Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletes
Objectives: Despite robust growth in participation in marathons and endurance sports among older individuals, guidance regarding pre-participation cardiovascular evaluation of these athletes is lacking. The objective of this study was to assess the utility of currently available pre-participation ca...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2016-01-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/2050312115616136 |
| _version_ | 1819116616945762304 |
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| author | Justin R Abbatemarco Courtney Bennett Adrian J Bell Laura Dunne Martin E Matsumura |
| author_facet | Justin R Abbatemarco Courtney Bennett Adrian J Bell Laura Dunne Martin E Matsumura |
| author_sort | Justin R Abbatemarco |
| collection | DOAJ |
| description | Objectives: Despite robust growth in participation in marathons and endurance sports among older individuals, guidance regarding pre-participation cardiovascular evaluation of these athletes is lacking. The objective of this study was to assess the utility of currently available pre-participation cardiovascular evaluation guidelines as applied to a cohort of older novice endurance athletes. Methods: We applied data from 1457 novice runners and endurance athletes aged 35 years and older to two pre-participation screening tools, the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and the 2001 Working Group recommendations for pre-participation screening of masters athletes (2001 Masters). Results: Application of the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire identified 42.1% for which pre-participation cardiovascular evaluation was indicated. Of those who met criteria, 51.5% reported completion of a healthcare evaluation. Application of the 2001 Masters guidelines identified 75.2% who qualified for pre-participation electrocardiogram and 34.0% for pre-participation stress testing. Of those who met 2001 Masters criteria for pre-participation testing, 43.7% and 24.6% underwent recommended electrocardiogram and stress testing, respectively. While there was modest concordance with recommendations for pre-participation evaluations based on both American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and 2001 Masters, only athlete age was independently associated with completion of a pre-participation healthcare evaluation and only athlete age and athlete’s participation in marathons were independently associated with pre-participation stress testing. Conclusion: Among older novice endurance athletes, application of the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and 2001 Masters guidelines identifies a significant percentage of athletes for whom pre-participation evaluation and testing are recommended. Concordance with these guidelines was modest and providers were primarily influenced by athlete age and competitive goals when planning pre-participation testing. Given the rarity of cardiovascular events among older participants in endurance events, the cost-effectiveness of the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and 2001 Masters guidelines may be unacceptable for general use. |
| first_indexed | 2024-12-22T05:19:56Z |
| format | Article |
| id | doaj.art-99329d7c7eb844f482a0ea9db1c049c5 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-12-22T05:19:56Z |
| publishDate | 2016-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-99329d7c7eb844f482a0ea9db1c049c52022-12-21T18:37:45ZengSAGE PublishingSAGE Open Medicine2050-31212016-01-01410.1177/205031211561613610.1177_2050312115616136Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletesJustin R Abbatemarco0Courtney Bennett1Adrian J Bell2Laura Dunne3Martin E Matsumura4SELECT Program, Morsani College of Medicine, University of South Florida, Lehigh Valley Health Network, Allentown, PA, USAThe Cardiovascular Research Institute, Lehigh Valley Health Network, Allentown PA, USAThe Cardiovascular Research Institute, Lehigh Valley Health Network, Allentown PA, USADivision of Sports Medicine, Lehigh Valley Health Network, Allentown, PA, USADivision of Cardiology, Richard & Marion Pearsall Heart Hospital, Geisinger Medical Center, Wilkes-Barre, PA, USAObjectives: Despite robust growth in participation in marathons and endurance sports among older individuals, guidance regarding pre-participation cardiovascular evaluation of these athletes is lacking. The objective of this study was to assess the utility of currently available pre-participation cardiovascular evaluation guidelines as applied to a cohort of older novice endurance athletes. Methods: We applied data from 1457 novice runners and endurance athletes aged 35 years and older to two pre-participation screening tools, the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and the 2001 Working Group recommendations for pre-participation screening of masters athletes (2001 Masters). Results: Application of the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire identified 42.1% for which pre-participation cardiovascular evaluation was indicated. Of those who met criteria, 51.5% reported completion of a healthcare evaluation. Application of the 2001 Masters guidelines identified 75.2% who qualified for pre-participation electrocardiogram and 34.0% for pre-participation stress testing. Of those who met 2001 Masters criteria for pre-participation testing, 43.7% and 24.6% underwent recommended electrocardiogram and stress testing, respectively. While there was modest concordance with recommendations for pre-participation evaluations based on both American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and 2001 Masters, only athlete age was independently associated with completion of a pre-participation healthcare evaluation and only athlete age and athlete’s participation in marathons were independently associated with pre-participation stress testing. Conclusion: Among older novice endurance athletes, application of the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and 2001 Masters guidelines identifies a significant percentage of athletes for whom pre-participation evaluation and testing are recommended. Concordance with these guidelines was modest and providers were primarily influenced by athlete age and competitive goals when planning pre-participation testing. Given the rarity of cardiovascular events among older participants in endurance events, the cost-effectiveness of the American Heart Association/American College of Sports Medicine Pre-Participation Questionnaire and 2001 Masters guidelines may be unacceptable for general use.https://doi.org/10.1177/2050312115616136 |
| spellingShingle | Justin R Abbatemarco Courtney Bennett Adrian J Bell Laura Dunne Martin E Matsumura Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletes SAGE Open Medicine |
| title | Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletes |
| title_full | Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletes |
| title_fullStr | Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletes |
| title_full_unstemmed | Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletes |
| title_short | Application of pre-participation cardiovascular screening guidelines to novice older runners and endurance athletes |
| title_sort | application of pre participation cardiovascular screening guidelines to novice older runners and endurance athletes |
| url | https://doi.org/10.1177/2050312115616136 |
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