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Mashup Score: 9Social media impact on athlete mental health: #RealityCheck - 10 hour(s) ago
Global social media use rates have nearly tripled1 with 95% of 13–27-year-olds using YouTube and other platforms such as TikTok (67%), Instagram (62%) and Snapchat (59%) and 35% of users doing so ‘almost constantly’.2 95% of teens have access to a smartphone, and 97% use the internet daily.2 The US Surgeon General3 and the American Psychological Association4 have voiced considerable concern about the potential negative impact of social media on youth and adolescent mental health, calling it ‘an urgent public health issue’.3 Although the literature on mental health and social media use has increased, minimal research exists on young and/or elite athletes, leaving many important questions unanswered. What are the positive and negative mental health effects of social media on athletes? Are there opportunities to use social media to increase mental health literacy, destigmatise mental health and normalise help-seeking behaviours? What measures exist to protect young and elite athletes from
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 1
Objectives Evaluate the natural course of anterior cruciate ligament (ACL) healing on MRI within 5 years of acute ACL rupture and compare 2-year and 5-year outcomes based on healing status and treatment group. Methods Secondary analysis of 120 Knee Anterior Cruciate Ligament Nonsurgical vs Surgical Treatment (KANON) trial participants randomised to rehabilitation and optional delayed ACL reconstruction (ACLR) or early ACLR and rehabilitation. ACL continuity on MRI (Anterior Cruciate Ligament OsteoArthritis Score 0–2) was considered evidence of ACL healing. Outcomes included Knee Injury and Osteoarthritis Outcome Score (KOOS), KOOS patient acceptable symptomatic state (PASS) and treatment failure criteria. Linear mixed models were used to estimate adjusted mean differences (95% CIs) in patient-reported sport and recreational function (KOOS-Sport/Rec) and quality of life (KOOS-QOL) at 2 and 5 years, between participants with MRI evidence of ACL healing and those who had (1) no evidence o
Source: bjsm.bmj.comCategories: General Medicine News, Hem/OncsTweet
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Mashup Score: 57
Objectives To determine if physiotherapists can deliver a clinically effective very low energy diet (VLED) supplementary to exercise in people with knee osteoarthritis (OA) and overweight or obesity. Methods 88 participants with knee OA and body mass index (BMI) >27 kg/m2 were randomised to either intervention (n=42: VLED including two daily meal replacement products supplementary to control) or control (n=46: exercise). Both interventions were delivered by unblinded physiotherapists via six videoconference sessions over 6 months. The primary outcome was the percentage change in body weight at 6 months, measured by a blinded assessor. Secondary outcomes included BMI, waist circumference, waist-to-hip ratio, self-reported measures of pain, function, satisfaction and perceived global change, and physical performance tests. Results The intervention group lost a mean (SD) of 8.1% (5.2) body weight compared with 1.0% (3.2) in the control group (mean (95% CI) between-group difference 7.2% (9
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 1The placebo effect: powerful, powerless or redundant? - 3 day(s) ago
Over the last 200 years, the placebo effect has cast a large and persuasive shadow over the medical field. In that time it has been by turn; harmless charade, charlatan’s ruse, therapeutic device, methodological tool, ethical dilemma, research theme and source of controversy. Despite popular recognition, pervasive problems underlie conceptualisation of placebos and placebo effects. With medicine now firmly entrenched in the age of evidence-based practice, there is a question as to whether it is time to leave the old placebo behind us. The idea of a magical black box from which unexplained therapeutic effects spring up is archaic and also unhelpful from a scientific point of view. If there really is an effect, surely we are best served by directly investigating what is responsible for it. This knowledge can be used in the clinic to improve treatment effectiveness and in research to inform study design. The view and role of placebos have developed over time. Modern medical understanding
Source: bjsm.bmj.comCategories: General Medicine News, Hem/OncsTweet
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Mashup Score: 82Effective fall prevention exercise in residential aged care: an intervention component analysis from an updated systematic review - 3 day(s) ago
Objective The effect of fall prevention exercise programmes in residential aged care (RAC) is uncertain. This paper reports on an intervention component analysis (ICA) of randomised controlled trials (RCTs), from an update of a Cochrane review, to develop a theory of features of successful fall prevention exercise in RAC. Methods Trial characteristics were extracted from RCTs testing exercise interventions in RAC identified from an update of a Cochrane review to December 2022 (n=32). Eligible trials included RCTs or cluster RCTs in RAC, focusing on participants aged 65 or older, assessing fall outcomes with stand-alone exercise interventions. ICA was conducted on trials with >30 participants per treatment arm compared with control (n=17). Two authors coded trialists’ perceptions on intervention features that may have contributed to the observed effect on falls. Inductive thematic analysis was used to identify the key differences between the trials which might account for positive and n
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 15
During a basketball game, I was hit on the inside of my left knee by an offensive player, resulting in an anterior cruciate ligament (ACL) injury and a dislocation of my patella. To recover as quickly as possible, I went to the Second Affiliated Hospital of Nanchang University for an arthroscopic ACL reconstruction surgery. After going through months of rehabilitation, my knee was finally back to a level that allowed me to resume all my activities. As an ordinary person from a small town, this experience deeply made me appreciate the nobility and sanctity of medicine. Since then, I have been determined to become a doctor. Through hard work and dedication, I have successfully enrolled in the Jiangxi Medical College at Nanchang University. After the injury, I was swiftly transported to the local county hospital. Given my young age, the physician recommended a non-surgical treatment approach, encompassing functional knee bracing and activity modification.1 However, after 2 weeks of this t
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Mashup Score: 21
Objectives To evaluate the prevalence of abnormal ECG findings and their association with imaging results in male Brazilian football players. Methods The ‘B-Pro Foot ECG’ is a multicentre observational study conducted in 82 Brazilian professional clubs. It analysed 6125 players aged 15–35 years (2496 white, 2004 mixed-race and 1625 black individuals) who underwent cardiovascular screening from 2002 to 2023. All ECGs were reviewed by two experienced cardiologists in the athlete’s care. Those with abnormal findings underwent further investigations, including a transthoracic echocardiogram (TTE). Cardiac magnetic resonance (CMR) was subsequently performed based on TTE findings or clinical suspicion. Results In total, 180 (3%) players had abnormal ECGs and 176 (98%) showed normal TTE results. Athletes aged 26–35 years had a higher prevalence of abnormal ECGs than younger athletes (15–25 years). Black players had a higher prevalence of T-wave inversion (TWI) in the inferior leads than white
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 1
Objectives To determine the incidence rate of suicide from 2002 to 2022 among athletes from the National Collegiate Athletic Association (NCAA) and assess for potential differences by, sex, race, division and sport. Methods NCAA athlete deaths over a 20-year period from 2002 to 2022 were identified. Poisson regression models were built to assess changes in incidence rates over time. Linear and quadratic fits between year and suicide incidence for males and females were evaluated. Results Of 1102 total deaths, 128 (11.6%) deaths by suicide were reported (male n=98, female n=30). The overall incidence was 1:71 145 athlete-years (AYs). Over the last decade, suicide was the second most common cause of death after accidents. The proportion of deaths by suicide doubled from the first 10 years (7.6%) to the second 10 years (15.3%). The suicide incidence rate for males increased linearly (5-year incidence rate ratio 1.32 (95% CI 1.14 to 1.53)), whereas a quadratic association was identified am
Source: bjsm.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 54
Objectives To determine if physiotherapists can deliver a clinically effective very low energy diet (VLED) supplementary to exercise in people with knee osteoarthritis (OA) and overweight or obesity. Methods 88 participants with knee OA and body mass index (BMI) >27 kg/m2 were randomised to either intervention (n=42: VLED including two daily meal replacement products supplementary to control) or control (n=46: exercise). Both interventions were delivered by unblinded physiotherapists via six videoconference sessions over 6 months. The primary outcome was the percentage change in body weight at 6 months, measured by a blinded assessor. Secondary outcomes included BMI, waist circumference, waist-to-hip ratio, self-reported measures of pain, function, satisfaction and perceived global change, and physical performance tests. Results The intervention group lost a mean (SD) of 8.1% (5.2) body weight compared with 1.0% (3.2) in the control group (mean (95% CI) between-group difference 7.2% (9
Source: bjsm.bmj.comCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 71
Objectives The objective was to investigate the benefits of the ‘weekend warrior’ physical activity pattern in Latin America, where many people take part in high levels of non-exercise physical activity. Methods Participants in the Mexico City Prospective Study were surveyed from 1998 to 2004 and resurveyed from 2015 to 2019. Those who exercised up to once or twice per week were termed weekend warriors. Those who exercised more often were termed regularly active. Analyses were adjusted for potential confounders. Results The main analysis included 26 006 deaths in 154 882 adults (67% female) aged 52±13 years followed for 18±4 years (mean±SD). Compared with those who reported no exercise, the HR (95% CI) was 0.88 (0.83 to 0.93) in the weekend warriors and 0.88 (0.84 to 0.91) in the regularly active. Similar results were observed for cardiovascular disease and cancer mortality, but associations were weaker. Stratified analyses showed that substantial reductions in all-cause mortality risk
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🚨 #NEW Original Research: Associations of the ‘weekend warrior’ physical activity pattern with all-cause, cardiovascular disease & cancer mortality 🏃♀️ A prospective study from Mexico City Can adults benefit from 1-2 sessions of exercise per week 🧐 ➡️ https://t.co/nEyxsU3yUr https://t.co/IOVarNXI1t
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⚠️ Social media impact on athlete mental health: #RealityCheck #BJSMEditorial covering the benefits, the harms and the need for more research and education in this area 🔍 What should you be doing? 🤷♂️ See the #ActionItems ⬇️ 👉 https://t.co/JSgZli9KbA http https://t.co/PUs3GrCIwM