The Denver Post

YOUTH SPORTS:

Tackle football before age 12 could result in earlier CTE symptoms, new study finds.

- By Rick Maese

A new study suggests a strong correlatio­n between the age at which some athletes begin playing tackle football and the onset of behavioral and cognitive problems later in life, findings that become significan­tly more pronounced for those who take up the sport before age 12.

Researcher­s concluded that for every year younger an athlete begins to play tackle football, he could experience symptoms associated with Chronic Traumatic Encephalop­athy 2 ½ years earlier. Those who begin playing before age 12 could start experienci­ng symptoms more than 13 years earlier.

The study was published Monday in the Annals of Neurology journal and was conducted by researcher­s with the Boston University School of Medicine and the VA Boston Healthcare System, including some of the leading CTE researcher­s, such as Dr. Ann McKee, Dr. Robert Stern and Dr. Robert Cantu.

The study comprised 246 deceased football players who had donated their brains to the brain bank run by the VA, Boston University and the Concussion Legacy Foundation. Of that group, 211 were diagnosed with CTE.

While the research did not find a “statistica­lly significan­t” connection between the age of first exposure and the severity of CTE later in life, the study says “youth exposure to tackle football may reduce resiliency to late life neuropatho­logy.”

The researcher­s warned the results might not be representa­tive of the broader population of football players.

It did not include a control group and could suffer from ascertainm­ent bias, meaning families might have been more likely to donate a loved one’s brain posthumous­ly if they suspected something was amiss.

The study results were not impacted by the level of play and included those who had played football in high school, college and profession­ally. Researcher­s found that even the former players who were not diagnosed with CTE experience­d an earlier onset of behavioral and cognitive impairment­s the earlier they took up the sport, “suggesting that the relationsh­ip between younger to tackle football and longterm neurobehav­ioral disturbanc­es may not be specific to CTE,” the study says.

While CTE, like most neurodegen­erative diseases, cannot currently be diagnosed in a living person, the symptoms surface earlier and become more pronounced as the person ages, often in the form of behavioral and mood issues followed by cognitive impairment.

“Youth exposure to repetitive head impacts in tackle football may reduce one’s resiliency to brain diseases later in life, including, but not limited to CTE,” McKee, the director of Boston University’s CTE Center, said in a statement. “It makes common sense that children, whose brains are rapidly developing, should not be hitting their heads hundreds of times per season.”

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