Table 4

Estimated effect of heading exposure on neurocognitive performance, mental health and cognitive symptoms

Frequent versus rareModerate versus rare
MD†95% CI‡P value‡MD†95% CI‡P value‡
Computerised tests§
 Psychomotor speed13.768−2.06 to 30.110.08616.0271.97 to 31.830.041*
 Reaction time−4.374−15.66 to 5.850.431−1.366−11.74 to 8.700.770
 Complex attention7.607−2.87 to 18.680.157−0.848−10.60 to 12.490.878
 Cognitive flexibility3.156−7.83 to 15.930.581−0.818−12.37 to 13.760.914
 Processing speed4.073−8.37 to 17.840.5186.572−5.93 to 18.750.253
 Verbal memory−9.166−17.59 to –0.120.041*−3.935−12.86 to 5.720.388
 Visual memory−4.368−16.66 to 7.840.486−8.435−21.17 to 4.770.197
Pen and paper tests§
 Category fluency0.184−9.15 to 10.520.9751.662−9.39 to 13.620.770
 Digit span−4.509−15.98 to 9.430.479−9.247−22.99 to 3.840.124
 TMT A−4.571−18.12 to 11.560.487−1.824−12.83 to 10.480.750
 TMT B−2.798−14.92 to 9.630.675−5.304−16.07 to 7.610.356
 PASAT−5.909−17.13 to 5.110.288−1.946−13.30 to 9.580.741
Cognitive symptoms¶
 Sum score**1.372−0.51 to 2.950.1980.432−1.30 to 1.870.631
Mental health¶
 HADS depression**1.5160.11 to 2.920.050*0.203−0.91 to 1.410.746
 HADS anxiety**2.1790.29 to 3.830.030*1.089−0.62 to 2.640.219
 SF36 mental health−13.203–19.69 to –6.720.001*−7.286–14.26 to –0.620.028*
  • *P<0.05.

  • †Control group as reference.

  • ‡Bias corrected and accelerated based on 1000 bootstrap samples.

  • §Adjusted for age, education, bodily pain, depression.

  • ¶Adjusted for age, bodily pain.

  • **Lower scores=better functioning.

  • HADS, Hospital Anxiety and Depression Scale; MD, mean difference; PASAT, Paced Auditory Serial Addition Test; SF36, SF-36v2 Health Survey; TMT, Trail-Making Test.