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Heading in the right direction

Responding to increasing concerns around adverse brain health outcomes among former football (soccer) players, the Football Association of England recently announced a trial ban on heading in matches for players aged under 12 years. This is a step in the right direction, but wider interventions to preserve brain health should not be forgotten.

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References

  1. Lehman, E. J., Hein, M. J., Baron, S. L. & Gersic, C. M. Neurodegenerative causes of death among retired National Football League players. Neurology 79, 1970–1974 (2012).

    Article  Google Scholar 

  2. Mackay, D. F. et al. Neurodegenerative disease mortality in former professional soccer players. N. Engl. J. Med. 381, 1801–1808 (2019).

    Article  Google Scholar 

  3. Russell, E. R. et al. Association of field position and career length with risk of neurodegenerative disease in male former professional soccer players. JAMA Neurol. 78, 1057–1063 (2021).

    Article  Google Scholar 

  4. Hay, J., Johnson, V. E., Smith, D. H. & Stewart, W. Chronic traumatic encephalopathy: the neuropathological legacy of traumatic brain injury. Annu. Rev. Pathol. 11, 21–45 (2016).

    Article  CAS  Google Scholar 

  5. Lee, E. B. et al. Chronic traumatic encephalopathy is a common co-morbidity, but less frequent primary dementia in former soccer and rugby players. Acta Neuropathol. 138, 389–399 (2019).

    Article  Google Scholar 

  6. The Football Association. The FA to trial the removal of heading in U12 matches and below in 2022–23 season. The FA https://www.thefa.com/news/2022/jul/18/statement-heading-trial-u12-games-20221807 (2022).

  7. Iverson, G. L. et al. Chronic traumatic encephalopathy neuropathology might not be inexorably progressive or unique to repetitive neurotrauma. Brain 142, 3672–3693 (2019).

    Article  Google Scholar 

  8. Lipton, M. L. et al. Soccer heading is associated with white matter microstructural and cognitive abnormalities. Radiology 268, 850–857 (2013).

    Article  Google Scholar 

  9. Wahlquist, V. E. & Kaminski, T. W. Purposeful heading in youth soccer: a review. Sports Med. 51, 51–64 (2021).

    Article  Google Scholar 

  10. Ball, H. A. et al. Functional cognitive disorder: dementia’s blind spot. Brain 143, 2895–2903 (2020).

    Article  Google Scholar 

Download references

Acknowledgements

W.S. is supported by funding from the National Institutes of Neurological Disorders and Stroke, US (U54NS115322) and from the FA and Federation International de Football Association (FIFA).

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Correspondence to Alan Carson.

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A.C. has given paid testimony in court on a range of neuropsychiatric topics, sits on the Department of Culture Media and Sport Concussion in Sport Research Forum, is paid associate editor of the Journal of Neurology, Neurosurgery and Psychiatry and is unpaid president of the Functional Neurological Disorders Society. He has campaigned in various forums for 20 years for improved clinical care for traumatic brain injury in the UK. W.S. declares no competing interests.

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Stewart, W., Carson, A. Heading in the right direction. Nat Rev Neurol 18, 573–574 (2022). https://doi.org/10.1038/s41582-022-00712-y

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