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Kastner T, Frohberg F, Hesse J, Wolfarth B, Wuestenfeld JC. Exercise-Induced Troponin Elevation in High-Performance Cross-Country Skiers. J Clin Med 2024; 13:2335. [PMID: 38673608 PMCID: PMC11051298 DOI: 10.3390/jcm13082335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 03/23/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024] Open
Abstract
Background: Troponin I and T are biomarkers to diagnose myocardial infarction and damage. Studies indicate that strenuous physical activity can cause transient increases in these troponin levels, typically considered physiological. However, current data show differences in the exercise-induced increase in troponin I and T in elite athletes. Method: This prospective clinical study aimed to determine troponin I and T levels in 36 top cross-country skiers of the German national team (18 male, 18 female) after a standardized competition load over two days. All study participants underwent a comprehensive sports medical and cardiological evaluation, including ECG and echocardiography. A multivariable regression analysis was utilized to identify possible predictors of increased troponin I levels. Results: Only three male athletes (8.1%) showed an isolated increase in Troponin I (Ø 112.49 ng/L, cut off < 45.2 ng/L), while no increase in troponin T in the study population was detected. Conclusions: The analysis suggested several potential predictors for increased troponin I levels, such as height, weight, weekly training hours, and indications of an enlarged sports heart, though none achieved statistical significance. Knowing the different exercise-induced detectability of the various troponins in the clinical setting is essential.
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Affiliation(s)
- Tom Kastner
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany; (T.K.); (J.H.); (B.W.)
- Department of Sports Medicine, Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Florian Frohberg
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany; (T.K.); (J.H.); (B.W.)
| | - Judith Hesse
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany; (T.K.); (J.H.); (B.W.)
- Department of Sports Medicine, Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Bernd Wolfarth
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany; (T.K.); (J.H.); (B.W.)
- Department of Sports Medicine, Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Jan C. Wuestenfeld
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany; (T.K.); (J.H.); (B.W.)
- Department of Sports Medicine, Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
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2
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Niederer D, Schiller J, Groneberg DA, Behringer M, Wolfarth B, Gabrys L. Machine learning-based identification of determinants for rehabilitation success and future healthcare use prevention in patients with high-grade, chronic, nonspecific low back pain: an individual data 7-year follow-up analysis on 154,167 individuals. Pain 2024; 165:772-784. [PMID: 37856652 DOI: 10.1097/j.pain.0000000000003087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 08/22/2023] [Indexed: 10/21/2023]
Abstract
ABSTRACT To individually prescribe rehabilitation contents, it is of importance to know and quantify factors for rehabilitation success and the risk for a future healthcare use. The objective of our multivariable prediction model was to determine factors of rehabilitation success and the risk for a future healthcare use in patients with high-grade, chronic low back pain. We included members of the German pension fund who participated from 2012 to 2019 in multimodal medical rehabilitation with physical and psychological treatment strategies because of low back pain (ICD10:M54.5). Candidate prognostic factors for rehabilitation success and for a future healthcare use were identified using Gradient Boosting Machines and Random Forest algorithms in the R-package caret on a 70% training and a 30% test set. We analysed data from 154,167 patients; 8015 with a second medical rehabilitation measure and 5161 who retired because of low back pain within the study period. The root-mean-square errors ranged between 494 (recurrent rehabilitation) and 523 (retirement) days ( R2 = 0.183-0.229), whereas the prediction accuracy ranged between 81.9% for the prediction of the rehabilitation outcome, and 94.8% for the future healthcare use prediction model. Many modifiable prognostic factors (such as duration of the rehabilitation [inverted u-shaped], type of the rehabilitation, and aftercare measure), nonmodifiable prognostic factors (such as sex and age), and disease-specific factors (such as sick leave days before the rehabilitation [linear positive] together with the pain grades) for rehabilitation success were identified. Inpatient medical rehabilitation programmes (3 weeks) may be more effective in preventing a second rehabilitation measure and/or early retirement because of low back pain compared with outpatient rehabilitation programs. Subsequent implementation of additional exercise programmes, cognitive behavioural aftercare treatment, and following scheduled aftercare are likely to be beneficial.
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Affiliation(s)
- Daniel Niederer
- Department of Sports Medicine and Exercise Physiology, Institute of Occupational, Social and Environmental Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Joerg Schiller
- Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany
| | - David A Groneberg
- Institute of Occupational, Social and Environmental Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Michael Behringer
- Department of Sports Sciences, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - Lars Gabrys
- University of Applied Sciences for Sports and Management, Potsdam, Germany
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3
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Widmann M, Gaidai R, Schubert I, Grummt M, Bensen L, Kerling A, Quermann A, Zacher J, Vollrath S, Bizjak DA, Beckendorf C, Egger F, Hasler E, Mellwig KP, Fütterer C, Wimbauer F, Vogel A, Schoenfeld J, Wüstenfeld JC, Kastner T, Barsch F, Friedmann-Bette B, Bloch W, Meyer T, Mayer F, Wolfarth B, Roecker K, Reinsberger C, Haller B, Niess AM. COVID-19 in Female and Male Athletes: Symptoms, Clinical Findings, Outcome, and Prolonged Exercise Intolerance-A Prospective, Observational, Multicenter Cohort Study (CoSmo-S). Sports Med 2024; 54:1033-1049. [PMID: 38206445 PMCID: PMC11052799 DOI: 10.1007/s40279-023-01976-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2023] [Indexed: 01/12/2024]
Abstract
BACKGROUND An infection with SARS-CoV-2 can lead to a variety of symptoms and complications, which can impair athletic activity. OBJECTIVE We aimed to assess the clinical symptom patterns, diagnostic findings, and the extent of impairment in sport practice in a large cohort of athletes infected with SARS-CoV-2, both initially after infection and at follow-up. Additionally, we investigated whether baseline factors that may contribute to reduced exercise tolerance at follow-up can be identified. METHODS In this prospective, observational, multicenter study, we recruited German COVID elite-athletes (cEAs, n = 444) and COVID non-elite athletes (cNEAs, n = 481) who tested positive for SARS-CoV-2 by PCR (polymerase chain reaction test). Athletes from the federal squad with no evidence of SARS-CoV-2 infection served as healthy controls (EAcon, n = 501). Questionnaires were used to assess load and duration of infectious symptoms, other complaints, exercise tolerance, and duration of training interruption at baseline and at follow-up 6 months after baseline. Diagnostic tests conducted at baseline included resting and exercise electrocardiogram (ECG), echocardiography, spirometry, and blood analyses. RESULTS Most acute and infection-related symptoms and other complaints were more prevalent in cNEA than in cEAs. Compared to cEAs, EAcon had a low symptom load. In cNEAs, female athletes had a higher prevalence of complaints such as palpitations, dizziness, chest pain, myalgia, sleeping disturbances, mood swings, and concentration problems compared to male athletes (p < 0.05). Until follow-up, leading symptoms were drop in performance, concentration problems, and dyspnea on exertion. Female athletes had significantly higher prevalence for symptoms until follow-up compared to male. Pathological findings in ECG, echocardiography, and spirometry, attributed to SARS-CoV-2 infection, were rare in infected athletes. Most athletes reported a training interruption between 2 and 4 weeks (cNEAs: 52.9%, cEAs: 52.4%), while more cNEAs (27.1%) compared to cEAs (5.1%) had a training interruption lasting more than 4 weeks (p < 0.001). At follow-up, 13.8% of cNEAs and 9.9% of cEAs (p = 0.24) reported their current exercise tolerance to be under 70% compared to pre-infection state. A persistent loss of exercise tolerance at follow-up was associated with persistent complaints at baseline, female sex, a longer break in training, and age > 38 years. Periodical dichotomization of the data set showed a higher prevalence of infectious symptoms such as cough, sore throat, and coryza in the second phase of the pandemic, while a number of neuropsychiatric symptoms as well as dyspnea on exertion were less frequent in this period. CONCLUSIONS Compared to recreational athletes, elite athletes seem to be at lower risk of being or remaining symptomatic after SARS-CoV-2 infection. It remains to be determined whether persistent complaints after SARS-CoV-2 infection without evidence of accompanying organ damage may have a negative impact on further health and career in athletes. Identifying risk factors for an extended recovery period such as female sex and ongoing neuropsychological symptoms could help to identify athletes, who may require a more cautious approach to rebuilding their training regimen. TRIAL REGISTRATION NUMBER DRKS00023717; 06.15.2021-retrospectively registered.
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Affiliation(s)
- Manuel Widmann
- Department of Sports Medicine, Medical Clinic, Medical University Hospital Tuebingen, University Hospital of Tuebingen, Hoppe-Seyler Str. 6, 72076, Tuebingen, Germany.
| | - Roman Gaidai
- Department of Sports and Health, Institute of Sports Medicine, Paderborn University, Paderborn, Germany
| | - Isabel Schubert
- Department of Sports Medicine, Medical Clinic, Medical University Hospital Tuebingen, University Hospital of Tuebingen, Hoppe-Seyler Str. 6, 72076, Tuebingen, Germany
| | - Maximilian Grummt
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Lieselotte Bensen
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Arno Kerling
- Clinic for Rehabilitation and sports medicine, Hannover Medical School, Hannover, Germany
| | - Anne Quermann
- Medical Clinic VII, Department of Sports Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Jonas Zacher
- Department of Preventative and Rehabilitative Sports and Performance Medicine, Institute of Cardiology and Sports Medicine, German Sports University Cologne, Cologne, Germany
| | - Shirin Vollrath
- Division of Sports and Rehabilitation Medicine, Ulm University Medical Center, Ulm, Germany
| | | | - Claudia Beckendorf
- Center of Sports Medicine, Outpatient Clinic, University of Potsdam, Potsdam, Germany
| | - Florian Egger
- Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Erik Hasler
- Institute for Applied Health Promotion and Exercise Medicine (IfAG), Furtwangen University, Furtwangen, Germany
| | - Klaus-Peter Mellwig
- Clinic for General and Interventional Cardiology/Angiology, Herz-und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany
| | - Cornelia Fütterer
- School of Medicine, Institute of AI and Informatics in Medicine, Technical University of Munich, Munich, Germany
| | - Fritz Wimbauer
- Department of Prevention and Sports Medicine, University Hospital 'Rechts Der Isar', Technical University of Munich, Munich, Germany
| | - Azin Vogel
- Department of Prevention and Sports Medicine, University Hospital 'Rechts Der Isar', Technical University of Munich, Munich, Germany
| | - Julia Schoenfeld
- Department of Prevention and Sports Medicine, University Hospital 'Rechts Der Isar', Technical University of Munich, Munich, Germany
| | - Jan C Wüstenfeld
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Institute for Applied Training Science, Leipzig University, Leipzig, Germany
| | - Tom Kastner
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Institute for Applied Training Science, Leipzig University, Leipzig, Germany
| | - Friedrich Barsch
- Medical Faculty, Institute of Exercise and Occupational Medicine, University Freiburg, Freiburg, Germany
| | - Birgit Friedmann-Bette
- Medical Clinic VII, Department of Sports Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Wilhelm Bloch
- Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Cologne, Germany
| | - Tim Meyer
- Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Frank Mayer
- Center of Sports Medicine, Outpatient Clinic, University of Potsdam, Potsdam, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Institute for Applied Training Science, Leipzig University, Leipzig, Germany
| | - Kai Roecker
- Institute for Applied Health Promotion and Exercise Medicine (IfAG), Furtwangen University, Furtwangen, Germany
| | - Claus Reinsberger
- Department of Sports and Health, Institute of Sports Medicine, Paderborn University, Paderborn, Germany
| | - Bernhard Haller
- School of Medicine, Institute of AI and Informatics in Medicine, Technical University of Munich, Munich, Germany
| | - Andreas M Niess
- Department of Sports Medicine, Medical Clinic, Medical University Hospital Tuebingen, University Hospital of Tuebingen, Hoppe-Seyler Str. 6, 72076, Tuebingen, Germany
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Lambert C, Ritzmann R, Akoto R, Lambert M, Pfeiffer T, Wolfarth B, Lachmann D, Shafizadeh S. Epidemiology of Injuries in Olympic Sports. Sportverletz Sportschaden 2024; 38:18-26. [PMID: 38447940 DOI: 10.1055/a-2036-8166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
Injuries effect the performance of athletes. Severity of injuries is determined by time loss and sporting performance reduction. To treat injuries adequately, it is necessary to get an overview of varied injuries types in different sports disciplines. In a retrospective study 7.809 athletes from Germany, Switzerland and Austria competing in competitive or recreational levels of sports were included. Injury prevalence was highest in team sports (75 %), followed by combat (64 %), racquet (54 %) and track and field (51 %). Knee (28 %) and shoulder (14 %) were the most at risk joints. Time loss in sporting activity after injury was longest in the region of knee (26 weeks). Of all reported injuries, 48 % were accompanied by a reduced level of performance. The highest injury prevalence occurred in the year 2016 (45 %). More injuries occurred during training (58 %) compared to competition (42 %). Across Olympic disciplines, a large number of injuries occurred during training sessions. Injury frequency increased as the Olympic games drew closer. Knee and shoulder injuries were the most severe injuries with respect to time loss and reduction sporting performance.
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Affiliation(s)
- Christophe Lambert
- Department of Trauma and Orthopedic Surgery, University Witten Herdecke Faculty of Health, Witten, Germany
| | - Ramona Ritzmann
- Institute of Sport and Sport Science, University of Freiburg, Freiburg, Germany
| | - Ralph Akoto
- Department of Trauma and Reconstructive Surgery with Division of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany
| | - Maxime Lambert
- Department of Trauma and Orthopedic Surgery, University Witten Herdecke Faculty of Health, Witten, Germany
| | - Thomas Pfeiffer
- Department of Trauma and Orthopedic Surgery, University Witten Herdecke Faculty of Health, Witten, Germany
| | - Bernd Wolfarth
- Department of Sport Medicine Humboldt University and Charité University School of Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany
| | - Danlel Lachmann
- Vice-rectorate for Teaching and Studies Central Evaluation of Studies and Teaching, University of Cologne, Koeln, Germany
| | - Sven Shafizadeh
- Department of Trauma Surgery and Sports Traumatology, Sana Dreifaltigkeits-Krankenhaus Koln-Braunsfeld GmbH, Koln, Germany
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Wuestenfeld JC, Kastner T, Hesse J, Fesseler L, Frohberg F, Rossbach C, Wolfarth B. Differences in Troponin I and Troponin T Release in High-Performance Athletes Outside of Competition. Int J Mol Sci 2024; 25:1062. [PMID: 38256135 PMCID: PMC10816948 DOI: 10.3390/ijms25021062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 01/02/2024] [Accepted: 01/09/2024] [Indexed: 01/24/2024] Open
Abstract
Troponin I and troponin T are critical biomarkers for myocardial infarction and damage and are pivotal in cardiological and laboratory diagnostics, including emergency settings. Rapid testing protocols have been developed for urgent care, particularly in emergency outpatient clinics. Studies indicate that strenuous physical activity can cause transient increases in these troponin levels, which are typically considered benign. This research focused on 219 elite athletes from national teams, evaluating their troponin I and T levels as part of routine sports medical exams, independent of competition-related physical stress. The results showed that 9.2% (18 athletes) had elevated troponin I levels above the reporting threshold, while their troponin T levels remained within the normal range. Conversely, only 0.9% (two athletes) had normal troponin I but raised troponin T levels, and 2.3% (five athletes) exhibited increases in both markers. No significant cardiovascular differences were noted between those with elevated troponin levels and those without. This study concludes that elevated troponin I is a common response to the intense physical training endured by high-performance endurance athletes, whereas troponin T elevation does not seem to be directly linked to physical exertion in this group. For cardiac assessments, particularly when ruling out cardiac damage in these athletes, troponin T might be a more reliable indicator than troponin I.
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Affiliation(s)
- Jan C. Wuestenfeld
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany
- Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Department of Sports Medicine, Charitéplatz 1, 10117 Berlin, Germany
| | - Tom Kastner
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany
- Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Department of Sports Medicine, Charitéplatz 1, 10117 Berlin, Germany
| | - Judith Hesse
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany
- Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Department of Sports Medicine, Charitéplatz 1, 10117 Berlin, Germany
| | - Leon Fesseler
- Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Department of Sports Medicine, Charitéplatz 1, 10117 Berlin, Germany
| | - Florian Frohberg
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany
| | - Cornelius Rossbach
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany
- Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Department of Sports Medicine, Charitéplatz 1, 10117 Berlin, Germany
| | - Bernd Wolfarth
- Institute for Applied Training Science, Marschnerstrasse 29, 04109 Leipzig, Germany
- Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Department of Sports Medicine, Charitéplatz 1, 10117 Berlin, Germany
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Seemann-Sinn A, Rüdrich P, Gorges T, Sandau I, Naundorf F, Wolfarth B. Determining Physiological and Energetic Demands during High-Level Pommel Horse Routines Using a Modified Method Based on Heart Rate-Oxygen Uptake Functions. Sports (Basel) 2024; 12:27. [PMID: 38251301 PMCID: PMC10819423 DOI: 10.3390/sports12010027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 01/06/2024] [Accepted: 01/08/2024] [Indexed: 01/23/2024] Open
Abstract
This study aimed (1) to assess the validity of a modified method (Mmod) based on heart rate (HR)-oxygen uptake (VO2) regression functions to calculate total energy costs (Wtotal) and aerobic (Waer) and anaerobic alactic energy contribution (Wpcr) and (2) to analyse the physiological and energetic demands of high-level pommel horse routines (PH routines). The Mmod was developed because VO2 measurements are limited during high-level PH routines. Answering Part 1, nine male artistic gymnasts performed a PH routine where energy costs were calculated from VO2 measurements and then compared with energy costs determined from the HR- VO2 regressions of Mmod's two additional tests. Using the concordance correlation coefficient (CCC) and Deming regression, Waer (CCC = 0.955), Wpcr (CCC = 0.999), and Wtotal (CCC = 0.990) show substantial to almost perfect validity without constant or proportional bias. Data from eight further gymnasts performing a high-level PH routine and a graded exercise test (GXT), as well as four data sets from Part 1, were used to determine physiological and energetic demands using Mmod. VO2 and HR during PH routines reached 86.1% and 90.4% of the maximal values during GXT. Wpcr was 47.0%, anaerobic lactic energy contribution (Wblc) was 29.7%, and Waer was 23.3% of Wtotal required during PH routines. Summarising the energetic demands of high-level PH routines, they are mainly anaerobic, where Wpcr provides the largest energy share. Waer provides a substantial part of Wtotal and should therefore also be specifically trained.
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Affiliation(s)
- Alexander Seemann-Sinn
- Department of Sports Medicine, Humboldt University of Berlin, 13353 Berlin, Germany;
- Department of Strength, Power and Technical Sports, Institute for Applied Training Science, 04109 Leipzig, Germany; (T.G.); (I.S.); (F.N.)
| | - Peter Rüdrich
- Department of Sports Medicine, Institute for Applied Training Science, 04109 Leipzig, Germany;
| | - Tom Gorges
- Department of Strength, Power and Technical Sports, Institute for Applied Training Science, 04109 Leipzig, Germany; (T.G.); (I.S.); (F.N.)
| | - Ingo Sandau
- Department of Strength, Power and Technical Sports, Institute for Applied Training Science, 04109 Leipzig, Germany; (T.G.); (I.S.); (F.N.)
| | - Falk Naundorf
- Department of Strength, Power and Technical Sports, Institute for Applied Training Science, 04109 Leipzig, Germany; (T.G.); (I.S.); (F.N.)
| | - Bernd Wolfarth
- Department of Sports Medicine, Humboldt University of Berlin, 13353 Berlin, Germany;
- Department of Sports Medicine, Institute for Applied Training Science, 04109 Leipzig, Germany;
- Department of Sports Medicine, Charité University of Medicine, 13353 Berlin, Germany
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7
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Merle CL, Rott T, Challakh N, Schmalz G, Kottmann T, Kastner T, Blume K, Wolfarth B, Haak R, Ziebolz D, Wüstenfeld J. Clinical findings and self-reported oral health status of biathletes and cross-country skiers in the preseason - a cohort study with a control group. Res Sports Med 2024; 32:145-159. [PMID: 35762035 DOI: 10.1080/15438627.2022.2090251] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
This cross-sectional study aimed to compare clinical oral conditions as well as the self-reported oral health status of biathletes and cross-country skiers (A) to age- and gender-matched non-athletic controls (C). Thirty-one A and 68 C were examined in 2020 regarding caries experience (DMF-T), partially erupted wisdom teeth, non-carious tooth wear (erosion), dental plaque biofilm, gingival inflammation, periodontal screening (PSI), salivary active matrix-metalloproteinase-8 (aMMP-8) test and screening for temporomandibular disorders (TMD). Questionnaires recorded periodontal symptoms, TMD symptoms and oral health behaviour. Group A had a lower prevalence of carious teeth and positive aMMP-8 tests, but more of them had severe gingivitis and signs of periodontitis. Both groups reported similar oral health behaviour. Only in group C, associations between aMMP-8 and periodontal findings as well as clinical findings and self-reported symptoms of TMD were identified. Group A showed a high prevalence of oral inflammation and seemed to be less aware of oral symptoms. Clinical examination seems to be necessary for periodontal/TMD screening of athletes.
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Affiliation(s)
- Cordula Leonie Merle
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
- Department of Prosthetic Dentistry, UKR University Hospital Regensburg, Regensburg, Germany
| | - Theresa Rott
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Nadia Challakh
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Gerhard Schmalz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | | | - Tom Kastner
- Department of Sports Medicine, Charité University Medicine, Berlin, Germany
- Department of Sports Medicine, Institute of Applied Training Science, Leipzig, Germany
| | - Katharina Blume
- Department of Sports Medicine, Charité University Medicine, Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité University Medicine, Berlin, Germany
- Department of Sports Medicine, Institute of Applied Training Science, Leipzig, Germany
- Institute of Sports Science, Humboldt University, Berlin, Germany
| | - Rainer Haak
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Jan Wüstenfeld
- Department of Sports Medicine, Charité University Medicine, Berlin, Germany
- Department of Sports Medicine, Institute of Applied Training Science, Leipzig, Germany
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8
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Roell L, Keeser D, Papazov B, Lembeck M, Papazova I, Greska D, Muenz S, Schneider-Axmann T, Sykorova EB, Thieme CE, Vogel BO, Mohnke S, Huppertz C, Roeh A, Keller-Varady K, Malchow B, Stoecklein S, Ertl-Wagner B, Henkel K, Wolfarth B, Tantchik W, Walter H, Hirjak D, Schmitt A, Hasan A, Meyer-Lindenberg A, Falkai P, Maurus I. Effects of Exercise on Structural and Functional Brain Patterns in Schizophrenia-Data From a Multicenter Randomized-Controlled Study. Schizophr Bull 2024; 50:145-156. [PMID: 37597507 PMCID: PMC10754172 DOI: 10.1093/schbul/sbad113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/21/2023]
Abstract
BACKGROUND AND HYPOTHESIS Aerobic exercise interventions in people with schizophrenia have been demonstrated to improve clinical outcomes, but findings regarding the underlying neural mechanisms are limited and mainly focus on the hippocampal formation. Therefore, we conducted a global exploratory analysis of structural and functional neural adaptations after exercise and explored their clinical implications. STUDY DESIGN In this randomized controlled trial, structural and functional MRI data were available for 91 patients with schizophrenia who performed either aerobic exercise on a bicycle ergometer or underwent a flexibility, strengthening, and balance training as control group. We analyzed clinical and neuroimaging data before and after 6 months of regular exercise. Bayesian linear mixed models and Bayesian logistic regressions were calculated to evaluate effects of exercise on multiple neural outcomes and their potential clinical relevance. STUDY RESULTS Our results indicated that aerobic exercise in people with schizophrenia led to structural and functional adaptations mainly within the default-mode network, the cortico-striato-pallido-thalamo-cortical loop, and the cerebello-thalamo-cortical pathway. We further observed that volume increases in the right posterior cingulate gyrus as a central node of the default-mode network were linked to improvements in disorder severity. CONCLUSIONS These exploratory findings suggest a positive impact of aerobic exercise on 3 cerebral networks that are involved in the pathophysiology of schizophrenia. CLINICAL TRIALS REGISTRATION The underlying study of this manuscript was registered in the International Clinical Trials Database, ClinicalTrials.gov (NCT number: NCT03466112, https://clinicaltrials.gov/ct2/show/NCT03466112?term=NCT03466112&draw=2&rank=1) and in the German Clinical Trials Register (DRKS-ID: DRKS00009804).
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Affiliation(s)
- Lukas Roell
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
- Neuroimaging Core Unit Munich (NICUM), University Hospital, LMU Munich, Munich, Germany
| | - Daniel Keeser
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
- Neuroimaging Core Unit Munich (NICUM), University Hospital, LMU Munich, Munich, Germany
- Department of Radiology, University Hospital, LMU Munich, Munich, Germany
| | - Boris Papazov
- Department of Radiology, University Hospital, LMU Munich, Munich, Germany
| | - Moritz Lembeck
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Irina Papazova
- Department of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany
| | - David Greska
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Susanne Muenz
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Thomas Schneider-Axmann
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Eliska B Sykorova
- Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
| | - Christina E Thieme
- Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
| | - Bob O Vogel
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Sebastian Mohnke
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Charlotte Huppertz
- Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, Germany
| | - Astrid Roeh
- Department of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany
| | - Katriona Keller-Varady
- Hannover Medical School, Department of Rehabilitation and Sports Medicine, Hannover, Germany
| | - Berend Malchow
- Department of Psychiatry and Psychotherapy, University Hospital Göttingen, Göttingen, Germany
| | - Sophia Stoecklein
- Department of Radiology, University Hospital, LMU Munich, Munich, Germany
| | - Birgit Ertl-Wagner
- Department of Radiology, University Hospital, LMU Munich, Munich, Germany
- Division of Neuroradiology, Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Canada
- Department of Medical Imaging, University of Toronto, Toronto, Canada
| | - Karsten Henkel
- Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Aachen, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, University Hospital Charité Berlin, Berlin, Germany
| | - Wladimir Tantchik
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Henrik Walter
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Dusan Hirjak
- Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
| | - Andrea Schmitt
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
- Laboratory of Neuroscience (LIM27), Institute of Psychiatry, University of Sao Paulo, São Paulo, Brazil
| | - Alkomiet Hasan
- Department of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany
| | | | - Peter Falkai
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
- Max Planck Institute of Psychiatry, Munich, Germany
| | - Isabel Maurus
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
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9
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Steiner S, Fehrer A, Hoheisel F, Schoening S, Aschenbrenner A, Babel N, Bellmann-Strobl J, Finke C, Fluge Ø, Froehlich L, Goebel A, Grande B, Haas JP, Hohberger B, Jason LA, Komaroff AL, Lacerda E, Liebl M, Maier A, Mella O, Nacul L, Paul F, Prusty BK, Puta C, Riemekasten G, Ries W, Rowe PC, Sawitzki B, Shoenfeld Y, Schultze JL, Seifert M, Sepúlveda N, Sotzny F, Stein E, Stingl M, Ufer F, Veauthier C, Westermeier F, Wirth K, Wolfarth B, Zalewski P, Behrends U, Scheibenbogen C. Understanding, diagnosing, and treating Myalgic encephalomyelitis/chronic fatigue syndrome - State of the art: Report of the 2nd international meeting at the Charité Fatigue Center. Autoimmun Rev 2023; 22:103452. [PMID: 37742748 DOI: 10.1016/j.autrev.2023.103452] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 09/20/2023] [Indexed: 09/26/2023]
Abstract
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a devastating disease affecting millions of people worldwide. Due to the 2019 pandemic of coronavirus disease (COVID-19), we are facing a significant increase of ME/CFS prevalence. On May 11th to 12th, 2023, the second international ME/CFS conference of the Charité Fatigue Center was held in Berlin, Germany, focusing on pathomechanisms, diagnosis, and treatment. During the two-day conference, more than 100 researchers from various research fields met on-site and over 700 attendees participated online to discuss the state of the art and novel findings in this field. Key topics from the conference included: the role of the immune system, dysfunction of endothelial and autonomic nervous system, and viral reactivation. Furthermore, there were presentations on innovative diagnostic measures and assessments for this complex disease, cutting-edge treatment approaches, and clinical studies. Despite the increased public attention due to the COVID-19 pandemic, the subsequent rise of Long COVID-19 cases, and the rise of funding opportunities to unravel the pathomechanisms underlying ME/CFS, this severe disease remains highly underresearched. Future adequately funded research efforts are needed to further explore the disease etiology and to identify diagnostic markers and targeted therapies.
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Affiliation(s)
- Sophie Steiner
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany
| | - Annick Fehrer
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany
| | - Friederike Hoheisel
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany.
| | | | - Anna Aschenbrenner
- Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany
| | - Nina Babel
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany; Center for Translational Medicine and Immune Diagnostics Laboratory, Medical Department I, Ruhr-University Bochum, Marien Hospital Herne, University Hospital of the Ruhr-University Bochum, Herne, Germany; Berlin Institute of Health at Charité-Universitätsmedizin Berlin, BIH Center for Regenerative Therapies (BCRT), Charitéplatz 1, Berlin, Germany
| | - Judith Bellmann-Strobl
- Department of Neurology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Experimental and Clinical Research Center, A Cooperation Between the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité-Universitätsmedizin Berlin, Berlin, Germany; Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany; NeuroCure Clinical Research Center, Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, and Max Delbrück Center for Molecular Medicine, Berlin, Germany
| | - Carsten Finke
- Department of Neurology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Øystein Fluge
- Department of Oncology and Medical Physics, Haukeland University Hospital, Bergen, Norway; Department of Clinical Sciences, University of Bergen, Bergen, Norway
| | - Laura Froehlich
- Center of Advanced Technology for Assisted Learning and Predictive Analytics (CATALPA), FernUniversität in Hagen, Germany
| | - Andreas Goebel
- Pain Research Institute, Institute of Life Course and Medical Sciences, University of Liverpool, and Walton Centre NHS Foundation Trust, Liverpool, UK
| | | | - Johannes-Peter Haas
- Deutsches Zentrum für Kinder- und Jugendrheumatologie, Zentrum für Schmerztherapie junger Menschen, Garmisch-Partenkirchen, Germany
| | - Bettina Hohberger
- Department of Ophthalmology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Leonard A Jason
- Center for Community Research, DePaul University, Chicago, IL, USA
| | - Anthony L Komaroff
- Division of General Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Eliana Lacerda
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
| | - Max Liebl
- Department of Physical Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Andrea Maier
- Department of Neurology, Medical Faculty RWTH Aachen University, Aachen, Germany
| | - Olav Mella
- Department of Oncology and Medical Physics, Haukeland University Hospital, Bergen, Norway; Department of Clinical Sciences, University of Bergen, Bergen, Norway
| | - Luis Nacul
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK; Women's Health Research Institute, British Columbia Women's Hospital, Vancouver, BC, Canada; Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Friedemann Paul
- Experimental and Clinical Research Center, A Cooperation Between the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité-Universitätsmedizin Berlin, Berlin, Germany; Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany; NeuroCure Clinical Research Center, Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, and Max Delbrück Center for Molecular Medicine, Berlin, Germany
| | - Bhupesh K Prusty
- Institute for Virology and Immunobiology, Julius-Maximilians University Würzburg, Würzburg, Germany
| | - Christian Puta
- Department of Sports Medicine and Health Promotion, Friedrich-Schiller-University Jena, Jena, Germany; Center for Interdisciplinary Prevention of Diseases Related to Professional Activities, Friedrich-Schiller-University Jena, Jena, Germany; Center for Sepsis Control and Care (CSCC), Jena University Hospital/Friedrich-Schiller-University Jena, Jena, Germany
| | - Gabriela Riemekasten
- Department of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, Germany
| | - Wolfgang Ries
- Internal Medicine, Department of Nephrology, Diakonissenkrankenhaus, Flensburg, Germany
| | - Peter C Rowe
- Department of Pediatrics, Division of Adolescent and Young Adult Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Birgit Sawitzki
- Translational Immunology, Berlin Institute of Health (BIH) & Charité University Medicine, Berlin, Germany
| | - Yehuda Shoenfeld
- Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Reichman University Herzelia, Israel
| | - Joachim L Schultze
- Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany; Department for Genomics & Immunoregulation, Life and Medical Sciences Institute (LIMES), University of Bonn, Bonn, Germany; PRECISE Platform for Single Cell Genomics and Epigenomics, DZNE und Universität Bonn, Bonn, Germany
| | - Martina Seifert
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany; Berlin Institute of Health at Charité-Universitätsmedizin Berlin, BIH Center for Regenerative Therapies (BCRT), Charitéplatz 1, Berlin, Germany; DZHK (German Center for Cardiovascular Research), Partner Site, 10785 Berlin, Germany
| | - Nuno Sepúlveda
- Department of Mathematics & Information Science, Warsaw University of Technology, Warsaw, Poland.; CEAUL - Centro de Estatística e Aplicações da Universidade de Lisboa, Lisbon, Portugal
| | - Franziska Sotzny
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany
| | - Elisa Stein
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany
| | - Michael Stingl
- Department of Neurology, Zentrum Votivpark, Vienna, Austria
| | - Friederike Ufer
- Institute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Christian Veauthier
- Interdisciplinary Center of Sleep Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Francisco Westermeier
- Institute of Biomedical Science, Department of Health Studies, FH, Joanneum University of Applied Sciences, Graz, Austria; Centro Integrativo de Biología y Química Aplicada (CIBQA), Universidad Bernardo O'Higgins, Santiago, Chile
| | - Klaus Wirth
- Institute of General Pharmacology and Toxicology, University Hospital Frankfurt, Goethe-University, Frankfurt, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Humboldt University of Berlin, Germany
| | - Pawel Zalewski
- Department of Exercise Physiology and Functional Anatomy, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University Toruń, Toruń, Poland; Department of Experimental and Clinical Physiology, Warsaw Medical University, Stefana Banacha 2a, Warszawa 02-097, Poland
| | - Uta Behrends
- Children's Hospital, School of Medicine, Technical University of Munich, Munich, Germany; German Center for Infection Research (DZIF), Berlin, Germany; AGV Research Unit Gene Vectors, Helmholtz Munich (HMGU), Munich, Germany
| | - Carmen Scheibenbogen
- Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin and Berlin Institute of Health (BIH), Berlin, Germany
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10
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Maurus I, Roell L, Lembeck M, Papazova I, Greska D, Muenz S, Wagner E, Campana M, Schwaiger R, Schneider-Axmann T, Rosenberger K, Hellmich M, Sykorova E, Thieme CE, Vogel BO, Harder C, Mohnke S, Huppertz C, Roeh A, Keller-Varady K, Malchow B, Walter H, Wolfarth B, Wölwer W, Henkel K, Hirjak D, Schmitt A, Hasan A, Meyer-Lindenberg A, Falkai P. Exercise as an add-on treatment in individuals with schizophrenia: Results from a large multicenter randomized controlled trial. Psychiatry Res 2023; 328:115480. [PMID: 37716320 DOI: 10.1016/j.psychres.2023.115480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 09/07/2023] [Accepted: 09/09/2023] [Indexed: 09/18/2023]
Abstract
Current treatment methods do not achieve recovery for most individuals with schizophrenia, and symptoms such as negative symptoms and cognitive deficits often persist. Aerobic endurance training has been suggested as a potential add-on treatment targeting both physical and mental health. We performed a large-scale multicenter, rater-blind, parallel-group randomized controlled clinical trial in individuals with stable schizophrenia. Participants underwent a professionally supervised six-month training comprising either aerobic endurance training (AET) or flexibility, strengthening, and balance training (FSBT, control group), follow-up was another six months. The primary endpoint was all-cause discontinuation (ACD); secondary endpoints included effects on psychopathology, cognition, functioning, and cardiovascular risk. In total, 180 participants were randomized. AET was not superior to FSBT in ACD and most secondary outcomes, with dropout rates of 59.55% and 57.14% in the six-month active phase, respectively. However, both groups showed significant improvements in positive, general, and total symptoms, levels of functioning and in cognitive performance. A higher training frequency additionally promoted further memory domains. Participants with higher baseline cognitive abilities were more likely to respond to the interventions. Our results support integrating exercise into schizophrenia treatment, while future studies should aim to develop personalized training recommendations to maximize exercise-induced benefits.
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Affiliation(s)
- Isabel Maurus
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
| | - Lukas Roell
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany; Neuroimaging Core Unit Munich (NICUM), University Hospital, LMU Munich, Munich, Germany
| | - Moritz Lembeck
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Irina Papazova
- Department of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany
| | - David Greska
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Susanne Muenz
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Elias Wagner
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Mattia Campana
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Rebecca Schwaiger
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Thomas Schneider-Axmann
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Kerstin Rosenberger
- Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
| | - Martin Hellmich
- Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
| | - Eliska Sykorova
- Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
| | - Cristina E Thieme
- Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
| | - Bob O Vogel
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Carolin Harder
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Sebastian Mohnke
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Charlotte Huppertz
- Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Germany
| | - Astrid Roeh
- Department of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany
| | | | - Berend Malchow
- Department of Psychiatry and Psychotherapy, University Hospital Göttingen, Göttingen, Germany
| | - Henrik Walter
- Department of Psychiatry and Psychotherapy, University Hospital Charité Berlin, Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, University Hospital Charité Berlin, Berlin, Germany
| | - Wolfgang Wölwer
- Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Duesseldorf, Germany
| | - Karsten Henkel
- Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University, Germany
| | - Dusan Hirjak
- Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
| | - Andrea Schmitt
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany; Laboratory of Neuroscience (LIM27), Institute of Psychiatry, University of Sao Paulo, São Paulo, Brazil
| | - Alkomiet Hasan
- Department of Psychiatry, Psychotherapy and Psychosomatics of the University Augsburg, Medical Faculty, University of Augsburg, Bezirkskrankenhaus Augsburg, Augsburg, Germany
| | | | - Peter Falkai
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany; Max Planck Institute of Psychiatry, Munich, Germany
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11
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Kalski L, Völkel L, Häußler S, Wolfarth B. Efficacy of occupational rehabilitation in return to work for back pain: A systematic literature review. Work 2023:WOR230277. [PMID: 37781855 DOI: 10.3233/wor-230277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2023] Open
Abstract
BACKGROUND Currently, there is no standard procedure for a return to work (RTW) rehabilitation program used by practitioners. OBJECTIVE The aim is to investigate the efficacy of occupational rehabilitation programs for workers with back pain. METHODS Two independent reviewers screened abstracts and full-text articles in a systematic literature search in three databases conducted in 2023. Subsequently, they extracted data according to the PRISMA Statement. RESULTS Among the 4,010 articles retrieved, 20 met the inclusion criteria. Data from accepted studies were abstracted into tables relating to the RTW, improvement of pain intensity, quality of life (QOL), and degree of disability in persons with back pain. The risk of bias was assessed using the (SIGN)-criteria. Significant improvements in RTW were shown by a workplace intervention with a physical approach and a multidisciplinary intervention but with a wide range of effect sizes. Five studies showed significant improvements in pain intensity and QOL, six studies observed significant improvements in disability. CONCLUSION The studies that stated positive effects on work-related data differed between intervention programs and traditional care. A combination of activity, maintenance therapy, stretching, and manual therapy showed promising results in improving RTW. In addition, the relationship and mediation between employer/workplace and employee seems to be an important aspect of RTW. However, pain intensity, disability, and QOL were enhanced with interventions that included a high proportion of physical activity. However, the intervention programs differed widely, leading to the assumption that the treatment effect of the intervention programs is not established, yet.
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Affiliation(s)
- Linda Kalski
- Institute of Sports Science, Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Sports Medicine, Charité -Universitätsmedizin Berlin, Berlin, Germany
| | - Laura Völkel
- Institute of Sports Science, Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Sports Medicine, Charité -Universitätsmedizin Berlin, Berlin, Germany
| | - Sarah Häußler
- Institute of Sports Science, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Bernd Wolfarth
- Institute of Sports Science, Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Sports Medicine, Charité -Universitätsmedizin Berlin, Berlin, Germany
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12
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Römer C, Legerlotz K, Czupajllo J, Fischer T, Wolfarth B, Lerchbaumer MH. Acute Effects of Running on Shear Wave Elastography Measures of the Achilles Tendon and Calf Muscles in Professional Female Handball and Volleyball Players. Diagnostics (Basel) 2023; 13:2957. [PMID: 37761324 PMCID: PMC10530130 DOI: 10.3390/diagnostics13182957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 08/27/2023] [Accepted: 09/09/2023] [Indexed: 09/29/2023] Open
Abstract
Shear Wave Elastography (SWE) is currently used to detect tissue pathologies, i.e., tendinopathy. For preventive medicine, it is important to examine the sensitivity of SWE and to investigate how stiffness measures are affected by methodological variables. The aim of this study is to examine shear wave elastography (SWE) measures in order to compare the pre- and post-running values and to determine the correlation between the shear wave speed values (m/s). SWE examinations of the Achilles tendon (AT), soleus muscle (MS) and gastrocnemius muscle (MG)) were performed in 24 healthy professional female athletes. Measurements of the shear wave speed (m/s) were taken before and after incremental treadmill running until exhaustion. Correlations were investigated using the Pearson correlation coefficient and were examined for significance using the Student's t-test. The pre- and post-exercise shear wave speed did not differ. The pre-exercise and post-exercise stiffness for MS (r = 0.613), MG (r = 0.609) and AT (r = 0.583) correlated strongly. The pre-exercise values and changes in stiffness showed a significant correlation (p < 0.001). In professional athletes, acute exercise induces different tissue stiffness changes in AT, MS and MG for each individual. Thus, exercise activity immediately prior to the SWE measurement needs to be factored in when evaluating tissue stiffness.
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Affiliation(s)
- Claudia Römer
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Kirsten Legerlotz
- Movement Biomechanics, Institute of Sport Sciences, Humboldt-Universität zu Berlin, 10115 Berlin, Germany
| | - Julia Czupajllo
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Thomas Fischer
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
- Department of Radiology, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
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13
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Mjøsund K, Ghaleb M, Kolsrud L, Carrabre J, Kainzinger F, Boehm D, Bitterling F, Wolfarth B. International biathlon season during the COVID-19 pandemic was based on frequent on-site PCR-testing protocol with rapid result management. Front Sports Act Living 2023; 5:1217463. [PMID: 37720078 PMCID: PMC10500065 DOI: 10.3389/fspor.2023.1217463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 08/17/2023] [Indexed: 09/19/2023] Open
Abstract
The resumption of professional sports during the COVID-19 pandemic has been described in team sports but less in individual sports. The International Biathlon Union implemented a COVID-19 concept for the 2020-2021 season aimed to mitigate the risks of transmission by rules designated for the professional biathlon environment. The "bubble" model was based on regular reverse transcript polymerase chain reaction (PCR) testing with rapid results and efficient result management protocol. The objective of this study was report incidence and transmission of SARS-CoV-2 among professional biathletes and staff undergoing frequent PCR testing and risk reduction measures during the international season 2020-2021. The efficiency of risk mitigation measures was also evaluated based on the incidence data. During the 4-month season, altogether 22,182 SARS-CoV-2 PCR tests were conducted on all individuals participating in international biathlon season (athletes, team staff and organizing committee). Ninety-six (0.4%) PCR tests were positive and 30% of the positive PCR tests were considered "persistent positive" following recovery from a recent COVID-19 infection. No transmission events were detected following contact with "persistent positive" cases during the season. A great majority of the positive PCR tests were recorded during the first days after arrival in the "bubble", often in the first entry test taken by the on-site laboratory. In conclusion, a "bubble model" based on frequent PCR testing and hygiene rules was efficient in keeping the infection rate low. The competition activity including international travel was safe, and most of the infections seemed to originate from outside of the "bubble".
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Affiliation(s)
- Katja Mjøsund
- The International Biathlon Union (IBU), Salzburg, Austria
- Paavo Nurmi Centre and Unit for Health and Physical Activity, University of Turku, Turku, Finland
| | | | - Lars Kolsrud
- The International Biathlon Union (IBU), Salzburg, Austria
- Norges SkiskytterforbundOslo, Norway
| | - Jim Carrabre
- The International Biathlon Union (IBU), Salzburg, Austria
| | | | - Daniel Boehm
- The International Biathlon Union (IBU), Salzburg, Austria
| | | | - Bernd Wolfarth
- The International Biathlon Union (IBU), Salzburg, Austria
- Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
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Römer C, Zessin E, Czupajllo J, Fischer T, Wolfarth B, Lerchbaumer MH. Effect of Physical Parameters and Training Load on Patellar Tendon Stiffness in Professional Athletes. Diagnostics (Basel) 2023; 13:2541. [PMID: 37568903 PMCID: PMC10417388 DOI: 10.3390/diagnostics13152541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 07/17/2023] [Accepted: 07/26/2023] [Indexed: 08/13/2023] Open
Abstract
BACKGROUND Injuries of the patellar tendon commonly occur as a result of mechanical loading of the tendon during physical activity. Shear wave elastography (SWE) is an established technique for assessing tendon stiffness, and has good interindividual reliability. The aim of this study was to investigate the impacts of physical parameters and different sports on patellar tendon stiffness in professional athletes using SWE. METHODS Standardized patellar tendon SWE was performed in a relaxed supine position with a small roll under the knee (20° flexion) in 60 healthy professional athletes (30 female, 30 male). Multiple linear regression was performed for patellar tendon stiffness including gender, age, body mass index (BMI), and type of sport. RESULTS Patellar tendon stiffness showed no significant difference between female (3.320 m/s) and male (3.416 m/s) professional athletes. Mean age (female: 20.53 years; male: 19.80 years) and BMI (female: 23.24 kg/m2; male: 23.52 kg/m2) were comparable. Female professional athletes with oral contraceptive (OC) intake showed higher patellar tendon stiffness than athletes without OC intake (3.723 versus 3.017; p = 0.053), but not significantly. CONCLUSION In professional athletes, there are no significant differences in patellar tendon stiffness according to gender, age, BMI and type of sport (handball, volleyball, soccer, sprint, hammer throw). Oral contraceptives may not have an impact on patellar tendon stiffness in female athletes. Further studies are necessary.
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Affiliation(s)
- Claudia Römer
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Enrico Zessin
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Julia Czupajllo
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Thomas Fischer
- Department of Radiology, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
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15
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Steinacker JM, van Mechelen W, Bloch W, Börjesson M, Casasco M, Wolfarth B, Knoke C, Papadopoulou T, Wendt J, Al Tunaiji H, Andresen D, Andrieieva O, Bachl N, Badtieva V, Beucher FJ, Blauwet CA, Casajus Mallen JA, Chang JH, Clénin G, Constantini N, Constantinou D, Di Luigi L, Declercq L, Doutreleau S, Drozdovska S, Duclos M, Ermolao A, Fischbach T, Fischer AN, Fossati C, Franchella J, Fulcher M, Galle JC, Gerloff C, Georgiades E, Gojanovic B, González Gross M, Grote A, Halle M, Hauner H, Herring MP, Hiura M, Holze K, Huber G, Hughes D, Hutchinson MR, Ionescu A, Janse van Rensburg DC, Jegier A, Jones N, Kappert-Gonther K, Kellerer M, Kimura Y, Kiopa A, Kladny B, Koch G, Kolle E, Kolt G, Koutedakis Y, Kress S, Kriemler S, Kröger J, Kuhn C, Laszlo R, Lehnert R, Lhuissier FJ, Lüdtke K, Makita S, Manonelles Marqueta P, März W, Micallef-Stafrace K, Miller M, Moore M, Müller E, Neunhäuserer D, Onur IR, Ööpik V, Perl M, Philippou A, Predel HG, Racinais S, Raslanas A, Reer R, Reinhardt K, Reinsberger C, Rozenstoka S, Sallis R, Sardinha LB, Scherer M, Schipperijn J, Seil R, Tan B, Schmidt-Trucksäss A, Schumacher N, Schwaab B, Schwirtz A, Suzuki M, Swart J, Tiesler R, Tippelt U, Tillet E, Thornton J, Ulkar B, Unt E, Verhagen E, Weikert T, Vettor R, Zeng S, Budgett R, Engebretsen L, Erdener U, Pigozzi F, Pitsiladis YP. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration. BMJ Open Sport Exerc Med 2023; 9:e001626. [PMID: 37533594 PMCID: PMC10391804 DOI: 10.1136/bmjsem-2023-001626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2023] [Indexed: 08/04/2023] Open
Abstract
Non-communicable diseases (NCDs), including coronary heart disease, stroke, hypertension, type 2 diabetes, dementia, depression and cancers, are on the rise worldwide and are often associated with a lack of physical activity (PA). Globally, the levels of PA among individuals are below WHO recommendations. A lack of PA can increase morbidity and mortality, worsen the quality of life and increase the economic burden on individuals and society. In response to this trend, numerous organisations came together under one umbrella in Hamburg, Germany, in April 2021 and signed the 'Hamburg Declaration'. This represented an international commitment to take all necessary actions to increase PA and improve the health of individuals to entire communities. Individuals and organisations are working together as the 'Global Alliance for the Promotion of Physical Activity' to drive long-term individual and population-wide behaviour change by collaborating with all stakeholders in the community: active hospitals, physical activity specialists, community services and healthcare providers, all achieving sustainable health goals for their patients/clients. The 'Hamburg Declaration' calls on national and international policymakers to take concrete action to promote daily PA and exercise at a population level and in healthcare settings.
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Affiliation(s)
- Jürgen M Steinacker
- Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany
- European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany
- International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland
- Institute for Rehabilitation Medicine Research at Ulm University, Institut für rehabilitationsmedizinische Forschung an der Universität Ulm, Bad Buchau, Germany
| | - Willem van Mechelen
- European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany
- Department of Public and Occupational Health, location Vrije Universiteit, Amsterdam University Medical Centers, Amsterdam, Netherlands
- School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia
- Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
- UCD School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - Wilhelm Bloch
- Institute for Cardiology and Sports Medicine, German Sport University, Cologne, Germany
- Exercise is Medicine Germany, Frankfurt, Germany
| | - Mats Börjesson
- European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany
- Department of Molecular and Clinical Medicine, University of Gothenburg, Goteborg, Sweden
- Institute of Medicine, Sahlgrenska University Hospital, Goteborg, Region Västra Götaland, Sweden
| | | | - Bernd Wolfarth
- International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland
- Department of Sport Medicine, Humboldt University and Charité University School of Medicine, Berlin, Deutschland, Germany
- German Society for Sports Medicine and Prevention, Deutsche Gesellschaft für Sportmedizin und Prävention (DGSP), Frankfurt, Germany
| | - Carolin Knoke
- Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany
- European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany
| | - Theodora Papadopoulou
- Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK
- British Association of Sport and Exercise Medicine, Doncaster, South Yorkshire, UK
| | - Janine Wendt
- Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany
| | - Hashel Al Tunaiji
- Sports Medicine, United Arab Emirates National Olympic Committee, Dubai, UAE
- Sports Medicine & Sciences Unit, Zayed Military University, Abu Dhabi, UAE
| | | | - Olena Andrieieva
- Department of Health, Fitness and Recreation, National University of Physical Education and Sport of Ukraine, Kiew, Ukraine
| | - Norbert Bachl
- Institute of Sports Science, University of Vienna, Vienna, Austria
- International Federation of Sports Medicine, Lausanne, Switzerland
| | - Victoriya Badtieva
- Sport Medicine, I M Sechenov First Moscow State Medical University, Moscow, Russia
- Sport Medicine, Moscow Scientific and Practical Center of Medical Rehabilitation and Sports Medicine, Moscow, Russian
| | - Friedhelm J Beucher
- National Paralympic Committee Germany (Deutscher Behindertensportverband (DBS), Bonn, Germany
| | - Cheri A Blauwet
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Jose-Antonio Casajus Mallen
- University of Zaragoza, GENUD “Growth, Exercise, NUtrition and Development” Research Group, Zaragoza, Spain
- Department of Physiatry and Nursing, Faculty of Health and Sport Science (FCSD), University of Zaragoza, Zaragoza, Spain
- Exercise is Medicine Spain, University of Zaragoza, Zaragoza, Spain
| | - Ju-Ho Chang
- The Association for International Sport for All (TAFISA), Frankfurt, Germany
| | - German Clénin
- Sportsmedical Centre Bern-Ittigen, Ittigen, Switzerland
- Sport and Exercise Medicine Switzerland (SEMS), Bern, Switzerland
| | - Naama Constantini
- Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel
- Exercise is Medicine Israel, Hebrew University, Jerusalem, Israel
| | - Demitri Constantinou
- Centre for Exercise Science and Sports Medicine, University of Witwatersrand, Johannesburg, South Africa
- South African Sports Medicine Association (SASMA), Pretoria, South Africa
| | - Luigi Di Luigi
- Unit of Endocrinology - Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | | | - Stephane Doutreleau
- Department of Sports Medicine, University Grenoble Alpes, Grenoble, Auvergne-Rhône-Alpes, France
- French Society of Exercise and Sports Medicine, Société Française de Médecine de l'Exercice et du Sport, Paris, France
| | - Svitlana Drozdovska
- National University of Physical Education and Sport of Ukraine, Kyiv, Ukraine
| | - Martine Duclos
- French Society of Exercise and Sports Medicine, Société Française de Médecine de l'Exercice et du Sport, Paris, France
- Department of Sport Medicine and Functional Explorations, University-Hospital (CHU), G. Montpied Hospital, Clermont-Ferrand, France
- UMR 1019, INRAE, French National Research Institute for Agriculture, Food and Environment, Clermont-Ferrand, France
| | - Andrea Ermolao
- Sports and Exercise Medicine Division, Department of Medicine, Università degli Studi di Padova, Padova, Italy
- Exercise is Medicine Italy, Università degli Studi di Padova, Padova, Italy
| | - Thomas Fischbach
- German Association of Paediatric and Adolescent Care Specialists, BVKJ - Berufsverband der Kinder- und Jugendärzte, Cologne, Germany
| | - Anastasia N Fischer
- Sports Medicine and Pediatrics, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio, USA
- American College of Sports Medicine, Indianapolis, Indiana, USA
| | - Chiara Fossati
- Faculty of Sport and Exercise Sciences, University of Rome 'Foro Italico', Roma, Lazio, Italy
| | - Jeorge Franchella
- Hospital de Clínicas José San Martin, University of Buenos Aires, Buenos Aires, Argentina
| | - Mark Fulcher
- Australasian College of Sport and Exercise Physicians, Melbourne, Victoria, Australia
- AUT Sports Performance Research Institute New Zealand, Auckland, New Zealand
| | - Jan C Galle
- German Society of Nephrology (Deutsche Gesellschaft für Nephrologie (DGfN)), Berlin, Germany
| | - Christian Gerloff
- German Society for Neurology (Deutsche Gesellschaft für Neurologie (DGN)), Berlin, Germany
| | | | - Boris Gojanovic
- Sports Medicine, Swiss Olympic Medical Center, Hopital de la Tour, Meyrin, Geneva, Switzerland
- SportAdo Consultation - Multidisciplinary Unit of Adolescent Health, University Hospital of Lausanne, Lausanne, Switzerland
| | - Marcela González Gross
- Exercise is Medicine Spain, University of Zaragoza, Zaragoza, Spain
- Department of Health and Human Performance - Facultad de CC de la Actividad Física y del Deporte, INEF Universidad Politécnica de Madrid, Madrid, Spain
| | - Andy Grote
- Senat, Freie und Hansestadt Hamburg, Hamburg, Germany
| | - Martin Halle
- European Association of Preventive Cardiology (EAPC), European Society of Cardiology (ECS), Biot, France
- Department of Prevention and Sports Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - Hans Hauner
- German Diabetes Foundation, Deutsche Diabetes Stiftung, Düsseldorf, Germany
| | | | - Mikio Hiura
- Center for Brain and Health Sciences, Aomori University, Aomori, Japan
| | - Kerstin Holze
- German Olympic Sports Confederation, Deutscher Olympischer Sportbund, Frankfurt am Main, Germany
| | - Gerhard Huber
- Institute of Sports and Sport Science, University Heidelberg, Heidelberg, Germany
- Deutscher Verband für Gesundheitssport und Sporttherapie e.V. (DVGS), Hamburg, Germany
| | - David Hughes
- Sports Medicine, Australian Institute of Sport, Canberra, Canberra, Australia
- Australian Institute of Sport, Australian Sports Commission, Canberra, Canberra, Australia
| | - Mark R. Hutchinson
- American College of Sports Medicine, Indianapolis, Indiana, USA
- Department of Orthopaedics, University of Illinois at Chicago, Chicago, Illinois, USA
- American College of Sports Medicine Foundation, Indianapolis, Indiana, USA
| | - Anca Ionescu
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Carol Davila University of Medicine and Pharmacy, Bucharest, Bucharest, Romania
| | - Dina Christina Janse van Rensburg
- South African Sports Medicine Association (SASMA), Pretoria, South Africa
- Section Sports Medicine, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South Africa
| | - Anna Jegier
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Department of Sports Medicine, Medical University of Lodz, Lodz, Poland
| | - Natasha Jones
- Moving Medicine, Faculty of Sport and Exercise Medicine UK, Edinburgh, UK
| | | | - Monika Kellerer
- German Diabetes Foundation, Deutsche Diabetes Stiftung, Düsseldorf, Germany
| | - Yutaka Kimura
- Health Science Center, Kansai Medical University, Osaka, Japan
- Exercise is Medicine Japan, Japanese Society of Physical Fitness and Sports Medicine, Osaka, Japan
| | | | - Bernd Kladny
- German Society of Orthopaedics and Trauma (Deutsche Gesellschaft für Orthopädie und Unfallchirurgie (DGOU)) with the German Society for Trauma Surgery (DGU) and German Society of Orthopaedics and Orthopaedic Surgery (DGOOC), Berlin, Germany
| | - Gerhard Koch
- Platform on Nutrition and Physical Activity, Plattform Ernährung und Bewegung e.V. (peb), Berlin, Germany
| | - Elin Kolle
- Exercise is Medicine Norway, Oslo, Norway
| | - Greg Kolt
- School of Science and Health, University of Western Sydney, Sydney, New South Wales, Australia
| | - Yiannis Koutedakis
- Exercise is Medicine Greece, National and Kapodistrian University of Athens, Athens, Greece
- School of Exercise Science and Dietetics, University of Thessaly, Trikala, Greece
| | - Stephan Kress
- German Diabetes Association (Deutsche Diabetes Gesellschaft (DDG)), Berlin, Germany
| | - Susi Kriemler
- Sport and Exercise Medicine Switzerland (SEMS), Bern, Switzerland
- Institute of Epidemiology, Biostatistics and Prevention, Zuerich University, Zuerich, Switzerland
| | - Jens Kröger
- German Diabetes Support (diabetesDE - Deutsche Diabetes-Hilfe), Charlottenburg, Germany
| | - Christian Kuhn
- German Alliance for Baths, Bäderallianz Deutschland, Köln, Germany
- International Assocation for Sport and Leisure Facilities, Köln, Germany
| | - Roman Laszlo
- German Cardiac Society (Deutsche Gesellschaft für Kardiologie – Herz- und Kreislaufforschung (DGK)), Düsseldorf, Nordrhein-Westfalen, Germany
| | - Ralph Lehnert
- Hamburg Sport Association (Hamburger Sportbund e.V.), Hamburg, Germany
| | - François J Lhuissier
- French Society of Exercise and Sports Medicine, Société Française de Médecine de l'Exercice et du Sport, Paris, France
- UMR INSERM 1272 Hypoxie et poumon, Université Sorbonne Paris Nord - Campus de Bobigny, Bobigny, France
- Hôpital Jean-Verdier, Médecine de l’exercice et du sport, Assistance Publique - Hôpitaux de Paris, Bondy, France
| | - Kerstin Lüdtke
- German Society for Physiotherapy Science (Deutsche Gesellschaft für Physiotherapiewissenschaft (DGPTW)), Hamburg, Germany
| | - Shigeru Makita
- Exercise is Medicine Japan, Japanese Society of Physical Fitness and Sports Medicine, Osaka, Japan
- Dept. of Rehabilitation, Saitama Medical University, Saitama, Japan
| | - Pedro Manonelles Marqueta
- International Federation of Sports Medicine, Lausanne, Switzerland
- Dept. of Rehabilitation, Saitama Medical University, Saitama, Japan
| | - Winfried März
- D.A.CH Society Prevention of Cardiovascular Diseases, D.A.CH-Gesellschaft Prävention von Herz-Kreislauf-Erkrankungen, Hamburg, Germany
| | - Kirill Micallef-Stafrace
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- University Sports Complex, Institute for Physical Education and Sport, Msida, Malta
| | - Mike Miller
- World Olympians Association (WOA), Lausanne, Switzerland
| | | | - Erich Müller
- European College of Sport Science, Köln, Germany
| | - Daniel Neunhäuserer
- Sports and Exercise Medicine Division, Department of Medicine, Università degli Studi di Padova, Padova, Italy
- Exercise is Medicine Italy, Università degli Studi di Padova, Padova, Italy
| | - I. Renay Onur
- Istanbul Spor Etkinlikleri ve Isletmeciligi A S, City of Istanbul, Istanbul, Turkey
| | - Vahur Ööpik
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | | | - Anastassios Philippou
- Exercise is Medicine Greece, National and Kapodistrian University of Athens, Athens, Greece
| | - Hans-Georg Predel
- German Hypertension League (Deutsche Hochdruckliga e.V. (DHL)), Heidelberg, Baden-Württemberg, Germany
- German Society for Hypertension and Prevention (Deutsche Gesellschaft für Hypertonie und Prävention), Heidelberg, Germany
| | - Sebastien Racinais
- Research Education Centre, ASPETAR - Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Algirdas Raslanas
- Department of Educational Assistance, Physical and Health Education, Vytautas Magnus University, Vilnius, Lithuania
| | - Ruediger Reer
- European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Department of Movement Science, University of Hamburg, Hamburg, Germany
| | - Klaus Reinhardt
- German Medical Association (Bundesaerztekammer), Berlin, Germany
| | - Claus Reinsberger
- German Society for Sports Medicine and Prevention, Deutsche Gesellschaft für Sportmedizin und Prävention (DGSP), Frankfurt, Germany
| | - Sandra Rozenstoka
- International Federation of Sports Medicine, Lausanne, Switzerland
- Rīga Stradiņš University, Riga, Latvia
- Sports Laboratory, Sports Medicine and Physical Health Centre, Riga, Latvia, Riga, Latvia
- Latvian Sports Medicine Association, Riga, Latvia
| | - Robert Sallis
- Family Medicine, Kaiser Permanente, Fontana, California, USA
| | - Luis B Sardinha
- Exercise is Medicine Portugal, Universidade de Lisboa, Lisboa, Portugal
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal
| | - Martin Scherer
- German Society of General Practice and Family Medicine (Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM)), Berlin, Germany
- Department of General Practice and Primary Care, University Medical Center, Hamburg, Germany
| | - Jasper Schipperijn
- International Society for Physical Activity and Health (ISPAH), Vancouver, British Columbia, Canada
| | - Romain Seil
- Society for Orthopaedic and Traumatologic Sports Medicine (GOTS), Jena, Germany
| | - Benedict Tan
- Exercise is Medicine Singapore, Singapore
- Department of Sport & Exercise Medicine, Changi General Hospital, Singapore
| | - Arno Schmidt-Trucksäss
- Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, Basel, Switzerland
| | - Nils Schumacher
- Department of Movement Science, University of Hamburg, Hamburg, Germany
| | - Bernhard Schwaab
- German Society for the Prevention and Rehabilitation of Cardiovascular Diseases (Deutsche Gesellschaft für Prävention und Rehabilitation von Herz-Kreislauferkrankungen (DGPR)), Koblenz, Germany
| | - Ansgar Schwirtz
- German Society of Sports Science, Deutsche Vereinigung für Sportwissenschaft (DVS), Frankfurt, Germany
| | - Masato Suzuki
- Exercise is Medicine Japan, Japanese Society of Physical Fitness and Sports Medicine, Osaka, Japan
| | - Jeroen Swart
- International Federation of Sports Medicine, Lausanne, Switzerland
- Health through Physical Activity, Lifestyle and Sport (HPALS) Research Centre, University of Cape Town, Cape Town, South Africa
| | - Ralph Tiesler
- Federal Institute for Sports Science (Bundesinstitut für Sportwissenschaft (BISp)), Bonn, Nordrhein-Westfalen, Germany
| | - Ulf Tippelt
- Institute for Applied Training Science Leipzig, Leipzig, Sachsen, Germany
| | - Eleanor Tillet
- British Association of Sport and Exercise Medicine, Doncaster, South Yorkshire, UK
- Division of Surgery and Interventional Science, University College London, London, UK
| | - Jane Thornton
- Public Health and Family Medicine, University of Western Ontario Schulich School of Medicine and Dentistry, London, Ontario, Canada
| | - Bulent Ulkar
- International Federation of Sports Medicine, Lausanne, Switzerland
- Sports Medicine Department, Faculty of Medicine, Ankara University, Ankara, Ankara, Turkey
| | - Eve Unt
- Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
| | - Evert Verhagen
- Department of Public and Occupational Health, location Vrije Universiteit, Amsterdam University Medical Centers, Amsterdam, Netherlands
| | - Thomas Weikert
- German Olympic Sports Confederation, Deutscher Olympischer Sportbund, Frankfurt am Main, Germany
| | - Roberto Vettor
- Exercise is Medicine Italy, Università degli Studi di Padova, Padova, Italy
- Department of Medicine, Università degli Studi di Padova, Padova, Italy
| | - Sheng Zeng
- International Federation of Sports Medicine, Lausanne, Switzerland
- Laboratory of Regenerative Medicine, Haikou, Hainan, China
| | | | - Lars Engebretsen
- International Olympic Committee, Lausanne, Switzerland
- Division of Orthopedic Surgery, University of Oslo, Oslo, Norway
| | - Ugur Erdener
- International Olympic Committee, Lausanne, Switzerland
| | - Fabio Pigozzi
- International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - Yannis P Pitsiladis
- International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland
- School of Sport and Health Sciences, University of Brighton, Eastbourne, UK
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Kalski L, Greiß F, Hartung JJ, Hafermann L, Hofmann MA, Wolfarth B. Preventive health examinations: protocol for a prospective cross-sectional study of German employees aged 45 to 59 years (Ü45-check). Front Public Health 2023; 11:1076565. [PMID: 37377547 PMCID: PMC10291684 DOI: 10.3389/fpubh.2023.1076565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 05/11/2023] [Indexed: 06/29/2023] Open
Abstract
Objective Early identification of health-related risk factors is of great importance for maintaining workability. Screening examinations can help to detect diseases at an early stage and provide more needs-based recommendations. This study aims (1) to assess the individual need for prevention or rehabilitation based on preventive health examinations compared to a questionnaire survey, (2) to assess the results of the preventive health examinations compared to the Risk Index - Disability Pension (RI-DP), (3) to assess the results of the questionnaire survey compared to the RI-DP, (4) to assess the general health status of the sample (target population > 1,000) in German employees aged 45-59, (5) to identify the most common medical conditions. A further study question aims, and (6) to investigate the general health status of the specific occupational groups. Methods Comprehensive diagnostics including medical examination, anamnesis, anthropometric measurements, bioelectrical impedance analysis (BIA), handgrip strength, resting electrocardiogram (ECG), resting blood pressure, pulse wave velocity (PWV), and laboratory blood analyses added by a questionnaire are conducted. The research questions are analyzed in an exploratory manner. Results and conclusion We expect that the results will allow us to formulate recommendations regarding screening for prevention and rehabilitation needs on a more evidence-based level.Clinical Trial Registration: DRKS ID: DRKS00030982.
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Affiliation(s)
- Linda Kalski
- Institute of Sport Science, Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Sports Medicine, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Franziska Greiß
- Department of Sports Medicine, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Johannes J. Hartung
- Department of Sports Medicine, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Lorena Hafermann
- Institute of Biometry and Clinical Epidemiology, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Maja A. Hofmann
- Department of Dermatology and Venereology, Charité – Universitätsmedizin Berlin, Berlin, Germany
- Federal German Pension Insurance Berlin-Brandenburg, Berlin, Germany
| | - Bernd Wolfarth
- Institute of Sport Science, Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Sports Medicine, Charité – Universitätsmedizin Berlin, Berlin, Germany
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17
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Seemann-Sinn A, Rüdrich P, Gorges T, Naundorf F, Wolfarth B. Physiological and Energetic Demands During Still-Rings Routines of Elite Artistic Gymnasts. Int J Sports Physiol Perform 2023:1-7. [PMID: 37160292 DOI: 10.1123/ijspp.2022-0380] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 03/02/2023] [Accepted: 03/25/2023] [Indexed: 05/11/2023]
Abstract
PURPOSE The aim of the study was to analyze physiological and energetic demands of elite gymnasts during still-rings routines (SRRs). METHODS Eleven male gymnasts (mean [SD] 23.6 [3.9] y, 65.9 [5.6] kg, 171.1 [6.7] cm) performed a maximal graded exercise test and an individual SRR, during which respiratory gas and heart rate (HR) were measured using a mobile spiroergometer and a paired HR sensor. Metabolic energy and the energy contribution in terms of aerobic, anaerobic lactic, and anaerobic alactic were determined by oxygen uptake (VO2) during exercise, net lactate production, and the fast component of postexercise VO2 kinetics. RESULTS Mean routine duration of the SRRs was 48.3 (4.5) seconds. VO2 and HR during SRRs were shown to be 86.9% (5.9%) and 91.0% (3.3%), respectively, of the maximal values measured during the graded exercise test. The anaerobic alactic, aerobic, and anaerobic lactic systems provided 50.9% (6.6%), 28.6% (4.8%), and 20.5% (5.2%), respectively, of the total energy required during SRRs. The energy contribution of the anaerobic lactic system correlated negatively with individual anaerobic threshold (r = -.715) and maximal VO2 (r = -.682). CONCLUSIONS The anaerobic alactic system is the predominant energy source for ATP resynthesis during SRRs. The high relative VO2 and HR values reached during SRRs show that these routines strongly stress the cardiovascular system.
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Affiliation(s)
- Alexander Seemann-Sinn
- Department of Sports Medicine, Humboldt University of Berlin, Berlin,Germany
- Department of Strength and Technique, Artistic Gymnastics Research Group, Institute for Applied Training Science, Leipzig,Germany
| | - Peter Rüdrich
- Department of Sports Medicine, Institute for Applied Training Science, Leipzig,Germany
| | - Tom Gorges
- Department of Strength and Technique, Artistic Gymnastics Research Group, Institute for Applied Training Science, Leipzig,Germany
| | - Falk Naundorf
- Department of Strength and Technique, Artistic Gymnastics Research Group, Institute for Applied Training Science, Leipzig,Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Institute for Applied Training Science, Leipzig,Germany
- Department of Sports Medicine, Charité University of Medicine, Humboldt University of Berlin, Berlin,Germany
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Römer C, Zessin E, Czupajllo J, Fischer T, Wolfarth B, Lerchbaumer MH. Effect of Anthropometric Parameters on Achilles Tendon Stiffness of Professional Athletes Measured by Shear Wave Elastography. J Clin Med 2023; 12:jcm12082963. [PMID: 37109299 PMCID: PMC10145458 DOI: 10.3390/jcm12082963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/07/2023] [Accepted: 04/09/2023] [Indexed: 04/29/2023] Open
Abstract
BACKGROUND Shear wave elastography (SWE) is currently used to detect tissue pathologies and, in the setting of preventive medicine, may have the potential to reveal structural changes before they lead to functional impairment. Hence, it would be desirable to determine the sensitivity of SWE and to investigate how Achilles tendon stiffness is affected by anthropometric variables and sport-specific locomotion. METHODS To investigate the influence of anthropometric parameters on Achilles tendon stiffness using SWE and examine different types of sports to develop approaches in preventive medicine for professional athletes, standardized SWE of Achilles tendon stiffness was performed in 65 healthy professional athletes (33 female, 32 male) in the longitudinal plane and relaxed tendon position. Descriptive analysis and linear regression were performed. Furthermore, subgroup analysis was performed for different sports (soccer, handball, sprint, volleyball, hammer throw). RESULTS In the total study population (n = 65), Achilles tendon stiffness was significantly higher in male professional athletes (p < 0.001) than in female professional athletes (10.98 m/s (10.15-11.65) vs. 12.19 m/s (11.25-14.74)). Multiple linear regression for AT stiffness did not reveal a significant impact of age or body mass index (BMI) (p > 0.05). Subgroup analysis for type of sport showed the highest AT stiffness values in sprinters (14.02 m/s (13.50-14.63)). CONCLUSION There are significant gender differences in AT stiffness across different types of professional athletes. The highest AT stiffness values were found in sprinters, which needs to be considered when diagnosing tendon pathologies. Future studies are needed to investigate the benefit of pre- and post-season musculoskeletal SWE examinations of professional athletes and a possible benefit of rehabilitation or preventive medicine.
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Affiliation(s)
- Claudia Römer
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Enrico Zessin
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Julia Czupajllo
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
| | - Thomas Fischer
- Department of Radiology, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité Universitätsmedizin Berlin, 10115 Berlin, Germany
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Hallock H, Mantwill M, Vajkoczy P, Wolfarth B, Reinsberger C, Lampit A, Finke C. Sport-Related Concussion: A Cognitive Perspective. Neurol Clin Pract 2023; 13:e200123. [PMID: 36891462 PMCID: PMC9987206 DOI: 10.1212/cpj.0000000000200123] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 11/03/2022] [Indexed: 02/25/2023]
Abstract
Purpose of Review The incidence of sport-related concussion (SRC) has been increasing in different sports and its impact on long-term cognitive function is increasingly recognized. In this study, we review the epidemiology, neuropathophysiology, clinical symptoms, and long-term consequences of SRC with a specific focus on cognition. Recent Findings Repeated concussions are associated with an increased risk of several neurologic diseases and long-term cognitive deficits. To improve cognitive outcomes in athletes with SRC, standardized guidelines for the assessment and management of SRC are vital. However, current concussion management guidelines lack procedures for rehabilitating acute and long-term cognitive symptoms. Summary Increased awareness for the management and rehabilitation of cognitive symptoms in SRC is needed in all clinical neurologists treating professional and amateur athletes. We propose cognitive training as a prehabilitation tool to alleviate the severity of cognitive symptoms and as a rehabilitative tool to improve cognitive recovery postinjury.
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Affiliation(s)
- Harry Hallock
- Berlin School of Mind and Brain (HH, MM, AL, CF), Humboldt-Universität zu Berlin; Departments of Neurology (HH, MM, AL, CF) and Neurosurgery (PV) and of Sports Medicine (BW), Charité Universitätsmedizin, Berlin; Institute of Sports Medicine (CR), University of Paderborn, Germany; and Department of Psychiatry (AL), University of Melbourne, Parkville, Australia
| | - Maron Mantwill
- Berlin School of Mind and Brain (HH, MM, AL, CF), Humboldt-Universität zu Berlin; Departments of Neurology (HH, MM, AL, CF) and Neurosurgery (PV) and of Sports Medicine (BW), Charité Universitätsmedizin, Berlin; Institute of Sports Medicine (CR), University of Paderborn, Germany; and Department of Psychiatry (AL), University of Melbourne, Parkville, Australia
| | - Peter Vajkoczy
- Berlin School of Mind and Brain (HH, MM, AL, CF), Humboldt-Universität zu Berlin; Departments of Neurology (HH, MM, AL, CF) and Neurosurgery (PV) and of Sports Medicine (BW), Charité Universitätsmedizin, Berlin; Institute of Sports Medicine (CR), University of Paderborn, Germany; and Department of Psychiatry (AL), University of Melbourne, Parkville, Australia
| | - Bernd Wolfarth
- Berlin School of Mind and Brain (HH, MM, AL, CF), Humboldt-Universität zu Berlin; Departments of Neurology (HH, MM, AL, CF) and Neurosurgery (PV) and of Sports Medicine (BW), Charité Universitätsmedizin, Berlin; Institute of Sports Medicine (CR), University of Paderborn, Germany; and Department of Psychiatry (AL), University of Melbourne, Parkville, Australia
| | - Claus Reinsberger
- Berlin School of Mind and Brain (HH, MM, AL, CF), Humboldt-Universität zu Berlin; Departments of Neurology (HH, MM, AL, CF) and Neurosurgery (PV) and of Sports Medicine (BW), Charité Universitätsmedizin, Berlin; Institute of Sports Medicine (CR), University of Paderborn, Germany; and Department of Psychiatry (AL), University of Melbourne, Parkville, Australia
| | - Amit Lampit
- Berlin School of Mind and Brain (HH, MM, AL, CF), Humboldt-Universität zu Berlin; Departments of Neurology (HH, MM, AL, CF) and Neurosurgery (PV) and of Sports Medicine (BW), Charité Universitätsmedizin, Berlin; Institute of Sports Medicine (CR), University of Paderborn, Germany; and Department of Psychiatry (AL), University of Melbourne, Parkville, Australia
| | - Carsten Finke
- Berlin School of Mind and Brain (HH, MM, AL, CF), Humboldt-Universität zu Berlin; Departments of Neurology (HH, MM, AL, CF) and Neurosurgery (PV) and of Sports Medicine (BW), Charité Universitätsmedizin, Berlin; Institute of Sports Medicine (CR), University of Paderborn, Germany; and Department of Psychiatry (AL), University of Melbourne, Parkville, Australia
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Schaller N, Blume K, Hornig M, Senker L, Wolfarth B, Schuster T, Halle M, Esefeld K. Occupational life-style programme over 12 months and changes of metabolic risk profile, vascular function, and physical fitness in blue-collar workers. J Occup Med Toxicol 2023; 18:4. [PMID: 36949505 PMCID: PMC10031996 DOI: 10.1186/s12995-023-00370-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 03/07/2023] [Indexed: 03/24/2023] Open
Abstract
PURPOSE Occupational health programmes have been successfully implemented to improve body composition, physical fitness and cardiovascular risk. However, most programmes have been small and have not included long-term evaluation. Therefore, we evaluated a twelve-month life-style change programme in a German refinery. METHODS We offered a supervised six-week endurance exercise programme (2 × 90 min/week), starting after a two-day life-style seminar. After the active intervention and a half-day refresher seminar, employees were encouraged to continue exercising over one year on their own, with monthly supervised sessions to maintain adherence. Anthropometry, bicycle ergometry, cardio-metabolic risk profile, inflammatory parameters, and vascular function e.g. endothelial function was studied at baseline, after three and after twelve months. RESULTS Of 550 employees, n = 327 (age 40.8 ± 9.7 years, 88% males) participated in the study. Twelve-month intervention was associated with a reduced waist circumference (92.6 ± 12.2 to 90.8 ± 11.7 cm, 95% confidence interval for the mean change (CI): -2.5 to -1.1 cm) and a gain in maximal exercise capacity (202 ± 39.6 to 210 ± 38.9 Watt; 95% CI: + 5.1 to + 10.9 Watt). Metabolic and inflammatory parameters likewise HbA1c and C-reactive protein improved in central tendency at a local 95% level of confidence. Vascular function e.g. Reactive-Hyperaemia-Index revealed a slight reduction, whereas no statistically robust changes in mean Cardio-Ankle-Vascular-Index and mean Ankle-Brachial-Index were observed. CONCLUSION Health education added by a six-week supervised exercise programme was associated with minor long-term twelve-month improvements of body composition as well as physical fitness and a concomitant improvement of inflammatory state. These changes were, however, not clinically relevant and not accompanied by statistically robust improvements of vascular function. TRIAL REGISTRATION ClinTrialsGov: NCT01919632; date of registration: August 9, 2013; retrospectively registered.
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Affiliation(s)
- Nina Schaller
- Department of Prevention, Rehabilitation and Sports Medicine, University Hospital (Klinikum rechts der Isar), Technical University of Munich, Georg-Brauchle-Ring 56, 80992, Munich, Germany.
| | - Katharina Blume
- Department of Prevention, Rehabilitation and Sports Medicine, University Hospital (Klinikum rechts der Isar), Technical University of Munich, Georg-Brauchle-Ring 56, 80992, Munich, Germany
- Department of Sports Medicine, Humboldt-University, Charité University Medicine, Berlin, Germany
| | - Markus Hornig
- Moving - Gesundheitsmanagement GmbH, Berlin, Germany
| | - Ludger Senker
- Occupational Medicine Centers Northwest e.V. (Arbeitsmedizinische Zentren Nordwest e.V.), AMZ Lingen (Ems), Nordhorn, Germany
- BP Europa SE, Lingen Refinery, Lingen (Ems), Germany
| | - Bernd Wolfarth
- Department of Prevention, Rehabilitation and Sports Medicine, University Hospital (Klinikum rechts der Isar), Technical University of Munich, Georg-Brauchle-Ring 56, 80992, Munich, Germany
- Department of Sports Medicine, Humboldt-University, Charité University Medicine, Berlin, Germany
- Department of Sports Medicine, Institute for Applied Scientific Training, Leipzig, Germany
| | - Tibor Schuster
- Department of Family Medicine, McGill University, Montreal, QC, Canada
| | - Martin Halle
- Department of Prevention, Rehabilitation and Sports Medicine, University Hospital (Klinikum rechts der Isar), Technical University of Munich, Georg-Brauchle-Ring 56, 80992, Munich, Germany
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Partner Site Munich, Munich Heart Alliance, Munich, Germany
| | - Katrin Esefeld
- Department of Prevention, Rehabilitation and Sports Medicine, University Hospital (Klinikum rechts der Isar), Technical University of Munich, Georg-Brauchle-Ring 56, 80992, Munich, Germany
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21
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Römer C, Wolfarth B. Prediction of Relevant Training Control Parameters at Individual Anaerobic Threshold without Blood Lactate Measurement. Int J Environ Res Public Health 2023; 20:4641. [PMID: 36901647 PMCID: PMC10001845 DOI: 10.3390/ijerph20054641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 02/24/2023] [Accepted: 02/28/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Active exercise therapy plays an essential role in tackling the global burden of obesity. Optimizing recommendations in individual training therapy requires that the essential parameters heart rate HR(IAT) and work load (W/kg(IAT) at individual anaerobic threshold (IAT) are known. Performance diagnostics with blood lactate is one of the most established methods for these kinds of diagnostics, yet it is also time consuming and expensive. METHODS To establish a regression model which allows HR(IAT) and (W/kg(IAT) to be predicted without measuring blood lactate, a total of 1234 performance protocols with blood lactate in cycle ergometry were analyzed. Multiple linear regression analyses were performed to predict the essential parameters (HR(IAT)) (W/kg(IAT)) by using routine parameters for ergometry without blood lactate. RESULTS HR(IAT) can be predicted with an RMSE of 8.77 bpm (p < 0.001), R2 = 0.799 (|R| = 0.798) without performing blood lactate diagnostics during cycle ergometry. In addition, it is possible to predict W/kg(IAT) with an RMSE (root mean square error) of 0.241 W/kg (p < 0.001), R2 = 0.897 (|R| = 0.897). CONCLUSIONS It is possible to predict essential parameters for training management without measuring blood lactate. This model can easily be used in preventive medicine and results in an inexpensive yet better training management of the general population, which is essential for public health.
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Polk SE, Kleemeyer MM, Bodammer NC, Misgeld C, Porst J, Wolfarth B, Kühn S, Lindenberger U, Düzel S, Wenger E. Aerobic exercise is associated with region-specific changes in volumetric, tensor-based, and fixel-based measures of white matter integrity in healthy older adults. Neuroimage: Reports 2023. [DOI: 10.1016/j.ynirp.2022.100155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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23
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Rotter G, Teut M, Schleicher R, Dell'Oro M, Ortiz M, Binting S, Tissen-Diabaté T, Roll S, Michalsen A, Staab D, Wolfarth B, Brinkhaus B. Hypnotherapy, Intermittent Fasting, and Exercise Group Programs in Atopic Dermatitis: A Randomized Controlled Explorative Clinical Trial During the COVID-19 Pandemic. J Integr Complement Med 2023; 29:99-110. [PMID: 36450119 PMCID: PMC9942184 DOI: 10.1089/jicm.2022.0699] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Background: Patients with atopic dermatitis (AD) frequently use healthy lifestyle behaviors, although their benefits are unclear. This study's aim was to investigate the effectiveness of hypnotherapy, fasting with diet adjustments, and exercise in AD patients. Methods: In a four-armed randomized controlled monocenter open explorative clinical trial, adult patients with mild-to-moderate severe AD underwent, over 16 weeks, a five-session hypnotherapy group program (HTP), a five-session intermittent fasting with diet adjustment group program (IFDP), a five-session exercise group program (EP), or no study intervention (control) as add-on to topical corticosteroid use if required. Endpoints included subjectively perceived itching on a visual analogue scale (VAS, 0-100 mm); disease severity by SCORing Atopic Dermatitis (SCORAD); and adverse events (AEs). Endpoints were analyzed descriptively in the Full Analysis Set (FAS). Due to the coronavirus disease 2019 (COVID-19) pandemic, relevant changes to the study protocol included online in addition to "in-presence" group interventions, closing the study arm EP and premature trial termination before randomization of 120 intended patients. Results: During the COVID-19 pandemic, study recruitment was poor. The FAS included 20 patients (17 female) with 35.0 ± 12.1 (mean ± standard deviation [SD]) years of age. At baseline, mean ± SD for HTP (n = 6), IFDP (n = 4), EP (n = 1), and control (n = 9) were VAS itching 63.2 ± 18.0, 65.0 ± 13.9, 43.0 mm, 62.1 ± 17.3; SCORAD 43.0 ± 13.6, 47.0 ± 21.0, 60.3, 39.1 ± 15.6. After 16 weeks, endpoints were VAS itching 26.0 ± 16.4, 31.7 ± 9.9, 23.0 mm, 39.3 ± 27.0; SCORAD 24.1 ± 12.2, 29.1 ± 19.1, 49.1, 25.5 ± 14.4. No serious AEs related to the interventions were observed. Conclusion: Despite very small groups, study results indicated potential beneficial changes to baseline in perceived itching intensity, disease severity, and disease-specific quality of life for HTP and IFDP. Therefore, further clinical trials should be performed investigating the effectiveness and safety of all interventions. Clinical Trial Registration: January 31, 2020 German Clinical Trials Register (DRKS): DRKS00020557, Universal Trial Number (UTN): U1111-1247-1512.
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Affiliation(s)
- Gabriele Rotter
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Address correspondence to: Gabriele Rotter, MD, MSc, Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin 10117, Germany
| | - Michael Teut
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Romy Schleicher
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Melanie Dell'Oro
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Department of Internal and Integrative Medicine, Immanuel Krankenhaus Berlin, Berlin, Germany
| | - Miriam Ortiz
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Sylvia Binting
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Tatjana Tissen-Diabaté
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Stephanie Roll
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Andreas Michalsen
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Department of Internal and Integrative Medicine, Immanuel Krankenhaus Berlin, Berlin, Germany
| | - Doris Staab
- Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Benno Brinkhaus
- Department of Epidemiology and Health Economics, Institute of Social Medicine, corporate member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany
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Proff J, Merkely B, Papp R, Lenz C, Nordbeck P, Butter C, Meyhoefer J, Doering M, MacCarter D, Ingel K, Wolfarth B, Thouet T, Landmesser U, Roser M. Closed loop stimulation in patients with chronic heart failure and severe chronotropic incompetence: Responders versus non-responders. Int J Cardiol 2023; 370:222-228. [PMID: 36243181 DOI: 10.1016/j.ijcard.2022.10.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 09/01/2022] [Accepted: 10/09/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND Clinical effects of rate-adaptive pacing (RAP) are unpredictable and highly variable among cardiac resynchronization therapy (CRT) patients with chronotropic incompetence. Physiologic sensors such as Closed Loop Stimulation (CLS), measuring intracardiac impedance changes (surrogate for ventricular contractility), may add clinical benefit and help identify predictors of response to RAP. The objective of the present BIOlCREATE study subanalysis was to identify criteria for selection of CRT patients who are likely to respond positively to CLS-based RAP. METHODS In the randomized, crossover BIO|CREATE study, CRT patients with severe chronotropic incompetence and NYHA class II/III were randomized to CLS with conventional upper sensor rate programming or to no RAP for 1 month, followed by crossover for another month. At 1-month and 2-month follow-ups, patients underwent treadmill-based cardiopulmonary exercise test. Positive CLS response was defined as a ≥ 5% reduction in ventilatory efficiency slope. Eight of 17 patients (47%) were CLS responders. In this subanalysis, we compared responders and non-responders to explore outcomes, mechanisms, and predictors. RESULTS All cardiopulmonary variables, health-related quality of life, patient activity status, and NT-proBNP concentration showed favorable trend in CLS responders and unfavorable trend in non-responders, underlining the need to find predictors. Following all analyses, we recommend CLS in heart failure patients with improved left ventricular ejection fraction (LVEF >40%, after a ≥ 10-point increase from a CRT-pre-implant value of ≤40%), corresponding to 'HFimpEF' in the universal classification system. CONCLUSION HFimpEF patients are likely to benefit from CLS-based RAP, in contrast to 'HFrEF' (heart failure with reduced LVEF [≤40%]).
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Affiliation(s)
- Joachim Proff
- Medizinische Klinik für Kardiologie, Charite Universitaetsmedizin, Berlin, Germany.
| | - Béla Merkely
- Heart and Vascular Center, Semmelweis Medical University, Budapest, Hungary
| | - Roland Papp
- Heart and Vascular Center, Semmelweis Medical University, Budapest, Hungary
| | - Corinna Lenz
- Klinik für Innere Medizin/Kardiologie, Unfallkrankenhaus, Berlin, Germany
| | - Peter Nordbeck
- Medizinische Klinik I, Universitaetsklinikum, Wuerzburg, Germany
| | - Christian Butter
- Kardiologie, Herzzentrum Brandenburg in Bernau & Medizinische Hochschule Brandenburt, Bernau bei Berlin, Germany
| | - Juergen Meyhoefer
- Innere Medizin - Kardiologie und Chest Pain Unit, Maria Heimsuchung-Caritas-Klinik Pankow, Berlin, Germany
| | | | | | | | - Bernd Wolfarth
- Abteilung Sportmedizin, Charite Universitaetsmedizin, Berlin, Germany
| | - Thomas Thouet
- Abteilung Sportmedizin, Charite Universitaetsmedizin, Berlin, Germany
| | - Ulf Landmesser
- Medizinische Klinik für Kardiologie, Charite Universitaetsmedizin, Berlin, Germany
| | - Mattias Roser
- Medizinische Klinik für Kardiologie, Charite Universitaetsmedizin, Berlin, Germany
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Römer C, Wolfarth B. Heart Rate Recovery (HRR) Is Not a Singular Predictor for Physical Fitness. Int J Environ Res Public Health 2022; 20:792. [PMID: 36613113 PMCID: PMC9819190 DOI: 10.3390/ijerph20010792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 12/19/2022] [Accepted: 12/28/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND For optimal recommendations in cardiovascular training for the general population, knowing the essential parameters for physical fitness is required. Heart rate recovery (HRR) is an easy-to-measure parameter and is discussed to derive the physical fitness of an individual subject. This study evaluates HRR as a potential physical fitness parameter for public health programs, as it is measured in every ergometry. METHODS In this retrospective cross-sectional study, we analyzed HRR regarding physical fitness (W/kg (IAT: individual anaerobic threshold)). In total, we analyzed 1234 performance protocols in cycle ergometry. Significance tests (p < 0.001) and multiple linear regression were performed. RESULTS The analysis of HRR and weight-related performance showed a significant correlation with a moderate coefficient of determination (R2 = 0.250). The coefficient of determination increases from very weak correlation levels at 1 min post-workout towards weak to moderate levels of correlation at 5 min post-workout. CONCLUSIONS In this study HRR and the weight-related performance at the IAT showed a significant correlation with a mean strength. Thus, a prediction or conclusion on physical performance based singularly on HRR decrease is not recommended. However, in preventive medicine, HRR should be measured and observed on a long-term basis, for analysis of vagal activity and to draw to inferences of mortality.
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Romer C, Czupajllo J, Zessin E, Fischer T, Wolfarth B, Lerchbaumer MH. Stiffness of Muscles and Tendons of the Lower Limb of Professional and Semiprofessional Athletes Using Shear Wave Elastography. J Ultrasound Med 2022; 41:3061-3068. [PMID: 35900250 DOI: 10.1002/jum.16062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 06/28/2022] [Accepted: 06/29/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Shear wave elastography (SWE) allows assessment of muscle and tendon stiffness and can be used to diagnose soft tissue pathologies such as tendinopathies. In sports medicine, SWE may have the potential to uncover structural changes early on before they lead to functional impairment. To systematically analyze possible differences in tendon and muscle stiffness of the lower limb between professional (PG) and semiprofessional female athletes (SG) using SWE and to compile reference values for developing preventive medicine approaches for professional athletes. METHODS Standardized SWE of both lower limb tendons and muscles (Achilles tendon [AT], soleus muscle insertion [SM], patellar tendon [PT], quadriceps tendon [QT], vastus medialis muscle [VM]) in the longitudinal plane was performed with the tendons in relaxed position in 24 healthy professional female athletes (PG) in comparison with 24 healthy semiprofessional female athletes (SG). RESULTS Median tendon and muscle stiffness was significantly higher in professional athletes (AT:PG, 11.12 m/s vs SG, 7.33 m/s, P < .001; SM: 1.77 m/s vs 1.14 m/s, P < .001; VM: 1.63 m/s vs 0.87 m/s, P < .001; QT: 3.31 m/s vs 2.61 m/s, P < .05). There was no significant difference in patellar tendon stiffness between PG and SG (PT: 2.57 m/s vs 3.21, P = .25). CONCLUSION Professional female athletes have higher stiffness values than semiprofessional female athletes in lower limb muscles and tendons, except for the patellar tendon. Knowledge of such differences is necessary for diagnosing tendinopathy and injuries. Musculoskeletal SWE could offer great benefits in sports medicine as well as in rehabilitation and preventive medicine.
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Affiliation(s)
- Claudia Romer
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Julia Czupajllo
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Enrico Zessin
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Thomas Fischer
- Department of Radiology, Charité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Bernd Wolfarth
- Department of Radiology, Charité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Markus H Lerchbaumer
- Department of Radiology, Charité-Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
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Merle CL, Wuestenfeld JC, Fenkse F, Wolfarth B, Haak R, Schmalz G, Ziebolz D. The Significance of Oral Inflammation in Elite Sports: A Narrative Review. Sports Med Int Open 2022; 6:E69-E79. [PMID: 36643596 PMCID: PMC9839431 DOI: 10.1055/a-1964-8538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 09/01/2022] [Indexed: 12/27/2022] Open
Abstract
Recently, there has been intense discussion about sports dentistry and potential interactions between oral health and athletes' performance. This narrative review aims to provide a comprehensive overview of the available literature about oral inflammation in sports. For this purpose, it presents the most common types of oral inflammation (gingivitis, periodontitis, pericoronitis, apical periodontitis), and their prevalence in athletes. Both the impact of oral inflammation on performance and causes for oral inflammation in athletes are discussed by presenting current literature. Finally, international recommendations for dental care in sports are presented. Several studies stated a high prevalence of oral inflammation in athletes, especially of gingivitis (58-97%) and periodontitis (41%). Also, many athletes report oral pain (17-30%) and a negative impact of oral health on training (3-9%). Besides this, a systemic impact of oral inflammation is discussed: In periodontitis patients, blood parameters and physical fitness are changed. In athletes, associations between muscle injuries and poor oral health are reported. There are deficits in oral health behavior. Furthermore, systemic changes due to physical stress could influence oral tissues. Overall, complex bidirectional interactions between competitive sports and oral inflammation are possible. Regular dental examinations and prevention strategies should be implemented in sports.
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Affiliation(s)
- Cordula Leonie Merle
- Department of Prosthetic Dentistry, Universitätsklinikum Regensburg, Regensburg, Germany.,Department of Cariology, Endodontology and Periodontology, University of Leipzig Faculty of Medicine, Leipzig, Germany
| | - Jan C Wuestenfeld
- Department of Sports Medicine, Institute for Applied Scientific Training, Leipzig, Germany.,Department of Sports Medicine, Charité University Medicine, Berlin, Germany
| | - Fabian Fenkse
- Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, University of Leipzig Faculty of Medicine, Leipzig, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Institute for Applied Scientific Training, Leipzig, Germany.,Department of Sports Medicine, Charité University Medicine, Berlin, Germany.,Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, University of Leipzig Faculty of Medicine, Leipzig, Germany
| | - Rainer Haak
- Department of Cariology, Endodontology and Periodontology, University of Leipzig Faculty of Medicine, Leipzig, Germany
| | - Gerhard Schmalz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig Faculty of Medicine, Leipzig, Germany
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig Faculty of Medicine, Leipzig, Germany
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Borchers J, Merle CL, Schöneborn DD, Lyko LR, Thouet T, Wolfarth B, Kottmann T, Scheibenbogen C, Zimmer J, Diederich S, Bauer K, Sack U, Schmalz G, Ziebolz D, Wüstenfeld J. Salivary Diagnostic for Monitoring Strenuous Exercise-A Pilot Study in a Cohort of Male Ultramarathon Runners. Int J Environ Res Public Health 2022; 19:16110. [PMID: 36498185 PMCID: PMC9737684 DOI: 10.3390/ijerph192316110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/22/2022] [Accepted: 11/24/2022] [Indexed: 06/17/2023]
Abstract
Intense physical stress, such as that in ultramarathon running, affects the immune system. For monitoring in sports medicine, non-invasive methods, e.g., salivary analysis, are of interest. This pilot cohort study aimed to assess changes in salivary parameters in response to an ultramarathon. The results were compared to blood parameters. Male, healthy finishers (n = 9, mean age: 48 ± 8.8 years, mean height: 1.8 ± 0.1 m, mean weight: 72.5 ± 7.2 kg, mean BMI: 23.5 ± 1.9 kg/cm²) of a 160 km ultramarathon were included. Saliva and blood samples were collected at three time points: T1 (baseline), T2 (shortly after the ultramarathon) and T3 (after recovery). In saliva, cortisol, testosterone, IL-1β, IL-6, IL-8, IL-10, TNF-α, albumin, IgA, α-amylase, aMMP-8, and neopterin were assessed via ELISA. In blood, cortisol, testosterone, IL-1β, IL-6, IL-8, IL-10, TNF-α, blood cell counts, procalcitonin, CRP, osmolality, albumin, and α-amylase were analyzed. The statistical evaluation comprised longitudinal testing and cross-sectional testing between saliva and blood using ratios of T2 and T3 to baseline values. Various parameters in saliva and blood changed in response to the ultramarathon. Comparing blood and saliva, the longitudinal changes of testosterone (p = 0.02) and α-amylase (p = 0.03) differed significantly. Despite the limitations of the study, it underlines that saliva is an interesting option for comprehensive monitoring in sports medicine and necessitates further studies.
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Affiliation(s)
- Josephin Borchers
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Cordula Leonie Merle
- Department of Prosthetic Dentistry, UKR University Hospital Regensburg, 93053 Regensburg, Germany
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | | | - Lea Ronja Lyko
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
| | - Thomas Thouet
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
- Department of Sports Medicine, Institute for Applied Scientific Training, 04109 Leipzig, Germany
- Institute of Sports Science, Humboldt University, 10115 Berlin, Germany
| | | | - Carmen Scheibenbogen
- Institute for Medical Immunology, Charité University Medicine, 13353 Berlin, Germany
| | - Jeannot Zimmer
- SYNLAB Medizinisches Versorgungszentrum Berlin GmbH, 10828 Berlin, Germany
| | | | - Katrin Bauer
- Institute of Clinical Immunology, Medical Faculty, University of Leipzig, 04103 Leipzig, Germany
| | - Ulrich Sack
- Institute of Clinical Immunology, Medical Faculty, University of Leipzig, 04103 Leipzig, Germany
| | - Gerhard Schmalz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Jan Wüstenfeld
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
- Department of Sports Medicine, Institute for Applied Scientific Training, 04109 Leipzig, Germany
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Glos M, Zigova L, Wolfarth B, Penzel T, Lederer K, Ossadnik S, Fietze I. Schlafqualität und kardialer autonomer Tonus bei Leistungssporttreibenden und in einer Referenzgruppe Gesunder. Somnologie 2022. [DOI: 10.1007/s11818-022-00391-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
ZusammenfassungLeistungssportlerinnen und Leistungssportler sind hohen physischen und psychischen Anforderungen ausgesetzt, um optimale Ergebnisse zu erzielen. Dafür ist auch die Funktion der Regenerationsphase wichtig, zu der maßgeblich ein erholsamer Schlaf beiträgt. Es gibt jedoch Hinweise, dass bei Leistungssportlerinnen und Leistungssportlern aufgrund verschiedener Belastungen im Rahmen des Trainings und der Wettkämpfe gehäuft eine Insomniesymptomatik auftreten kann. Zur objektiven Untersuchung der Schlafstruktur, Schlafqualität und Funktion des kardialen autonomen Tonus wurden Leistungssporttreibende (LS) und eine Gruppe ebenfalls gesunder Kontrollen (GK) mit einer vereinfachten ambulanten Schlafmessung untersucht.Es wurde in der Gruppe LS bei n = 12 Probanden (Alter 25,1 ± 4,3 Jahre) und in der Gruppe GK bei n = 17 Probanden (Alter 26,1 ± 3,2 Jahre) jeweils weiblichen und männlichen Geschlechts erfolgreich im häuslichen Umfeld eine vereinfachte Schlafmessung einschließlich 1‑Kanal-EKG (SOMNOtouch™) durchgeführt. Mittels Fragebögen wurden die Tagesschläfrigkeit (Epworth Sleepiness Scale, ESS), Insomnieschwere (Insomnia Severity Index, ISI) und Symptome für Schlafapnoe (Aktualisierter STOP-Bang-Fragebogen, aSBF) erhoben. Es wurden visuell die Schlafstadien gescort und aus dem EKG mittels Zeitreihenanalyse Parameter der Herzfrequenz und Herzfrequenzvariabilität (HRV) ausgewertet.Es traten keine Unterschiede zwischen den Gruppen LS und GK hinsichtlich der ESS und aSBF auf, jedoch war die ISI in der Gruppe LS gegenüber GK erhöht (5,7 ± 4,1 vs. 2,4 ± 2,0; p < 0,02). In Auswertung der Schlafstruktur gab es keine Unterschiede für die Einschlaflatenz (ESL), Gesamtschlafzeit (TST), Schlafeffizienz (SE) sowie für die prozentualen Anteile von Leicht- (N1 + N2), Tief- (N3) und REM-Schlaf (REM), jedoch war die Bettzeit (TIB) in der Gruppe LS erhöht (503,2 ± 52,7 vs. 445,5 ± 45,4 min; p < 0,02). In der Gruppe LS waren gegenüber der Gruppe GK die mittlere nächtliche Herzfrequenz verringert (48,5 ± 6,8 vs. 56,1 ± 5,4; p < 0,01) sowie die HRV-Parameter HRV-Standardabweichung (HRV-SD) (166,0 ± 33,2 vs. 138,2 ± 38,7; p < 0,04), HRV-SD1 (78,8 ± 11,7 vs. 63,2 ± 36,5; p < 0,01) und HRV-SD2 (220,6 ± 48,0 vs. 183,8 ± 45,8; p < 0,05) erhöht.In der von uns untersuchte Gruppe von Leistungssportlerinnen und Leistungssportlern gibt es Anhaltspunkte für eine leichte Insomnie, wobei die objektiv gemessene Schlafstruktur sich nicht von der gesunder Kontrollen unterscheidet. Dabei ist die TST, mit einem Mittelwert von 6,8 h sowohl in der Gruppe LS als auch in GK, geringer als die von den Fachgesellschaften American Academy of Sleep Medicine (AASM), Sleep Research Society (SRS) und National Sleep Foundation (NSF) empfohlene Schlafdauer für junge Erwachsene. Dagegen war die kardiale autonome Regulation im Schlaf in der Gruppe LS signifikant besser als in der Gruppe GK und ist in Übereinstimmung mit Befunden aus 24-Stunden-Holter-EKG-Studien. Die Entwicklung objektiver, mobiler und belastungsarmer Messverfahren vereinfacht die Erfassung der Schlafstruktur und charakteristischer vegetativer Parameter und könnte zunehmend im personalisierten Gesundheits- und Leistungsmanagement bei Leistungssporttreibenden eingesetzt werden.
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Römer C, Czupajllo J, Zessin E, Fischer T, Wolfarth B, Lerchbaumer MH. Muscle and Tendon Stiffness of the Lower Limb of Professional Adolescent Soccer Athletes Measured Using Shear Wave Elastography. Diagnostics (Basel) 2022; 12:diagnostics12102453. [PMID: 36292143 PMCID: PMC9601169 DOI: 10.3390/diagnostics12102453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 09/14/2022] [Accepted: 09/24/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND While adolescents have specific risk factors for acute and chronic injury, there is a lack of preventive medicine algorithms for this vulnerable group. Shear wave elastography (SWE) is currently mainly used for assessing muscle and tendon stiffness in adult athletes and can diagnose tissue pathologies such as tendinopathy. The aim was to investigate differences in quadriceps tendon and muscle stiffness between adolescent and adult professional soccer players using SWE and identify lateral imbalances in order to improve the knowledge of preventive medicine algorithms for professional adolescent athletes. METHODS Standardized SWE examinations of both lower limb tendons and muscles (the quadriceps tendon (QT) and the vastus medialis (VM) muscle) in the longitudinal plane and relaxed tendon position were performed in 13 healthy adolescent soccer athletes (13-17 years), and a control group of 19 healthy adult professional soccer athletes (18-29 years). RESULTS Adolescent soccer players had lower stiffness values for both the quadriceps tendon (3.11 m/s vs. 3.25 m/s) and the vastus medialis muscle (1.67 m/s vs. 1.71 m/s) than adult athletes. Moreover, QT stiffness in adolescent soccer players was significantly lower on the right side (QT: adult 3.50 m/s (2.73-4.56) vs. adolescent 2.90 m/s (2.61-3.12); p = 0.031). Analysis of the lateral differences revealed softer QT and VM tissue on the right side in over two-thirds of adolescent soccer athletes. Over two-thirds of adults had stiffer QT and VM tissue on the right side. CONCLUSION In adolescent soccer players, the stiffness of the QT and VM muscle measured by SWE is lower in the right leg. SWE of the musculoskeletal system may thus become a relevant diagnostic tool to detect early lateral imbalances as a main risk factor for injury and may thus contribute to the prevention of acute and chronic injury prevention in adolescent athletes.
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Affiliation(s)
- Claudia Römer
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117 Berlin, Germany
| | - Julia Czupajllo
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117 Berlin, Germany
| | - Enrico Zessin
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117 Berlin, Germany
| | - Thomas Fischer
- Department of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117 Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117 Berlin, Germany
| | - Markus Herbert Lerchbaumer
- Department of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117 Berlin, Germany
- Correspondence: ; Tel.: +49-30-450657084
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Wolfarth B, Speed C, Raymuev K, Vanden Bossche L, Migliore A. Managing pain and inflammation associated with musculoskeletal disease: time for a change? Curr Med Res Opin 2022; 38:1695-1701. [PMID: 35916625 DOI: 10.1080/03007995.2022.2108618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Bernd Wolfarth
- Department of Sports Medicine, Charité University Hospital and Professor, Humboldt University, Berlin, Germany
| | - Cathy Speed
- Department of Rheumatology, Sport & Exercise Medicine, Spire Cambridge Lea Hospital, Cambridge, UK
| | - Kirill Raymuev
- Department of Rheumatology, North-Western State Medical University I.I. Mechnikov, St Petersburg, Russia
| | - Luc Vanden Bossche
- Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium
| | - Alberto Migliore
- Department of Medicine, St Peter Fatebenefratelli Hospital, Rome, Italy
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Römer C, Czupajllo J, Wolfarth B, Lerchbaumer MH, Legerlotz K. Effects of orally administered hormonal contraceptives on the musculoskeletal system of healthy premenopausal women—A systematic review. Health Sci Rep 2022; 5:e776. [PMID: 35957969 PMCID: PMC9364327 DOI: 10.1002/hsr2.776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 07/12/2022] [Accepted: 07/17/2022] [Indexed: 11/09/2022] Open
Abstract
Introduction The musculoskeletal system (MSK) is one of the extragonadal target tissues of sex hormones: osteoblasts and osteocytes express estrogen receptors, while in fibroblasts of the anterior cruciate ligament (ACL) and myocytes of the vastus lateralis muscle (MVL), estrogen and progesterone receptors can be detected by immunoassay. Indeed, upon binding of sex hormones to the extragonadal receptors, the MSK seems to respond to varying levels of sex hormones with structural adaptation. Hormonal contraceptives can affect the musculoskeletal system; however, there is a lack of high‐quality studies, and no recommendation for female athletes exists. Material and Methods This is a systematic review of publications on the effects of oral hormonal contraceptives on the biomechanical properties of tendons, muscles and ligaments, muscle strength, and soft tissue regeneration. A systematic database search was performed using MESH keywords and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) methodology in Pubmed and Cochrane to identify studies investigating the influence of oral hormonal contraceptives on muscles, tendons, and ligaments of healthy, adult, premenopausal women. The risk of bias in the studies included was assessed by two independent researchers using the ROBINS‐I Tool. Results Nine comparative studies were identified that met the inclusion criteria. Endpoints were muscle strength and biomechanical tissue properties. No significant influence of oral hormonal contraceptives on muscle strength was found, although general muscle growth and Type I fiber growth were found to be significantly increased in a dose‐dependent manner. There was a negative effect on regeneration of muscle strength after exercise. The stiffness of tendons remained unchanged, while their size adaptation to load increased. Conclusion The anabolic effect could be beneficial for specific sports, whereas reduced muscle regeneration could be disadvantageous for women exercising with high‐performance demands. The different effects on tendons and ligaments and the functional consequences of altered ligament and muscle stiffness, especially with regard to synthetic hormones, should be further investigated.
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Affiliation(s)
- Claudia Römer
- Department of Sports Medicine, Charité—University Medicine Berlin Humboldt‐University of Berlin Berlin Germany
| | - Julia Czupajllo
- Department of Sports Medicine, Charité—University Medicine Berlin Humboldt‐University of Berlin Berlin Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité—University Medicine Berlin Humboldt‐University of Berlin Berlin Germany
| | - Markus H. Lerchbaumer
- Department of Radiology Charité—University Medicine Berlin, Humboldt‐University of Berlin Berlin Germany
| | - Kirsten Legerlotz
- Movement Biomechanics, Institute of Sport Sciences Humboldt‐University of Berlin Berlin Germany
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Merle CL, Richter L, Challakh N, Haak R, Schmalz G, Needleman I, Rüdrich P, Wolfarth B, Ziebolz D, Wüstenfeld J. Associations of Blood and Performance Parameters with Signs of Periodontal Inflammation in Young Elite Athletes-An Explorative Study. J Clin Med 2022; 11:jcm11175161. [PMID: 36079091 PMCID: PMC9457155 DOI: 10.3390/jcm11175161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 08/25/2022] [Accepted: 08/25/2022] [Indexed: 11/16/2022] Open
Abstract
This retrospective cross-sectional study aimed to explore interactions between signs of periodontal inflammation and systemic parameters in athletes. Members of German squads with available data on sports medical and oral examination were included. Groups were divided by gingival inflammation (median of papillary bleeding index, PBI ≥ median) and signs of periodontitis (Periodontal Screening Index, PSI ≥ 3). Age, gender, anthropometry, blood parameters, echocardiography, sports performance on ergometer, and maximal aerobic capacity (VO2max) were evaluated. Eighty-five athletes (f = 51%, 20.6 ± 3.5 years) were included (PBI < 0.42: 45%; PSI ≥ 3: 38%). Most associations were not statistically significant. Significant group differences were found for body fat percentage and body mass index. All blood parameters were in reference ranges. Minor differences in hematocrit, hemoglobin, basophils, erythrocyte sedimentation rates, urea, and HDL cholesterol were found for PBI, in uric acid for PSI. Echocardiographic parameters (n = 40) did not show any associations. Athletes with PSI ≥ 3 had lower VO2max values (55.9 ± 6.7 mL/min/kg vs. 59.3 ± 7.0 mL/min/kg; p = 0.03). In exercise tests (n = 30), athletes with PBI < 0.42 achieved higher relative maximal load on the cycling ergometer (5.0 ± 0.5 W/kg vs. 4.4 ± 0.3 W/kg; p = 0.03). Despite the limitations of this study, potential associations between signs of periodontal inflammation and body composition, blood parameters, and performance were identified. Further studies on the systemic impact of oral inflammation in athletes, especially regarding performance, are necessary.
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Affiliation(s)
- Cordula Leonie Merle
- Department of Prosthetic Dentistry, UKR University Hospital Regensburg, 93053 Regensburg, Germany
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
- Correspondence:
| | - Lisa Richter
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Nadia Challakh
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Rainer Haak
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Gerhard Schmalz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Ian Needleman
- Centre for Oral Health and Performance, UCL Eastman Dental Institute, London WC1E 6BT, UK
- UK IOC Research Centre, London WC1E 6BT, UK
| | - Peter Rüdrich
- Department of Sports Medicine, Institute for Applied Scientific Training, 04109 Leipzig, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Institute for Applied Scientific Training, 04109 Leipzig, Germany
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
- Institute of Sports Science, Humboldt University, 10099 Berlin, Germany
| | - Dirk Ziebolz
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
| | - Jan Wüstenfeld
- Department of Sports Medicine, Institute for Applied Scientific Training, 04109 Leipzig, Germany
- Department of Sports Medicine, Charité University Medicine, 10115 Berlin, Germany
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Doyscher RJ, Rühl L, Czichy B, Neumann K, Denecke T, Wolfarth B, Rodeo SA, Scheibel M. Bilateral glenohumeral internal rotation deficit (GIRD) in elite gymnasts. Arch Orthop Trauma Surg 2022; 143:2599-2608. [PMID: 35982278 PMCID: PMC10110687 DOI: 10.1007/s00402-022-04577-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 08/03/2022] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The "Glenohumeral Internal Rotation Deficit (GIRD)" is known as the difference in internal rotation range of motion (IRRM) between the dominant and non-dominant shoulder of overhead athletes as a result of asymmetric loading. As in contrast loading pattern in gymnastics are quite symmetric and structural changes often occur bilaterally, the question arises if GIRD might develop bilaterally in gymnasts as one source of common bilateral shoulder pathologies and to search for underlying structural adaptations. MATERIALS AND METHODS A group of 35 elite gymnasts (8-24 years) were recruited from a local Olympic Training Centre and compared to a paired cohort of 28 non-overhead athletes. Clinical examinations, digital range of motion (ROM)-measurement, ultrasonographic humeral torsion measurement, and standardized MRI scans of both shoulders were obtained and examined for structural pathologies, cross-sectional areas (CSA) of the rotator cuff muscles and capsular thickness. RESULTS ROM-measurements showed significant decrease in IRRM in the gymnasts groups by age, with IRRM of 48.6° (SD: 8.4°, CI 95%: 43.0-54.3°) at age group 1 (8-10 years) and IRRM of 10° (SD: 11.4°; CI 95%: 0-22.0°) at age group 4 (18-26 years), that was statistically significant for the entire cohort (p = 0.017) compared to the controls. CSA were not significantly different between the cohorts, while there was a slightly increased humeral retrotorsion in the gymnasts as well as a statistically significant posterior capsular thickening. CONCLUSION A new bilateral form of GIRD was identified in higher age groups of youth and senior elite gymnasts enrolled in this study. Despite to former definition of GIRD there was no compensatory increase in external rotation range of motion (ERRM) but an association with posterior capsular thickening, while there was no periscapular muscle hypertrophy. Humeral retrotorsion was also slightly increased in the gymnasts group.
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Affiliation(s)
- Ralf J Doyscher
- Center for Musculoskeletal Surgery and Department of Sports Medicine, Charité - Universitaetsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany.,Borussia VFL 1900 Moenchengladbach GmbH, Moenchengladbach, Germany
| | - Leopold Rühl
- Center for Musculoskeletal Surgery and Department of Sports Medicine, Charité - Universitaetsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany
| | - Benjamin Czichy
- Center for Musculoskeletal Surgery and Department of Sports Medicine, Charité - Universitaetsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany
| | - Konrad Neumann
- Institute for Biometry and Clinical Epidemiology, Charité - Universitaetsmedizin Berlin, Berlin, Germany
| | - Timm Denecke
- Clinic for Radiology, Charité - Universitaetsmedizin Berlin, Berlin, Germany.,Clinic for Diagnostic and Interventional Radiology, University Hospital Leipzig, Leipzig, Germany
| | - Bernd Wolfarth
- Center for Musculoskeletal Surgery and Department of Sports Medicine, Charité - Universitaetsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany
| | - Scott A Rodeo
- Sports Medicine & Shoulder Service, Hospital for Special Surgery, New York, NY, USA
| | - Markus Scheibel
- Center for Musculoskeletal Surgery and Department of Sports Medicine, Charité - Universitaetsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany. .,Department of Shoulder and Elbow Surgery, Schulthess Clinic Zurich, Zurich, Switzerland.
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Kalski L, Greiß F, Hartung JJ, Hafermann L, Hofmann M, Wolfarth B. Klinische Evaluation eines Ü45-Screening-Fragebogens zur
Erfassung des individuellen Präventions- und
Rehabilitationsbedarfs. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- L Kalski
- Charité – Universitätsmedizin Berlin, Abteilung
Sportmedizin, Berlin, Deutschland
- Humboldt-Universität zu Berlin, Institut für
Sportwissenschaft, Berlin, Deutschland
| | - F Greiß
- Charité – Universitätsmedizin Berlin, Abteilung
Sportmedizin, Berlin, Deutschland
| | - JJ Hartung
- Charité – Universitätsmedizin Berlin, Abteilung
Sportmedizin, Berlin, Deutschland
| | - L Hafermann
- Charité – Universitätsmedizin Berlin, Institut
für Biometrie und Klinische Epidemiologie, Berlin,
Deutschland
| | - M Hofmann
- DRV Berlin-Brandenburg, Abteilung Rehabilitation und
Gesundheitsförderung, Berlin, Deutschland
| | - B Wolfarth
- Charité – Universitätsmedizin Berlin, Abteilung
Sportmedizin, Berlin, Deutschland
- Humboldt-Universität zu Berlin, Institut für
Sportwissenschaft, Berlin, Deutschland
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Dinges SMT, Krotz J, Gass F, Treitschke J, Fegers-Wustrow I, Geisberger M, Esefeld K, von Korn P, Duvinage A, Edelmann F, Wolfram O, Brandts J, Winzer EB, Wolfarth B, Freigang F, Neubauer S, Nebling T, Hackenberg B, Amelung V, Mueller S, Halle M. Cardiovascular risk factors, exercise capacity and health literacy in patients with chronic ischaemic heart disease and type 2 diabetes mellitus in Germany: Baseline characteristics of the Lifestyle Intervention in Chronic Ischaemic Heart Disease and Type 2 Diabetes study. Diab Vasc Dis Res 2022; 19:14791641221113781. [PMID: 35953083 PMCID: PMC9379969 DOI: 10.1177/14791641221113781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Lifestyle interventions are a cornerstone in the treatment of chronic ischaemic heart disease (CIHD) and type 2 diabetes mellitus (T2DM). This study aimed at identifying differences in clinical characteristics between categories of the common lifestyle intervention targets BMI, exercise capacity (peak V̇O2) and health literacy (HL). METHODS Cross-sectional baseline characteristics of patients enrolled in the LeIKD trial (Clinicaltrials.gov NCT03835923) are presented in total, grouped by BMI, %-predicted peak V̇O2 and HL (HLS-EU-Q16), and compared to other clinical trials with similar populations. RESULTS Among 499 patients (68.3±7.7 years; 16.2% female; HbA1c, 6.9±0.9%), baseline characteristics were similar to other trials and revealed insufficient treatment of several risk factors (LDL-C 92±34 mg/dl; BMI, 30.1±4.8 kg/m2; 69.6% with peak V̇O2<90% predicted). Patients with lower peak V̇O2 showed significantly higher (p < 0.05) CIHD and T2DM disease severity (HbA1c, CIHD symptoms, coronary artery bypass graft). Obese patients had a significantly higher prevalence of hypertension and higher triglyceride levels, whereas in patients with low HL both quality of life components (physical, mental) were significantly reduced. CONCLUSIONS In patients with CIHD and T2DM, peak V̇O2, BMI and HL are important indicators of disease severity, risk factor burden and quality of life, which reinforces the relevance of lifestyle interventions.
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Affiliation(s)
- Sophia MT Dinges
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
| | - Janosch Krotz
- Institute for Applied Healthcare
Research GmbH (inav), Berlin, Germany
| | - Felix Gass
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
| | - Julian Treitschke
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
| | - Isabel Fegers-Wustrow
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
| | - Marisa Geisberger
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
| | - Katrin Esefeld
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
| | - Pia von Korn
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
| | - André Duvinage
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
| | - Frank Edelmann
- Department of Internal Medicine and
Cardiology, Campus Virchow Klinikum, Charité Universitätsmedizin
Berlin, Berlin, Germany
- German Centre for Cardiovascular
Research (DZHK), Partner Site Berlin, Berlin, Germany
| | - Oliver Wolfram
- Department of Cardiology and
Angiology, University Hospital
Magdeburg, Magdeburg, Germany
| | - Julia Brandts
- Department of Medicine I, University Hospital
Aachen, Aachen, Germany
| | - Ephraim B Winzer
- Heart Centre Dresden, University
Hospital, Technische Universität
Dresden, Dresden, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Humboldt University and Charité
University School of Medicine, Berlin, Germany
| | - Felix Freigang
- Institute for Applied Healthcare
Research GmbH (inav), Berlin, Germany
| | | | | | | | - Volker Amelung
- Institute for Applied Healthcare
Research GmbH (inav), Berlin, Germany
| | - Stephan Mueller
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
| | - Martin Halle
- Department of Prevention and Sports
Medicine, University Hospital Klinikum Rechts
der Isar, Technical University of
Munich, Munich, Germany
- DZHK (German Centre for
Cardiovascular Research), Partner Site Munich Heart
Alliance, Munich, Germany
- Martin Halle, Department of Prevention and
Sports Medicine, Centre for Sports Cardiology/EAPC, Klinikum rechts der Isar,
Technical University of Munich, Georg-Brauchle-Ring 56/58, Munich D-80992,
Germany.
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Polk SE, Kleemeyer MM, Köhncke Y, Brandmaier AM, Bodammer NC, Misgeld C, Porst J, Wolfarth B, Kühn S, Lindenberger U, Wenger E, Düzel S. Change in Latent Gray-Matter Structural Integrity Is Associated With Change in Cardiovascular Fitness in Older Adults Who Engage in At-Home Aerobic Exercise. Front Hum Neurosci 2022; 16:852737. [PMID: 35655926 PMCID: PMC9152142 DOI: 10.3389/fnhum.2022.852737] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 03/15/2022] [Indexed: 12/21/2022] Open
Abstract
In aging humans, aerobic exercise interventions have been found to be associated with more positive or less negative changes in frontal and temporal brain areas, such as the anterior cingulate cortex (ACC) and hippocampus, relative to no-exercise control conditions. However, individual measures such as gray-matter (GM) probability may afford less reliable and valid conclusions about maintenance or losses in structural brain integrity than a latent construct based on multiple indicators. Here, we established a latent factor of GM structural integrity based on GM probability assessed by voxel-based morphometry, magnetization transfer saturation, and mean diffusivity. Based on this latent factor, we investigated changes in structural brain integrity during a six-month exercise intervention in brain regions previously reported in studies using volumetric approaches. Seventy-five healthy, previously sedentary older adults aged 63–76 years completed an at-home intervention study in either an exercise group (EG; n = 40) or in an active control group (ACG; n = 35). Measures of peak oxygen uptake (VO2peak) taken before and after the intervention revealed a time-by-group interaction, with positive average change in the EG and no reliable mean change in the ACG. Significant group differences in structural brain integrity changes were observed in the right and left ACC, right posterior cingulate cortex (PCC), and left juxtapositional lobule cortex (JLC). In all instances, average changes in the EG did not differ reliably from zero, whereas average changes in the ACG were negative, pointing to maintenance of structural brain integrity in the EG, and to losses in the ACG. Significant individual differences in change were observed for right ACC and left JLC. Following up on these differences, we found that exercising participants with greater fitness gains also showed more positive changes in structural integrity. We discuss the benefits and limitations of a latent-factor approach to changes in structural brain integrity, and conclude that aerobic fitness interventions are likely to contribute to brain maintenance in old age.
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Affiliation(s)
- Sarah E. Polk
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
- International Max Planck Research School on the Life Course (LIFE), Berlin, Germany
- *Correspondence: Sarah E. Polk,
| | - Maike M. Kleemeyer
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
| | - Ylva Köhncke
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
| | - Andreas M. Brandmaier
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
- Max Planck UCL Centre for Computational Psychiatry and Ageing Research, Berlin, Germany
- Department of Psychology, MSB Medical School Berlin, Berlin, Germany
| | - Nils C. Bodammer
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
| | - Carola Misgeld
- Department of Sports Medicine, Charité – Universitätsmedizin Berlin, Humboldt Universität zu Berlin, Berlin, Germany
| | - Johanna Porst
- Department of Sports Medicine, Charité – Universitätsmedizin Berlin, Humboldt Universität zu Berlin, Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité – Universitätsmedizin Berlin, Humboldt Universität zu Berlin, Berlin, Germany
| | - Simone Kühn
- Lise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human Development, Berlin, Germany
| | - Ulman Lindenberger
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
- Max Planck UCL Centre for Computational Psychiatry and Ageing Research, Berlin, Germany
| | - Elisabeth Wenger
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
| | - Sandra Düzel
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
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Rasmussen SM, Halvard Hansen ES, Stensrud T, Radon K, Wolfarth B, Kurowski M, Bousquet J, Bonini S, Bonini M, Delgado L, Moreira A, Drobnic F, Papadopoulos NG, Vakali S, Gratziou C, Malmberg LP, Haahtela T, Backer V. Asthma endotypes in elite athletes: A cross-sectional study of European athletes participating in the Olympic Games. Allergy 2022; 77:2250-2253. [PMID: 35426975 DOI: 10.1111/all.15313] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 03/28/2022] [Accepted: 04/10/2022] [Indexed: 11/28/2022]
Affiliation(s)
| | - Erik Søren Halvard Hansen
- Centre for Physical Activity Research (CFAS) Rigshospitalet Copenhagen Denmark
- Department of Respiratory Medicine Copenhagen University Hospital‐Hvidovre Hospital Hvidovre Denmark
| | | | - Katja Radon
- Institute for Occupational, Social and Environmental Medicine Hospital of the Ludwig‐Maximilian‐University Munich Germany
| | - Bernd Wolfarth
- Department of Sports Medicine Humboldt University and Charité University School of Medicine Berlin Germany
| | - Marcin Kurowski
- Department of Immunology and Allergy Chair of Pulmonology, Rheumatology and Clinical Immunology Medical University of Łódź Łódź Poland
| | - Jean Bousquet
- University Hospital and INSERM Hopital Arnaud de Villeneuve Montpellier France
| | - Sergio Bonini
- CNR Institute of Neurobiology and Molecular Medicine Rome Italy
| | - Matteo Bonini
- Fondazione Policlinico Universitario A. Gemelli – IRCCS Università Cattolica del Sacro Cuore Rome Italy
- National Heart and Lung Institute (NHLI) Imperial College London London UK
| | - Luis Delgado
- Basic & Clinical Immunology Department of Pathology Faculdade de Medicina Universidade do Porto Porto Portugal
- Center for Health Technology and Services Research Faculdade de Medicina Universidade do Porto Porto Portugal
| | - André Moreira
- EPIUnit ‐ Institute of Public Health University of Porto Porto Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR) Porto Portugal
- Basic and Clinical Immunology Unit Department of Pathology Faculty of Medicine University of Porto Porto Portugal
- Imunoalergologia São João University Hospital Center Porto Portugal
| | | | | | - Sofia Vakali
- Allergy Department 2nd Pediatric Clinic University of Athens Athens Greece
| | - Christina Gratziou
- Allergy Department 2nd Pediatric Clinic University of Athens Athens Greece
| | | | - Tari Haahtela
- Skin and Allergy Hospital Helsinki University Hospital Helsinki Finland
| | - Vibeke Backer
- Centre for Physical Activity Research (CFAS) Rigshospitalet Copenhagen Denmark
- Department of ENT Rigshospitalet Copenhagen University Copenhagen Denmark
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Düzel S, Drewelies J, Polk SE, Misgeld C, Porst J, Wolfarth B, Kühn S, Brandmaier AM, Wenger E. No Evidence for a Boost in Psychosocial Functioning in Older Age After a 6-Months Physical Exercise Intervention. Front Hum Neurosci 2022; 16:825454. [PMID: 35360285 PMCID: PMC8963719 DOI: 10.3389/fnhum.2022.825454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 02/18/2022] [Indexed: 11/16/2022] Open
Abstract
The beneficial effects of physical exercise on physical health and cognitive functioning have been repeatedly shown. However, evidence of its effect on psychosocial functioning in healthy adults is still scarce or inconclusive. One limitation of many studies examining this link is their reliance on correlational approaches or specific subpopulations, such as clinical populations. The present study investigated the effects of a physical exercise intervention on key factors of psychosocial functioning, specifically well-being, stress, loneliness, and future time perspective. We used data from healthy, previously sedentary older adults (N = 132) who participated in a 6-month at-home intervention, either engaging in aerobic exercise or as part of a control group who participated in foreign language-learning or reading of selected native-language literature. Before and after the intervention, comprehensive cardiovascular pulmonary testing and a psychosocial questionnaire were administered. The exercise group showed significantly increased fitness compared to the control group. Contrary to expectations, however, we did not find evidence for a beneficial effect of this fitness improvement on any of the four domains of psychosocial functioning we assessed. This may be due to pronounced stability of such psychological traits in older age, especially in older adults who show high levels of well-being initially. Alternatively, it may be that the well-documented beneficial effects of physical exercise on brain structure and function, as well as cognition differ markedly from beneficial effects on psychosocial functioning. While aerobic exercise may be the driving factor for the former, positive effects on the latter may only be invoked by other aspects of exercise, for example, experiences of mastery or a feeling of community.
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Affiliation(s)
- Sandra Düzel
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
| | - Johanna Drewelies
- Department of Psychology, Humboldt University Berlin, Berlin, Germany
| | - Sarah E. Polk
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
- International Max Planck Research School on the Life Course (LIFE), Berlin, Germany
| | - Carola Misgeld
- Department of Sports Medicine, Charité–Universitätsmedizin Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Johanna Porst
- Department of Sports Medicine, Charité–Universitätsmedizin Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité–Universitätsmedizin Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Simone Kühn
- Lise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human Development, Berlin, Germany
- Neuronal Plasticity Working Group, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Andreas M. Brandmaier
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
- Max Planck UCL Centre for Computational Psychiatry and Ageing Research, Berlin, Germany
- Department of Psychology, MSB Medical School Berlin, Berlin, Germany
| | - Elisabeth Wenger
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
- *Correspondence: Elisabeth Wenger,
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40
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Merle CL, Richter L, Challakh N, Haak R, Schmalz G, Needleman I, Wolfarth B, Ziebolz D, Wüstenfeld J. Orofacial conditions and oral health behavior of young athletes - a comparison of amateur and competitive sports. Scand J Med Sci Sports 2022; 32:903-912. [PMID: 35174553 DOI: 10.1111/sms.14143] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 01/20/2022] [Accepted: 02/14/2022] [Indexed: 11/26/2022]
Abstract
PURPOSE This retrospective cross-sectional study aimed to evaluate oral health status (dental, periodontal and functional) and oral health behavior in young German athletes including the comparison of competitive (CA) and amateur sports (AA). METHODS Data of CA (German national teams, perspective and youth squads) and AA aged between 18 and 30 years with an available oral examination in 2019 were included. Clinical examination: caries experience (DMF-T), non-carious wear (erosion, BEWE), partially erupted wisdom teeth, gingival inflammation (PBI), plaque index, periodontal screening (PSI), and temporomandibular dysfunction (TMD) screening. Questionnaires: oral health behavior, periodontal symptoms. RESULTS 88 CA (w = 51 %, 20.6 ± 3.5 years) of endurance sports and 57 AA (w = 51%, 22.2 ± 2.1 years) were included. DMF-T was comparable (CA: 2.7 ± 2.2, AA: 2.3 ± 2.2; p = 0.275) with more D-T in CA (0.6 ± 1.0) than AA (0.3 ± 0.7; p = 0.046; caries prevalence: CA: 34 %, AA: 19 %; p = 0.06). Both groups had low severity of erosion (BEWE about 3.5). CA had more positive TMD screenings (43 % vs. 25 %; p = 0.014). In both groups, all athletes showed signs of gingival inflammation, but on average of low severity (PBI < 1). More CA needed complex periodontal treatment than AA (maximum PSI = 3 in 40% vs. 12%; p < 0.001). Oral health behavior was comparable (daily tooth brushing, regular dental check-ups in > 70%). CONCLUSIONS Young German athletes (CA and AA) generally showed signs of gingival inflammation and needed to improve their oral health behavior. CA showed slightly increased oral findings (more D-T, periodontal and TMD screening findings) than AA, but similar oral health behavior. This may imply an increased dental care need in competitive sports.
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Affiliation(s)
- Cordula Leonie Merle
- Dept. of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Lisa Richter
- Dept. of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Nadia Challakh
- Dept. of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Rainer Haak
- Dept. of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Gerhard Schmalz
- Dept. of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Ian Needleman
- Centre for Oral Health and Performance, UCL Eastman Dental Institute, London, UK, UK IOC Research Centre
| | - Bernd Wolfarth
- Department of Sports Medicine, Humboldt-University, Charité University Medicine, Berlin, Germany.,Institute of Sports Science, Humboldt University, 10099, Berlin, Germany.,Department of Sports Medicine, Institute for Applied Scientific Training, Leipzig, Germany
| | - Dirk Ziebolz
- Dept. of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Jan Wüstenfeld
- Department of Sports Medicine, Humboldt-University, Charité University Medicine, Berlin, Germany.,Department of Sports Medicine, Institute for Applied Scientific Training, Leipzig, Germany
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41
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Niess AM, Widmann M, Gaidai R, Gölz C, Schubert I, Castillo K, Sachs JP, Bizjak D, Vollrath S, Wimbauer F, Vogel A, Keller K, Burgstahler C, Quermann A, Kerling A, Schneider G, Zacher J, Diebold K, Grummt M, Beckendorf C, Buitenhuis J, Egger F, Venhorst A, Morath O, Barsch F, Mellwig KP, Oesterschlink J, Wüstenfeld J, Predel HG, Deibert P, Friedmann-Bette B, Mayer F, Hirschmüller A, Halle M, Steinacker JM, Wolfarth B, Meyer T, Böttinger E, Flechtner-Mors M, Bloch W, Haller B, Roecker K, Reinsberger C. COVID-19 in German Competitive Sports: Protocol for a Prospective Multicenter Cohort Study (CoSmo-S). Int J Public Health 2022; 67:1604414. [PMID: 35197815 PMCID: PMC8859834 DOI: 10.3389/ijph.2022.1604414] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 01/07/2022] [Indexed: 01/03/2023] Open
Abstract
Objective: It is unclear whether and to what extent COVID-19 infection poses health risks and a chronic impairment of performance in athletes. Identification of individual health risk is an important decision-making basis for managing the pandemic risk of infection with SARS-CoV-2 in sports and return to play (RTP).Methods: This study aims 1) to analyze the longitudinal rate of seroprevalence of SARS-CoV-2 in German athletes, 2) to assess health-related consequences in athletes infected with SARS-CoV-2, and 3) to reveal effects of the COVID-19 pandemic in general and of a cleared SARS-CoV-2 infection on exercise performance. CoSmo-S is a prospective observational multicenter study establishing two cohorts: 1) athletes diagnosed positive for COVID-19 (cohort 1) and 2) federal squad athletes who perform their annual sports medical preparticipation screening (cohort 2). Comprehensive diagnostics including physical examination, laboratory blood analyses and blood biobanking, resting and exercise electrocardiogram (ECG), echocardiography, spirometry and exercise testing added by questionnaires are conducted at baseline and follow-up.Results and Conclusion: We expect that the results obtained, will allow us to formulate recommendations regarding RTP on a more evidence-based level.
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Affiliation(s)
| | - Manuel Widmann
- Department of Sports Medicine, University Hospital of Tübingen, Tübingen, Germany
- *Correspondence: Manuel Widmann,
| | - Roman Gaidai
- Department of Sports and Health, Institute of Sports Medicine, Paderborn University, Paderborn, Germany
| | - Christian Gölz
- Department of Sports and Health, Institute of Sports Medicine, Paderborn University, Paderborn, Germany
| | - Isabel Schubert
- Department of Sports Medicine, University Hospital of Tübingen, Tübingen, Germany
| | - Katty Castillo
- Institute of Medical Informatics, Statistics and Epidemiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Jan Philipp Sachs
- Hasso Plattner Institute, Digital Health Center, University of Potsdam, Potsdam, Germany
| | - Daniel Bizjak
- Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, University Hospital of Ulm, Ulm, Germany
| | - Shirin Vollrath
- Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, University Hospital of Ulm, Ulm, Germany
| | - Fritz Wimbauer
- Department of Prevention and Sports Medicine, Center for Sports Cardiology/EAPC, School of Medicine, University Hospital “Klinikum Rechts der Isar”, Technical University of Munich, Munich, Germany
| | - Azin Vogel
- Department of Prevention and Sports Medicine, Center for Sports Cardiology/EAPC, School of Medicine, University Hospital “Klinikum Rechts der Isar”, Technical University of Munich, Munich, Germany
| | - Karsten Keller
- Department of Cardiology, Cardiology I, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany
- Medical Clinic VII, Department of Sports Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Christof Burgstahler
- Department of Sports Medicine, University Hospital of Tübingen, Tübingen, Germany
| | - Anne Quermann
- Medical Clinic VII, Department of Sports Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Arno Kerling
- Institute of Sports Medicine, Hannover Medical School, Hannover, Germany
| | - Gerald Schneider
- Institute of Sports Medicine, Hannover Medical School, Hannover, Germany
| | - Jonas Zacher
- Department I—Preventative and Rehabilitative Sports and Performance Medicine, Institute of Cardiology and Sports Medicine, German Sports University Cologne, Cologne, Germany
| | - Katharina Diebold
- Department I—Preventative and Rehabilitative Sports and Performance Medicine, Institute of Cardiology and Sports Medicine, German Sports University Cologne, Cologne, Germany
| | - Maximilian Grummt
- Department of Sports Medicine, Charité—Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Claudia Beckendorf
- Center of Sports Medicine, University Outpatient Clinic, Potsdam, Germany
| | | | - Florian Egger
- Institute for Sport and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Andreas Venhorst
- Institute for Sport and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Oliver Morath
- Institute for Exercise and Occupational Medicine, Department of Medicine, Faculty of Medicince, Medical Center University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany
| | - Friedrich Barsch
- Institute for Exercise and Occupational Medicine, Department of Medicine, Faculty of Medicince, Medical Center University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany
| | - Klaus-Peter Mellwig
- Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany
| | - Julian Oesterschlink
- Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany
| | - Jan Wüstenfeld
- Department of Sports Medicine, Charité—Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Institute for Applied Training Science, Leipzig University, Leipzig, Germany
| | - Hans-Georg Predel
- Department I—Preventative and Rehabilitative Sports and Performance Medicine, Institute of Cardiology and Sports Medicine, German Sports University Cologne, Cologne, Germany
| | - Peter Deibert
- Institute for Exercise and Occupational Medicine, Department of Medicine, Faculty of Medicince, Medical Center University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany
| | - Birgit Friedmann-Bette
- Medical Clinic VII, Department of Sports Medicine, University Hospital Heidelberg, Heidelberg, Germany
| | - Frank Mayer
- Center of Sports Medicine, University Outpatient Clinic, Potsdam, Germany
| | - Anja Hirschmüller
- Department of Orthopedics and Traumatology, University Medical Center Freiburg, Freiburg, Germany
| | - Martin Halle
- Department of Prevention and Sports Medicine, Center for Sports Cardiology/EAPC, School of Medicine, University Hospital “Klinikum Rechts der Isar”, Technical University of Munich, Munich, Germany
| | - Jürgen Michael Steinacker
- Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, University Hospital of Ulm, Ulm, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité—Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Institute for Applied Training Science, Leipzig University, Leipzig, Germany
| | - Tim Meyer
- Institute for Sport and Preventive Medicine, Saarland University, Saarbrücken, Germany
| | - Erwin Böttinger
- Hasso Plattner Institute, Digital Health Center, University of Potsdam, Potsdam, Germany
| | - Marion Flechtner-Mors
- Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, University Hospital of Ulm, Ulm, Germany
| | - Wilhelm Bloch
- Department of Molecular and Cellular Sports Medicine, German Sport University, Cologne, Germany
| | - Bernhard Haller
- Institute of Medical Informatics, Statistics and Epidemiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Kai Roecker
- Institute for Applied Health Promotion and Exercise Medicine (IfAG), Furtwangen University, Furtwangen, Germany
| | - Claus Reinsberger
- Department of Sports and Health, Institute of Sports Medicine, Paderborn University, Paderborn, Germany
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Dirks S, Kramer P, Schleiger A, Speck HM, Wolfarth B, Thouet T, Berger F, Sallmon H, Ovroutski S. Home-Based Long-Term Physical Endurance and Inspiratory Muscle Training for Children and Adults With Fontan Circulation—Initial Results From a Prospective Study. Front Cardiovasc Med 2022; 8:784648. [PMID: 35198605 PMCID: PMC8858796 DOI: 10.3389/fcvm.2021.784648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 12/28/2021] [Indexed: 11/13/2022] Open
Abstract
BackgroundPatients with congenital heart disease (CHD)—including those after Fontan operation—are encouraged to be physically active.AimTo prospectively determine the effects of an individually adapted, home-based cycle ergometer endurance training in combination with inspiratory muscle training (IMT) in pediatric and adult Fontan patients. We, herein, report the results of the initial 10-months follow-up (phase 1).Methods18 patients (median age 16.5 years; range 10-43 years) completed baseline check-ups, and 4 and 10 months follow-up visits, which each included cardiopulmonary exercise testing (CPET), bodyplethysmography (including measurement of respiratory muscle strength), and a quality of life questionnaire (PedsQL™). The training program consisted of a home-based cycle ergometer endurance training on a “Magbike® AM-5i/3i” (DKN Technology®, Clermont-Ferrand, France) and IMT with a handheld “POWERbreathe® Medic plus” device. Patients performed 90 min of endurance training per week in addition to IMT (30 breaths per day, 6-7 times per week). After the first 4 months, patients underwent additional interval training.ResultsAfter 10 months of training, we observed significant increases in maximum relative workload (W/kg, p = 0.003) and in maximum inspiratory (MIP, p = 0.002) and expiratory (MEP, p = 0.008) pressures. Peak VO2 values did not increase significantly as compared to baseline (p = 0.12) in the entire cohort (n = 18), but reached statistical significance in a subgroup analysis of teenage/adult patients (n = 14; p = 0.03). Patients' subjective quality of life did not show any significant changes after 10 months of training.DiscussionIn Fontan patients, an individually adapted home-based training is safe and associated with improvements in some CPET variables. However, these improvements did not translate into an improved QoL after 10 months. With an unclear, but most likely negative, impact of the COVID-19 pandemic, improvements in QoL may become evident during further follow-up (phase 2 of the study).
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Affiliation(s)
- Stefan Dirks
- Department of Congenital Heart Disease—Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Peter Kramer
- Department of Congenital Heart Disease—Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Anastasia Schleiger
- Department of Congenital Heart Disease—Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Hans-Martin Speck
- Department of Congenital Heart Disease—Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité—Universitätsmedizin Berlin, Berlin, Germany
| | - Thomas Thouet
- Department of Sports Medicine, Charité—Universitätsmedizin Berlin, Berlin, Germany
| | - Felix Berger
- Department of Congenital Heart Disease—Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
- Department of Pediatric Cardiology, Charité—Universitätsmedizin Berlin, Berlin, Germany
- German Centre for Cardiovascular Research (DZHK), Berlin, Germany
| | - Hannes Sallmon
- Department of Congenital Heart Disease—Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
- Department of Pediatric Cardiology, Charité—Universitätsmedizin Berlin, Berlin, Germany
| | - Stanislav Ovroutski
- Department of Congenital Heart Disease—Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
- *Correspondence: Stanislav Ovroutski
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Lambert C, Reinert N, Stahl L, Pfeiffer T, Wolfarth B, Lachmann D, Shafizadeh S, Ritzmann R. Epidemiology of injuries in track and field athletes: a cross-sectional study of specific injuries based on time loss and reduction in sporting level. PHYSICIAN SPORTSMED 2022; 50:20-29. [PMID: 33290132 DOI: 10.1080/00913847.2020.1858701] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES To prevent the occurrence of injury in a sport, exact knowledge of injury patterns is needed. To synthesize sport-specific injuries in track and field comparing elite and recreational level athletes, as well as gender. Furthermore, analyze the time loss due to injury and reduction in athletic performance. METHODS Injury type-specific frequencies were recorded according to discipline, gender and performance level. Injury severity was assessed by time loss duration and performance reduction. RESULTS 64% of athletes suffered at least one injury. In the top 10 ranking, 83% (n = 524) were located in the lower extremities. A muscle strain of the thigh had the highest prevalence in sprint (34%, n = 41), jump (15%, n = 15) and middle-distance running (16%, n = 6). More injuries occurred during training (75%, n = 165) as compared to competition (25%, n = 56). The longest time loss was documented in throwing with a downtime of 36 weeks after a ligament injury of the elbow and 39 weeks after a muscle injury of the elbow. The injury with the highest number of athletes with a reduced level of performance was the foot ligament injury in sprint athletes at 100%. CONCLUSION Assessing time loss and performance reduction in athletics, there are discipline-specific injury patterns. This study points out the high prevalence of training injuries, highlighting the need for future investigations to adapt training management, improve medical care and rehabilitation with respect to every discipline.
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Affiliation(s)
- Christophe Lambert
- Department of Experimental Sports Traumatology, University of Witten/Herdecke, Cologne Merheim Medical Centre, Cologne, Germany.,Department of Biomechanics and Performance Diagnostics, Praxisklinik Rennbahn AG, Muttenz, Switzerland.,Department of Trauma and Orthopaedic Surgery, University of Witten/Herdecke, Cologne Merheim Medical Centre, Cologne, Germany
| | - Noémie Reinert
- Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland
| | - Linda Stahl
- Department of Trauma Surgery and Sports Traumatology, Sana Dreifaltigkeits-Krankenhaus Cologne, Cologne, Germany
| | - Thomas Pfeiffer
- Department of Experimental Sports Traumatology, University of Witten/Herdecke, Cologne Merheim Medical Centre, Cologne, Germany
| | - Bernd Wolfarth
- Department of Sports Sciences, Division of Sports Medicine, Humboldt University of Berlin, Berlin, Germany
| | - Daniel Lachmann
- Vice-Rectorate for Teaching and Studies Central Evaluation of Studies and Teaching, University of Cologne, Cologne, Germany
| | - Sven Shafizadeh
- Department of Trauma Surgery and Sports Traumatology, Sana Dreifaltigkeits-Krankenhaus Cologne, Cologne, Germany
| | - Ramona Ritzmann
- Department of Biomechanics and Performance Diagnostics, Praxisklinik Rennbahn AG, Muttenz, Switzerland
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Pigozzi F, Bigard X, Steinacker J, Wolfarth B, Badtieva V, Schneider C, Swart J, Bilzon JLJ, Constantinou D, Dohi M, Di Luigi L, Fossati C, Bachl N, Li G, Papadopoulou T, Casasco M, Janse van Rensburg DC(C, Kaux JF, Rozenstoka S, Casajus JA, Zelenkova I, Ak E, Ulkar B, Arroyo F, Ionescu A, Pedrinelli A, Miller M, Singleton P, Shroff M, Webborn N, Barrett J, Hamilton B, Geistlinger M, Beltrami G, Migliorini S, Dienstbach-Wech L, Bermon S, Pitsiladis YP. Joint position statement of the International Federation of Sports Medicine (FIMS) and European Federation of Sports Medicine Associations (EFSMA) on the IOC framework on fairness, inclusion and non-discrimination based on gender identity and sex variations. BMJ Open Sport Exerc Med 2022; 8:e001273. [PMID: 35127133 PMCID: PMC8739444 DOI: 10.1136/bmjsem-2021-001273] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The IOC recently published its framework on fairness, inclusion and non-discrimination based on gender identity and sex variations. This framework is drafted mainly from a human rights perspective, with less consideration for medical/scientific issues. The framework places the onus for gender eligibility and classification entirely on the International Federations (IFs), even though most will not have the capacity to implement the framework. The position of no presumption of advantage is contrary to the 2015 IOC consensus. Implementation of the 2021 framework will be a major challenge for IFs that have already recognised the inclusion of trans and women athletes with differences of sexual development (DSD) using a scientific/medical solution. The potential consequences for sports that need to prioritise fairness or safety could be one of two extremes (1) exclusion of all transgender or DSD athletes on the grounds of advantage or (2) self-identification that essentially equates to no eligibility rules. Exclusion of all transgender or DSD athletes is contrary to the Olympic charter and unlawful in many countries. While having no gender eligibility rules, sport loses its meaning and near-universal support. Athletes should not be under pressure to undergo medical procedures or treatment to meet eligibility criteria. However, if an athlete is fully informed and consents, then it is their free choice to undergo carefully considered or necessary interventions for gender classification for sport to compete fairly and safely in their chosen gender. Free choice is a fundamental human right, but so is the right to fair and safe competition.
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Affiliation(s)
- Fabio Pigozzi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
- Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Xavier Bigard
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Union Cycliste Internationale (UCI), Aigle, Switzerland
| | - Juergen Steinacker
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, Ulm University Hospital, Ulm, Germany
| | - Bernd Wolfarth
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - Victoriya Badtieva
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation
| | - Christian Schneider
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Orthopaedic Center Theresie, Munich, Germany
| | - Jeroen Swart
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Health through Physical Activity, Lifestyle and Sport Research Centre (HPALS), Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - James Lee John Bilzon
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department for Health, University of Bath, Bath, UK
| | - Demitri Constantinou
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Centre for Exercise Science and Sports Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - Michiko Dohi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Sports Medical Center, Japan Institute of Sport Sciences, Tokyo, Japan
| | - Luigi Di Luigi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Unit of Endocrinology, Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
| | - Chiara Fossati
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
- Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Norbert Bachl
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Institute of Sports Science, University of Vienna, Vienna, Austria
- Austrian Institute of Sports Medicine, Vienna, Austria
| | - Guoping Li
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- National Institute of Sports Medicine, Beijing, China
| | - Theodora Papadopoulou
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK
| | - Maurizio Casasco
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- FIMS Collaborating Center of Sports Medicine, Institute of Sports Medicine in Milan (Istituto di Medicina dello Sport di Milano), Milano, Italy
| | - Dina Christina (Christa) Janse van Rensburg
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- Medical Board Member, World Netball, Manchester, UK
| | - Jean-François Kaux
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- SportS2, Liège University and University Hospital of Liège, Liège, Belgium
| | - Sandra Rozenstoka
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- FIMS Collaboration Centre of Sports Medicine, Sports laboratory, Riga, Latvia
| | - Jose-Antonio Casajus
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- GENUD research group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Irina Zelenkova
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- GENUD research group, FIMS Collaborating Center of Sports Medicine, Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Emre Ak
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- FIMS Collaborating Center of Sports Medicine, Gloria Sports Arena Belek, Antalya, Turkey
| | - Bulent Ulkar
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Sports Medicine Department, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Francisco Arroyo
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- FIMS Collaborating Center of Sports Medicine, Guadalajara, Mexico
| | - Anca Ionescu
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Sports Medicine, Carol Davila University of Medicine and Pharmacy, Bucuresti, Romania
| | - André Pedrinelli
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Orthopaedics, University of São Paulo Medical School, São Paulo, Brazil
| | - Mike Miller
- World Olympians Association (WOA), Lausanne, Switzerland
| | | | - Malav Shroff
- World Olympians Association (WOA), Lausanne, Switzerland
| | - Nick Webborn
- School of Sport and Health Sciences, University of Brighton, Eastbourne, UK
- Medical Committee, International Paralympic Committee (IPC), Bonn, Germany
| | - James Barrett
- The Gender Identity Clinic Tavistock and Portman NHS Foundation Trust, London, UK
| | - Blair Hamilton
- School of Sport and Health Sciences, University of Brighton, Eastbourne, UK
- Centre for Stress and Age-related Disease, University of Brighton, Brighton, UK
| | - Michael Geistlinger
- Department of Public, International and European Law, Unit International Law, University of Salzburg, Salzburg, Austria
| | - Gianfranco Beltrami
- Medical Commission, World Baseball Softball Confederation, Pully, Switzerland
- Faculty of Sport Sciences, University of Parma, Parma, Italy
| | | | - Lenka Dienstbach-Wech
- Department of Orthopaedics, Spine and Trauma Surgery, Hospital zum Heiligen Geist Frankfurt, Frankfurt, Germany
| | - Stéphane Bermon
- World Athletics, Health and Science Department, Monaco
- LAMHESS, Université Côte d’Azur, Nice, France
| | - Yannis P Pitsiladis
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- School of Sport and Health Sciences, University of Brighton, Eastbourne, UK
- Centre for Stress and Age-related Disease, University of Brighton, Brighton, UK
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Wuestenfeld JC, Baersch F, Ruedrich P, Paech C, Wolfarth B. Blood pressure response to dynamic exercise testing in adolescent elite athletes, what is normal? Front Pediatr 2022; 10:974926. [PMID: 36340728 PMCID: PMC9635448 DOI: 10.3389/fped.2022.974926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 09/20/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND In general, only few studies are dedicated to blood pressure behavior under physical stress in children and adolescents. Even less is published about the blood pressure behavior of young high-performance athletes on the ergometer. For this reason, we evaluated the blood pressure behavior under stress compared to non-athletes in a large collective (n = 739) of young high-performance athletes (age 10-20 years, mean 15.8 years, male 442, female 297) of different sports. A complete echocardiographic examination was available in all athletes. RESULT Regardless of gender, the young competitive athletes achieved significantly higher maximum blood pressure values than investastigated populations from previous studies. Based on the data obtained, blood pressure percentiles are now defined explicitly for junior athletes across sports as well as age- and gender-dependent, which did not exist in this form of normal values for the special clientele of young competitive athletes. The echocardiographic examinations demonstrated stress-induced cardiac adaptation adaptations in the majority of athletes, which thus correlate with the comparatively higher stress blood pressures compared to non-athletes. CONCLUSION For the first time, blood pressure percentiles for exercise tests on the ergometer for age groups and gender in high performance athletes are defined based on a comparatively large collective of young competitive athletes. Upper limits were determined, in particular for systolic blood pressure under stress, and categorized according to gender and age. Performance diagnosticians and physicians are now enabled to make a more accurate assessment of the corresponding blood pressure regulation of young athletes under exercise conditions.
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Affiliation(s)
- J C Wuestenfeld
- Department Sports Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt, Universität zu Berlin, Berlin, Germany.,Institute for Applied Training Science (IAT), Department of Sports Medicine, Leipzig, Germany
| | - F Baersch
- Faculty of Sports Science, Institut of Sports Medicine, University Leipzig, Leipzig, Germany
| | - P Ruedrich
- Institute for Applied Training Science (IAT), Department of Sports Medicine, Leipzig, Germany
| | - C Paech
- Department for Pediatric Cardiology, University of Leipzig -Heart Center Leipzig, Leipzig, Germany
| | - B Wolfarth
- Department Sports Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt, Universität zu Berlin, Berlin, Germany.,Institute for Applied Training Science (IAT), Department of Sports Medicine, Leipzig, Germany
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Ash GI, Stults-Kolehmainen M, Busa MA, Gaffey AE, Angeloudis K, Muniz-Pardos B, Gregory R, Huggins RA, Redeker NS, Weinzimer SA, Grieco LA, Lyden K, Megally E, Vogiatzis I, Scher L, Zhu X, Baker JS, Brandt C, Businelle MS, Fucito LM, Griggs S, Jarrin R, Mortazavi BJ, Prioleau T, Roberts W, Spanakis EK, Nally LM, Debruyne A, Bachl N, Pigozzi F, Halabchi F, Ramagole DA, Janse van Rensburg DC, Wolfarth B, Fossati C, Rozenstoka S, Tanisawa K, Börjesson M, Casajus JA, Gonzalez-Aguero A, Zelenkova I, Swart J, Gursoy G, Meyerson W, Liu J, Greenbaum D, Pitsiladis YP, Gerstein MB. Establishing a Global Standard for Wearable Devices in Sport and Exercise Medicine: Perspectives from Academic and Industry Stakeholders. Sports Med 2021; 51:2237-2250. [PMID: 34468950 PMCID: PMC8666971 DOI: 10.1007/s40279-021-01543-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2021] [Indexed: 10/20/2022]
Abstract
Millions of consumer sport and fitness wearables (CSFWs) are used worldwide, and millions of datapoints are generated by each device. Moreover, these numbers are rapidly growing, and they contain a heterogeneity of devices, data types, and contexts for data collection. Companies and consumers would benefit from guiding standards on device quality and data formats. To address this growing need, we convened a virtual panel of industry and academic stakeholders, and this manuscript summarizes the outcomes of the discussion. Our objectives were to identify (1) key facilitators of and barriers to participation by CSFW manufacturers in guiding standards and (2) stakeholder priorities. The venues were the Yale Center for Biomedical Data Science Digital Health Monthly Seminar Series (62 participants) and the New England Chapter of the American College of Sports Medicine Annual Meeting (59 participants). In the discussion, stakeholders outlined both facilitators of (e.g., commercial return on investment in device quality, lucrative research partnerships, and transparent and multilevel evaluation of device quality) and barriers (e.g., competitive advantage conflict, lack of flexibility in previously developed devices) to participation in guiding standards. There was general agreement to adopt Keadle et al.'s standard pathway for testing devices (i.e., benchtop, laboratory, field-based, implementation) without consensus on the prioritization of these steps. Overall, there was enthusiasm not to add prescriptive or regulatory steps, but instead create a networking hub that connects companies to consumers and researchers for flexible guidance navigating the heterogeneity, multi-tiered development, dynamicity, and nebulousness of the CSFW field.
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Affiliation(s)
- Garrett I Ash
- Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA
- Center for Medical Informatics, Yale University, New Haven, CT, USA
| | - Matthew Stults-Kolehmainen
- Digestive Health Multispecialty Clinic, Yale-New Haven Hospital, New Haven, CT, USA
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, USA
| | - Michael A Busa
- Center for Human Health and Performance, Institute for Applied Life Sciences, University of Massachusetts Amherst, Amherst, MA, USA
- Department of Kinesiology, University of Massachusetts, Amherst, MA, USA
| | - Allison E Gaffey
- Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA
- Department of Internal Medicine (Cardiovascular Medicine), Yale School of Medicine, New Haven, CT, USA
| | | | - Borja Muniz-Pardos
- GENUD Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain
| | - Robert Gregory
- Department of Health and Movement Sciences, Southern Connecticut State University, New Haven, CT, USA
| | - Robert A Huggins
- Department of Kinesiology, Korey Stringer Institute, University of Connecticut, Storrs, CT, USA
| | | | | | | | | | | | - Ioannis Vogiatzis
- Department of Sport, Exercise and Rehabilitation, School Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
- European Respiratory Society (ERS), Digital Health Working Group, Lausanne, Switzerland
| | - LaurieAnn Scher
- Consumer Technology Association Working Groups for Health Technology Standards, Washington, DC, USA
- Fitscript LLC, New Haven, CT, USA
| | - Xinxin Zhu
- Center for Biomedical Data Science, Yale School of Medicine, New Haven, CT, USA
| | - Julien S Baker
- Faculty of Sports Science, Ningbo University, Ningbo, China
- School of Health and Life Sciences, Institute for Clinical Exercise and Health Science, University of the West of Scotland, South Lanarkshire, Scotland, UK
- Department of Sport, Physical Education and Health, Centre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, Hong Kong
| | - Cynthia Brandt
- Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA
- Center for Medical Informatics, Yale University, New Haven, CT, USA
- Emergency Medicine, Yale School of Medicine, New Haven, CT, USA
| | - Michael S Businelle
- Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- Tobacco Settlement Endowment Trust Health Promotion Research Center, Stephenson Cancer Center, Oklahoma City, OK, USA
| | - Lisa M Fucito
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA
- Yale Cancer Center, New Haven, CT, USA
- Smilow Cancer Hospital, Yale-New Haven Hospital, New Haven, CT, USA
| | - Stephanie Griggs
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
| | - Robert Jarrin
- Department of Emergency Medicine, George Washington University, Washington, DC, USA
- Department of Biochemistry and Molecular and Cellular Biology, Georgetown University Medical Center, Washington, DC, USA
| | - Bobak J Mortazavi
- Department of Computer Science and Engineering, Texas A&M University, College Station, TX, USA
| | | | - Walter Roberts
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA
| | - Elias K Spanakis
- University of Maryland School of Medicine, Baltimore, MD, USA
- Division of Endocrinology, Baltimore Veterans Affairs Medical Center, Maryland, USA
| | - Laura M Nally
- Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA
| | - Andre Debruyne
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
| | - Norbert Bachl
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Institute of Sports Science, University of Vienna, Vienna, Austria
- Austrian Institute of Sports Medicine, Vienna, Austria
| | - Fabio Pigozzi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
- Villa Stuart Sport Clinic, FIFA Medical Center of Excellence, Rome, Italy
| | - Farzin Halabchi
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
- Department of Sports and Exercise Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Dimakatso A Ramagole
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Dina C Janse van Rensburg
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Bernd Wolfarth
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - Chiara Fossati
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Sandra Rozenstoka
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- FIMS Collaboration Centre of Sports Medicine, Sports Laboratory, Riga, Latvia
| | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
| | - Mats Börjesson
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Department of Molecular and Clinical Medicine, Center for Health and Performance, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden
- Department of MGA, Region of Western Sweden, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - José Antonio Casajus
- GENUD Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Alex Gonzalez-Aguero
- GENUD Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
| | - Irina Zelenkova
- GENUD Research Group, Faculty of Health and Sport Sciences, University of Zaragoza, Zaragoza, Spain
- I.M. Sechenov First Moscow State Medical University (Sechenov University, Ministry of Health of Russia, Moscow, Russia
| | - Jeroen Swart
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland
- Division of Physiological Sciences and HPALS Research Centre, FIMS Collaboration Centre of Sports Medicine, University of Cape Town, Cape Town, South Africa
| | - Gamze Gursoy
- Program in Computational Biology and Bioinformatics, Yale University, New Haven, CT, USA
| | - William Meyerson
- Duke Psychiatry and Behavioral Sciences, Duke Medicine, Durham, NC, USA
- Department of Molecular Biophysics and Biochemistry, Yale University, New Haven, CT, USA
| | - Jason Liu
- Program in Computational Biology and Bioinformatics, Yale University, New Haven, CT, USA
| | - Dov Greenbaum
- Program in Computational Biology and Bioinformatics, Yale University, New Haven, CT, USA
- Zvi Meitar Institute for Legal Implications of Emerging Technologies, Interdisciplinary Center Herzliya, Herzliya, Israel
- Harry Radyzner Law School, Interdisciplinary Center Herzliya, Herzliya, Israel
| | - Yannis P Pitsiladis
- Centre for Stress and Age-related Disease, University of Brighton, Brighton, UK.
- International Federation of Sports Medicine (FIMS), Lausanne, Switzerland.
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.
| | - Mark B Gerstein
- Program in Computational Biology and Bioinformatics, Yale University, New Haven, CT, USA
- Department of Molecular Biophysics and Biochemistry, Yale University, New Haven, CT, USA
- Department of Computer Science, Yale University, New Haven, CT, USA
- Department of Statistics and Data Science, Yale University, New Haven, CT, USA
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47
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Lambert C, Ritzmann R, Akoto R, Lambert M, Pfeiffer T, Wolfarth B, Lachmann D, Shafizadeh S. Epidemiology of Injuries in Olympic Sports. Int J Sports Med 2021; 43:473-481. [PMID: 34666411 DOI: 10.1055/a-1641-0068] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Injuries effect the performance of athletes. Severity of injuries is determined by time loss and sporting performance reduction. To treat injuries adequately, it is necessary to get an overview of varied injuries types in different sports disciplines. In a retrospective study 7.809 athletes from Germany, Switzerland and Austria competing in competitive or recreational levels of sports were included. Injury prevalence was highest in team sports (75%), followed by combat (64%), racquet (54%) and track and field (51%). Knee (28%) and shoulder (14%) were the most at risk joints. Time loss in sporting activity after injury was longest in the region of knee (26 weeks). Of all reported injuries, 48% were accompanied by a reduced level of performance. The highest injury prevalence occurred in the year 2016 (45%). More injuries occurred during training (58%) compared to competition (42%). Across Olympic disciplines, a large number of injuries occurred during training sessions. Injury frequency increased as the Olympic games drew closer. Knee and shoulder injuries were the most severe injuries with respect to time loss and reduction sporting performance.
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Affiliation(s)
- Christophe Lambert
- University of Witten / Herdecke, Cologne Merheim Medical Center, Cologne, Germany
| | - Ramona Ritzmann
- University of Freiburg, Department of Sport and Sport Science, Freiburg, Germany
| | - Ralph Akoto
- Department of Trauma Surgery, Orthopaedics and Sports Traumatology, BG Hospital Hamburg, Hamburg, Germany
| | - Maxime Lambert
- University of Witten / Herdecke, Cologne Merheim Medical Center, Cologne, Germany
| | - Thomas Pfeiffer
- University of Witten / Herdecke, Cologne Merheim Medical Center, Cologne, Germany
| | - Bernd Wolfarth
- Department of Sport Medicine Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - Daniel Lachmann
- University of Cologne, Vice-rectorate for Teaching and Social Science Services Studies Central Evaluation of Studies and Teaching, Koln, Germany
| | - Sven Shafizadeh
- Sana Dreifaltigkeits-Krankenhaus Koln-Braunsfeld GmbH, Department of Trauma Surgery and Sports Traumatology, Koln, Germany
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48
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Rigamonti L, Secchi M, Lawrence JB, Labianca L, Wolfarth B, Peters H, Bonaventura K, Back DA. An Augmented Reality Device for Remote Supervision of Ultrasound Examinations in International Exercise Science Projects: Usability Study. J Med Internet Res 2021; 23:e28767. [PMID: 34609312 PMCID: PMC8527377 DOI: 10.2196/28767] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 06/27/2021] [Accepted: 07/27/2021] [Indexed: 01/07/2023] Open
Abstract
Background Support for long-distance research and clinical collaborations is in high demand and has increased owing to COVID-19–related restrictions on travel and social contact. New digital approaches are required for remote scientific exchange. Objective This study aims to analyze the options of using an augmented reality device for remote supervision of exercise science examinations. Methods A mobile ultrasound examination of the diameter and intima-media thickness of the femoral and carotid arteries was remotely supervised using a head-mounted augmented reality device. All participants were provided with a link to a YouTube video of the technique in advance. In part 1, 8 international experts from the fields of engineering and sports science were remotely connected to the study setting. Internet connection speed was noted, and a structured interview was conducted. In part 2, 2 remote supervisors evaluated 8 physicians performing an examination on a healthy human subject. The results were recorded, and an evaluation was conducted using a 25-item questionnaire. Results In part 1, the remote experts were connected over a mean distance of 1587 km to the examination site. Overall transmission quality was good (mean upload speed: 28.7 Mbps, mean download speed: 97.3 Mbps, mean ping: 21.6 milliseconds). In the interview, participants indicated that the main potential benefits would be to the fields of education, movement analysis, and supervision. Challenges regarding internet connection stability and previous training with the devices used were reported. In part 2, physicians’ examinations showed good interrater correlation (interclass correlation coefficient: 0.84). Participants valued the experienced setting as highly positive. Conclusions The study showed the good feasibility of the chosen design and a highly positive attitude of all participants toward this digital approach. Head-mounted augmented reality devices are generally recommended for collaborative research projects with physical examination–based research questions.
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Affiliation(s)
- Lia Rigamonti
- University Outpatient Clinic, Sports Medicine & Orthopaedics, Department of Sport and Health Sciences, Center of Excellence "Cognitive Sciences", Faculty of Human Sciences, University of Potsdam, Potsdam, Germany
| | - Matteo Secchi
- Italian Association of Hydrotherapists and Newborn Educators (AIIEN), Section of Rome, Rome, Italy
| | - Jimmy B Lawrence
- Department of Health and Physical Education, Mercer County Community College, West Windsor, NJ, United States
| | - Luca Labianca
- Department of Orthopaedics and Traumatology, S. Andrea Hospital, Sapienza University of Rome, Rome, Italy
| | - Bernd Wolfarth
- Department of Sports Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.,Department of Sports Medicine, Humboldt University Berlin, Berlin, Germany
| | - Harm Peters
- Dieter Scheffner Center for Medical Education and Educational Research, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Klaus Bonaventura
- University Outpatient Clinic, Sports Medicine & Orthopaedics, Department of Sport and Health Sciences, Center of Excellence "Cognitive Sciences", Faculty of Human Sciences, University of Potsdam, Potsdam, Germany.,Department of Cardiology, Ernst von Bergmann Hospital, Potsdam, Germany
| | - David Alexander Back
- Dieter Scheffner Center for Medical Education and Educational Research, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.,Department of Traumatology and Orthopaedics, Septic and Reconstructive Surgery, Bundeswehr Hospital Berlin, Berlin, Germany
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49
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Kastner T, Grim C, Wolfarth B. Herausforderungen für Mannschafts- und Verbandsärzte in Zeiten der COVID-19-Pandemie. Sports Orthopaedics and Traumatology 2021. [PMCID: PMC8384486 DOI: 10.1016/j.orthtr.2021.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Die weltumspannende COVID-19-Pandemie hat auch die tägliche Arbeit der Mannschafts- und Verbandsärzte entscheidend verändert. Bislang kaum bedeutsame Arbeitsfelder kamen hinzu und insbesondere organisatorische Aufgaben stellen den betreuenden Sportmediziner vor große Herausforderungen. Präventive Maßnahmen wie die Erstellung von Hygienekonzepten und Umsetzung von Teststrategien sind zentraler Bestandteil einer Verhinderung von Infektionsgeschehen (und deren Ausbreitung) und somit Voraussetzung der Fortführung von Trainings- und Wettkampfmaßnahmen. Erforderlich sind Kenntnisse im direkten medizinischen Umgang mit SARS-CoV-2, inklusive geeigneter medizinischer Maßnahmen zur gefahrlosen Wiederaufnahme der Sportausübung. Auch sekundäre Folgen der Pandemie, wie beispielsweise Einschränkungen notwendiger operativer und rehabilitativer Maßnahmen oder das Auftreten psychischer Erkrankungen, müssen berücksichtigt werden. Eine teaminterne, offene und vertrauensvolle Kommunikation ist Grundlage der Akzeptanz der vereinbarten Maßnahmen. Durch die sich stetig ändernde Pandemiesituation und den Zuwachs an wissenschaftlichen Erkenntnissen ist eine fortlaufende Re-Evaluation der ausgesprochenen Empfehlungen und vereinbarten Prozedere notwendig.
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50
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Pigozzi F, Wolfarth B, Cintron Rodriguez A, Steinacker JM, Badtieva V, Bilzon JLJ, Schneider C, Roberts WO, Swart J, Constantinou D, Dohi M, Papadopoulou T, Hutchinson M, Di Luigi L, Zahar M, So R, Guppy FM, Kaux JF, Madahapola U, Rozenstoka S, Manonelles Marqueta P, Casajús JA, Racinais S, Natsis K, Zelenkova I, Ulkar B, Ozdemir E, Arroyo F, Pedrinelli A, Miller M, Bachl N, Geistlinger M, Pitsiladis YP. Protecting olympic participants from COVID-19: the trialled and tested process. Br J Sports Med 2021; 55:1322-1323. [PMID: 34272272 DOI: 10.1136/bjsports-2021-104669] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2021] [Indexed: 11/04/2022]
Affiliation(s)
- Fabio Pigozzi
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.,International Federation of Sports Medicine, Lausanne, Switzerland
| | - Bernd Wolfarth
- International Federation of Sports Medicine, Lausanne, Switzerland.,Department of Sports Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
| | - Ana Cintron Rodriguez
- International Federation of Sports Medicine, Lausanne, Switzerland.,Puerto Rico Sports Medicine Federation, San Juan, Puerto Rico
| | - Juergen Michael Steinacker
- International Federation of Sports Medicine, Lausanne, Switzerland.,Division of Sports and Rehabilitation Medicine, Ulm University Hospital, Ulm, Germany
| | - Victoriya Badtieva
- International Federation of Sports Medicine, Lausanne, Switzerland.,Sport Medicine, I M Sechenov First Moscow State Medical University, Moscow, Russian Federation.,Sport Medicine, Moscow Scientific and Practical Center of Medical Rehabilitation and Sports Medicine, Moscow, Russian Federation
| | - James Lee John Bilzon
- International Federation of Sports Medicine, Lausanne, Switzerland.,Department for Health, University of Bath, Bath, UK
| | - Christian Schneider
- International Federation of Sports Medicine, Lausanne, Switzerland.,Orthopaedic Center Theresie, Munich, Germany
| | - William O Roberts
- International Federation of Sports Medicine, Lausanne, Switzerland.,Department of Family Medicine and Community Health, University of Minnesota, St Paul, Minnesota, USA
| | - Jeroen Swart
- International Federation of Sports Medicine, Lausanne, Switzerland.,UCT/MRC Research Unit for Exercise Science an, Universisty of Cape Town, Cape Town, South Africa
| | - Demitri Constantinou
- International Federation of Sports Medicine, Lausanne, Switzerland.,Centre for Exercise Science and Sports Medicine, University of Witwatersrand, Johannesburg, South Africa
| | - Michiko Dohi
- International Federation of Sports Medicine, Lausanne, Switzerland.,Sport Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan
| | - Theodora Papadopoulou
- International Federation of Sports Medicine, Lausanne, Switzerland.,Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK
| | - Mark Hutchinson
- International Federation of Sports Medicine, Lausanne, Switzerland.,Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Luigi Di Luigi
- International Federation of Sports Medicine, Lausanne, Switzerland.,Unit of Endocrinology, Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
| | - Maher Zahar
- International Federation of Sports Medicine, Lausanne, Switzerland.,Medical and Informatical Research and Education, Tunis, Tunisia
| | - Raymond So
- International Federation of Sports Medicine, Lausanne, Switzerland.,Hong Kong Sports Institute, Hong Kong, China
| | - Fergus M Guppy
- School of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton, UK.,Centre for Stress and Age Related Disease, University of Brighton, Brighton, UK
| | - Jean-François Kaux
- International Federation of Sports Medicine, Lausanne, Switzerland.,SportS2, Liège University and University Hospital of Liège, Liège, Belgium
| | - Upul Madahapola
- International Federation of Sports Medicine, Lausanne, Switzerland
| | - Sandra Rozenstoka
- International Federation of Sports Medicine, Lausanne, Switzerland.,Sports Laboratory - Physical Health, Sports Medicine and Sports Traumatology Centre, Riga, Latvia
| | - Pedro Manonelles Marqueta
- International Federation of Sports Medicine, Lausanne, Switzerland.,Department of Sports Medicine, San Antonio Catholic University of Murcia, Murcia, Spain
| | - Jose Antonio Casajús
- International Federation of Sports Medicine, Lausanne, Switzerland.,GENUD "Growth, Exercise, Nutrition and Development" Research Group, University of Zaragoza, Zaragoza, Spain
| | - Sebastien Racinais
- Research and Scientific Support Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Konstantinos Natsis
- International Federation of Sports Medicine, Lausanne, Switzerland.,Laboratory of Anatomy, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Irina Zelenkova
- International Federation of Sports Medicine, Lausanne, Switzerland.,GENUD "Growth, Exercise, Nutrition and Development" Research Group, University of Zaragoza, Zaragoza, Spain
| | - Bulent Ulkar
- International Federation of Sports Medicine, Lausanne, Switzerland.,Sports Medicine Department, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Elif Ozdemir
- International Federation of Sports Medicine, Lausanne, Switzerland.,FIMS Collaborating Center of Sports Medicine, Antalya, Turkey
| | - Francisco Arroyo
- International Federation of Sports Medicine, Lausanne, Switzerland.,FIMS Collaborating Center of Sports Medicine, Guadalajara, Mexico
| | - André Pedrinelli
- International Federation of Sports Medicine, Lausanne, Switzerland.,Department of Orthopaedics, University of São Paulo Medical School, São Paulo, Brazil
| | - Mike Miller
- World Olympians Association (WOA), Lausanne, Switzerland
| | - Norbert Bachl
- International Federation of Sports Medicine, Lausanne, Switzerland.,Institute of Sports Science, University of Vienna, Vienna, Austria.,Austrian Institute of Sports Medicine, Vienna, Austria
| | - Michael Geistlinger
- International Federation of Sports Medicine, Lausanne, Switzerland.,Unit of International Law, Department of Constitutional, International and European Law, University of Salzburg, Salzburg, Austria
| | - Yannis P Pitsiladis
- International Federation of Sports Medicine, Lausanne, Switzerland .,Centre for Stress and Age Related Disease, University of Brighton, Brighton, UK.,Centre for Exercise Sciences and Sports Medicine, FIMS Collaborating Centre of Sports Medicine, Rome, Italy, Rome, Italy
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