TY - JOUR
T1 - Prospective study of central nervous system function in amateur boxers in the United States
AU - Stewart, Walter F.
AU - Gordon, Barry
AU - Seines, Ola
AU - Bandeen-roche, Karen
AU - Zeger, S.
AU - Tusa, R. J.
AU - Celentano, D. D.
AU - Shechter, A.
AU - Liberman, J.
AU - Hall, C.
AU - Simon, D.
AU - Lesser, R.
AU - Randall, R. D.
N1 - Funding Information:
This investigation was supported by Public Health Service grant NS26450 awarded by the National Institute of Neurological Disorders and Stroke and supported by the United States Olympic Foundation. The authors acknowledge Angeline Nanni, William Jankel, Ph.D., Normi Morin, Ph.D., and Earl Diamond, Ph.D., for their contributions to the completion of the study and the following members of the external advisory committee: Bruce Shoenberg, M.D., Dr.P.H. (deceased), Jess Kraus, Ph.D. (chairman), Gregory F. Aloia, Ph.D., Taylor August, Jeffrey Barth, Ph.D., Jordan Grafman, Ph.D., Barry Jordan, M.D., M.P.H, Russell H. Patterson, M.D., Robert Voy, M.D., and Robert S. Woolson, Ph.D.
PY - 1994/3/15
Y1 - 1994/3/15
N2 - Active amateur boxers from six US cities were studied in 1986-1990 to determine whether changes in central nervous system function over a 2-year interval (as evaluated by tests of perceptual/motor function, attention/concentration, psychomotor speed, memory, visuoconstructional ability, and mental control, measures of ataxia and brainstem auditory evoked potentials, and electroencephalography) were associated with degree of participation in amateur boxing. A total of 484 participants were examined at baseline; 393 (81.2%) were examined 2 years later. At baseline, 22% of the participants had not yet competed in a bout; 9% had never competed in a bout by the second examination. Exposure was defined by number of bouts, sparring-years, and sparring with a professional boxer. Very few statistically significant odds ratios were found between exposure and change in function. Significant tests of trend were found between the total number of bouts incurred before the baseline examination and changes in memory, visuoconstructional ability, and perceptual/motor ability. The significant trends for change in function in the latter two domains were primarily due to performance on the Block Design test, which was common to both test domains. No statistically significant associations were found between more recent bouts (after the baseline visit) and any functional domains, nor between bouts or sparring and any other outcome measures. The significant trends with past bouts, but not more recent bouts, may reflect the need for a long latency period before effects are manifest. Alternatively, given changes in safety practices, the observed association may be related to more severe exposure from bouts that occurred before 1986, when new safety measures were imposed.
AB - Active amateur boxers from six US cities were studied in 1986-1990 to determine whether changes in central nervous system function over a 2-year interval (as evaluated by tests of perceptual/motor function, attention/concentration, psychomotor speed, memory, visuoconstructional ability, and mental control, measures of ataxia and brainstem auditory evoked potentials, and electroencephalography) were associated with degree of participation in amateur boxing. A total of 484 participants were examined at baseline; 393 (81.2%) were examined 2 years later. At baseline, 22% of the participants had not yet competed in a bout; 9% had never competed in a bout by the second examination. Exposure was defined by number of bouts, sparring-years, and sparring with a professional boxer. Very few statistically significant odds ratios were found between exposure and change in function. Significant tests of trend were found between the total number of bouts incurred before the baseline examination and changes in memory, visuoconstructional ability, and perceptual/motor ability. The significant trends for change in function in the latter two domains were primarily due to performance on the Block Design test, which was common to both test domains. No statistically significant associations were found between more recent bouts (after the baseline visit) and any functional domains, nor between bouts or sparring and any other outcome measures. The significant trends with past bouts, but not more recent bouts, may reflect the need for a long latency period before effects are manifest. Alternatively, given changes in safety practices, the observed association may be related to more severe exposure from bouts that occurred before 1986, when new safety measures were imposed.
KW - Boxing
KW - Central nervous system
KW - Head injuries
KW - Prospective studies
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U2 - 10.1093/oxfordjournals.aje.a117047
DO - 10.1093/oxfordjournals.aje.a117047
M3 - Article
C2 - 8172169
AN - SCOPUS:0028350039
SN - 0002-9262
VL - 139
SP - 573
EP - 588
JO - American Journal of Epidemiology
JF - American Journal of Epidemiology
IS - 6
ER -