep abnormalities appear to be implicated. Psychosocial explanations for these epidemiological findings include alcohol use, a sense of personal isolation and the ‘broken promise’ effect.
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Olsen P, Elliott JM, Frampton C, Bradley PS. Winning or losing does matter: Acute cardiac admissions in New Zealand during Rugby World Cup tournaments. Eur J Prev Cardiol 2014; 22:1254-60. [DOI: 10.1177/2047487314539433] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 05/22/2014] [Indexed: 11/16/2022]
Affiliation(s)
- P Olsen
- Department of Applied Sciences and Allied Health, Christchurch Polytechnic Institute of Technology, New Zealand
| | - JM Elliott
- Department of Medicine, University of Otago, Christchurch, New Zealand
| | - C Frampton
- Department of Medicine, University of Otago, Christchurch, New Zealand
| | - PS Bradley
- Department of Sport and Exercise Sciences, University of Sunderland, UK
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Medenwald D, Kuss O. Mortality on match days of the German national soccer team: a time series analysis from 1995 to 2009. J Epidemiol Community Health 2014; 68:869-73. [PMID: 24811776 DOI: 10.1136/jech-2013-202844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND There is inconsistent evidence on population mortality, especially cardiovascular disease mortality, on match days of national soccer teams during particular international tournaments. This study examines the number of deaths in Germany on match days of the national soccer team during a long-term period including several tournaments. METHODS We analysed all registered daily deaths in Germany from 1995 to 2009 (11 225 966 cases) using time series analysis methods. Following the Box/Jenkins approach, we applied a seasonal autoregressive integrated moving average model. To assess the effect of match days, we performed an intervention analysis by including a transfer function model representing match days of the national team in the statistical analyses. We conducted separate analyses for all matches and for matches during international tournaments (European and World Championships) only. Time series and results were stratified in terms of sex, age (<50 years, 50-70 years, >70 years) and cause of death (cardiovascular deaths, injuries, others). We performed a further independent analysis focusing only on the effect of match results (victory, loss, draw) and kind of tournament (international championships, qualifications, friendly matches). RESULTS Most of the results did not indicate a distinct effect of matches of the national team on general mortality. Moreover, all null value deviations were small when compared with the average number of daily deaths (n=2270). CONCLUSIONS There is no relevant increase or decrease in mortality on match days of the German national soccer team.
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Affiliation(s)
- D Medenwald
- Institute of Medical Epidemiology, Biostatistics, and Informatics, Faculty of Medicine, University of Halle-Wittenberg, Halle (Saale), Germany
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- German Diabetes Center, Leibniz Institute for Diabetes Research at Heinrich Heine University Düsseldorf, Institute for Biometry and Epidemiology, Düsseldorf, Germany Centre for Health and Society, Faculty of Medicine, Heinrich Heine University, Düsseldorf, Germany
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