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April 20, 2022JAMA Network OpenOpen Access

Association of Playing College American Football With Long-term Health Outcomes and Mortality

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Key result

Former college football players show ~46% lower mortality but higher cognitive impairment versus the general population.

  • SMR 0.54
  • 95% CI 0.42-0.67
  • n=447

Why the study?

Most research on the long-term health consequences of playing American football has focused on former professional athletes, leaving limited studies of former college players.

Does participation in college American football affect long-term health outcomes and mortality in former players?

Population

447 former University of Notre Dame football players aged 59 to 75 years

Comparison

Former college football players vs general population men and matched HRS participants

Design

Cohort study

Authors

APAlyssa PhelpsMAMichael L. AloscoZBZachary Baucom

Discussion

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Member takes

Overview

May warrant cognitive screening in former players despite lower mortality; leaves open net health effects of college football.

Study Design

Type

Cohort (n=447)

Multicenter

No

Structured PICO

Does participation in college American football affect long-term health outcomes and mortality in former players?

P
Population
447 former University of Notre Dame (ND) football players aged 59 to 75 years who were seniors on the rosters from 1964 to 1980.
I
Intervention
Participation in college American football at the University of Notre Dame.
C
Comparator
Propensity score-matched participants in the Health and Retirement Study (HRS) for health outcomes, and men in the general US population for mortality.
O
Outcome
Prevalence of self-reported health conditions and standardized mortality ratios (SMRs) of all causes and specific causes of death.hard clinical

Main Result

Effect estimate: SMR 0.54 (95% CI 0.42-0.67)

Former college football players showed increased prevalence of certain health conditions like cognitive impairment and cardiovascular disease, but lower overall mortality compared to the general population.

Cite This Study

Phelps et al. (2022) conducted a cohort in Former college American football players (n=447). Participation in college American football vs. Men in the general population was evaluated on All-cause mortality (SMR 0.54, 95% CI 0.42-0.67). Former college football players had lower all-cause mortality (SMR 0.54; 95% CI 0.42-0.67) but higher prevalence of cognitive impairment (5% vs 1%; P=0.02) compared with the general population.

synapsesocial.com/papers/6a09723836c3abab5045bbc8https://doi.org/10.1001/jamanetworkopen.2022.8775
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association Between History of Multiple Concussions and Health Outcomes Among Former College Football Players: 15-Year Follow-up From the NCAA Concussion Study (1999-2001)2018 · 83 citations
  2. 2Association of Field Position and Career Length With Risk of Neurodegenerative Disease in Male Former Professional Soccer Players2021 · 160 citations
  3. 3Predictors of smoking among US college students.1998 · 190 citations
  4. 4The Satisfaction With Life Scale1985 · 31,506 citations
  5. 5Depressive symptoms and white matter dysfunction in retired NFL players with concussion history2013 · 158 citations