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      Association between Recurrent Concussion and Late-Life Cognitive Impairment in Retired Professional Football Players

      , , , , , ,
      Neurosurgery
      Oxford University Press (OUP)

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          Abstract

          Cerebral concussion is common in collision sports such as football, yet the chronic neurological effects of recurrent concussion are not well understood. The purpose of our study was to investigate the association between previous head injury and the likelihood of developing mild cognitive impairment (MCI) and Alzheimer's disease in a unique group of retired professional football players with previous head injury exposure. A general health questionnaire was completed by 2552 retired professional football players with an average age of 53.8 (+/-13.4) years and an average professional football playing career of 6.6 (+/- 3.6) years. A second questionnaire focusing on memory and issues related to MCI was then completed by a subset of 758 retired professional football players (> or = 50 yr of age). Results on MCI were then cross-tabulated with results from the original health questionnaire for this subset of older retirees. Of the former players, 61% sustained at least one concussion during their professional football career, and 24% sustained three or more concussions. Statistical analysis of the data identified an association between recurrent concussion and clinically diagnosed MCI (chi = 7.82, df = 2, P = 0.02) and self-reported significant memory impairments (chi = 19.75, df = 2, P = 0.001). Retired players with three or more reported concussions had a fivefold prevalence of MCI diagnosis and a threefold prevalence of reported significant memory problems compared with retirees without a history of concussion. Although there was not an association between recurrent concussion and Alzheimer's disease, we observed an earlier onset of Alzheimer's disease in the retirees than in the general American male population. Our findings suggest that the onset of dementia-related syndromes may be initiated by repetitive cerebral concussions in professional football players.

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          Author and article information

          Journal
          Neurosurgery
          Oxford University Press (OUP)
          0148-396X
          1524-4040
          October 2005
          October 01 2005
          October 2005
          October 01 2005
          : 57
          : 4
          : 719-726
          Article
          10.1093/neurosurgery/57.4.719
          16239884
          f28dbcaf-8efe-48fa-96fb-91f0216f5792
          © 2005
          History

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