{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T04:07:58Z","timestamp":1788408478233,"version":"build-2803163510"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T00:00:00Z","timestamp":1786147200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T00:00:00Z","timestamp":1786147200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"UCI Physician Scientist Training Program"},{"name":"ADRC Research Education Component","award":["NIH\/NIA P30AG066519"],"award-info":[{"award-number":["NIH\/NIA P30AG066519"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    Traumatic brain injury (TBI) is a prevalent, chronic disease with heterogenous recovery and dementia risk. Poor brain health is associated with increased dementia risk, but brain health remains unexplored in TBI. Brain Care Score (BCS), a tool measuring brain health with physical, lifestyle, and social factors, has not been used in TBI. Retrospective cohort study of TBI-clinic visits in the Neurology Traumatic Brain Injury and Concussion Clinic (9\/2022-10\/2025). Inclusion criteria: \u226518yo, self-reported TBI, BCS, functional outcomes. Disability defined as Glasgow Outcome Scale-Extended (GOSE) &lt;7. Among 185 patients (median age 45yo, 55.1% men, 76.2% mild TBI), 64.9% were disabled (mean GOSE 5.11 [SD: 0.80]) whom had lower BCS vs non-disabled (14.9 vs 16.8,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). In multivariable analysis adjusted for age, sex, insurance status, Injury Severity Score (ISS), higher ISS was associated with greater odds of disability (OR = 1.06, 95% CI: 1.02-1.10,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.006). Higher BCS was associated with lower odds of disability (OR = 0.779, 95% CI: 0.677-0.883,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). We demonstrate feasibility of measuring brain health with BCS in a TBI clinic. Higher BCS is associated with lower disability risk. Future studies will investigate brain health as potentially intervenable risk factors for long-term disability in TBI survivors.\n                  <\/jats:p>","DOI":"10.1177\/15598276261472823","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T07:23:18Z","timestamp":1786173798000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Brain Health and Traumatic Brain Injury (TBI): Relationship Between Brain Care Score and Disability in Subacute-Long Term TBI"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8877-6966","authenticated-orcid":false,"given":"Maral","family":"Sakayan","sequence":"first","affiliation":[{"name":"University of California, Irvine"},{"name":"University of California Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2024-4512","authenticated-orcid":false,"given":"Maria T.","family":"Paulino","sequence":"additional","affiliation":[{"name":"University of California, Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0913-5114","authenticated-orcid":false,"given":"Amanda S.","family":"Fang","sequence":"additional","affiliation":[{"name":"University of California, Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7705-3771","authenticated-orcid":false,"given":"Claire","family":"Joyner","sequence":"additional","affiliation":[{"name":"University of California, Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephania","family":"Tovar-Vargas","sequence":"additional","affiliation":[{"name":"University of California, Irvine"},{"name":"University of California Irvine"},{"name":"Joe C Wen School of Population and Public 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