Impact of sports on health of former professional soccer players in Brazil

Arliani, Gustavo Gonçalves; Lara, Paulo Schmith; Astur, Diego Costa; Cohen, Moisés; Gonçalves, João Paulo; Ferretti, Mário

doi:10.1590/1413-78522014220400954

Cited by 16 publications

(15 citation statements)

References 11 publications

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“…UK footballers received over twice the number of KIA injections during their playing careers than that reported in a study of 27 Brazilian ex-professional footballers and 30 non-sport controls, though that study was powered for KOA outcomes rather than IA injections, and the type of injection and injection frequency per season were unreported [12]. It was, however, similar to another study of Brazilian ex-footballers which reported 54% of players as having received IA injections.…”

Section: Discussionsupporting

confidence: 51%

“…Furthermore, WADA and their anti-doping regulations simply did not exist for elite footballers who played professionally during the 1950s-1980s. Data on use of knee IA (KIA) injections in professional footballers are limited to small studies (n = 27-100) in which 44-54% received knee IA (KIA) injections during their career and reported long-term impaired knee-health related quality of life, including 97% experiencing KP [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Intra-articular Injection Administration in UK Ex-professional Footballers During Their Playing Careers and the Association with Post-career Knee Osteoarthritis

et al. 2020

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Background The long-term risk from knee intra-articular (KIA) injections in professional athletes such as ex-footballers remains unknown. The use of KIA injections is controversial and remains anecdotally prolific as it is perceived as being safe/ beneficial. The aim of this study was to determine the number, type and frequency KIA injections administered to retired professional footballers during their playing careers and the associations with post-career knee osteoarthritis (KOA). Methods This is a cross-sectional study involving a postal questionnaire (n = 1207) and subsequent knee radiographs in a random sample of questionnaire responders (n = 470). Footballers self-reported in the questionnaire whether they had received KIA injections and the estimated total number over the course of their playing career. Participant characteristics and football career-related details were also recorded. KOA was measured as self-reported knee pain (KP), total knee replacement (TKR) and radiographic KOA (RKOA). Results 44.5% of footballers had received at least one KIA injection (mean: 7.5; SD ± 11.2) during their professional career. 71% of knee injections were cortisone/corticosteroid based. Multivariate logistic regression, adjusting for age, body mass index (BMI) and significant knee injury identified that footballers with injections were two times more likely to have KP (OR 1.81, 95% CI 1.40-2.34) and TKR (OR 2.21, 95% CI 1.43-3.42) than those without injections. However, there was no association with RKOA (OR 1.30, 95% CI 0.85-2.01). Given, the association with KP and TKR, we found a significant dose-response relationship as the more injections a player received (by dose-response groups), the greater the risk of KP and TKR outcomes after adjustment for knee injury and other confounders (p for trend < 0.01). Conclusion On average, 8 KIA injections were given to the ex-footballers during their professional career. The most commonly administered injections were cortisone based. These injections associated with KP and TKR after they retired. The associations are independent of knee injuries and are dose dependent. The study suggests that there may have been excessive use of KIA injections to expedite return to play and this contributed to detrimental long-term outcomes such as KP and TKR post-retirement from professional football.

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Section: Discussionsupporting

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Intra-articular Injection Administration in UK Ex-professional Footballers During Their Playing Careers and the Association with Post-career Knee Osteoarthritis

et al. 2020

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“…Apesar dos achados do presente estudo apontarem para indicadores de qualidade de vida e saúde mental na população investigada, deve-se considerar os estudos de Arliani et al (2014) com ex-jogadores de futebol que indicaram ganho de peso após a aposentadoria, elevado número de infiltrações de medicamentos no joelho durante a carreira e dor crônica nesta articulação após o término da carreira. A importância de se investigar a qualidade de vida dos atletas é apontada por Dos Santos (2015) que destaca que a investigação da temática é rara na área do esporte e a maioria dos estudos quando a investiga relaciona com a lesão.…”

Section: Resultsunclassified

“…Na tentativa de ampliar o entendimento do atleta de alto rendimento, Gucciardi et al (2016) propõem que a resistência mental, que seria a capacidade de gerenciar o estresse e a ansiedade, pode se apresentar como importante indicador de saúde mental ou facilitador da sua realização. Essa complexidade pode ser observada no estudo de Arliani et al (2014) que encontraram importantes indícios de baixa qualidade de vida e saúde física entre ex--jogadores profissionais de futebol no Brasil, como por exemplo, 78% apresentaram sobrepeso, 4% foram considerados obesos e 97% dor crônica na articulação do joelho após o término da carreira. Por sua vez, o estudo de Cevada et al (2012) encontraram melhores indicadores dos aspectos emocionais e saúde geral de ex-atletas quando comparado com não atletas.…”

Section: Introductionunclassified

Avaliação da qualidade de vida, estresse, ansiedade e coping de jogadores de futebol de campo da categoria sub-20

Paína

Fechio

Peccin

et al. 2018

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Resumo. O objetivo do estudo foi avaliar a qualidade de vida, os níveis de estresse, ansiedade e habilidades de coping de jogadores de futebol de campo da categoria sub-20. Participaram do estudo 23 atletas de futebol da categoria sub-20 de um clube de futebol da primeira divisão do estado de São Paulo, que responderam instrumentos de autorrelato. Os resultados mostraram que os atletas apresentaram bons indicadores de qualidade de vida, baixos níveis de estresse e de ansiedade e bom repertório de coping.Palavras-chave: futebol, qualidade de vida, coping.Abstract. The aim of this study was to evaluate the quality of life, stress, anxiety, and coping in under-20 soccer players of a Brazilian first division club. 23 under-20 soccer players of a Brazilian first division club of São Paulo state participated of the study, responding to self-report tools. The results showed that athletes had good levels of quality of life, low levels of stress and anxiety and good coping skills.Este é um artigo de acesso aberto, licenciado por Creative Commons Atribuição 4.0 Internacional (CC BY 4.0), sendo permitidas reprodução, adaptação e distribuição desde que o autor e a fonte originais sejam creditados.

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“…Despite the huge increase in women's football in recent years, 80% of football players are still men. 1,2 The death of several athletes during football matches due to heart problems has caused great concern and prompted discussion in both FIFA (Fédération Internationale de Football Association) and medical societies. In fact, a survey conducted by the former indicated an average rate of one sudden death per month during football matches in the last 10 years.…”

Section: Introductionmentioning

confidence: 99%

Ophthalmologic Evaluation in Professional Male Soccer Players in Brazil

Toledo

Arliani

Lara

et al. 2019

Rev Bras Med Esporte

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Introduction: Soccer is the most popular sport in Brazil and worldwide, but there is insufficient data on the eye health of soccer players, and eye conditions may affect the well-being and performance of these athletes. Objective: To perform an ocular evaluation of a representative sample of professional soccer players from Brazil. Methods: This was a cross-sectional study conducted over four consecutive years (2009)(2010)(2011)(2012) at a single professional soccer club in Brazil. The ophthalmology evaluation was performed by the same ophthalmologist in each sample. Prior to the ophthalmology evaluation, all participants filled out a questionnaire to provide the following demographic data: age, position, use of contact lenses or ophthalmic drugs, symptoms, previous ocular surgery, and date of the last ophthalmology evaluation. Visual acuity, intraocular pressure (IOP) and color vision were tested during the ophthalmologic examination, and ophthalmoscopy and biomicroscopy exams were performed. Results: One hundred and twenty bilateral ophthalmology evaluations were performed in 84 professional soccer players between 2009 and 2012. Pinguecula and pterygium were the most common conditions found in the athletes' biomicroscopy exams, corresponding to 63% (38/60) and 17% (10/60) of abnormalities, respectively. In the contrast sensitivity evaluation, only one athlete was color blind. No significant associations were found between the position of the athlete and the results of the biomicroscopy and ophthalmoscopy exams. Conclusion: Despite the high prevalence of abnormalities found in the ophthalmology evaluation, most refractive abnormalities did not require correction, and the biomicroscopy abnormalities were mostly benign. Level III; Study of non-consecutive patients.

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Impact of sports on health of former professional soccer players in Brazil

Cited by 16 publications

References 11 publications

Intra-articular Injection Administration in UK Ex-professional Footballers During Their Playing Careers and the Association with Post-career Knee Osteoarthritis

Intra-articular Injection Administration in UK Ex-professional Footballers During Their Playing Careers and the Association with Post-career Knee Osteoarthritis

Avaliação da qualidade de vida, estresse, ansiedade e coping de jogadores de futebol de campo da categoria sub-20

Ophthalmologic Evaluation in Professional Male Soccer Players in Brazil

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