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Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes: a dose-response meta-analysis of large prospective studies
Conclusions Inverse non-linear dose–response associations suggest substantial protection against a range of chronic disease outcomes from small increases in non-occupational physical activity in inactive adults. PROSPERO registration number CRD42018095481.
Source: British Journal of Sports Medicine - July 20, 2023 Category: Sports Medicine Authors: Garcia, L., Pearce, M., Abbas, A., Mok, A., Strain, T., Ali, S., Crippa, A., Dempsey, P. C., Golubic, R., Kelly, P., Laird, Y., McNamara, E., Moore, S., de Sa, T. H., Smith, A. D., Wijndaele, K., Woodcock, J., Brage, S. Tags: Open access, BJSM Reviews with MCQs, BJSM Systematic review Source Type: research

Forecasting feels-like temperatures as a strategy to reduce heat illnesses during sport events
Many athletes, amateur and professional alike, compete in and train for outdoor running events every year, and even more participate in outdoor sports in general. Many major sport events such as the Summer Olympic and Paralympic Games and World Championships take place in summer and mostly in the Northern Hemisphere. Therefore, athletes are often at risk of sustaining heat illnesses during heat extremes, which are exacerbated by climate change.1 Heat illnesses describe a group of pathologies ranging from relatively minor to very severe symptoms such as potentially fatal exertional heat stroke.2 3 The risk for heat illnesse...
Source: British Journal of Sports Medicine - May 2, 2023 Category: Sports Medicine Authors: Klöwer, M., Edouard, P., Niess, A. M., Racinais, S., Pitsiladis, Y. P., Pappenberger, F., Hollander, K. Tags: BJSM Editorial Source Type: research

Traumatic encephalopathy syndrome: application of new criteria to a cohort exposed to repetitive head impacts
Conclusion The new TES criteria does distinguish a group of fighters with differences in regional brain volumes and reduced cognitive function. Our findings support the use of the NINDS criteria for TES in further research of the long-term effects of repetitive head impacts.
Source: British Journal of Sports Medicine - March 23, 2023 Category: Sports Medicine Authors: Ritter, A., Shan, G., Montes, A., Randall, R., Bernick, C. Tags: Open access, BJSM Original research Source Type: research

Infographic. Prehospital management of exertional heat stroke at sports competitions for Paralympic athletes
This infographic presents a summary of the prehospital management of exertional heat stroke (EHS) at sports competitions for Para athletes.1 Our original article was designed to provide Para athlete-specific modifications to the original EHS algorithm that was developed and implemented at the Tokyo 2020 Olympic Games.2 Both the Olympic and Paralympic algorithms were successfully rolled out during educational workshops leading into the games, and implemented with support of the organising committee medical volunteers in Tokyo. It is the authors’ intention that these algorithms can be used at other events where Para at...
Source: British Journal of Sports Medicine - March 23, 2023 Category: Sports Medicine Authors: Goosey-Tolfrey, V. L., Hosokawa, Y., Webborn, N., Blauwet, C., Adami, P. E. Tags: BJSM Infographic Source Type: research

IOC consensus statement on recommendations and regulations for sport events in the heat
This document presents the recommendations developed by the IOC Medical and Scientific Commission and several international federations (IF) on the protection of athletes competing in the heat. It is based on a working group, meetings, field experience and a Delphi process. The first section presents recommendations for event organisers to monitor environmental conditions before and during an event; to provide sufficient ice, shading and cooling; and to work with the IF to remove regulatory and logistical limitations. The second section summarises recommendations that are directly associated with athletes’ behaviours...
Source: British Journal of Sports Medicine - December 20, 2022 Category: Sports Medicine Authors: Racinais, S., Hosokawa, Y., Akama, T., Bermon, S., Bigard, X., Casa, D. J., Grundstein, A., Jay, O., Massey, A., Migliorini, S., Mountjoy, M., Nikolic, N., Pitsiladis, Y. P., Schobersberger, W., Steinacker, J. M., Yamasawa, F., Zideman, D. A., Engebretsen Tags: Open access, BJSM Consensus statement Source Type: research

Sleep and physical activity in relation to all-cause, cardiovascular disease and cancer mortality risk
Conclusion The detrimental associations of poor sleep with all-cause and cause-specific mortality risks are exacerbated by low PA, suggesting likely synergistic effects. Our study supports the need to target both behaviours in research and clinical practice.
Source: British Journal of Sports Medicine - June 16, 2022 Category: Sports Medicine Authors: Huang, B.-H., Duncan, M. J., Cistulli, P. A., Nassar, N., Hamer, M., Stamatakis, E. Tags: Editor's choice, Press releases, BJSM Original research Source Type: research

Prehospital management of exertional heat stroke at sports competitions for Paralympic athletes
Conclusions Prehospital management of EHS in the Paralympic setting employs the same procedures as for Olympic athletes with some important alterations.
Source: British Journal of Sports Medicine - May 17, 2022 Category: Sports Medicine Authors: Hosokawa, Y., Adami, P. E., Stephenson, B. T., Blauwet, C., Bermon, S., Webborn, N., Racinais, S., Derman, W., Goosey-Tolfrey, V. L. Tags: Open access, BJSM Original research Source Type: research

Gait instability and estimated core temperature predict exertional heat stroke
Conclusion The combination of two algorithms that estimate Tcr and ataxic gate appears promising for real-time alerting of impending EHS.
Source: British Journal of Sports Medicine - March 31, 2022 Category: Sports Medicine Authors: Buller, M., Fellin, R., Bursey, M., Galer, M., Atkinson, E., Beidleman, B. A., Marcello, M. J., Driver, K., Mesite, T., Seay, J., Weed, L., Telfer, B., King, C., Frazee, R., Moore, C., Williamson, J. R. Tags: Editor's choice, BJSM Original research Source Type: research

Exercise medicine and physical activity promotion: core curricula for US medical schools, residencies and sports medicine fellowships: developed by the American Medical Society for Sports Medicine and endorsed by the Canadian Academy of Sport and Exercise Medicine
Regular physical activity provides a variety of health benefits and is proven to treat and prevent several non-communicable diseases. Specifically, physical activity enhances muscular and osseous strength, improves cardiorespiratory fitness, and reduces the risk of hypertension, coronary heart disease, stroke, type 2 diabetes, mental health disorders, cognitive decline and several cancers. Despite these well-known benefits, physical activity promotion in clinical practice is underused due to insufficient training during medical education. Medical trainees in the USA receive relatively few hours of instruction in sports and...
Source: British Journal of Sports Medicine - March 17, 2022 Category: Sports Medicine Authors: Asif, I., Thornton, J. S., Carek, S., Miles, C., Nayak, M., Novak, M., Stovak, M., Zaremski, J. L., Drezner, J. Tags: Editor's choice, BJSM Consensus statement Source Type: research

Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries
Conclusion The global burden associated with physical inactivity is substantial. The relative burden is greatest in high-income countries; however, the greatest number of people (absolute burden) affected by physical inactivity are living in middle-income countries given the size of their populations.
Source: British Journal of Sports Medicine - January 3, 2022 Category: Sports Medicine Authors: Katzmarzyk, P. T., Friedenreich, C., Shiroma, E. J., Lee, I.-M. Tags: Editor's choice, Press releases, BJSM Original research Source Type: research

Exercise medicine education should be expanded
Second to tobacco control, a case can be made that physical activity and/or structured exercise is the best medicine for many of most prevalent non-communicable diseases in the developed world.1 This is especially true for metabolic and cardiovascular disease (CVD), in a preventive and therapeutic context. Although still limited in quantity, currently available evidence based on randomised trials indicates that exercise and many drug interventions are often potentially similar in terms of their mortality benefits in the secondary prevention of CVD, rehabilitation after stroke, treatment of heart failure and prevention of d...
Source: British Journal of Sports Medicine - March 28, 2017 Category: Sports Medicine Authors: Joyner, M. J., Sanchis-Gomar, F., Lucia, A. Tags: Editorial Source Type: research

The incidence of exertional heat stroke during mass-participation triathlon races: optimising athlete safety
Conclusions EHS is a significant risk in mass-participation triathlon events. EHS can be successfully managed on-site with aggressive cooling measures which may reduce hospital transfers. The majority of EHS cases occur during or after the run phase and therefore we recommend event organisers focus both medical resources and prevention strategies at this phase.
Source: British Journal of Sports Medicine - January 31, 2017 Category: Sports Medicine Authors: Knight, N., Parkin, J., Smith, R., Kipps, C. Tags: Monaco abstracts Source Type: research

The incidence and risk factors of shoulder pain in junior competitive swimmers
Conclusions This study showed that low shoulder flexibility were significantly associated with shoulder pain. To apply these findings practically to identify swimmers who may be at increased risk of developing shoulder pain and the use of proper preventive programs may prevent shoulder pain.
Source: British Journal of Sports Medicine - January 31, 2017 Category: Sports Medicine Authors: Suzuki, Y., Urabe, Y., Noriaki, M., Morita, M., Shima, T., Shirakawa, T. Tags: Monaco abstracts Source Type: research

Resistance training reduces systolic blood pressure in metabolic syndrome: a systematic review and meta-analysis of randomised controlled trials
Conclusions Resistance training may help reduce systolic blood pressure levels, stroke mortality and mortality from heart disease in people with metabolic syndrome. Trial registration number CRD42015016538.
Source: British Journal of Sports Medicine - November 14, 2016 Category: Sports Medicine Authors: Lemes, I. R., Ferreira, P. H., Linares, S. N., Machado, A. F., Pastre, C. M., Netto, J. Tags: Weight training, Open access, BJSM Reviews with MCQs Source Type: research

The validity of session ratings of perceived exertion for monitoring training intensity during indoor rowing: a case report from an elite athlete in preparation for the world championships
Session ratings of perceived exertion (sRPE) are a popular tool for monitoring exercise intensity across a range of sports. Despite this, little is known regarding the application of sRPE to rowing ergometry. We therefore aimed to explore the validity of sRPE for monitoring training intensity during indoor rowing training. A thirty-six-year-old, female, indoor rower was monitored over a sixteen-week training period; prior to the British and World Indoor Rowing Championships (2nd place, 30–39 year heavyweight). Rowing training could be classified as: Maximum Effort Free Stroke Rate (MaxFree; n=37), Maximum Effort...
Source: British Journal of Sports Medicine - October 31, 2016 Category: Sports Medicine Authors: McLaren, S., Howse, J., Weston, M., Wright, M. Tags: Poster presentations Source Type: research

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