Chronic Traumatic Encephalopathy (CTE), the disease at the center of the NFL's concussion controversy, is a progressive, debilitating neurological disease found in people with a history of repetitive brain trauma. CTE can cause memory loss, confusion, depression and eventually dementia in those who suffer from it. It was the main topic in the popular PBS Frontline documentary, League of Denial: The NFL's Concussion Crisis.
However, a new study likely has NFL brass jumping for joy this Super Bowl week. The study, conducted by a Loyola University Medical Center neuropsychologist, has found little evidence that CTE is more likely to exist in retired NFL players than the general population.
"There has not yet been one controlled epidemiological study looking at the risk of late-life cognitive impairment in any collision sport, including boxing, American football or other sports involving repetitive head trauma," says Christopher Randoplph, Ph.D., in the journal Current Sports Medicine Reports.
According to the release on Loyola Medicine's website:
CTE is thought to be linked to concussions and characterized by the buildup of abnormal substances in the brain called tau proteins.
A 2005 study, co-authored by Randolph, reported that rates of mild cognitive impairment among retired NFL players seemed to be higher than that of the general population. But Randolph noted there were no controls in this study and results may have been subject to reporting bias.
A more recent study of retired NFL players found that rates of Alzheimer’s disease and amyotrophic lateral sclerosis (Lou Gehrig’s disease) were higher than that of the general population. But this may be due to the fact that the NFL players had lower overall mortality rates from heart disease and other causes. Since they lived longer, the players naturally would be more likely to get age-related diseases such as Alzheimer’s disease.
In addition to having much lower overall mortality rates than the general population, retired NFL players are only 40 percent as likely to die of suicide as men in the general population, according to a 2012 study. It is difficult to reconcile this finding with the high rate of suicide that is said to be a key feature of CTE.
“Overall, although retired NFL players have been the focus of more attention into the potential late-life neurological consequences of repetitive head trauma than athletes in any other sport, the risks for these retirees remains largely hypothetical,” Randolph wrote.
The list of symptoms that have been associated with CTE “is so broad as to be essentially meaningless in any attempt to define a clinical syndrome,” Randolph wrote. Some of these symptoms are found in the healthy population, while other symptoms have been observed in a variety of neurological diseases.
[Full article: Little evidence to support theory that retired NFL players suffer Chronic Traumatic Encephalopathy, Loyola doctor says]