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Published on: April 18, 2019
Demographic and Football-Related Characteristics Associated with Objective Cognitive Performance in Former NFL
Landon B Lempke1,2, Benjamin L Brett3, Ruben J Echemendia4,5
1Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, 1223 E. Marshall St., Suite 410, Egyptian Building, Richmond, VA, 23219, USA. landon.lempke@vcuhealth.org.
Demographic factors, not head impact exposure, significantly influenced cognitive performance in former NFL players. Longer professional careers correlated with poorer cognitive function, highlighting the impact of football participation on brain health.
Area of Science:
- Neuroscience
- Sports Medicine
- Cognitive Psychology
Background:
- Neurocognitive disorder risk is a growing concern for contact sport athletes.
- Head impact exposure (HIE) metrics are increasingly associated with cognitive function in athletes.
Purpose of the Study:
- To examine associations between cognitive performance, demographics, and HIE in former NFL players.
- To compare cognitive performance between former NFL players and matched general population samples.
Main Methods:
- Cross-sectional analysis of 295 former NFL players using a remote neurocognitive assessment platform.
- Propensity score matching to compare former players with normative male samples.
- Assessed cognitive subtests (e.g., digit symbol matching, memory, vocabulary) and HIE metrics (e.g., career duration, concussion history).
Main Results:
- Demographic factors (age, race, education) completely dominated HIE metrics in influencing cognitive performance.
- Professional football career duration was the most significant HIE metric, with longer careers linked to lower cognitive performance.
- Former NFL players showed significantly worse performance in several cognitive domains compared to the normative sample.
Conclusions:
- Demographic factors are more influential than HIE metrics on cognitive performance in former NFL players.
- Professional career duration is a key HIE metric impacting cognitive outcomes.
- Former NFL players exhibit cognitive deficits compared to the general population.
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