Study | Country | N | Study group | Age (years) | Exposure | Topic/Outcome | Significant findings/risk |
Bohr et al111 | USA | 10 951 (54.3% women) | High school sports | 29.0 (1.7) | Sports participation | Football associated with reduced odds of lifetime history of depression, and it was not associated with worse cognitive functioning, current depression or suicidality in the past year. | Yes/Lesser for lifetime history of depression |
Deshpande et al110 | USA | 2197; 521 (23.7%) football | High school sports | Football M=28.8 Controls M=29.1 | Sports participation | Self-reported current depression; prior diagnosis of depression, anxiety or PTSD; suicidality. | No |
Iverson et al109 | USA | Wave IV=2318 Wave III=1856 | High school football | Wave IV M=29.1, SD=1.8 Wave III M=21.9, SD=1.8 | Football participation | Wave IV: lifetime diagnosis of depression, suicide ideation, current depression. Wave III: suicide ideation. | No |
Iverson and Terry108 | USA | 1762 Football=369 No football=952 | High school football | M=38.03, SD=1.95 | Football participation | Lifetime diagnosis of depression, anxiety disorder or panic disorder; mental health treatment past year; suicidal ideation past year; current depression. | No |
Deshpande et al134 | USA | 2 692; 834 (31.0%) played football | High school football | M=64.4, SD=0.8 | Football participation | Former football players did not report greater symptoms of depression or perform worse on cognitive testing. | No |
Savica et al113 | USA | 512 Football=438 Controls=140 | High school football | Football: 68.4 (IQR=31.5–75.6); Controls: 59.1 (IQR=26.7–73.4) | Football participation | Neurological and neurodegenerative diseases. | No |
Janssen et al112 | USA | 486 Football=296 Other sports=190 | High school football | 62–78 | Football versus sports participation | Neurological and neurodegenerative diseases. | No |
Valenti et al131 | Italy | 300 people with ALS (36% women) and 300 controls | ALS | ALS sample: males 59 (SD=8); females 60 (SD=9) | Sports participation, particularly soccer | No association between playing sports, and soccer in particular, and having ALS. | No |
Porter et al125 | USA | 20 boxers 20 controls | Amateur boxers | 16–25 at start | Boxing participation | Cognitive functioning over 9 years; neuropsychological test scores did not appear to change. | No |
Weiss et al121 | Sweden | 660, 58.2% women | Amateur collision or contact sports | M=62.8, SD=7.9 | Sports participation; n=77 men and n=1 woman | Cognitive impairment in older adulthood. | No |
None of these studies examined concussions as the exposure variable of interest. All examined exposure to amateur (eg, high school) sports, but none of the studies quantified that exposure (eg, years of participation, position played or playing time).
ALS, amyotrophic lateral sclerosis; M, mean; n, sample size.