5 research outputs found
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Prevalence of Eating Disorders and Pathogenic Weight Control Behaviors Among Male Collegiate Athletes
Training in sport environments that emphasize leanness and muscularity may damage athletes' body image and negatively influence male athletes' eating behaviors and attitudes. The Questionnaire for Eating Disorder Diagnosis and the Bulimia Test – Revised were completed anonymously online by 732 male intercollegiate athletes. Most male collegiate athletes were classified as asymptomatic (82.9%), followed by symptomatic (16%) and eating disordered (1.1%). The most common forms pathogenic behaviors were excessive exercise (51.6%), binge eating (21.4%), and dieting or fasting (20.5%). Results suggested that athletes who participate in weight class sports are at higher risk for developing these behaviors than endurance sport or ball game athletes. Counseling and other implications for professionals working with athletes are discussed
Management of Cerebral Venous Thrombosis Due to Adenoviral COVID-19 Vaccination
Objective Cerebral venous thrombosis (CVT) caused by vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare adverse effect of adenovirus-based severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) vaccines. In March 2021, after autoimmune pathogenesis of VITT was discovered, treatment recommendations were developed. These comprised immunomodulation, non-heparin anticoagulants, and avoidance of platelet transfusion. The aim of this study was to evaluate adherence to these recommendations and its association with mortality. Methods We used data from an international prospective registry of patients with CVT after the adenovirus-based SARS-CoV-2 vaccination. We analyzed possible, probable, or definite VITT-CVT cases included until January 18, 2022. Immunomodulation entailed administration of intravenous immunoglobulins and/or plasmapheresis. Results Ninety-nine patients with VITT-CVT from 71 hospitals in 17 countries were analyzed. Five of 38 (13%), 11 of 24 (46%), and 28 of 37 (76%) of the patients diagnosed in March, April, and from May onward, respectively, were treated in-line with VITT recommendations (p < 0.001). Overall, treatment according to recommendations had no statistically significant influence on mortality (14/44 [32%] vs 29/55 [52%], adjusted odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.16-1.19). However, patients who received immunomodulation had lower mortality (19/65 [29%] vs 24/34 [70%], adjusted OR = 0.19, 95% CI = 0.06-0.58). Treatment with non-heparin anticoagulants instead of heparins was not associated with lower mortality (17/51 [33%] vs 13/35 [37%], adjusted OR = 0.70, 95% CI = 0.24-2.04). Mortality was also not significantly influenced by platelet transfusion (17/27 [63%] vs 26/72 [36%], adjusted OR = 2.19, 95% CI = 0.74-6.54). Conclusions In patients with VITT-CVT, adherence to VITT treatment recommendations improved over time. Immunomodulation seems crucial for reducing mortality of VITT-CVT. ANN NEUROL 2022Peer reviewe
Sex differences in cerebral venous sinus thrombosis after adenoviral vaccination against COVID-19
Introduction: Cerebral venous sinus thrombosis associated with vaccine-induced immune thrombotic thrombocytopenia (CVST-VITT) is a severe disease with high mortality. There are few data on sex differences in CVST-VITT. The aim of our study was to investigate the differences in presentation, treatment, clinical course, complications, and outcome of CVST-VITT between women and men. Patients and methods: We used data from an ongoing international registry on CVST-VITT. VITT was diagnosed according to the Pavord criteria. We compared the characteristics of CVST-VITT in women and men. Results: Of 133 patients with possible, probable, or definite CVST-VITT, 102 (77%) were women. Women were slightly younger [median age 42 (IQR 28–54) vs 45 (28–56)], presented more often with coma (26% vs 10%) and had a lower platelet count at presentation [median (IQR) 50x109/L (28–79) vs 68 (30–125)] than men. The nadir platelet count was lower in women [median (IQR) 34 (19–62) vs 53 (20–92)]. More women received endovascular treatment than men (15% vs 6%). Rates of treatment with intravenous immunoglobulins were similar (63% vs 66%), as were new venous thromboembolic events (14% vs 14%) and major bleeding complications (30% vs 20%). Rates of good functional outcome (modified Rankin Scale 0-2, 42% vs 45%) and in-hospital death (39% vs 41%) did not differ. Discussion and conclusions: Three quarters of CVST-VITT patients in this study were women. Women were more severely affected at presentation, but clinical course and outcome did not differ between women and men. VITT-specific treatments were overall similar, but more women received endovascular treatment.</p
Sex differences in cerebral venous sinus thrombosis after adenoviral vaccination against COVID-19
Introduction: Cerebral venous sinus thrombosis associated with vaccine-induced immune thrombotic thrombocytopenia (CVST-VITT) is a severe disease with high mortality. There are few data on sex differences in CVST-VITT. The aim of our study was to investigate the differences in presentation, treatment, clinical course, complications, and outcome of CVST-VITT between women and men. Patients and methods: We used data from an ongoing international registry on CVST-VITT. VITT was diagnosed according to the Pavord criteria. We compared the characteristics of CVST-VITT in women and men. Results: Of 133 patients with possible, probable, or definite CVST-VITT, 102 (77%) were women. Women were slightly younger [median age 42 (IQR 28–54) vs 45 (28–56)], presented more often with coma (26% vs 10%) and had a lower platelet count at presentation [median (IQR) 50x109/L (28–79) vs 68 (30–125)] than men. The nadir platelet count was lower in women [median (IQR) 34 (19–62) vs 53 (20–92)]. More women received endovascular treatment than men (15% vs 6%). Rates of treatment with intravenous immunoglobulins were similar (63% vs 66%), as were new venous thromboembolic events (14% vs 14%) and major bleeding complications (30% vs 20%). Rates of good functional outcome (modified Rankin Scale 0-2, 42% vs 45%) and in-hospital death (39% vs 41%) did not differ. Discussion and conclusions: Three quarters of CVST-VITT patients in this study were women. Women were more severely affected at presentation, but clinical course and outcome did not differ between women and men. VITT-specific treatments were overall similar, but more women received endovascular treatment.</p
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A Test of an Etiological Model: Disordered Eating in Male Collegiate Athletes
Athletes may be at increased risk for developing disordered eating and pathogenic weight control behaviors due to pressure for their bodies to look a certain way and perform at a high level (Sundgot-Borgen & Torstveit, 2004). Petrie and Greenleaf (2013) proposed a psychosocial model to explain the development of athletes’ disordered eating behaviors. Specifically, they suggested that unique weight/body pressures of the sport environment, general societal pressures about attractiveness, internalization of societal appearance ideals, body dissatisfaction, drive for muscularity, negative affect, and dietary restraint combine and contribute to the development of bulimic symptomatology. The aim of the current study is to test the Petrie and Greenleaf model in a large, nation-wide, diverse sample of male collegiate athletes. Participants were male collegiate athletes (N = 731; Mage = 19.91, SD = 1.50) representing 17 sports and National Collegiate Athletic Association (NCAA) Divisions I, II, and III. Participants completed a demographic questionnaire and measures designed to assess their experiences of the above constructs. Structural equation modeling was used to test the pathways proposed in the Petrie and Greenleaf (2013) etiological model. Results suggest that sport pressures, such as those from coaches and teammates about weight, the importance of appearance, and looking good in a uniform, are significant factors in understanding disordered eating among male collegiate athletes. These pressures were related directly to all other variables in the model, including increased body dissatisfaction, experiencing more negative emotions, restricting caloric intake, and engaging in behaviors to increase muscularity. In the end, it was these variables – negative affect, drive for muscularity, dietary restraint, and body dissatisfaction– that explained over 30% of the variance in the athletes’ bulimic symptomatology