The consultation of rugby players in co-developing a player health study: feasibility and consequences of sports participants as research partners

Common Issues and Differences in Motivational Support and the Effects of Rugby for the U-15 and U-16 National Teams

This study determines the differences in opinion of U-15 (20 boys) and U-16 (29 boys) rugby players from Romanian national teams, regarding motivational support (MS) and the effects/benefits (EB) of the sport. The evaluation questionnaire (based on 21 items with closed answers and 7 items with free answers) was applied between 29 November 2019 and 13 December 2019. The statistical calculation indicates the absence of significant differences between the groups for most items, with the exception of financial motivation (where the U-16 group has a higher score, p < 0.05) and the usefulness of rugby for the population as a variant of active leisure (where the U-15 group has a higher score). However, U-15 athletes are more motivated by the examples of elite players, have increased involvement in terms of passion in training and competitions, and assign high scores to their relationships with the coach and teammates, while U-16 players are more optimistic about self-perceived skills as the basis of success in rugby. The U-15 team is more confident regarding most of the benefits of a rugby game, and those in the U-16 team have superior values in the context of favorable effects on attitude, as well as a better ability to concentrate at the levels of academics and sports. Masculine characteristics, the uniqueness, and physical contact are the main factors of attraction for rugby. Over 56% of the players practiced or practice other sports and sports games, with contact sports being at the top. A total of 96% of players suffered injuries, with the legs and arms being the most affected, but 25% of the U-15 group also suffered injuries to the head, with the main causes being physical contact with opponents and the superficiality of the warm-up. Workouts associated with physical training are the most difficult to bear, and the U-15 group is more bored with routine and monotony. A higher level of physical training/self-perceived fitness is the main strength of players, followed by technical and tactical knowledge.

Serious sports-related injury in England and Wales from 2012-2017: a study protocol

Background

Physical activity is an important component of healthy lifestyles, with a central role in morbidity prevention. However, sporting and physical activity also involve an inherent injury risk. Some sports and activities have a higher injury risk, and may involve more severe injuries. Furthermore, injuries of a severe nature have substantial individual and societal consequences, including the burden of assessment, treatment, and potential on-going care costs. There are limited data on severe sports injury risk in England and Wales, and no national data describing risk across sports. The aims of this study are to identify the cases and incidence of: i) paediatric and ii) adult severe sports injury from 2012 to 2017; and to describe injury incidence in individual sports.

Methods

This study is an analysis of prospectively collected sport-related injuries, treated from January 2012 to December 2017. Incidents involving a severe injury (in-patient trauma care) in England and Wales, will be identified from the Trauma Audit Research Network registry. Data for patients who were: transfers or direct hospital admissions, with inpatient stays of ≥3 days, admissions to High Dependency areas, or in-hospital mortality after admission; and whose injury mechanism was sport, or incident description included one of 62 sporting activities, will be extracted. Data will be categorised by sport, and sports participation data will be derived from Sport England participation surveys. Descriptive statistics will be estimated for all demographic, incident, treatment and sport fields, and crude serious annual injury incidence proportions estimated. Poisson confidence intervals will be estimated for each sport and used to describe injury risk (incidence) across sporting activities.

Discussion

This study will be the first to describe the number of, and trends in severe sport-related injuries in England and Wales. These data are useful to monitor the number and burden of severe sports injury, and inform injury prevention efforts. The monitoring and mitigation of sports injury risk is essential for individuals, health services and policy, and to encourage physically active lifestyles and safer participation for adults and children.

Osteoarthritis and other long-term health conditions in former elite cricketers

OBJECTIVES

This study aimed to describe the prevalence and risk of chronic conditions in former elite cricketers compared to a normal population, and describe wellbeing in former elite cricketers.

DESIGN

Cross-sectional study.

METHODS

Former elite cricketers, recruited from the Professional Cricketers' Association, completed a self-report cross-sectional questionnaire. The English Longitudinal Study of Ageing (ELSA) served as the normal population. The prevalence of self-reported, GP-diagnosed conditions (heart problems, hypertension, stroke, diabetes, asthma, dementia, osteoarthritis (OA), total hip replacement (THR), total knee replacement (TKR), anxiety, depression) were reported for both population samples. Standardised morbidity ratios (SMRs) compared chronic conditions in sex-, age- and BMI-matched former cricketers (n=113) and normal population (n=4496).

RESULTS

Heart problems were reported by 13.3% of former cricketers, significantly lower than the normal population, SMR 0.55 (0.33-0.91). Former cricketers reported 31.9% hypertension, 1.8% stroke, 6.2% diabetes, 15.0% asthma, and no dementia, none significantly different to the normal population. OA, THR, and TKR were reported by 51.3%, 14.7% and 10.7% of former cricketers, respectively, significantly higher than the normal population, SMRs 3.64 (2.81-4.71), 3.99 (2.21-7.20) and 3.84 (1.92-7.68). Anxiety and depression were reported by 12.4% and 8.8% of former cricketers, respectively, SMRs 3.95 (2.34-6.67) and 2.22 (1.20-4.14). 97% of former cricketers reflected they would undertake their cricket career again, 98% agreed that cricket enriched their lives.

CONCLUSIONS

Heart problems were significantly lower, while OA, THR, TKR, anxiety, and depression were significantly higher in the former cricketers compared to the normal population (ELSA). Most former cricketers reflected positively on their career.

Health amongst former rugby union players: A cross-sectional study of morbidity and health-related quality of life

In the general population, physical activity is associated with improved health outcomes. However, long-term sports participation may be associated with adverse outcomes, particularly at the elite level. The aims of this study were to assess morbidity and health-related quality of life (HrQoL) amongst former rugby players, compared to an age-standardised general population sample. A cross-sectional study of former elite, male, rugby players (n = 259) was undertaken, and standardised morbidity ratios (SMR) calculated, assessing morbidity prevalence relative to English Longitudinal Study of Aging participants (ELSA, n = 5186). HrQoL, measured using the EQ-5D, was compared to a Health Survey for England (HSE, n = 2981) sample. In SMR analyses of participants aged 50+, diabetes was significantly lower amongst former players, (0.28, 95% CI 0.11-0.66), whereas osteoarthritis (4.00, 95% CI 3.32-4.81), joint replacement (6.02, 95% CI 4.66-7.77), osteoporosis (2.69, 95% CI 1.35-5.38), and anxiety (2.00, 95% CI 1.11-3.61) were significantly higher. More problems in HrQoL were reported amongst former players within the domains of mobility (p < 0.001), self-care (p = 0.041), usual activities (p < 0.001) and pain/discomfort (p < 0.001). Morbidity and HrQoL differ between players and the general population, with higher musculoskeletal morbidity and lower diabetes amongst former players. The magnitude of musculoskeletal morbidity may warrant proactive osteoarthritis management within this population.