892 results match your criteria BMJ open sport & exercise medicine[Journal]


Knee sliced open by skate blade: complete patellar tendon rupture in an elite long track speed skater.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Orthopaedic Department, Baerum Hospital, Vestre Viken Hospital Trust, Akershus, Norway.

A long track speed skater sustained a deep horizontal cut to the right knee just distally to the patella, after he got hit by the skate blade of the pair mate. The injury included a complete patellar tendon rupture from the apex of the patella, a 1 mm deep transverse cut in the femoral condyle and a partial rupture of the anterior cruciate ligament. The tendon rupture was repaired with transosseous suture repair without augmentation. Read More

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http://dx.doi.org/10.1136/bcr-2018-228611DOI Listing

Are changes in physical fitness, body composition and weight associated with exercise attendance and dropout among fitness club members? Longitudinal prospective study.

BMJ Open 2019 Apr 14;9(4):e027987. Epub 2019 Apr 14.

Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.

Objectives: The primary aim of the present study was to investigate if changes in physical fitness, body composition and weight are associated with exercise attendance and dropout among fitness club members. Secondary, we wanted to identify motives for fitness club membership and exercise.

Setting: New members at 25 fitness clubs in Oslo, Norway. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-027987DOI Listing

Visual impairment and objectively measured physical activity and sedentary behaviour in US adolescents and adults: a cross-sectional study.

BMJ Open 2019 Apr 14;9(4):e027267. Epub 2019 Apr 14.

Department of Epidemiology, Medical University of Vienna, Austria, Vienna, Austria.

Objectives: To compare levels of physical activity and sedentary time in a representative sample of US adolescents and adults with and without visual impairment.

Design: Cross-sectional analyses were carried out using data from the National Health and Nutrition Examination Survey.

Participants: The study population consisted of 6001 participants (adolescents n=1766, adults n=4235). Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02726
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http://dx.doi.org/10.1136/bmjopen-2018-027267DOI Listing
April 2019
1 Read

Patient-centred rehabilitation for non-communicable disease in a low-resource setting: study protocol for a feasibility and proof-of-concept randomised clinical trial.

BMJ Open 2019 Apr 11;9(4):e025732. Epub 2019 Apr 11.

Department of Physiotherapy, Stellenbosch University, Cape Town, South Africa.

Introduction: Non-communicable diseases (NCDs) are the leading cause of death globally. Even though NCD disproportionally affects low-to-middle income countries, these countries including South Africa, often have limited capacity for the prevention and control of NCDs. The standard evidence-based care for the long-term management of NCDs includes rehabilitation. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02573
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http://dx.doi.org/10.1136/bmjopen-2018-025732DOI Listing
April 2019
6 Reads

Efficacy of pressure ulcer prevention interventions in adult intensive care units: a protocol for a systematic review and network meta-analysis.

BMJ Open 2019 Apr 9;9(4):e026727. Epub 2019 Apr 9.

Heart Center, Beijing Chaoyang Hospital affiliated with Capital Medical University, Beijing, China.

Introduction: Pressure ulcers (PUs) are associated with substantial health burden. Patients in intensive care units (ICUs) are at high risk for developing PU. In the absence of large randomised controlled trials (RCTs) that compare commonly known interventions for preventing PU in ICUs, uncertainty remains around the best practice strategy for PU management in adult ICUs. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02672
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http://dx.doi.org/10.1136/bmjopen-2018-026727DOI Listing
April 2019
5 Reads

A guided and unguided internet- and mobile-based intervention for chronic pain: health economic evaluation alongside a randomised controlled trial.

BMJ Open 2019 Apr 9;9(4):e023390. Epub 2019 Apr 9.

Department of Clinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.

Objective: This study aims at evaluating the cost-effectiveness and cost-utility of a guided and unguided internet-based intervention for chronic pain patients (ACTonPain and ACTonPain) compared with a waitlist control group (CG) as well as the comparative cost-effectiveness of the guided and the unguided version.

Design: This is a health economic evaluation alongside a three-arm randomised controlled trial from a societal perspective. Assessments were conducted at baseline, 9 weeks and 6 months after randomisation. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023390DOI Listing

Psychometric properties of knee proprioception tests targeting healthy individuals and those with anterior cruciate ligament injury managed with or without reconstruction: a systematic review protocol.

BMJ Open 2019 Apr 4;9(4):e027241. Epub 2019 Apr 4.

Department of Community Medicine and Rehabilitation - Physiotherapy Section, Umeå University, Umeå, Sweden.

Introduction: An anterior cruciate ligament (ACL) injury affects knee proprioception and sensorimotor control and might contribute to an increased risk of a second ACL injury and secondary knee osteoarthritis. Therefore, there is a growing need for valid, reliable and responsive knee proprioception tests. No previous study has comprehensively reviewed all the relevant psychometric properties (PMPs) of these tests together. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-027241DOI Listing
April 2019
5 Reads

Analysing cardiovascular risk factors and related outcomes in a middle-aged to older adults population in Iran: a cohort protocol of the Shiraz Heart Study (SHS).

BMJ Open 2019 Apr 3;9(4):e026317. Epub 2019 Apr 3.

Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran (the Islamic Republic of).

Introduction: The significant increase in the rate of morbidity and mortality due to cardiovascular diseases has become a health challenge globally. Lack of enough knowledge on the underlying causes in Iran and taking the unique characteristics of the Shiraz metropolitan city (the capital city of Fars Province) into consideration prompted us to conduct the Shiraz Heart Study. The aim of this study is to determine the predisposing elements leading to coronary heart disease, cerebrovascular disease and peripheral arterial disease. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026317DOI Listing
April 2019
2.063 Impact Factor

Dose-response association between physical activity and non-alcoholic fatty liver disease: a case-control study in a Chinese population.

BMJ Open 2019 Mar 30;9(3):e026854. Epub 2019 Mar 30.

Department of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University, Fuzhou, China.

Aim: Physical activity plays an important role in the development of non-alcoholic fatty liver disease (NAFLD).However, the optimal intensity and dose of physical activity for the treatment of NAFLD have yet to be found. In the present study, we aimed to provide a dose-response association between physical activity and NAFLD in a Chinese population. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026854DOI Listing
March 2019
1 Read

Advice on healthy pregnancy, delivery, motherhood and information on non-communicable diseases in the maternal care programme in Myanmar: a cross-sectional study.

BMJ Open 2019 Mar 30;9(3):e025186. Epub 2019 Mar 30.

Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.

Objective: Pregnancy and delivery periods offer an opportunity for counselling women to improve behavioural risk and prevent complications, including non-communicable diseases (NCDs). However, little evidence is available on counselling offered during antenatal and postnatal care (PNC) in Myanmar. This study aimed to assess the contents of advice and information received by women during antenatal and postnatal counselling and to identify factors associated with receiving those advice and information. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025186DOI Listing
March 2019
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Reduced long-term care cost by social participation among older Japanese adults: a prospective follow-up study in JAGES.

BMJ Open 2019 Mar 30;9(3):e024439. Epub 2019 Mar 30.

Center for Preventive Medical Science, Chiba University, Chuo-ku, Chiba, Japan.

Objectives: Reducing costs related to functional disabilities and long-term care (LTC) is necessary in ageing societies. We evaluated the differences in the cumulative cost of public LTC insurance (LTCI) services by social participation.

Design: Prospective observational study. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024439DOI Listing

Rationale, design and study protocol of the randomised controlled trial: Diabetes Interventional Assessment of Slimming or Training tO Lessen Inconspicuous Cardiovascular Dysfunction (the DIASTOLIC study).

BMJ Open 2019 Mar 30;9(3):e023207. Epub 2019 Mar 30.

Department of Cardiovascular Sciences, University of Leicester and the Leicester NIHR Biomedical Research Centre, Glenfield Hospital, Leicester, UK.

Introduction: Despite their young age and relatively short duration of disease, younger adults with type 2 diabetes (T2D) already have diastolic dysfunction and may be at risk of incipient heart failure. Whether weight loss or exercise training improve cardiac dysfunction in people with T2D remains to be established.

Methods And Analysis: Prospective, randomised, open-label, blind endpoint trial. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023207DOI Listing
March 2019
2 Reads

Promoting physical activity in vulnerable adults 'at risk' of homelessness: a randomised controlled trial protocol.

BMJ Open 2019 Mar 23;9(3):e026466. Epub 2019 Mar 23.

The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK.

Introduction: People who are homeless, or at risk of homelessness, have substantially poorer health. Sustained and regular participation in physical activity is beneficial for both mental and physical health. Limited data suggest that levels of physical activity in the homeless and those at risk of homelessness are low, and access to community-based exercise is limited or non-existent for this population. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026466DOI Listing

Measures of central sensitisation and their measurement properties in the adult musculoskeletal trauma population: a protocol for a systematic review and data synthesis.

BMJ Open 2019 Mar 23;9(3):e023204. Epub 2019 Mar 23.

Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.

Introduction: Pain following musculoskeletal trauma is common with poor outcomes and disability well documented. Pain is complex in nature and can include the four primary mechanisms of pain: nociceptive, neuropathic, inflammatory and central sensitisation (CS). CS can be measured in multiple ways; however, no systematic review has evaluated the measurement properties of such measures in the musculoskeletal trauma population. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023204DOI Listing

Risk perceptions for exertional heat illnesses in junior cricket in Sri Lanka.

BMJ Open Sport Exerc Med 2019 2;5(1):e000508. Epub 2019 Mar 2.

School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.

Objectives: Exertional heat illnesses (EHI) can occur when sport is played in hot and humid environments, such as those common across Asia. Measures to reduce the risk of EHI are important; however, causal data on EHI occurrence are limited and challenging to capture. To gain an initial understanding of EHI risks, we aimed to assess the risk perceptions of EHI of youth cricketers. Read More

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http://dx.doi.org/10.1136/bmjsem-2019-000508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407666PMC
March 2019
1 Read

Knee strength, hop performance and self-efficacy at 4 months are associated with symmetrical knee muscle function in young athletes 1 year after an anterior cruciate ligament reconstruction.

BMJ Open Sport Exerc Med 2019 26;5(1):e000504. Epub 2019 Feb 26.

Sportrehab Sports Medicine Clinic, Gothenburg, Sweden.

Objectives: We investigated whether patient demographics, 4-month patient-reported outcomes (PRO) and muscle function predicted young athletes regaining symmetrical muscle function in five tests of muscle function 1 year after ACL reconstruction.

Methods: We extracted data on patient demographics, PROs and the results of five tests of muscle function from a rehabilitation-specific register. Athletes were 15-30 years of age, involved in knee-strenuous sport and had undergone a primary ACL reconstruction. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407569PMC
February 2019

MSK30: a validated tool to assess clinical musculoskeletal knowledge.

BMJ Open Sport Exerc Med 2019 1;5(1):e000495. Epub 2019 Mar 1.

Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Background: Musculoskeletal (MSK) complaints comprise a large proportion of outpatient visits. However, multiple studies show that medical school curriculum often fails to adequately prepare graduates to diagnose and manage common MSK problems. Current standardised exams inadequately assess trainees' MSK knowledge and other MSK-specific exams such as Freedman and Bernstein's (1998) exam have limitations in implementation. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000495DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407547PMC

From the safety net to the injury prevention web: applying systems thinking to unravel injury prevention challenges and opportunities in Cirque du Soleil.

BMJ Open Sport Exerc Med 2019 1;5(1):e000492. Epub 2019 Mar 1.

Amsterdam Collaboration for Health & Safety in Sports, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

Objective: We undertook this qualitative study within an international circus company-Cirque du Soleil-to explore the narrative of artists and the artistic team in regards to injuries and their prevention and to describe the prevention of injuries from a systems thinking lens.

Methods: Focus groups (FG) with artists and semistructured individual interviews with the artistic team were conducted in six selected shows. The structure of the interviews and FGs concerned the themes: 'injury', 'injury-related factors' and 'injury prevention'. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407541PMC

Educational concussion module for professional footballers: from systematic development to feasibility and effect.

BMJ Open Sport Exerc Med 2019 7;5(1):e000490. Epub 2019 Mar 7.

Rugby Football Union, Twickenham, UK.

Objectives: To describe: (1) how we developed a concussion module and (2) whether the concussion module is feasible (in terms of relevance, added value and suitability) and enhances knowledge and changes attitude of professional footballers about concussion.

Developing The Concussion Module: We developed the concussion module based on two structured and systematic processes. First, our needs assessment (questionnaire and interviews) in professional football (especially players) revealed that a 5-10 min concussion module was needed, ideally disseminated during club visits. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000490DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407555PMC
March 2019
1 Read

Injury incidence and risk factors: a cohort study of 706 8-km or 16-km recreational runners.

BMJ Open Sport Exerc Med 2019 7;5(1):e000489. Epub 2019 Mar 7.

Faculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.

Objectives: To report (1) the injury incidence in recreational runners in preparation for a 8-km or 16-km running event and (2) which factors were associated with an increased injury risk.

Methods: Prospective cohort study in Amsterdam, the Netherlands. Participants (n=5327) received a baseline survey to determine event distance (8 km or 16 km), main sport, running experience, previous injuries, recent overuse injuries and personal characteristics. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407553PMC
March 2019
2 Reads

Beighton scoring of joint laxity and injury incidence in Middle Eastern male youth athletes: a cohort study.

BMJ Open Sport Exerc Med 2019 6;5(1):e000482. Epub 2019 Feb 6.

Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

Objectives: To examine the association between generalised joint laxity (GJL) and injury rates in Middle Eastern male youth athletes.

Design: Prospective observational study consisting of GJL screen and injury audit (season 2009/2010).

Setting: Aspire Sports Academy Doha, Qatar. Read More

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http://bmjopensem.bmj.com/lookup/doi/10.1136/bmjsem-2018-000
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http://dx.doi.org/10.1136/bmjsem-2018-000482DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407572PMC
February 2019
7 Reads

Risk diagnosis of minor muscle injuries in professional football players: when imaging cannot help out biology might.

BMJ Open Sport Exerc Med 2019 26;5(1):e000479. Epub 2019 Feb 26.

NSMP, Aspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

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http://dx.doi.org/10.1136/bmjsem-2018-000479DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407546PMC
February 2019

Water intake after dehydration makes muscles more susceptible to cramp but electrolytes reverse that effect.

BMJ Open Sport Exerc Med 2019 5;5(1):e000478. Epub 2019 Mar 5.

Centre for Exercise and Sports Science Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.

Objective: No previous study has compared water and oral rehydration solution (ORS) intake after dehydration induced by exercise in the heat for the effect on muscle cramps. The present study tested the hypothesis that water ingestion after dehydration would increase muscle cramp susceptibility, but this would be prevented by ORS ingestion.

Methods: Ten men performed two bouts of downhill running (DHR; -5%) in the heat (35°C-36 °C) until their body mass was reduced by 2%. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407543PMC

Detailed injury epidemiology in contemporary dance: a 1-year prospective study of 134 students.

BMJ Open Sport Exerc Med 2019 8;5(1):e000453. Epub 2019 Feb 8.

Department of Performing Arts Medicine, Codarts University of the Arts, Rotterdam, The Netherlands.

Aim: We investigated the extent and characteristics of injuries in contemporary dance students.

Methods: During one academic year, 134 students of Bachelor dance and Bachelor dance teacher from Codarts University of the Arts (Rotterdam, the Netherlands) were prospectively monitored monthly, using the Performing Artist and Athlete Health Monitor which includes the Oslo Sports Trauma Research Centre Questionnaire on Health Problems.

Results: 130 students were included in the analyses. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407557PMC
February 2019
1 Read

Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation.

BMJ Open Sport Exerc Med 2019 7;5(1):e000447. Epub 2019 Mar 7.

School of Health Sciences, University of Brighton, Brighton, UK.

Objective: To develop a multivariate tool that would predict recurrent instability after a first-time traumatic anterior shoulder dislocation.

Methods: Participants (aged 16-40 years) were recruited across New Zealand into a prospective cohort study. Baseline data were collected during a telephone interview and through examination of radiology records. Read More

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http://bmjopensem.bmj.com/lookup/doi/10.1136/bmjsem-2018-000
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http://dx.doi.org/10.1136/bmjsem-2018-000447DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407568PMC
March 2019
6 Reads

UEFA model in identification of types, severity and mechanism of injuries among footballers in the Nigerian Women's Premier League.

BMJ Open Sport Exerc Med 2019 4;5(1):e000386. Epub 2019 Mar 4.

Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, College of Health Sciences, Nnewi Campus, Nnewi, Nigeria.

Objective: To prospectively investigate the injury profile and the incidence rate per 1000 hours exposure during training and actual league matches in the Nigerian Women's Premier League (NWPL) and to develop an adequate information pool, using the UEFA injury study model in order to develop appropriate injury prevention strategies.

Methods: 241 women footballers from the eight football clubs that participated in the 2015/2016 Nigerian Women Premier league (NWPL) season were selected for the study and prospectively followed for a period of 6 months. The UEFA injury report forms and Competitive Aggressiveness and Anger Scale were sent to the various clubs, and the forms administered on them as at when due. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407567PMC
March 2019
1 Read

Return to play following anterior cruciate ligament reconstruction: incorporating fatigue into a return to play functional battery. Part A: treadmill running.

BMJ Open Sport Exerc Med 2019 1;5(1):e000375. Epub 2019 Mar 1.

The Institute of Sport, Exercise & Health, London, UK.

Background: The risk of reinjury and other sequelae following anterior cruciate ligament reconstruction (ACLR) remains high. Lack of knowledge regarding factors contributing to these risks limits our ability to develop sensitive return to play (RTP) tests. Using a running task, we evaluate whether fatigue induces alterations in foot progression angle (FPA), a proposed biomechanical risk factor and could be used to enhance RTP test sensitivity. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407560PMC
March 2019
1 Read

The effect of intranasal oxytocin on the perception of affective touch and multisensory integration in anorexia nervosa: protocol for a double-blind placebo-controlled crossover study.

BMJ Open 2019 Mar 15;9(3):e024913. Epub 2019 Mar 15.

Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Introduction: Anorexia nervosa (AN) is an eating disorder characterised by restriction of energy intake, fears of gaining weight and related body image disturbances. The oxytocinergic system has been proposed as a pathophysiological candidate for AN. Oxytocin is a neuropeptide involved in bodily processes (eg, breast feeding) and in the onset of social behaviours (eg, bonding). Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02491
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2018-024913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429868PMC
March 2019
3 Reads

Awareness of alcohol marketing, ownership of alcohol branded merchandise, and the association with alcohol consumption, higher-risk drinking, and drinking susceptibility in adolescents and young adults: a cross-sectional survey in the UK.

BMJ Open 2019 Mar 14;9(3):e025297. Epub 2019 Mar 14.

Cancer Policy Research Centre (CPRC), Cancer Research UK, London, London, UK.

Objectives: To explore awareness of alcohol marketing and ownership of alcohol branded merchandise in adolescents and young adults in the UK, what factors are associated with awareness and ownership, and what association awareness and ownership have with alcohol consumption, higher-risk drinking and susceptibility.

Design: Online cross-sectional survey conducted during April-May 2017.

Setting: The UK. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025297DOI Listing

Sports injuries aligned to predicted mature height in highly trained Middle-Eastern youth athletes: a cohort study.

BMJ Open 2019 Mar 13;9(3):e023284. Epub 2019 Mar 13.

Rehabilitation Sciences and Physiotherapie, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.

Objectives: To investigate the association of maturity status with injury incidence in Middle-Eastern youth athletes.

Design: Prospective cohort study.

Setting: Four consecutive seasons (2010-2014), Aspire Academy, Qatar. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023284DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429725PMC
March 2019
2 Reads

Reflections on communication of disease prognosis and life expectancy by patients with colorectal cancer undergoing palliative care: a qualitative study.

BMJ Open 2019 Mar 7;9(3):e023463. Epub 2019 Mar 7.

Department of Obstetric and Gynaecology, Sorlandet Hospital Kristiansand, Kristiansand, Norway.

Objectives: Patients with colorectal cancer undergoing palliative treatment receive extensive treatment-related information throughout their disease trajectory. We aimed to explore the experiences of patients with incurable colorectal cancer while in palliative care and their reflections on the information provided by physicians and nurses. Our main focus was the patients' thoughts about how information about disease status and life expectancy was communicated, from the first time that they were informed about the incurable nature of their disease through to postsurgery palliative treatment. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429716PMC

Effects of resistance training and/or beta-hydroxy-beta-methylbutyrate supplementation on muscle mass, muscle strength and physical performance in older women with reduced muscle mass: protocol for a randomised, double-blind, placebo-controlled trial.

BMJ Open 2019 Feb 27;9(2):e025723. Epub 2019 Feb 27.

Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Institute of Gerontology, Itabashi, Tokyo, Japan.

Introduction: Resistance training (RT) and nutritional supplementation seem to have beneficial effects on muscle properties and physical performance in older adults. However, the reported effects of specific RT programmes and supplementation prescriptions vary among studies. The present study aims to examine the acute and residual effects of RT and/or beta-hydroxy-beta-methylbutyrate (HMB) supplementation on muscle mass, muscle strength and physical performance in older women with reduced muscle mass. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02572
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2018-025723DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398682PMC
February 2019
9 Reads

Minimum income for healthy living and frailty in adults over 65 years old in the English Longitudinal Study of Ageing: a population-based cohort study.

BMJ Open 2019 Feb 27;9(2):e025334. Epub 2019 Feb 27.

International Centre for Lifecourse Studies in Society and Health (ICLS), Department of Epidemiology and Public Health., University College London, London, UK.

Objective: To test whether minimum income for healthy living of a person aged 65 years or older (MIHL) is associated with frailty in older adults.

Design And Setting: Secondary analysis of the English Longitudinal Study of Ageing, a multiwave prospective cohort study in England, UK.

Participants: A subset (n=1342) of English Longitudinal Study of Ageing participants, who at wave 1 in 2002 were aged 65 years or older, without any limiting long-standing illnesses, and who had the information required to calculate MIHL in 2002, 2004 and 2006 and two measures of frailty in 2008. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398705PMC
February 2019
1 Read

Unravelling the interaction between the and genes, personality traits and concussion risk.

BMJ Open Sport Exerc Med 2019 2;5(1):e000465. Epub 2019 Feb 2.

Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Science, University of Cape Town, Cape Town, South Africa.

Background: Concussion occurs when biomechanical forces transmitted to the head result in neurological deficits. Personality may affect the balance between safe and dangerous play potentially influencing concussion risk. Dopamine receptor D2 () and dopamine receptor D4 () genetic polymorphisms were previously associated with personality traits. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361366PMC
February 2019
1 Read

Autoimmune Connective Tissue Diseases and the Risk of Rotator Cuff Repair Surgery: A Population-Based Retrospective Cohort Study.

BMJ Open 2019 Feb 25;9(2):e023848. Epub 2019 Feb 25.

Department of Mathematics, Soochow University, Taipei, Taiwan.

Objectives: Autoimmune connective tissue diseases (ACTDs) commonly involve the shoulder joint; however, clinical epidemiological studies investigating their association with tendons are scant. Rotator cuff (RC) tears can cause shoulder disability, and surgical intervention is usually required. The study investigated RC repair surgery risk in ACTD patients. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023848DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398915PMC
February 2019
3 Reads

Patterns of objectively assessed sedentary time and physical activity among Japanese workers: a cross-sectional observational study.

BMJ Open 2019 Feb 24;9(2):e021690. Epub 2019 Feb 24.

Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan.

Objectives: To examine patterns of sedentary behaviour and physical activity, among Japanese workers with differing occupational activity types.

Design: A cross-sectional observational study in 2013-2015.

Setting: Two local communities in Japan. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-021690DOI Listing
February 2019

Comparison of tetradecyl sulfate versus polidocanol injections for stabilisation of joints that regularly dislocate in an Ehlers-Danlos population.

Authors:
Fraser Burling

BMJ Open Sport Exerc Med 2019 24;5(1):e000481. Epub 2019 Jan 24.

Rheumatology and Musculoskeletal Clinic, Remuera, New Zealand.

Objectives: To determine whether there is similarity between tetradecyl sulfate and polidocanol in stabilising a joint from dislocating in patients with Ehlers-Danlos syndrome (EDS).

Method: A retrospective analysis of patients with EDS in a sole-practice clinic in New Zealand. Patients must have had the diagnosis of EDS, had easily dislocatable joints, had treatment and at least 3 months' follow-up. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350757PMC
January 2019

Managing the health of the eSport athlete: an integrated health management model.

BMJ Open Sport Exerc Med 2019 10;5(1):e000467. Epub 2019 Jan 10.

Center for Sports Medicine NYIT-COM, New York City, New York, USA.

Objectives: eSport is a form of electronic gaming, also known as professional or competitive video gaming, and is growing at a rapid pace worldwide. Over 50 US colleges have established varsity gaming teams over the past three years; some colleges offer eSport scholarships as they do for traditional sports. There is little objective research on the health habits of these players who are often placed under the direction of the athletics department on college campuses, and there is currently no health management model on how to treat these new athletes. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000467DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350739PMC
January 2019

Knowledge of the physical activity guidelines and factors associated with physical activity participation among adults in Harar town, eastern Ethiopia.

BMJ Open Sport Exerc Med 2019 29;5(1):e000463. Epub 2019 Jan 29.

Department of Medical Laboratory Technology, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

Objectives: We assessed knowledge of the physical activity guidelines and factors associated with physical activity participation among adults in Harar town, eastern Ethiopia.

Design: A cross-sectional study of 590 adults in Harar town with face-to-face interview.

Results: Only 27% of participants had good knowledge of the physical activity guidelines. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352836PMC
January 2019

Exercise dependence, eating disorder symptoms and biomarkers of Relative Energy Deficiency in Sports (RED-S) among male endurance athletes.

BMJ Open Sport Exerc Med 2019 10;5(1):e000439. Epub 2019 Jan 10.

Department of Sports Science, Linnaeus University, Kalmar, Sweden.

Objectives: To explore associations betweenexercise dependence, eating disorder (ED) symptoms and biomarkers of Relative Energy Deficiency in Sports (RED-S) among male endurance athletes.

Methods: Fifty-three healthy well-trained male cyclists, triathletes and long-distance runners recruited from regional competitive sports clubs were included in this cross-sectional study. The protocol comprised the Exercise Dependence Scale (EXDS), the ED Examination Questionnaire (EDE-Q), measurements of body composition, resting metabolic rate, energy intake and expenditure and blood analysis of hormones and glucose. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350749PMC
January 2019

Exercise-induced laryngeal obstruction in athletes treated with inspiratory muscle training.

BMJ Open Sport Exerc Med 2019 18;5(1):e000436. Epub 2019 Jan 18.

Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway.

Background: Exercise-induced laryngeal obstruction (EILO) is common in athletes and presents with dyspnoea, chest tightness, inspiratory stridor and sometimes panic reactions. The evidence for conservative treatment is weak, but case reports suggest effects from inspiratory muscle training (IMT). We aimed to explore effects from IMT used in athletes with EILO. Read More

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http://dx.doi.org/10.1136/bmjsem-2018-000436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350751PMC
January 2019

How do participant experiences and characteristics influence engagement in exercise referral? A qualitative longitudinal study of a scheme in Northumberland, UK.

BMJ Open 2019 Feb 20;9(2):e024370. Epub 2019 Feb 20.

Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.

Objectives: Exercise referral schemes (ERSs) are internationally widespread. This study aimed to gain an insight into differential engagement through understanding participant experiences of patients referred by healthcare professionals to one such scheme in the UK.

Design: The study employed a qualitative longitudinal approach using semistructured interviews, with results reported using Consolidated criteria for Reporting Qualitative research guidelines. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024370DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398729PMC
February 2019

Playing football on artificial turf as a risk factor for fifth metatarsal stress fracture: a retrospective cohort study.

BMJ Open 2019 Feb 20;9(2):e022864. Epub 2019 Feb 20.

Department of Orthopaedics and Sports Medicine, Juntendo University, Tokyo, Japan.

Objective: The fifth metatarsal stress fracture is a common injury among football players. Although several risk factors have been proposed, the association between the playing surface and development of fifth metatarsal stress fractures (MT-5) has not been evaluated. We conducted an epidemiological study using a computer-based survey to investigate the association between the playing surface and development of MT-5. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-022864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398723PMC
February 2019
1 Read

Protocol for developing a mental imagery intervention: a randomised controlled trial testing a novel implementation imagery e-health intervention to change driver behaviour during floods.

BMJ Open 2019 Feb 19;9(2):e025565. Epub 2019 Feb 19.

School of Psychology, Health Psychology and Behavioural Medicine Research Group, Curtin University, Perth, Western Australia, Australia.

Introduction: Drowning due to driving into floodwater accounts for a significant proportion of all deaths by drowning. Despite awareness campaigns such as 'If it's flooded, forget it', people continue to drive into floodwater. This causes loss of life, risk to rescuers and damage to vehicles. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02556
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2018-025565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398747PMC
February 2019
5 Reads

Effectiveness and optimal dosage of resistance training for chronic non-specific neck pain: a protocol for a systematic review with a qualitative synthesis and meta-analysis.

BMJ Open 2019 Feb 19;9(2):e025158. Epub 2019 Feb 19.

Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.

Introduction: The prevalence of neck pain is increasing rapidly with a high percentage of patients going on to experience recurrent or chronic symptoms. The resulting pain and disability are commonly managed using a variety of treatments including exercise. Resistance training exercise aimed at the neck and shoulders is advocated to treat chronic non-specific neck pain (CNSNP), however the dosage of prescribed exercise varies considerably between studies. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398773PMC
February 2019

Effectiveness and cost-effectiveness of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL randomised trial.

BMJ Open 2019 Feb 19;9(2):e024153. Epub 2019 Feb 19.

Consumer Representative, Ayrshire, UK.

Introduction: Accidental urine leakage is a distressing problem that affects around one in three women. The main types of urinary incontinence (UI) are stress, urgency and mixed, with stress being most common. Current UK guidelines recommend that women with UI are offered at least 3 months of pelvic floor muscle training (PFMT). Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411252PMC
February 2019
9 Reads

Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL (optimising pelvic floor exercises to achieve long-term benefits) trial mixed methods longitudinal qualitative case study and process evaluation.

BMJ Open 2019 Feb 19;9(2):e024152. Epub 2019 Feb 19.

Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.

Introduction: Female urinary incontinence (UI) is common affecting up to 45% of women. Pelvic floor muscle training (PFMT) is the first-line treatment but there is uncertainty whether intensive PFMT is better than basic PFMT for long-term symptomatic improvement. It is also unclear which factors influence women's ability to perform PFMT long term and whether this has impacts on long-term outcomes. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411251PMC
February 2019
2 Reads

Tuberculosis notification in a private tertiary care teaching hospital in South India: a mixed-methods study.

BMJ Open 2019 Feb 19;9(2):e023910. Epub 2019 Feb 19.

Department of Community Health, St John's National Academy of Health Sciences, Bengaluru, Karnataka, India.

Objectives: India contributes approximately 25% of the 'missing' cases of tuberculosis (TB) globally. Even though ~50% of patients with TB are diagnosed and treated within India's private sector, few are notified to the public healthcare system. India's TB notification policy mandates that all patients with TB are notified through Nikshay (TB notification portal). Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02391
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http://dx.doi.org/10.1136/bmjopen-2018-023910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377518PMC
February 2019
4 Reads
2.063 Impact Factor

Feasibility of working with a wholesale supplier to co-design and test acceptability of an intervention to promote smaller portions: an uncontrolled before-and-after study in British Fish & Chip shops.

BMJ Open 2019 Feb 19;9(2):e023441. Epub 2019 Feb 19.

Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Objectives: To explore the feasibility of working with a wholesale supplier to co-design and deliver, and to assess the acceptability of, an intervention to promote smaller portions in Fish & Chip shops.

Design: Uncontrolled before-and-after study.

Setting: Fish & Chip shops in northern England, 2016. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023441DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377521PMC
February 2019

Pathways of antibiotic use in Bangladesh: qualitative protocol for the PAUSE study.

BMJ Open 2019 Jan 25;9(1):e028215. Epub 2019 Jan 25.

Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.

Introduction: Global actions to reduce antimicrobial resistance (AMR) include optimising the use of antimicrobial medicines in human and animal health. In countries with weak healthcare regulation, this requires a greater understanding of the drivers of antibiotic use from the perspective of providers and consumers. In Bangladesh, there is limited research on household decision-making and healthcare seeking in relation to antibiotic use and consumption for humans and livestock. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-028215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352800PMC
January 2019