Article
Cardiac & Cardiovascular Systems
Bogna Jiravska Godula, Otakar Jiravsky, Petra Pesova, Libor Jelinek, Marketa Sovova, Katarina Moravcova, Jaromir Ozana, Miroslav Hudec, Roman Miklik, Jan Hecko, Libor Sknouril, Eliska Sovova
Summary: The prevalence and predictors of positive family history (FH) of sudden cardiac death (SCD) and cardiovascular disease (CVD) in Czech athletes were assessed using four preparticipation screening (PPS) systems. It was found that the prevalence of positive FH was 1.28% and it was significantly associated with the maximum heart rate at the peak of the exercise test. The study also revealed differences in detection rates between PPS protocols, suggesting the need for further research to determine the optimal method of FH collection.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Article
Pediatrics
Zane J. Blank, Robert L. Spicer, Jeffrey A. Robinson
Summary: This study investigated the utilization of screening elements for preparticipation physical evaluations (PPE) in US states before high school athletics. The results showed that only 27% of states included all 14 recommended screening elements by the American Heart Association, while others included varying numbers of screening elements.
Editorial Material
Cardiac & Cardiovascular Systems
Gregory B. B. Lim
Summary: A mandatory preparticipation screening programme in Italy has greatly reduced the occurrence of sports-related cardiac arrest and sudden cardiac death among young athletes.
NATURE REVIEWS CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Mark Abela, Kentaro Yamagata, Lisa Buttigieg, Sara Xuereb, John Bonello, Jeremy Fleri Soler, William Camilleri, Neil Grech, Rachel Xuereb, Karl Sapiano, Estelle Abela, Adrian Callus, Maria Farrugia, Tiziana Felice, Melanie Burg, Mark Sammut, Robert G. Xuereb, Victor Grech
Summary: This study investigated the national prevalence of anterior T wave inversion (TWI) in adolescents, as well as the ST segment morphology and factors predicting TWI persistence after the age of 16. The results showed that TWI is common in adolescents, especially in females and female athletes. Only 0.2% of cases persist after the age of 16. The study also found that chest wall anatomy in females may explain this phenomenon.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Article
Orthopedics
Jared Willard, Dany Jacob, Yuanyuan Tang, Philip Jones, Marcia McCoy, Anthony Magalski
Summary: This study examined preparticipation examination findings among 2954 American athletes, revealing that female athletes reported more symptoms but had lower prevalence of abnormal electrocardiogram, while college and older athletes reported fewer symptoms and had no difference in abnormal ECG prevalence compared to novice and younger athletes. Despite differences between groups, the prevalence of clinically important findings was similar.
CLINICAL JOURNAL OF SPORT MEDICINE
(2021)
Article
Orthopedics
Julia Hock, Matthew Wheeler, Tamanna Singh, Le Dung Ha, David Hadley, Victor Froelicher
Summary: The study compared International left atrial enlargement electrocardiographic (ECG-LAE) screening criteria with evidence-based criteria for ECG left atrial abnormality (ECG-LAA) in young athletes. Results showed that using evidence-based criteria can increase the efficiency of abnormal ECG classification.
CLINICAL JOURNAL OF SPORT MEDICINE
(2021)
Review
Sport Sciences
Wyatt Maloy, Jeremy Schroeder, Blair Rhodehouse
Summary: Preparticipation evaluations are required by many governing bodies for sport to ensure safe participation for athletes. This article discusses common PPE elements and best practice recommendations, but does not provide detailed descriptions of specific examinations. Considerations for transgender, masters athletes, and Special Olympians are outside the scope of this article.
SPORTS MEDICINE AND ARTHROSCOPY REVIEW
(2021)
Article
Orthopedics
Gil Neuman, Anat Milman, Tomer Ziv-Baran, Gal Dubnov-Raz
Summary: The role of exercise testing during preparticipation examinations (PPEs) of middle-aged athletes is uncertain. This study found that the addition of an exercise test to the PPE of older athletes has limited value, and arrhythmias may be more significant than ST-T waveform changes.
CLINICAL JOURNAL OF SPORT MEDICINE
(2022)
Review
Sport Sciences
Braeden Hill, Nicholas Grubic, Matthew Williamson, Dermot M. Phelan, Aaron L. Baggish, Paul Dorian, Jonathan A. Drezner, Amer M. Johri
Summary: This systematic review evaluated the psychological implications of cardiovascular preparticipation screening (PPS) in athletes. The findings indicated that most athletes had positive reactions to screening and would recommend it to others. Psychological distress was mainly reported among athletes with pathological cardiac conditions and true-positive screening results. However, athletes with false-positive screening results still reported an increased feeling of safety while participating in sport and were satisfied with PPS. Overall, most athletes did not experience psychological distress before, during, or after PPS, regardless of the screening modality used or accuracy of results.
BRITISH JOURNAL OF SPORTS MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Alexander Hutchinson, Nicolas K. Goff, Nicole Cain, Peter N. Dean, Deepak Kamat, Lanier Jackson
Summary: There is wide variation in the training of providers interpreting screening ECGs for young athletes. The International Criteria is effective in identifying risk and reducing false positives in athletes aged 12-35. Licensed physicians with competency using the International Criteria should interpret ECGs, and training/certification should be required as evidence of competency.
CURRENT TREATMENT OPTIONS IN CARDIOVASCULAR MEDICINE
(2023)
Review
Cardiac & Cardiovascular Systems
Gian Luca Ragazzoni, Luna Cavigli, Elena Cavarretta, Silvia Maffei, Giulia Elena Mandoli, Concetta Pastore, Serafina Valente, Marta Focardi, Matteo Cameli, Giovanni Di Salvo, Guido Pieles, Flavio D'Ascenzi
Summary: This article discusses the importance of interpreting resting ECG and cardiac imaging in paediatric athletes and provides a practical guide for clinicians. It highlights the need for early detection of life-threatening conditions while also considering the risk of overdiagnosis and unwarranted disqualification from sports practice.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Federica Donati, Claudio Guicciardi, Elisa Lodi, Fredrick Fernando, Stefano Palermi, Maria Grazia Modena, Alessandro Biffi
Summary: This study retrospectively analyzed data from a corporate wellness program database and compared two different preparticipation screening protocols. The results showed that echocardiography has additional value in detecting cardiovascular abnormalities.
JOURNAL OF CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Jessica J. Orchard, John W. Orchard, Hariharan Raju, Andre La Gerche, Rajesh Puranik, Chris Semsarian
Summary: New and highly portable technology, such as smartphone electrocardiogram (ECG) devices, may be useful in documenting and diagnosing exercise-induced arrhythmias. Data regarding the new Kardia 6 lead device (6L) are limited, with no information available on its use in athletic populations.
JOURNAL OF ELECTROCARDIOLOGY
(2021)
Article
Orthopedics
Barbara N. Morrison, Ingrid Zwaiman, Saul Isserow, Jack Taunton, Mackenzie MacDonald, Carlee Cater, Jane Velghe, Aliza Hirsch, Darren E. R. Warburton, James McKinney
Summary: The majority of masters athletes diagnosed with CVD through preparticipation screening do not experience significant levels of psychological distress, but athletes diagnosed with more severe types of CVD should be monitored for psychological distress and supported. Support should be provided through a multidisciplinary and individualized approach.
CLINICAL JOURNAL OF SPORT MEDICINE
(2021)
Article
Chemistry, Analytical
Aline Santos Silva, Miguel Velhote Correia, Hugo Placido Silva
Summary: eSports is a rapidly growing industry that emphasizes individual and team performance, with focus on factors like concentration. Advances in personal physiological monitoring technologies have led to increased interest in using physiological data to assess concentration in eSports. However, wearable devices for physiological data collection may cause distractions and discomfort for subjects, leading to the need for alternative sensing approaches.
Article
Medicine, General & Internal
Daniel R. Clifton, D. A. Nelson, Y. S. Choi, D. B. Edgeworth, K. J. Nelson, D. Shell, P. A. Deuster
Summary: Identifying risk factors for musculoskeletal conditions is crucial for improving military readiness. This study found that failing the physical fitness test had the strongest association with musculoskeletal conditions.
BMJ MILITARY HEALTH
(2023)
Article
Medicine, General & Internal
Carolyn A. Kleinberger, Asma S. Bukhari, Katie M. Kirkpatrick, Elizabeth M. Moylan, Jennifer L. Billington, Nicholes J. Armstrong, Renee E. Cole, Patricia A. Deuster
Summary: Go for Green (G4G) is an evidence-based, multi-component nutrition program aimed at improving the nutritional fitness of Service Members in military dining facilities. After years of evolution, the current G4G program consists of eight requirements to optimize the nutrition environment. The program has added value by setting requirements, expanding program components, and establishing a centralized resource hub.
Article
Nutrition & Dietetics
Tianzheng Yu, Yu Min Park, Li Wang, Patricia A. Deuster
Summary: l-Citrulline supplementation can protect mitochondrial integrity, attenuate heat-induced skeletal muscle injury, and prevent heat-induced mitochondrial dysfunction and cell injury through NO-mediated Drp1 inhibition.
BRITISH JOURNAL OF NUTRITION
(2023)
Article
Surgery
J. D. Bozzay, D. A. Nelson, D. R. Clifton, D. B. Edgeworth, P. A. Deuster, J. D. Ritchie, S. R. Brown, A. J. Kaplan
Summary: This study compared the effects of minimally invasive and open hernia repair surgeries on patients and found no significant differences in post-operative fitness test scores, military profile time, or time to the first post-operative fitness test.
Article
Health Care Sciences & Services
Brian D. Peterson, Charles D. Magee, James R. Martindale, Jessica J. Dreicer, M. Kathryn Mutter, Gregory Young, Melissa Jerdonek Sacco, Laura C. Parsons, Stephen R. Collins, Karen M. Warburton, Andrew S. Parsons
Summary: This study developed a novel assessment tool called REACT for evaluating learners' clinical reasoning performance in urgent clinical situations. The tool showed reliability and validity in assessing learners' performance and providing feedback.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Bryant J. Webber, Daniel B. Bornstein, Patricia A. Deuster, Francis G. O'c Onnor, Sohyun Park, Kenneth M. Rose, Geoffrey P. Whitfield
Summary: Obesity and physical inactivity are potential threats to U.S. national security due to their impact on military recruitment. This study aimed to estimate the prevalence of BMI eligibility for military entrance, the participation rate of adequate physical activity among the BMI-eligible population, and the combined BMI eligibility and adequate physical activity.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2023)
Article
Orthopedics
D. Alan Nelson, Jeannie Huh, Daniel R. Clifton, Daniel B. Edgeworth, Donald Shell, Y. Sammy Choi, Patricia A. Deuster
Summary: A retrospective cohort study was conducted to examine the correlation between the rise of tri-plane corrective Lapidus surgery and overall Lapidus surgery rates. The results suggest that the increase of tri-plane Lapidus surgery may have influenced the overall rates, but further research is needed to confirm causality.
JOURNAL OF FOOT & ANKLE SURGERY
(2023)
Article
Public, Environmental & Occupational Health
Katie M. Kirkpatrick, Carolyn A. Kleinberger, Elizabeth M. Moylan, Asma S. Bukhari, Patricia A. Deuster
Summary: The objective of this study was to develop, refine, and assess the usefulness of a tool for assessing the fidelity of the Go for Green (G4G) 2.0 program. The G4G 2.0 program aims to improve access to nutritious foods in military dining facilities. Subject matter experts developed and refined a fidelity assessment tool based on program requirements, identified critical tasks and benchmarks, and developed a scoring system. Results show the importance of implementation quality in achieving effective interventions and demonstrate the value of using a fidelity assessment tool to inform program improvements.
PUBLIC HEALTH NUTRITION
(2023)
Article
Psychology, Multidisciplinary
Josh B. Kazman, Joshua A. Bonner, Jessica L. Kegel, D. Alan Nelson, Patricia A. Deuster
Summary: This study evaluated self-assessment tools used in the military and found that most scales showed good reliability and predictive validity. Scores measuring positive characteristics were associated with lower odds of military non-readiness, while scores measuring negative characteristics were associated with increased odds of non-readiness. The study suggests the potential use of self-report data for command surveillance, but emphasizes the importance of quality checks after deployment.
MILITARY PSYCHOLOGY
(2023)
Review
Nutrition & Dietetics
Tanisha L. L. Currie, Marguerite M. M. Engler, Victor Krauthamer, Jonathan M. M. Scott, Patricia A. A. Deuster, Thomas P. P. Flagg
Summary: Psychological health is crucial and oxidative stress and inflammation can have negative effects on it. Warfighters face a higher risk of mental health issues like depression due to stress and separation from family. Research has shown that flavonoids in fruits and berries have antioxidant and anti-inflammatory properties. This review focuses on the potential benefits of berry flavonoids in promoting psychological health.
Review
Biochemistry & Molecular Biology
Tianzheng Yu, Li Wang, Lei Zhang, Patricia A. Deuster
Summary: Mitochondrial fission is essential for maintaining metabolic homeostasis and its dysregulation is associated with metabolic diseases. Reactive oxygen species (ROS) play a critical role in the development of these conditions, acting both as producers and targets in mitochondria. This review discusses the roles of mitochondrial fission, its regulation by Drp1, and the interplay between ROS and mitochondria in health and metabolic diseases. It also explores potential therapeutic strategies targeting mitochondrial fission through antioxidant treatments, lifestyle interventions, dietary supplements, and drugs for metabolic diseases.
Article
Clinical Neurology
Jessica L. Kegel, Josh B. Kazman, Daniel R. Clifton, Peter Emanuele, D. Alan Nelson, Patricia A. Deuster
Summary: Chronic pain and its interference with daily activities have a common occurrence in the military and can impact Force readiness. Research suggests that psychological mechanisms related to coping styles and pain interference can affect functional outcomes. This study aims to examine the combined effects of pain interference and coping on U.S. Army soldiers' readiness.
FRONTIERS IN PAIN RESEARCH
(2023)
Letter
Sport Sciences
Francis G. O'Connor, M. Alaric Franzos, Nathaniel S. Nye, D. Alan Nelson, Donald Shell, Jameson D. Voss, Scott A. Anderson, Nailah J. Coleman, Alexis A. Thompson, Kimberly G. Harmon, Patricia A. Deuster
CURRENT SPORTS MEDICINE REPORTS
(2022)
Review
Pharmacology & Pharmacy
Alessandra Durazzo, Barbara C. Sorkin, Massimo Lucarini, Pavel A. Gusev, Adam J. Kuszak, Cindy Crawford, Courtney Boyd, Patricia A. Deuster, Leila G. Saldanha, Bill J. Gurley, Pamela R. Pehrsson, James M. Harnly, Aida Turrini, Karen W. Andrews, Andrea T. Lindsey, Michael Heinrich, Johanna T. Dwyer
Summary: This article discusses the utility of applying rigorous analytical techniques and adopting metrological principles in studying dietary supplement products and ingredients. It provides an assessment of current and emerging dietary supplement characterization methods, highlighting the importance of quality assessment, statistical methods, and data management. It also describes a new frontier for metrology in dietary supplement science and the need for collaboration between different scientists.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Health Policy & Services
Josh B. Kazman, Ian A. Gutierrez, Eric R. Schuler, Elizabeth A. Alders, Craig A. Myatt, Diana D. Jeffery, Kathleen G. Charters, Patricia A. Deuster
Summary: Chaplains play a critical role in the military organization and healthcare. According to the 2015 Health-Related Behavior Survey, service members are more likely to seek counseling from chaplains compared to other behavioral health services. Those who perceive stigma associated with behavioral health services are less likely to seek counseling. Many service members who seek counseling utilize multiple sources, with chaplains being a common choice.
JOURNAL OF HEALTH CARE CHAPLAINCY
(2022)