The Journal of head trauma rehabilitation · 2025
Boys Versus Girls Youth Sports Participation Risk for Mild Traumatic Brain Injury and Behavioral, Physical Health, and Neurocognitive Outcomes.
Сравнительное исследованиеСтатьяМногоцентровое исследованиеПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Meng Wenjing, Vaida Florin, Dennis Emily L, Wilde Elisabeth A, Jacobus Joanna, Yang Xia, Cheng Michael, Troyer Emily A, Delfel Everett L, Abildskov Tracy, Hesselink John R, Bigler Erin D, Max Jeffrey E
Аннотация
OBJECTIVE: Investigate sex-related differences in mild traumatic brain injury (mTBI) risks due to sports among children aged 9 to 10 years and examine whether the benefits of sports participation, specifically in behavioral, neurocognitive, and psychiatric health, differ between boys and girls.
SETTING: The Adolescent Brain Cognitive Development study involves 21 sites across the United States. The data were collected through comprehensive evaluations including neuroimaging, cognitive tests, mental health evaluations, family and environmental factors, and genetic data.
PARTICIPANTS: The study enrolled a cohort of 11 878 children ages 9 to 10 from years 2016 to 2018. A total of 11 055 children at baseline were analyzed.
DESIGN: The study is a cross-sectional analysis of the baseline data from an ongoing longitudinal cohort study.
MAIN MEASURES: Our primary outcome was children's lifetime mTBI (yes/no), with exposure as participation in 23 sports (yes/no). Confounders included age, race, parental income, parental education, internalizing and externalizing behaviors.
RESULTS: Among 11 055 children (5295 girls and 5760 boys) with complete data, 85% (n = 9423) had participated in sports. Among them, the risk of mTBI was higher among boys who played tennis versus girls who played tennis, with an adjusted odds ratio (aOR) = 2.353 (95% confidence interval [CI]: 1.072, 5.606), P = .032; the risk of mTBI was lower among boys who participated in swimming/water polo versus girls who participated in swimming/water polo, aOR = 0.618 (95% CI: 0.399, 0.955), P = .030.
CONCLUSION: The association between sports participation and mTBI risks differs by sex for certain sports. Compared to girls, boys had a higher mTBI risk in tennis but a lower mTBI risk in swimming/water polo. This indicates that implementing sex-specific strategies to mitigate mTBI risks in sports participation could be beneficial.
SETTING: The Adolescent Brain Cognitive Development study involves 21 sites across the United States. The data were collected through comprehensive evaluations including neuroimaging, cognitive tests, mental health evaluations, family and environmental factors, and genetic data.
PARTICIPANTS: The study enrolled a cohort of 11 878 children ages 9 to 10 from years 2016 to 2018. A total of 11 055 children at baseline were analyzed.
DESIGN: The study is a cross-sectional analysis of the baseline data from an ongoing longitudinal cohort study.
MAIN MEASURES: Our primary outcome was children's lifetime mTBI (yes/no), with exposure as participation in 23 sports (yes/no). Confounders included age, race, parental income, parental education, internalizing and externalizing behaviors.
RESULTS: Among 11 055 children (5295 girls and 5760 boys) with complete data, 85% (n = 9423) had participated in sports. Among them, the risk of mTBI was higher among boys who played tennis versus girls who played tennis, with an adjusted odds ratio (aOR) = 2.353 (95% confidence interval [CI]: 1.072, 5.606), P = .032; the risk of mTBI was lower among boys who participated in swimming/water polo versus girls who participated in swimming/water polo, aOR = 0.618 (95% CI: 0.399, 0.955), P = .030.
CONCLUSION: The association between sports participation and mTBI risks differs by sex for certain sports. Compared to girls, boys had a higher mTBI risk in tennis but a lower mTBI risk in swimming/water polo. This indicates that implementing sex-specific strategies to mitigate mTBI risks in sports participation could be beneficial.