医学
物理疗法
运动医学
体质指数
人口
代谢当量
病史
考试(生物学)
体力活动
内科学
古生物学
环境卫生
生物
作者
Stefano Palermi,Felice Sirico,Fredrick Fernando,Giampietro Gregori,Immacolata Belviso,Fabrizio Ricci,Flavio D’Ascenzi,Elena Cavarretta,Mariarosaria De Luca,Francesco Negro,Stefania Montagnani,Josef Niebauer,Alessandro Biffi
出处
期刊:Journal of basic and clinical physiology and pharmacology
[De Gruyter]
日期:2022-06-01
卷期号:33 (5): 655-663
被引量:4
标识
DOI:10.1515/jbcpp-2022-0109
摘要
Several pre-participation screening algorithms (PPSAs) have been proposed to assess sports eligibility in different populations. They are usually based on self-administered questionnaires, without further medical assessment if no risk factors are documented. The Med-Ex "Formula Benessere" worksite program includes a complete cardiovascular (CV) screening for all participants. The purpose of this study was to assess PPSAs accuracy in detecting medical and/or CV abnormalities in the general population, comparing the results with the date derived from Med-Ex program.The Med-Ex medical evaluation, consisting of medical history, physical examination (including body composition), resting electrocardiogram (ECG) and exercise stress test in 464 male subjects (38.4 aged) was analyzed and matched to several PPSAs - Physical Activity Readiness Questionnaire (PAR-Q) (2002-2020), American Heart Association (AHA)/American College of Sport Medicine (ACSM) (1998-2009-2014-2015), European Association of Cardiovascular Prevention and Rehabilitation (EACPR) (2011) - retrospectively simulated.Five-hundred and 67 abnormalities were detected though Med-Ex medical evaluation, and one-fourth (24%) would have been undetected applying PPSA alone. In particular 28% of high blood pressure, 21% of impaired fasting glycaemia, 21% of high Body Mass Index (BMI) values and 19% of ECG abnormalities would have been missed, on average, by all PPSAs.The simulation analysis model performed in this study allowed to highlight the limits of PPSAs in granting sport eligibility, compared to a medical-guided CV screening. These findings emphasize the importance of a more balanced approach to pre-participation screening that includes a thorough evaluation of the cost/benefit ratio.
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