Evidence map›Paper›PMID 33161816›Full record

ArticleJournal of attention disorders2022

ADHD May Associate With Reduced Tolerance to Acute Subconcussive Head Impacts: A Pilot Case-Control Intervention Study.

Madeleine K Nowak, Keisuke Ejima, Patrick D Quinn, Jeffrey J Bazarian, Timothy D Mickleborough, Jaroslaw Harezlak, Sharlene D Newman, Keisuke Kawata

Open access · greenAbstract read
In one paragraph

Article in Journal of attention disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Editorial: Insights in ADHD: 2023.Frontiers in psychiatry · 2024
    Article
  9. Article
  10. Observational
  11. Article
  12. Nicotine and the developing brain: Insights from preclinical models.Pharmacology, biochemistry, and behavior · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Madeleine K NowakDepartment of Kinesiology, Indiana University-Bloomington, USA.
Keisuke EjimaDepartment of Epidemiology and Biostatistics, Indiana University-Bloomington, USA.
Patrick D QuinnDepartment of Applied Health, Indiana University-Bloomington, USA.
Jeffrey J BazarianDepartment of Emergency Medicine, University of Rochester Medical Center, USA.
Timothy D MickleboroughDepartment of Kinesiology, Indiana University-Bloomington, USA.
Jaroslaw HarezlakDepartment of Epidemiology and Biostatistics, Indiana University-Bloomington, USA.
Sharlene D NewmanDepartment of Psychological and Brain Sciences, Indiana University-Bloomington, USA.
Keisuke KawataDepartment of Kinesiology, Indiana University-Bloomington, USA.ORCID 0000-0003-4135-9311
Indiana University Bloomington · USUniversity of Rochester Medical Center · US

Funding

Pharmacoepidemiologic Studies of Prescription Opioid Analgesic RisksR00DA040727 · NIDA · TRUSTEES OF INDIANA UNIVERSITY · PI QUINN, PATRICK DONOVAN · 2018 to 2020
$744k
Neuroimaging and blood biomarkers for subconcussive neural stress on ADHDR21NS116548 · NINDS · TRUSTEES OF INDIANA UNIVERSITY · PI KAWATA, KEISUKE, NEWMAN, SHARLENE D · 2020 to 2020
$436k
NIDA NIH HHS R00 DA040727NINDS NIH HHS R21 NS116548
6 · The paper itself

Abstract

objectiveTo test our hypothesis that individuals with ADHD would exhibit reduced resiliency to subconcussive head impacts induced by ten soccer headings.

methodWe conducted a case-control intervention study in 51 adults (20.6 ± 1.7 years old). Cognitive assessment, using ImPACT, and plasma levels of neurofilament-light (NF-L), Tau, glial-fibrillary-acidic protein (GFAP), and ubiquitin-C-terminal hydrolase-L1 (UCH-L1) were measured.

resultsTen controlled soccer headings demonstrated ADHD-specific transient declines in verbal memory function. Ten headings also blunted learning effects in visual memory function in the ADHD group while the non-ADHD counterparts improved both verbal and visual memory functions even after ten headings. Blood biomarker levels of the ADHD group were sensitive to the stress induced by ten headings, where plasma GFAP and UCH-L1 levels acutely increased after 10 headings. Variance in ADHD-specific verbal memory decline was correlated with increased levels of plasma GFAP in the ADHD group.

conclusionsThese data suggest that ADHD may reduce brain tolerance to repetitive subconcussive head impacts.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentAdultBiomarkersCase-Control StudiesHumansUbiquitin ThiolesteraseYoung AdultBiomarkersUbiquitin ThiolesteraseADHDadult ADHDcase-control studycognitive functioningconcussionfootballhead traumasoccer

Identifiers

PMID33161816
PMCPMC8102643
OpenAlexW3104448074

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.