Vascular Health in American Football Players: Cardiovascular Risk Increased in Division III Players

Studies report that football players have high blood pressure (BP) and increased cardiovascular risk. There are over 70,000 NCAA football players and 450 Division III schools sponsor football programs, yet limited research exists on vascular health of athletes. This study aimed to compare vascular and cardiovascular health measures between football players and nonathlete controls. Twenty-three athletes and 19 nonathletes participated. Vascular health measures included flow-mediated dilation (FMD) and carotid artery intima-media thickness (IMT). Cardiovascular measures included clinic and 24 hr BP levels, body composition, VO2 max, and fasting glucose/cholesterol levels. Compared to controls, football players had a worse vascular and cardiovascular profile. Football players had thicker carotid artery IMT (0.49 ± 0.06 mm versus 0.46 ± 0.07 mm) and larger brachial artery diameter during FMD (4.3 ± 0.5 mm versus 3.7 ± 0.6 mm), but no difference in percent FMD. Systolic BP was significantly higher in football players at all measurements: resting (128.2 ± 6.4 mmHg versus 122.4 ± 6.8 mmHg), submaximal exercise (150.4 ± 18.8 mmHg versus 137.3 ± 9.5 mmHg), maximal exercise (211.3 ± 25.9 mmHg versus 191.4 ± 19.2 mmHg), and 24-hour BP (124.9 ± 6.3 mmHg versus 109.8 ± 3.7 mmHg). Football players also had higher fasting glucose (91.6 ± 6.5 mg/dL versus 86.6 ± 5.8 mg/dL), lower HDL (36.5±11.2 mg/dL versus 47.1±14.8 mg/dL), and higher body fat percentage (29.2±7.9% versus 23.2±7.0%). Division III collegiate football players remain an understudied population and may be at increased cardiovascular risk

Carotid Artery IMT, Blood Pressure, and Cardiovascular Risk Factors in Males and Females

International Journal of Exercise Science 9(4): 482-490, 2016. Previous studies have investigated carotid artery intima-media thickness (IMT) and blood pressure and found a direct correlation between the two. It is known that adult females have better cardiovascular health than males until a certain stage of life, yet limited research has examined gender differences in vascular function. Thus, the purpose of this study was to investigate vascular structure and function, blood pressure, and blood glucose/cholesterol levels in relation to gender differences in young healthy adults. On three separate days, 44 adults (26.30 ±11.9yrs; 24M, 20F) completed a carotid IMT ultrasound, a flow-mediated dilation (FMD), a fasted glucose and cholesterol test, a 24hr ambulatory blood pressure monitoring, a VO2max test, and a body composition measurement. Females had lower systolic blood pressure, lower diastolic blood pressure, lower LDL/HDL ratios, lower body mass index, a higher HDL count, and lower plasma glucose levels than males (p \u3c 0.05 for all), all of which suggest better cardiovascular health. However, we found no gender differences in vascular health measures, IMT and FMD. Our results suggest that while young adult females have better cardiovascular health than males, endothelial function may not yet be affected in the young adult years

Vascular Health in American Football Players: Cardiovascular Risk Increased in Division III Players

Studies report that football players have high blood pressure (BP) and increased cardiovascular risk. There are over 70,000 NCAA football players and 450 Division III schools sponsor football programs, yet limited research exists on vascular health of athletes. This study aimed to compare vascular and cardiovascular health measures between football players and nonathlete controls. Twenty-three athletes and 19 nonathletes participated. Vascular health measures included flow-mediated dilation (FMD) and carotid artery intima-media thickness (IMT). Cardiovascular measures included clinic and 24 hr BP levels, body composition, VO2 max, and fasting glucose/cholesterol levels. Compared to controls, football players had a worse vascular and cardiovascular profile. Football players had thicker carotid artery IMT (0.49 ± 0.06 mm versus 0.46 ± 0.07 mm) and larger brachial artery diameter during FMD (4.3±0.5 mm versus 3.7±0.6 mm), but no difference in percent FMD. Systolic BP was significantly higher in football players at all measurements: resting (128.2±6.4 mmHg versus 122.4±6.8 mmHg), submaximal exercise (150.4±18.8 mmHg versus 137.3±9.5 mmHg), maximal exercise (211.3±25.9 mmHg versus 191.4±19.2 mmHg), and 24-hour BP (124.9±6.3 mmHg versus 109.8±3.7 mmHg). Football players also had higher fasting glucose (91.6±6.5 mg/dL versus 86.6±5.8 mg/dL), lower HDL (36.5±11.2 mg/dL versus 47.1±14.8 mg/dL), and higher body fat percentage (29.2±7.9% versus 23.2±7.0%). Division III collegiate football players remain an understudied population and may be at increased cardiovascular risk

Carotid Artery IMT, Blood Pressure, and Fasted Glucose and Cholesterol Levels in Males and Females

Previous studies have investigated carotid artery intima-media thickness (IMT) and blood pressure (BP) and found a direct correlation between the two. Also, studies have examined IMT and blood glucose and cholesterol levels. It is known that young adult females have better cardiovascular health than males. To the best of our knowledge, no prior study has investigated the carotid artery IMT, BP, and blood glucose/cholesterol levels in relation to gender differences in young healthy adults. On three separate days, 37 adults (25.35 ±10.9yrs; 22M, 15F) underwent carotid IMT ultrasound, flow-mediated dilation (FMD), fasted glucose and cholesterol test, 24hr ambulatory BP monitoring, VO2max test, and body composition measurement (bioelectrical impedance). We found that females have lower systolic BP, lower LDL/HDL ratios, lower body mass index and a higher HDL count than males (p \u3c 0.01 for all), all of which are markers of increased cardiovascular health. However, we found no gender differences in vascular health measures, IMT and FMD (p \u3e0.05) Our results suggest that while adult females have better cardiovascular health than males, endothelial function may not yet be affected in the young adult years

The Relationship between Foot and Knee Angle and Cardiovascular Health

Joint misalignment and reduced range of motion can lead to discomfort during physical activity, thus creating a barrier to exercise. Lack of physical activity is related to cardiovascular (CV) disease and obesity. Studies show that obese individuals have a larger quadriceps (Q) angle, resulting in misaligned lower extremities. Thus, the connection between CV health status, joint alignment, and range of motion could be used to understand joint pain and reluctance to exercise. We examined associations between joint angles and CV health and fitness in 43 adults (28F, 15M, 25.7 ±10.8 yrs). Joint angle and motion was measured with a goniometer. CV health was measured by: body composition, fasted glucose/cholesterol levels, cardiac stress test, and 24 hour ambulatory blood pressure monitoring. A main finding was that standing Q angle for the left (r= 0.569) and right leg (r= 0.362), and supine Q angle for the right leg (r= 0.418) are all directly related to fat mass (p\u3c0.05, for all). Left supine Q angle was directly related to BMI (r= 0.375), and left standing Q angle was inversely related to VO2max (r= -0.307). Ankle dorsiflexion was directly related to VO2max (r= 0.354), and foot inversion was directly related to maximum heart rate (r= 0.450) (p\u3c0.05 for all). In conclusion, CV health seems to have a relationship with Q angle and ankle range of motion. Increased body fat shows an association with knee misalignment, whereas an increased VO2max could be associated with increased range of motion in the ankle

Blood Pressure and Cardiovascular Health in College Students and Campus Faculty/Staff

Previous research indicates that cardiovascular (CV) disease mortality has decreased in populations ages 55-74, but has not for younger groups, suggesting a need for research in CV health in younger adults. We compared CV health measures between relatively healthy young (college students) and middle-aged (faculty/staff) adults who were matched for body mass index (BMI) and blood pressure (BP) dipping status. Measures of CV health, including: VO2max, clinical BP, ambulatory blood pressure (ABP), BMI, and fasted plasma glucose/cholesterol were measured in students (n=10, 20.2±0.6 yrs) and faculty/staff (n=9, 44.8±8.3 yrs) of a small college campus. There was no difference in VO2max, glucose,/cholesterol, or clinical BP measures between the groups, but there were differences in diastolic 24 hr ABP, diastolic daytime ABP, and diastolic nighttime ABP (p\u3c0.05 for all). In students, we found no relationships between ABP and CV health variables. However, in faculty/staff, there was a relationship between 24 hr systolic ABP and daytime systolic ABP with glucose, HDL, and triglycerides (p\u3c0.05 for all). Our results indicate that, although there are no differences in BP dipping status, BMI, and clinical BP measures between the groups, there is a relationship between glucose, HDL, and triglycerides with ABP in only the faculty/staff adult group. This suggests that other measures, not examined in this study, may differ between the two groups

Effect of Weight and an Increased Workload on Heart Rate and Blood Pressure

Previous studies have shown that personal protective equipment (PPE) is responsible for increases in heart rate (HR) and VO2max response in firefighters (FF), but has not been examined in collegiate lacrosse players. We have found that FF have exaggerated blood pressure (BP) responses to a treadmill test, and during recovery when wearing PPE (data unpublished)

An electronic, unsupervised patient-reported Expanded Disability Status Scale for multiple sclerosis.

BackgroundIn persons with multiple sclerosis (MS), the Expanded Disability Status Scale (EDSS) is the criterion standard for assessing disability, but its in-person nature constrains patient participation in research and clinical assessments.ObjectiveThe aim of this study was to develop and validate a scalable, electronic, unsupervised patient-reported EDSS (ePR-EDSS) that would capture MS-related disability across the spectrum of severity.MethodsWe enrolled 136 adult MS patients, split into a preliminary testing Cohort 1 (n = 50), and a validation Cohort 2 (n = 86), which was evenly distributed across EDSS groups. Each patient completed an ePR-EDSS either immediately before or after a MS clinician's Neurostatus EDSS evaluation.ResultsIn Cohort 2, mean age was 50.6 years (range = 26-80) and median EDSS was 3.5 (interquartile range (IQR) = [1.5, 5.5]). The ePR-EDSS and EDSS agreed within 1-point for 86% of examinations; kappa for agreement within 1-point was 0.85 (p < 0.001). The correlation coefficient between the two measures was 0.91 (<0.001).DiscussionThe ePR-EDSS was highly correlated with EDSS, with good agreement even at lower EDSS levels. For clinical care, the ePR-EDSS could enable the longitudinal monitoring of a patient's disability. For research, it provides a valid and rapid measure across the entire spectrum of disability and permits broader participation with fewer in-person assessments

Body Composition And Blood Pressure Responses In Volunteer Firefighter Population

The dangerous emergency scenes firefighters are called upon increase the risk of sudden cardiac death, which claims more firefighter (FF) lives than actual fires do. Prior studies have reported that wearing personal protective equipment (PPE) and a self-contained breathing apparatus (SCBA) creates CV stress in FF. Recently we examined blood pressure (BP) and heart rate (HR) responses to a treadmill test in volunteer firefighters and found that BP and HR responses are exaggerated when a firefighter wears full gear (PPE + SCBA) (data to be published). It needs to be determined whether body size affects this response

National Prison Rape Elimination Commission (NPREC) Report

Commissioner Brenda V. Smith Commissioner Brenda V. Smith is a Professor at American University’s Washington College of Law, where she teaches community and economic development law, legal ethics and women, and crime and law. Her research interests center on women in conflict with the law and on sexual abuse of individuals in custody. Professor Smith is also Project Director and Principal Investigator for the U.S. Department of Justice’s National Institute of Corrections Cooperative Agreement on Addressing Staff Sexual Misconduct with Offenders. She is an expert on issues affecting women in prison, a topic about which she has widely published and spoken. Before her appointment to the faculty of the Washington College of Law, Professor Smith was Senior Counsel for Economic Security at the National Women’s Law Center. She has also served as the Director of the Center’s Women in Prison Project and its Child and Family Support Project. Professor Smith earned her Bachelor of Arts from Spelman College and her Juris Doctor from Georgetown University Law Center