Multi-modality human phenotyping to examine subjective and objective health afflictions in former professional American-style football players: The In-Person Assessment (IPA) protocol.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2022
Historique:
received: 05 10 2021
accepted: 07 03 2022
entrez: 31 3 2022
pubmed: 1 4 2022
medline: 15 4 2022
Statut: epublish

Résumé

Participation in American-style football (ASF), one of the most popular sports worldwide, has been associated with adverse health outcomes. However, prior clinical studies of former ASF players have been limited by reliance on subjective self-reported data, inadequate sample size, or focus on a single disease process in isolation. To determine the burden of objective multi-system pathology and its relationship with subjective health complaints among former professional ASF players. The In-Person Assessment is a case-control, multi-day, deep human phenotyping protocol designed to characterize and quantify pathology among former professional ASF players. Participants, recruited from an on-going large-scale longitudinal cohort study, will include 120 men who report either no health conditions, a single health condition, or multiple health conditions across the key domains of cardiometabolic disease, disordered sleep, chronic pain, and cognitive impairment. Data will be collected from validated questionnaires, structured interviews, physical examinations, multi-modality imaging, and functional assessments over a 3-day study period. A pilot study was conducted to assess feasibility and to obtain participant feedback which was used to shape the final protocol. This study provides a comprehensive assessment of objective multi-system pathology and its relationship with subjective health complaints among former professional ASF players. The study will determine whether subjective health complaints among former professional ASF players are explained by objective explanatory pathology and will provide novel opportunities to examine the interrelatedness of co-morbidities. It is anticipated that this protocol will be applicable to other clinical and occupational populations.

Sections du résumé

BACKGROUND
Participation in American-style football (ASF), one of the most popular sports worldwide, has been associated with adverse health outcomes. However, prior clinical studies of former ASF players have been limited by reliance on subjective self-reported data, inadequate sample size, or focus on a single disease process in isolation.
OBJECTIVE
To determine the burden of objective multi-system pathology and its relationship with subjective health complaints among former professional ASF players.
METHODS
The In-Person Assessment is a case-control, multi-day, deep human phenotyping protocol designed to characterize and quantify pathology among former professional ASF players. Participants, recruited from an on-going large-scale longitudinal cohort study, will include 120 men who report either no health conditions, a single health condition, or multiple health conditions across the key domains of cardiometabolic disease, disordered sleep, chronic pain, and cognitive impairment. Data will be collected from validated questionnaires, structured interviews, physical examinations, multi-modality imaging, and functional assessments over a 3-day study period. A pilot study was conducted to assess feasibility and to obtain participant feedback which was used to shape the final protocol.
RESULTS
This study provides a comprehensive assessment of objective multi-system pathology and its relationship with subjective health complaints among former professional ASF players.
CONCLUSION
The study will determine whether subjective health complaints among former professional ASF players are explained by objective explanatory pathology and will provide novel opportunities to examine the interrelatedness of co-morbidities. It is anticipated that this protocol will be applicable to other clinical and occupational populations.

Identifiants

pubmed: 35358242
doi: 10.1371/journal.pone.0265737
pii: PONE-D-21-30578
pmc: PMC8970522
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0265737

Déclaration de conflit d'intérêts

The authors declare that no competing interests exist.

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Auteurs

Bryan Cortez (B)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Chelsea Valdivia (C)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Dylan Keating (D)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Dean Marengi (D)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Trevor Bates (T)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Cheyenne Brown (C)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Inana Dairi (I)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Michael Doyle (M)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Robyn Keske (R)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.

Ann Connor (A)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.
Department of Neurology, Berenson Allen Center and Division for Cognitive Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.

Rachel Grashow (R)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.
Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, Massachusetts, United States of America.

Adam Tenforde (A)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, United States of America.

Meagan M Wasfy (MM)

Department of Internal Medicine, Cardiovascular Performance Program, Massachusetts General Hospital, Boston, Massachusetts, United States of America.

Marc G Weisskopf (MG)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.
Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, Massachusetts, United States of America.

Frank Speizer (F)

Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.

Ross Zafonte (R)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, United States of America.

Aaron Baggish (A)

Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, United States of America.
Department of Internal Medicine, Cardiovascular Performance Program, Massachusetts General Hospital, Boston, Massachusetts, United States of America.

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