BRain health and healthy AgeINg in retired rugby union players, the BRAIN Study

study protocol for an observational study in the UK

Valentina Gallo, Damien McElvenny, Catherine Hobbs, Donna Davoren, Huw Morris, Sebastian Crutch, Henrik Zetterberg, Nick C Fox, Simon Kemp, Matthew Cross, Nigel K Arden, Madeleine A M Davies, Andrea Malaspina, Neil Pearce

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: Relatively little is known about the long-term health of former elite rugby players, or former sportspeople more generally. As well as the potential benefits of being former elite sportspersons, there may be potential health risks from exposures occurring during an individual's playing career, as well as following retirement. Each contact sport has vastly different playing dynamics, therefore exposing its players to different types of potential traumas. Current evidence suggests that these are not necessarily comparable in terms of pathophysiology, and their potential long-term adverse effects might also differ. There is currently limited but increasing evidence that poorer age-related and neurological health exists among former professional sportsmen exposed to repetitive concussions; however the evidence is limited on rugby union players, specifically.

METHODS AND ANALYSIS: We present the protocol for a cross-sectional study to assess the association between self-reported history of concussion during a playing career, and subsequent measures of healthy ageing and neurological and cognitive impairment. We are recruiting a sample of approximately 200 retired rugby players (former Oxford and Cambridge University rugby players and members of the England Rugby International Club) aged 50 years or more, and collecting a number of general and neurological health-related outcome measures though validated assessments. Biomarkers of neurodegeneration (neurofilaments and tau) will be also be measured. Although the study is focusing on rugby union players specifically, the general study design and the methods for assessing neurological health are likely to be relevant to other studies of former elite sportspersons.

ETHICS AND DISSEMINATION: The study has been approved by the Ethical Committee of London School of Hygiene and Tropical Medicine (reference: 11634-2). It is intended that results of this study will be published in peer-reviewed medical journals, communicated to participants, the general public and all relevant stakeholders.

Original languageEnglish
Pages (from-to)e017990
JournalBMJ Open
Volume7
Issue number12
DOIs
Publication statusPublished - 1 Dec 2017

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Football
Observational Studies
Health
Brain
Tropical Medicine
Intermediate Filaments
Retirement
Hygiene
England
Sports
Cross-Sectional Studies
Biomarkers
Outcome Assessment (Health Care)
Wounds and Injuries

Keywords

  • Journal Article

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BRain health and healthy AgeINg in retired rugby union players, the BRAIN Study : study protocol for an observational study in the UK. / Gallo, Valentina; McElvenny, Damien; Hobbs, Catherine; Davoren, Donna; Morris, Huw; Crutch, Sebastian; Zetterberg, Henrik; Fox, Nick C; Kemp, Simon; Cross, Matthew; Arden, Nigel K; Davies, Madeleine A M; Malaspina, Andrea; Pearce, Neil.

In: BMJ Open, Vol. 7, No. 12, 01.12.2017, p. e017990.

Research output: Contribution to journalArticle

Gallo, V, McElvenny, D, Hobbs, C, Davoren, D, Morris, H, Crutch, S, Zetterberg, H, Fox, NC, Kemp, S, Cross, M, Arden, NK, Davies, MAM, Malaspina, A & Pearce, N 2017, 'BRain health and healthy AgeINg in retired rugby union players, the BRAIN Study: study protocol for an observational study in the UK', BMJ Open, vol. 7, no. 12, pp. e017990. https://doi.org/10.1136/bmjopen-2017-017990
Gallo, Valentina ; McElvenny, Damien ; Hobbs, Catherine ; Davoren, Donna ; Morris, Huw ; Crutch, Sebastian ; Zetterberg, Henrik ; Fox, Nick C ; Kemp, Simon ; Cross, Matthew ; Arden, Nigel K ; Davies, Madeleine A M ; Malaspina, Andrea ; Pearce, Neil. / BRain health and healthy AgeINg in retired rugby union players, the BRAIN Study : study protocol for an observational study in the UK. In: BMJ Open. 2017 ; Vol. 7, No. 12. pp. e017990.
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AU - Davoren, Donna

AU - Morris, Huw

AU - Crutch, Sebastian

AU - Zetterberg, Henrik

AU - Fox, Nick C

AU - Kemp, Simon

AU - Cross, Matthew

AU - Arden, Nigel K

AU - Davies, Madeleine A M

AU - Malaspina, Andrea

AU - Pearce, Neil

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PY - 2017/12/1

Y1 - 2017/12/1

N2 - INTRODUCTION: Relatively little is known about the long-term health of former elite rugby players, or former sportspeople more generally. As well as the potential benefits of being former elite sportspersons, there may be potential health risks from exposures occurring during an individual's playing career, as well as following retirement. Each contact sport has vastly different playing dynamics, therefore exposing its players to different types of potential traumas. Current evidence suggests that these are not necessarily comparable in terms of pathophysiology, and their potential long-term adverse effects might also differ. There is currently limited but increasing evidence that poorer age-related and neurological health exists among former professional sportsmen exposed to repetitive concussions; however the evidence is limited on rugby union players, specifically.METHODS AND ANALYSIS: We present the protocol for a cross-sectional study to assess the association between self-reported history of concussion during a playing career, and subsequent measures of healthy ageing and neurological and cognitive impairment. We are recruiting a sample of approximately 200 retired rugby players (former Oxford and Cambridge University rugby players and members of the England Rugby International Club) aged 50 years or more, and collecting a number of general and neurological health-related outcome measures though validated assessments. Biomarkers of neurodegeneration (neurofilaments and tau) will be also be measured. Although the study is focusing on rugby union players specifically, the general study design and the methods for assessing neurological health are likely to be relevant to other studies of former elite sportspersons.ETHICS AND DISSEMINATION: The study has been approved by the Ethical Committee of London School of Hygiene and Tropical Medicine (reference: 11634-2). It is intended that results of this study will be published in peer-reviewed medical journals, communicated to participants, the general public and all relevant stakeholders.

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