Evidence map›Paper›PMID 40560505›Full record

ArticleSports medicine (Auckland, N.Z.)2025

Effect of Obese Body Mass Index on Clinical Outcomes and Inflammatory Blood Biomarkers following Sport-Related Concussion in Collegiate Athletes and Military Cadets: Findings from the NCAA-DoD CARE Consortium.

Shawn R Eagle, Daniel Huber, Michael McCrea, David O Okonkwo, Jaroslaw Harezlak, Thomas McAllister, Paul Pasquina, Steven Broglio, Timothy B Meier, CARE Consortium Investigators

Abstract read
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

10 authors.

Shawn R EagleDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA. eaglesr2@upmc.edu.ORCID 0000-0001-6767-1042
Daniel HuberDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Michael McCreaDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
David O OkonkwoDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Jaroslaw HarezlakDepartment of Epidemiology and Biostatistics, Indiana University, Bloomington, IN, USA.
Thomas McAllisterDepartment of Epidemiology and Biostatistics, Indiana University, Bloomington, IN, USA.
Paul PasquinaDepartment of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Steven BroglioDepartment of Kinesiology, University of Michigan, Ann Arbor, MI, USA.
Timothy B MeierDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
CARE Consortium Investigators

Funding

Peripheral inflammatory biomarkers for acute concussion: An extension of the Concussion Assessment, Research and Education Consortium StudyR21NS118169 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI MEIER, TIMOTHY B. · 2020 to 2020
$444k
NINDS NIH HHS R21 NS118169U.S. Department of Defense W81XWH1420151U.S. Department of Defense W81XWH1820047
6 · The paper itself

Abstract

backgroundObesity is associated with chronic circulatory inflammation; higher acute inflammation is associated with worse outcomes from concussion. The purpose of this study is to evaluate the effect of obese body mass index (BMI; ≥ 30.0) on clinical outcomes (e.g., symptoms, neurological exam, neurocognitive testing) and inflammatory blood biomarkers at multiple recovery time points in collegiate athletes and military cadets with sport-related concussion (SRC).

methodsThe National Collegiate Athletic Association and US Department of Defense Concussion Assessment, Research and Education (CARE) Consortium is a prospective, longitudinal cohort study of collegiate student athletes and military cadets from 30 academic institutions. Athletes and cadets were baseline tested prior to their first athletic season, and retested following concussion at 24 h postinjury, after reporting symptom resolution, and following clearance for unrestricted return-to-play (uRTP; n = 3002). A representative cohort was selected for a subanalysis of inflammatory blood biomarkers (n = 547) at similar time points: (i.e., baseline, postinjury, 24 h postinjury, asymptomatic, and 7 days following uRTP; n = 547).

resultsParticipants with obesity had a lower number of symptoms endorsed, symptom severity, and psychological symptom scores at baseline (p < 0.0001-0.004) but higher symptom scores at postinjury (p < 0.0001-0.0001). Participants with obesity had worse verbal memory, visual memory, and visual motor speed (p < 0.0001) scores at all postinjury time points compared with participants without obesity. Participants with obesity had higher C-reactive protein (CRP) and interleukin 1-RA (IL-1RA) than participants without obesity at all time points (p < 0.05). Participants with obesity had higher interleukin 6 (IL6) from 24 h to after uRTP, higher IL8 from postinjury to 24 h, and higher vascular endothelial-like growth factor (VEGF) at postinjury.

conclusionsObese BMI modified clinical response to SRC and participants with obese BMI had a different inflammatory profile than participants without obese BMI.

Indexed as

Athletic InjuriesBody Mass IndexBrain ConcussionInflammationMilitary PersonnelObesityAdolescentAthletesBiomarkersFemaleHumansLongitudinal StudiesMaleNeuropsychological TestsProspective StudiesReturn to SportBiomarkers

Identifiers

PMID40560505
PMCPMC13475722

What OpenQuestion holds

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Registered trials

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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.