Cardiovascular risk stratification in young and master athletes: preparticipation screening questionnaire
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Keywords

athlete
sudden cardiac death
physical exercise
aging

How to Cite

Sousa, J. P., Valentim, B., Teixeira, A., Coelho, P., Pires, J., & Rodrigues, F. (2024). Cardiovascular risk stratification in young and master athletes: preparticipation screening questionnaire. Journal of Health Research & Innovation, 7(1), 1–11. https://doi.org/10.37914/riis.v7i1.336

Abstract

Background: for any preparticipation evaluation, a questionnaire that reviews personal history of signs and symptoms and family history can identify athletes at cardiovascular risk of sudden cardiac death. Objectives: cardiovascular risk stratification using a pre-participation questionnaire in young and master athletes; evaluation of the perception of the importance of preparticipation screening among these two groups. Methodology: cross-sectional observational quantitative study, with data collection using a pre-participation questionnaire. Sample consisting of 66 athletes, 36 young athletes and 30 master athletes. Statistical analysis using the IBM® SPSS Statistics version 27.0 program. Results: a significant difference was observed in the gender between young and master athletes (ρ=0,047), time of federated sports practice (ρ=0,022), type of sport practiced (ρ=0,002), reasons for performing ECG (ρ=0,002), prescription of cardiac exam by a doctor in the past (ρ=0,025). No significance was observed in the family history and in the perception of the importance of the preparticipation evaluation between the two groups. Conclusions: the older the age, the more cardiac alterations may be present and more often athletes in this age group resort to health services to perform cardiac exams. The athletes showed a great perception of the importance of the preparticipation evaluation, as well as the electrocardiogram. A careful assessment of athletes should not be dismissed taking into account their age.

https://doi.org/10.37914/riis.v7i1.336
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References

American Academy of Family Physicians. (2012) Preparticipation physical evaluation. (4th ed.). Elk Grove Village, IL: American Academy of Pediatrics

Araújo, C. G., & Scharhag, J. (2016). Athlete: a working definition for medical and health sciences research. Scandinavian journal of medicine & science in sports, 26(1), 4–7. https://doi.org/10.1111/sms.12632

Asif, I. M., & Harmon, K. G. (2017). Incidence and Etiology of Sudden Cardiac Death: New Updates for Athletic Departments. Sports health, 9(3), 268–279. https://doi.org/10.1177/1941738117694153

Campbell, R. M., Berger, S., & Drezner, J. (2009). Sudden cardiac arrest in children and young athletes: the importance of a detailed personal and family history in the pre-participation evaluation. British journal of sports medicine, 43(5), 336–341. https://doi.org/10.1136/bjsm.2008.050534

Corrado, D., & Zorzi, A. (2017). Sudden death in athletes. International journal of cardiology, 237, 67–70. https://doi.org/10.1016/j.ijcard.2017.03.034

Corrado, D., Schmied, C., Basso, C., Borjesson, M., Schiavon, M., Pelliccia, A., Vanhees, L., & Thiene, G. (2011). Risk of sports: do we need a pre-participation screening for competitive and leisure athletes?. European heart journal, 32(8), 934–944. https://doi.org/10.1093/eurheartj/ehq482

Drezner, J. A., Sharma, S., Baggish, A., Papadakis, M., Wilson, M. G., Prutkin, J. M., Gerche, A., Ackerman, M. J., Borjesson, M., Salerno, J. C., Asif, I. M., Owens, D. S., Chung, E. H., Emery, M. S., Froelicher, V. F., Heidbuchel, H., Adamuz, C., Asplund, C. A., Cohen, G., … Corrado, D. (2017). International criteria for electrocardiographic interpretation in athletes: Consensus statement. British journal of sports medicine, 51(9), 704–731. https://doi.org/10.1136/bjsports-2016-097331

European Commission. (2018). Special Eurobarometer 472 "Sport and physical activity", https://www.europarc.org/wp-content/uploads/2020/01/Special-Eurobarometer-472-Sports-and-physical-activity.pdf

Harmon, K. G., Asif, I. M., Maleszewski, J. J., Owens, D. S., Prutkin, J. M., Salerno, J. C., Zigman, M. L., Ellenbogen, R., Rao, A. L., Ackerman, M. J., & Drezner, J. A. (2015a). Incidence, Cause, and Comparative Frequency of Sudden Cardiac Death in National Collegiate Athletic Association Athletes: A Decade in Review. Circulation, 132(1), 10–19. https://doi.org/10.1161/CIRCULATIONAHA.115.015431

Harmon, K. G., Zigman, M., & Drezner, J. A. (2015b). The effectiveness of screening history, physical exam, and ECG to detect potentially lethal cardiac disorders in athletes: a systematic review/meta-analysis. Journal of electrocardiology, 48(3), 329–338. https://doi.org/10.1016/j.jelectrocard.2015.02.001

Hill, B., Grubic, N., Williamson, M., Phelan, D. M., Baggish, A. L., Dorian, P., Drezner, J. A., & Johri, A. M. (2023). Does cardiovascular preparticipation screening cause psychological distress in athletes? A systematic review. British journal of sports medicine, 57(3), 172–178. https://doi.org/10.1136/bjsports-2022-105918

Jenkin, C. R., Eime, R. M., Westerbeek, H., O'Sullivan, G., & Uffelen, J. G. Z. (2017). Sport and ageing: a systematic review of the determinants and trends of participation in sport for older adults. BMC public health, 17(1), 976. https://doi.org/10.1186/s12889-017-4970-8

Krutsch, W., Mayr, H.O., Volker, M., Villa D.F., Tscholl, P.M., & Jones, H. (2020). Injury and Health Risk Management in Sports: A Guide to Decision Making (1st ed.). Springer.

Lammlein, K. P., Stoddard, J. M., & O'Connor, F. G. (2018). Preparticipation Screening of Young Athletes: Identifying Cardiovascular Disease. Primary care, 45(1), 95–107. https://doi.org/10.1016/j.pop.2017.11.005

Maron, B. J., Thompson, P. D., Ackerman, M. J., Balady, G., Berger, S., Cohen, D., Dimeff, R., Douglas, P. S., Glover, D. W., Hutter, A. M., Jr, Krauss, M. D., Maron, M. S., Mitten, M. J., Roberts, W. O., & Puffer, J. C., (2007). Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation, 115(12), 1643 - 1655. https://doi.org/10.1161/CIRCULATIONAHA.107.181423

Morrison, B. N., McKinney, J., Isserow, S., Lithwick, D., Taunton, J., Nazzari, H., De Souza, A. M., Heilbron, B., Cater, C., MacDonald, M., Hives, B. A., & Warburton, D. E. R. (2018). Assessment of cardiovascular risk and preparticipation screening protocols in masters athletes: the Masters Athlete Screening Study (MASS): a cross-sectional study. BMJ open sport & exercise medicine, 4(1), e000370. https://doi.org/10.1136/bmjsem-2018-000370

Parry-Williams, G., Gati, S., & Sharma, S. (2021). The heart of the ageing endurance athlete: the role of chronic coronary stress. European heart journal, 42(28), 2737–2744. https://doi.org/10.1093/eurheartj/ehab095

Quesado, A., Santos, A. R., Soares, I. C., Moreira, L., & Pereira, S. (2020). Promoção da atividade física numa instituição de ensino superior. Revista De Investigação & Inovação Em Saúde, 3(2), 49–60. https://doi.org/10.37914/riis.v3i2.91

Solberg, E. E., Bjørnstad, T. H., Andersen, T. E., & Ekeberg, Ø. (2012). Cardiovascular pre-participation screening does not distress professional football players. European journal of preventive cardiology, 19(3), 571–577. https://doi.org/10.1177/1741826711410818

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Copyright (c) 2024 João Pedro Sousa, Bruno Valentim, Amaro Teixeira, Patrícia Coelho, Joana Pires, Francisco Rodrigues