Association of Retrospectively Reported Concussion Symptoms with Objective Cognitive Performance in Former American-Style Football Players.


Journal

Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
ISSN: 1873-5843
Titre abrégé: Arch Clin Neuropsychol
Pays: United States
ID NLM: 9004255

Informations de publication

Date de publication:
24 Aug 2023
Historique:
accepted: 05 01 2023
medline: 28 8 2023
pubmed: 3 3 2023
entrez: 2 3 2023
Statut: ppublish

Résumé

Sustaining concussions has been linked to health issues later in life, yet evidence for associations between contact sports exposure and long-term cognitive performance is mixed. This cross-sectional study of former professional American-style football players tested the association of several measures of football exposure with later life cognitive performance, while also comparing the cognitive performance of former players to nonplayers. In total, 353 former professional football players (Mage = 54.3) completed both (1) an online cognitive test battery measuring objective cognitive performance and (2) a survey querying demographic information, current health conditions, and measures of past football exposure, including recollected concussion symptoms playing professional football, diagnosed concussions, years of professional play, and age of first football exposure. Testing occurred an average of 29 years after former players' final season of professional play. In addition, a comparison sample of 5,086 male participants (nonplayers) completed one or more cognitive tests. Former players' cognitive performance was associated with retrospectively reported football concussion symptoms (rp = -0.19, 95% CI -0.09 to -0.29; p < 0.001), but not with diagnosed concussions, years of professional play, or age of first football exposure. This association could be due to differences in pre-concussion cognitive functioning, however, which could not be estimated based on available data. Future investigations of the long-term outcomes of contact sports exposure should include measures of sports-related concussion symptoms, which were more sensitive to objective cognitive performance than other football exposure measures, including self-reported diagnosed concussions.

Identifiants

pubmed: 36861317
pii: 7059562
doi: 10.1093/arclin/acad008
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

875-890

Subventions

Organisme : National Football League Players Association

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permission@oup.com.

Auteurs

Roger W Strong (RW)

Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

Rachel Grashow (R)

Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Football Players Health Study, Harvard Medical School, Boston, MA, USA.

Andrea L Roberts (AL)

Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.

Eliza Passell (E)

Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA.

Luke Scheuer (L)

Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA.

Douglas P Terry (DP)

Department of Neurologic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

Sarah Cohan (S)

Football Players Health Study, Harvard Medical School, Boston, MA, USA.

Alvaro Pascual-Leone (A)

Department of Neurology, Harvard Medical School, Boston, MA, USA.
Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA.

Marc G Weisskopf (MG)

Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Football Players Health Study, Harvard Medical School, Boston, MA, USA.

Ross D Zafonte (RD)

Football Players Health Study, Harvard Medical School, Boston, MA, USA.
Spaulding Rehabilitation Hospital and Spaulding Research Institute, Boston, MA, USA.
Department of Physical Medicine and Rehabilitation Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Department of Physical Medicine and Rehabilitation, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Laura T Germine (LT)

Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

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