Direct hits to the head during amateur boxing is associated with a rise in serum biomarkers for brain injury

M.R. Graham, T. Myers, P. Evans, Bruce Davies, S.M. Cooper, K. Bhattacharya, F.M. Grace, J.S. Baker

Research output: Contribution to journalArticle

Abstract

Boxing exposes participants to the physiological response to high intensity exercise and also to direct body and brain trauma. Amateur boxing is increasing and females have also been included in the Olympics. The aim of this study is to assess the stress response and possible brain injury incurred during a match by measuring serum biomarkers associated with stress and cellular brain injury before and after combat. Sixteen male amateur boxers were studied retrospectively. The study population was divided into two groups: (a) a group that received predominantly punches to the head (PTH) and (b) a group that received predominantly punches to the body (PTB). Blood samples were taken before and five minutes after each contest. They were analysed for S-100B, neuron-specific enolase (NSE), creatine kinase (CK) and cortisol. The PTH group received direct contacts to the head (not blocked, parried or avoided) and to the body (n=8, age: 17.6 +/- 5.3, years; height: 1.68 +/- 0.13, meters; mass: 65.4 +/- 20.3, kg). The PTB group received punches to the body including blocked and parried punches, but received no direct punches to the head, (n=8, mean +/- SD, age: 19.1 +/- 3.2 years; height: 1.70 +/- 0.75, meters; mass: 68.5 +/- 15 kg). Significant increases (P<0.05) were observed between pre- and post-combat serum concentrations in serum concentrations in PTH of S-100B (0.35 +/- 0.61 vs. 0.54 +/- 0.73, mu g.L(-1)) NSE (19.7 +/- 14 vs.31.1 +/- 26.6, ng.ml(-1)) and cortisol (373 +/- 202 vs. 756 +/- 93, nmol.L(-1)). Significant increases (P<0.05) of creatine kinase were recorded in both groups. This study demonstrates significant elevations in neurochemical biomarkers in boxers who received direct blows to the head. However, further work is required to quantify this volumetric brain damage and long term clinical sequelae.
Original languageEnglish
Pages (from-to)119-125
Number of pages7
JournalInternational Journal of Immunopathology and Pharmacology
Volume24
Issue number1
Publication statusPublished - 2011

Keywords

  • boxing
  • brain injury
  • S100-B
  • Neuron-specific enolase (NSE)

Cite this

Graham, M.R. ; Myers, T. ; Evans, P. ; Davies, Bruce ; Cooper, S.M. ; Bhattacharya, K. ; Grace, F.M. ; Baker, J.S. / Direct hits to the head during amateur boxing is associated with a rise in serum biomarkers for brain injury. In: International Journal of Immunopathology and Pharmacology. 2011 ; Vol. 24, No. 1. pp. 119-125.
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Graham, MR, Myers, T, Evans, P, Davies, B, Cooper, SM, Bhattacharya, K, Grace, FM & Baker, JS 2011, 'Direct hits to the head during amateur boxing is associated with a rise in serum biomarkers for brain injury' International Journal of Immunopathology and Pharmacology, vol. 24, no. 1, pp. 119-125.

Direct hits to the head during amateur boxing is associated with a rise in serum biomarkers for brain injury. / Graham, M.R.; Myers, T.; Evans, P.; Davies, Bruce; Cooper, S.M.; Bhattacharya, K.; Grace, F.M.; Baker, J.S.

In: International Journal of Immunopathology and Pharmacology, Vol. 24, No. 1, 2011, p. 119-125.

Research output: Contribution to journalArticle

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T1 - Direct hits to the head during amateur boxing is associated with a rise in serum biomarkers for brain injury

AU - Graham, M.R.

AU - Myers, T.

AU - Evans, P.

AU - Davies, Bruce

AU - Cooper, S.M.

AU - Bhattacharya, K.

AU - Grace, F.M.

AU - Baker, J.S.

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AB - Boxing exposes participants to the physiological response to high intensity exercise and also to direct body and brain trauma. Amateur boxing is increasing and females have also been included in the Olympics. The aim of this study is to assess the stress response and possible brain injury incurred during a match by measuring serum biomarkers associated with stress and cellular brain injury before and after combat. Sixteen male amateur boxers were studied retrospectively. The study population was divided into two groups: (a) a group that received predominantly punches to the head (PTH) and (b) a group that received predominantly punches to the body (PTB). Blood samples were taken before and five minutes after each contest. They were analysed for S-100B, neuron-specific enolase (NSE), creatine kinase (CK) and cortisol. The PTH group received direct contacts to the head (not blocked, parried or avoided) and to the body (n=8, age: 17.6 +/- 5.3, years; height: 1.68 +/- 0.13, meters; mass: 65.4 +/- 20.3, kg). The PTB group received punches to the body including blocked and parried punches, but received no direct punches to the head, (n=8, mean +/- SD, age: 19.1 +/- 3.2 years; height: 1.70 +/- 0.75, meters; mass: 68.5 +/- 15 kg). Significant increases (P<0.05) were observed between pre- and post-combat serum concentrations in serum concentrations in PTH of S-100B (0.35 +/- 0.61 vs. 0.54 +/- 0.73, mu g.L(-1)) NSE (19.7 +/- 14 vs.31.1 +/- 26.6, ng.ml(-1)) and cortisol (373 +/- 202 vs. 756 +/- 93, nmol.L(-1)). Significant increases (P<0.05) of creatine kinase were recorded in both groups. This study demonstrates significant elevations in neurochemical biomarkers in boxers who received direct blows to the head. However, further work is required to quantify this volumetric brain damage and long term clinical sequelae.

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KW - S100-B

KW - Neuron-specific enolase (NSE)

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EP - 125

JO - International Journal of Immunopathology and Pharmacology

JF - International Journal of Immunopathology and Pharmacology

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