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Why children are still playing tackle football, despite brain risks

Tackle football offers children as young as 5 the chance to make friends, learn teamwork, maybe attract a college scholarship. Growing research shows it also can cause injuries that damage developing brains.
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This photo provided by the University of Maryland shows a Maryland Heat youth tackle football team practicing in Fort Washington, Md., Nov. 9, 2023. Some parents are opting to enroll their children in leagues that play flag football, which limits contact on the field. But youth tackle leagues remain popular in many parts of the country. (Univ. of Maryland/Freddy Wolfe via AP)

Tackle football offers children as young as 5 the chance to make friends, learn teamwork, maybe attract a college scholarship. Growing research shows it also can cause injuries that damage developing brains.

That leaves families to balance the risks against the opportunities.

Many are opting out. Participation in youth tackle football has been declining for years. But especially in communities of color, tackle football鈥檚 lure remains strong and the balance tips toward opportunity, a four-month investigation by The Shirley Povich Center for Sports Journalism and the Howard Center for Investigative Journalism at the University of Maryland has found.

A nationwide Ipsos poll commissioned by the centers found:

鈥 Black parents are more likely than white parents, by substantial margins, to believe that youth tackle football could lead to a college scholarship or an NFL career. Hispanic parents are also far more likely than white parents to see college scholarships and pro careers as a potential benefit of youth football.

鈥 Nearly one in four Black parents said the appropriate age for children to start playing tackle football is 9 years old or younger. Only 14% of white parents said children should start at age 9 or younger.

Terrence Byrd is the president of Maryland Heat, a youth tackle program that suits up primarily Black boys as young as 5 in pads and helmets. He said he knows injuries are possible in tackle football and his coaches train children to play as safely as possible. But he believes the opportunities outweigh the risks.

鈥淚 would confidently say that we are changing lives,鈥 Byrd said.

Medical studies over the years have linked head trauma suffered by NFL players to a brain condition called chronic traumatic encephalopathy (CTE), with symptoms including dementia, depression, anxiety and aggression.

Last year, the Boston University CTE Center released a study that said the developing brains of children are at risk for damage from repeated impacts to the head and brain that have been associated with impulsive behaviors and cognitive problems.

The study notes that children who start playing tackle football at an early age or participate in the sport for more than 11 years run an increased risk of such impairment.

A child鈥檚 brain and head are disproportionately outsized to the rest of the body, especially from ages 5 to 8, and a child鈥檚 weak neck cannot brace for a hit 鈥 even a hit from falling to the ground 鈥 the way an adult鈥檚 can, said Dr. Robert Cantu, clinical diagnostics and therapeutics leader of the BU CTE Center and the author of more than 540 scientific articles on neurology and sports medicine.

Not all researchers agree. A recent study of 52 high school athletes found head impacts were not consistently associated with changes in cognitive, emotional or behavioral symptoms. Danielle Ransom, a pediatric neuropsychologist at Johns Hopkins All Children鈥檚 Hospital in St. Petersburg, Florida, who worked on the study, said while head trauma contributes to CTE, other factors 鈥 including genetics and substance abuse 鈥 should also be considered.

At the University of Maryland, head football coach Michael Locksley said he feels the data is inconclusive and, 鈥渇rom a medical standpoint, the game has been under attack.鈥

鈥淲hen you do the research, you can find the answers you want,鈥 he said in an interview. However, 鈥淚t鈥檚 up to us as coaches and football people to figure out how to play it as safely as we can.鈥

Locksley鈥檚 history with football is complicated. In 2017, his son Meiko, who began playing tackle football at 7, died in a shooting at age 25. His parents donated his brain for examination at the Boston University CTE Center. The doctors found that Meiko Locksley showed signs of CTE.

Some parents are opting to enroll their children in leagues that play flag football, which limits contact on the field. Others believe players should not be introduced to tackle football until high school.

But youth tackle leagues remain popular in many parts of the country. 鈥淩ight now, we have our largest enrollment in tackle football that we鈥檝e had since 2014,鈥欌 said Todd Casey, commissioner of Vienna (Virginia) Youth, Inc. Football.

In Fort Washington, Maryland, Stephanie Rogers was watching her son and his Maryland Heat teammates run through plays last fall. She said the game provides social benefits and opportunities for a better education.

鈥淲e have private high schools trying to get these kids in their doors,鈥 she said.

DeMatha Catholic High School in Hyattsville, Maryland, is one of the private schools that recruits Maryland Heat players. Last year, 19 of DeMatha鈥檚 football players signed with Division I and II college football programs.

鈥淵ou鈥檙e now changing the education paradigm for young men鈥 by giving the players experience that can attract scholarships, said Byrd, the Heat鈥檚 coach.

Byrd said the risk of injuries exists in all sports. And many of the children in his league face dangers off the field, 鈥渨hether it鈥檚 at risk for taking a shot to the head at a football game, or whether it鈥檚 at risk to taking, you know, a shot on the streets.鈥

Mac Stephens, a former NFL player and coach at Cleveland Heights High School in Ohio, said if Cleveland Heights didn鈥檛 offer tackle football before high school, parents would find leagues in other towns for their kids to play in.

Parents believe that 鈥淚 have to get my son on track to get a college scholarship someday,鈥 he said.

Former NFL player Solomon Brannan acknowledged money motivates parents who are hoping for scholarships. But he said parents would be better off helping their children learn. 鈥淵ou can鈥檛 depend on sports,鈥欌 said Brannan, who played in the first Super Bowl. 鈥淚f you鈥檝e to it upstairs in your head, you鈥檙e going to be successful no matter what.鈥欌

At the University of Maryland, Michael Locksley said his wife, Kia, now believes children should not play tackle football before 14. But he disagrees.

Football, he said, 鈥渋s the closest sport to mimicking life. In football, you get knocked down 鈥 and you鈥檝e got to get back up and you鈥檝e got to face it the next play.鈥

If his grandchildren want to play the game, Locksley said, he will support them.

___

Torrence Banks and Andrew Chodes reported for the Shirley Povich Center for Sports Journalism and the Howard Center for Investigative Journalism in the Philip Merrill College of Journalism at the University of Maryland.

Torrence Banks And Andrew Chodes / Shirley Povich Center For Sports Journalism And The Howard Center For Investigative Journalism, The Associated Press