Prevention of sport-related health issues

Česká verzia

Authors: Procházka Michal; Illinger Vojtěch; Pokorný Jan; Slabý Kryštof; Radvanský Jiří
Authors place of work: Klinika rehabilitace a tělovýchovného lékařství, 2. lékařská fakulta, Univerzita Karlova a FN v Motole, Praha
Published in the journal: Čes-slov Pediat 2024; 79 (1): 17-22.
Category: Prevention in pediatrics
doi: https://doi.org/10.55095/CSPediatrie2024/002

Summary

Prevention of sport-related health issues is an important medical and social topic especially due to possible sudden death of athlete, which is most often caused by an adverse cardiac condition. Diagnoses that could cause sudden cardiac death differs between paediatric and adult population. Inherited conditions predominate in children and adolescents, acquired conditions are responsible for sudden cardiac death in majority of adult athletes. Nowadays there is general agreement about screening of risks of sudden cardiac death. In the Czech Republic, sports physicians, general practitioners or primary care paediatricians perform sudden cardiac death risk screening as a part of preparticipation screening. Nevertheless, many more medical conditions must be screened during preparticipation check-ups; some of them are directly related to growth and development of an individual.

Zdroje

1. Khan KM, Thompson AM, Blair SN, et al. Sport and exercise as contributors to the health of nations. Lancet 2012; 380(9836): 59–64.

2. https://www.zakonyprolidi.cz/cs/2013-391

3. https://www.zakonyprolidi.cz/cs/2011-373

4. Ročenka ČUS 2022. Dostupné na: www.cuscz.cz

5. Endres BD, Kerr ZY, Stearns RL, et al. Epidemiology of sudden death in organized youth sports in the United States, 2007–2015. J Athletic Training 2019; 54(4): 349–355.

6. Petek BJ, Churchill TW, Moulson N, et al. Sudden cardiac death in National Collegiate Athletic Association Athletes: A 20-Year Study. Circulation. 2023.

7. Modesti PA, Casolo G, Olivotto I, Pellegrino A. Sudden death in young athletes: Is it preventable? Eur J Intern Med 2022; 104: 13–20).

8. Ha FJ, Han HC, Sanders P, et al. Sudden cardiac death related to physical exercise in the young: a nationwide cohort study of Australia. Intern Med J 2023; 53(4): 497–502.

9. Mont L, Pelliccia A, Sharma S, et al. Pre-participation cardiovascular evaluation for athletic participants to prevent sudden death: Position paper from the EHRA and the EACPR, branches of the ESC. Endorsed by APHRS, HRS, and SOLAECE. Europace 2017; 19(1): 139–163).

10. Ghani U, Farooq O, Alam S, et al. Sudden cardiac death in athletes: consensuses and controversies. Cureus. 2023.

11. Rücklová K, Dobiáš M, Bílek M, Pet al. Burden of sudden cardiac death in persons aged 1–40 years in the Czech Republic. Central Eur J Public Health 2022; 30(1): 58–64.

12. Krebsová A, Kučerová Š, Votýpka P, et al. (Postmortem genetic testing in sudden cardiac death victims and genetic screening of relatives at risk in the Czech Republic). Cor Vasa 2023; 65(1): 7–22.

13. Drezner JA, O’Connor FG, Harmon KG, et al. AMSSM position statement on cardiovascular preparticipation screening in athletes: Current evidence, knowledge gaps, recommendations and future directions. Br J Sport Med 2017; 51(3): 153–167.

14. Drezner JA, Sharma S, Baggish A, et al. International criteria for electrocardiographic interpretation in athletes: Consensus statement. Br J Sport Med 2017; 51(9): 704–731.

15. Slabý K. Aktualizovaná kritéria pro hodnocení klidového EKG u sportovců. Med Sport Boh Slov 2017; 26(2).

16. Goff NK, Hutchinson A, Koek W, Kamat D. Meta-analysis on the effectiveness of ECG screening for conditions related to sudden cardiac death in young Athletes. Clin Pediatr 2023; 62(10): 1158–1168.

17. Hill B, Grubic N, Williamson M, et al. Does cardiovascular preparticipation screening cause psychological distress in athletes? A systematic review. Br J Sport Med 2023; 57(3): 172–178.

18. Corrado D, Basso C, Pavei A, et al. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 2006; 296(13).

19. Vessella T, Zorzi A, Merlo L, et al. The Italian preparticipation evaluation programme: Diagnostic yield, rate of disqualification and cost analysis. Br J Sport Med 2020; 54(4): 231–237.

20. Sarto P, Zorzi A, Merlo L, et al. Value of screening for the risk of sudden cardiac death in young competitive athletes. Eur Heart J 2023; 44(12): 1084–1092.

21. Laki J, Soos A, Peterak, PJ, et al. Introducing the National Institute for Sports Medicine in Hungary: a complex sports medical healthcare and screening system. Exerc Med 2017; 3: 267.

22. Tanne C, Pongas M. French preparticipation physical evaluation for children in 2020: What has changed? Arch Pediatr 2020; 27(6): 338–341.

23. Albiński M, Balmer C, Wilhelm M, et al. Paediatric and adolescent athletes in Switzerland: age-adapted proposals for pre-participation cardiovascular evaluation. Swiss Medical Weekly 2022; 152(7–8).

24. Thompson PD, Baggish AL, Franklin B, et al. American College of Sports Medicine Expert Consensus Statement to Update Recommendations for Screening, Staffing, and Emergency Policies to Prevent Cardiovascular Events at Health Fitness Facilities. 2020.

25. Verhey JT, Poon SK. General medical emergencies in athletes. Clinics Sport Med 2023; 42(3): 427–440.

26. Michelland L, Murad MH, Bougouin W, et al. Association between basic life support and survival in sports-related sudden cardiac arrest: a meta-analysis. Eur Heart J 2023; 44(3): 180–192.

27. Grubic N, Hill B, Phelan D, et al. Bystander interventions and survival after exercise-related sudden cardiac arrest: a systematic review. Br J Sport Med 2022; 56(7): 410–416.

28. Pokorný J, Procházka M, Illinger V, et al. Indikovaná následná vyšetření v ambulanci preventivních sportovních prohlídek Kliniky RHB a TVL 2. LF UK a FNM v roce 2019. Med Sport Boh Slov 2020; 29(3).

29. Ridenour R, Hennrikus W. Overuse injuries in pediatric athletes. Adv Pediatrics 2020; 67: 171–182.

30. Street SB, Kaminski T. Does the FIFA 11+ program prevent hamstring injuries in college-aged male soccer players? A critically appraised topic. J Sport Rehab 2021; 30(1): 158–160.

31. Viljoen W, Patricios J. BokSmart - Implementing a national rugby safety programme. Br J Sport Med 2012; 46(10): 692–693).

32. Mountjoy M, Sundgot-Borgen J, Burke L, et al. International Olympic Committee (IOC) Consensus statement on relative energy deficiency in sport (red-s): 2018 update. Int J Sport Nutr Exercise Metab 2018; 28(4): 316–331.

33. Barth M, Güllich A, Macnamara BN, Hambrick DZ. Predictors of junior versus senior elite performance are opposite: a systematic review and meta-analysis of participation patterns. Sports Med 2022; 52(6): 1399–1416.

34. Rossoni A, Vecchiato M, Brugin E, et al. The eSports medicine: pre-participation screening and injuries management—an update. Sports 2023; 11(2).

35. Turska-Kmieć A, Neunhaeuserer D, Mazur A, et al. Sport activities for children and adolescents: the Position of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians 2023—Part 1. Pre-participation physical evaluation in young athletes. Front Pediatrics 2023; (11).