1
|
de Miranda Rohlfs ICP, Noce F, Wilke C, Terry VR, Parsons-Smith RL, Terry PC. Prevalence of Specific Mood Profile Clusters among Elite and Youth Athletes at a Brazilian Sports Club. Sports (Basel) 2024; 12:195. [PMID: 39058086 PMCID: PMC11280759 DOI: 10.3390/sports12070195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 07/11/2024] [Accepted: 07/16/2024] [Indexed: 07/28/2024] Open
Abstract
Those responsible for elite and youth athletes are increasingly aware of the need to balance the quest for superior performance with the need to protect the physical and psychological wellbeing of athletes. As a result, regular assessment of risks to mental health is a common feature in sports organisations. In the present study, the Brazil Mood Scale (BRAMS) was administered to 898 athletes (387 female, 511 male, age range: 12-44 years) at a leading sports club in Rio de Janeiro using either "past week" or "right now" response timeframes. Using seeded k-means cluster analysis, six distinct mood profile clusters were identified, referred to as the iceberg, surface, submerged, shark fin, inverse iceberg, and inverse Everest profiles. The latter three profiles, which are associated with varying degrees of increased risk to mental health, were reported by 238 athletes (26.5%). The prevalence of these three mood clusters varied according to the response timeframe (past week > right now) and the sex of the athletes (female > male). The prevalence of the iceberg profile varied by athlete sex (male > female), and age (12-17 years > 18+ years). Findings supported use of the BRAMS as a screening tool for the risk of psychological issues among athletes in Brazilian sports organisations.
Collapse
Affiliation(s)
- Izabel Cristina Provenza de Miranda Rohlfs
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba 4350, Australia; (R.L.P.-S.); (P.C.T.)
- Unified Center for the Identification and Development of Performance Athletes (CUIDAR), Clube de Regatas do Flamengo, Rio de Janeiro 22430-041, Brazil
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
| | - Franco Noce
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
| | - Carolina Wilke
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
- Faculty of Sport, Technology and Health Sciences, St. Mary’s University, London TW1 4SX, UK
| | - Victoria R. Terry
- Centre for Health Research, University of Southern Queensland, Toowoomba 4350, Australia;
- School of Nursing and Midwifery, University of Southern Queensland, Toowoomba 4350, Australia
| | - Renée L. Parsons-Smith
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba 4350, Australia; (R.L.P.-S.); (P.C.T.)
| | - Peter C. Terry
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba 4350, Australia; (R.L.P.-S.); (P.C.T.)
- Centre for Health Research, University of Southern Queensland, Toowoomba 4350, Australia;
| |
Collapse
|
2
|
Jones R, Robinson AT, Beach LB, Lindsey ML, Kirabo A, Hinton A, Erlandson KM, Jenkins ND. Exercise to Prevent Accelerated Vascular Aging in People Living With HIV. Circ Res 2024; 134:1607-1635. [PMID: 38781293 PMCID: PMC11126195 DOI: 10.1161/circresaha.124.323975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
Given advances in antiretroviral therapy, the mortality rate for HIV infection has dropped considerably over recent decades. However, people living with HIV (PLWH) experience longer life spans coupled with persistent immune activation despite viral suppression and potential toxicity from long-term antiretroviral therapy use. Consequently, PLWH face a cardiovascular disease (CVD) risk more than twice that of the general population, making it the leading cause of death among this group. Here, we briefly review the epidemiology of CVD in PLWH highlighting disparities at the intersections of sex and gender, age, race/ethnicity, and the contributions of social determinants of health and psychosocial stress to increased CVD risk among individuals with marginalized identities. We then overview the pathophysiology of HIV and discuss the primary factors implicated as contributors to CVD risk among PLWH on antiretroviral therapy. Subsequently, we highlight the functional evidence of premature vascular dysfunction as an early pathophysiological determinant of CVD risk among PLWH, discuss several mechanisms underlying premature vascular dysfunction in PLWH, and synthesize current research on the pathophysiological mechanisms underlying accelerated vascular aging in PLWH, focusing on immune activation, chronic inflammation, and oxidative stress. We consider understudied aspects such as HIV-related changes to the gut microbiome and psychosocial stress, which may serve as mechanisms through which exercise can abrogate accelerated vascular aging. Emphasizing the significance of exercise, we review various modalities and their impacts on vascular health, proposing a holistic approach to managing CVD risks in PLWH. The discussion extends to critical future study areas related to vascular aging, CVD, and the efficacy of exercise interventions, with a call for more inclusive research that considers the diversity of the PLWH population.
Collapse
Affiliation(s)
- Raymond Jones
- Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL
| | | | - Lauren B. Beach
- Department of Medical Social Sciences, Northwestern, Chicago, IL
- Department of Preventive Medicine, Northwestern, Chicago, IL
| | - Merry L. Lindsey
- School of Graduate Studies, Meharry Medical College, Nashville, TN
- Research Service, Nashville VA Medical Center, Nashville, TN
| | - Annet Kirabo
- Department of Medicine, Vanderbilt University Medical Center, Nashville, TN
- Vanderbilt Center for Immunobiology, Nashville, TN
- Vanderbilt Institute for Infection, Immunology and Inflammation, Nashville, TN
- Vanderbilt Institute for Global Health, Nashville, TN
| | - Antentor Hinton
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN
| | | | - Nathaniel D.M. Jenkins
- Department of Health and Human Physiology, University of Iowa, Iowa City, IA
- Abboud Cardiovascular Research Center, University of Iowa, Iowa City, IA
- Fraternal Order of Eagles Diabetes Research Center, University of Iowa, Iowa City, IA
| |
Collapse
|
3
|
Wang Y, Xu X, Lv Q, Zhang X, Yang W, Li Y, Zhao Y, Zang X. The Association Between Impaired Dyadic Coping and Frailty in Elderly Patients With Hypertension: A Latent Profile Analysis. J Cardiovasc Nurs 2024:00005082-990000000-00175. [PMID: 38456911 DOI: 10.1097/jcn.0000000000001081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
BACKGROUND Lifelong hypertension highlights the importance of dyadic engagement in coping with the disease. Although dyadic coping is heterogeneous in patients with other diseases, little is known about it in elderly patients with hypertension. In addition, whether impaired dyadic coping is associated with frailty has yet to be elucidated. OBJECTIVES The aim of this study was to investigate the latent profiles and characteristics of dyadic coping and the potential association between impaired dyadic coping and frailty in elderly patients with hypertension. METHODS We recruited a total of 741 elderly patients with hypertension. Latent profile analysis was then used to identify the best-fitting model. Then, we used regression analysis to determine profile predictors and identify the association between impaired dyadic coping and frailty. RESULTS The 5-profile model was considered to be the best-fitting model, as follows: profile 1, severely impaired dyadic coping; profile 2, mildly impaired dyadic coping; profile 3, normal dyadic coping; profile 4, better dyadic coping; and profile 5, the highest dyadic coping. In the fully adjusted model, the probability of frailty was 1.94-fold higher in the mildly impaired dyadic coping group (odds ratio, 1.94; 95% confidence interval, 1.09-3.47) and 2.66-fold higher in the severely impaired dyadic coping group (odds ratio, 2.66; 95% confidence interval, 1.11-6.39). CONCLUSIONS We identified heterogeneity in dyadic coping and demonstrated that impaired dyadic coping was associated with frailty. Those at risk of dyadic coping impairment need to be identified early, followed by dyadic coping-based interventions to prevent or delay frailty.
Collapse
|
4
|
Rohlfs ICPDM, Noce F, Gabbett TJ, Wilke C, Vido M, Terry VR, Terry PC. Psychometric Characteristics of the Brazil Mood Scale among Youth and Elite Athletes Using Two Response Time Frames. Sports (Basel) 2023; 11:244. [PMID: 38133111 PMCID: PMC10747205 DOI: 10.3390/sports11120244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 12/07/2023] [Accepted: 12/11/2023] [Indexed: 12/23/2023] Open
Abstract
Regular assessment of the mood construct as an indicator of psychological wellbeing is used in Brazil to screen athletes for risk of mental health issues. The present study tested the psychometric characteristics of the Brazil Mood Scale (BRAMS) using both "right now" and "past week" response time frames and investigated between-group differences in mood based on athletes' sex, age, and social vulnerability. Participants were 898 athletes (511 male, 387 female, age range: 12-44 years) from eight sports. The factorial validity of the BRAMS was supported using both response time frames independently and in a multi-sample analysis. Subscale reliability was supported for both time frames. Fatigue, depression, and tension scores were higher using the "past week" time frame than the "right now" time frame. Males reported higher vigor scores than females, and younger participants (<18 years) reported lower scores for anger and depression than older participants (18+ years). No significant differences in mood (p > 0.05) were found between participants identified as socially vulnerable and those who were not socially vulnerable. Findings supported the psychometric integrity of the BRAMS and its use as a screening measure for psychological wellbeing among youth and elite athletes in Brazil.
Collapse
Affiliation(s)
- Izabel Cristina Provenza de Miranda Rohlfs
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba, QLD 4350, Australia;
- Unified Center for the Identification and Development of Performance Athletes (CUIDAR), Clube de Regatas do Flamengo, Rio de Janeiro 22430-041, Brazil
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
| | - Franco Noce
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
| | - Tim J. Gabbett
- Centre for Health Research, University of Southern Queensland, Ipswich, QLD 4305, Australia; (T.J.G.); (V.R.T.)
- Gabbett Performance Solutions, Brisbane, QLD 4000, Australia
- Health Innovation and Transformation Centre, Federation University, Ballarat, VIC 3350, Australia
| | - Carolina Wilke
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte 31270-901, Brazil; (F.N.); (C.W.)
- Faculty of Sport, Technology and Health Sciences, St. Mary’s University, London TW1 4SX, UK
| | - Marcelo Vido
- Executive Board of Olympic Sports, Clube de Regatas do Flamengo, Rio de Janeiro 22430-041, Brazil;
| | - Victoria R. Terry
- Centre for Health Research, University of Southern Queensland, Ipswich, QLD 4305, Australia; (T.J.G.); (V.R.T.)
- School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, QLD 4350, Australia
| | - Peter C. Terry
- School of Psychology and Wellbeing, University of Southern Queensland, Toowoomba, QLD 4350, Australia;
- Centre for Health Research, University of Southern Queensland, Ipswich, QLD 4305, Australia; (T.J.G.); (V.R.T.)
| |
Collapse
|