Pre-race self-reported medical conditions and allergies in 133 641 Comrades ultramarathon (90km) runners-SAFER XXIII

被引：3

作者：

Brill, Stephan ^{[1
,2
]}

Schwellnus, Martin ^{[1
,3
]}

Sewry, Nicola ^{[1
,3
]}

Van Rensburg, Dina Christa Janse ^{[1
,2
]}

Van Rensburg, Audrey Jansen ^{[1
,2
]}

Jooste, Marcel ^{[1
,2
]}

Leppan, Jordan ^{[1
,2
]}

Boulter, Jeremy ^{[4
]}

Seocharan, Ishen ^{[5
]}

Jordaan, Esme ^{[5
,6
]}

机构：

[1] Univ Pretoria, Fac Hlth Sci, Sport Exercise Med & Lifestyle Inst SEMLI, Sports Campus,Burnett St, ZA-0020 Pretoria, South Africa

[2] Univ Pretoria, Fac Hlth Sci, Sect Sports Med, Pretoria, South Africa

[3] Int Olymp Comm IOC Res Ctr, Pretoria, South Africa

[4] Comrades Marathon Pietermaritzburg, Pietermaritzburg, South Africa

[5] South African Med Res Council, Biostat Unit, Cape Town, South Africa

[6] Univ Western Cape, Stat & Populat Studies Dept, Cape Town, South Africa

来源：

PHYSICIAN AND SPORTSMEDICINE | 2023年 / 51卷 / 01期

基金：

英国医学研究理事会;

关键词：

Running; pre-participation medical screening; cardiovascular disease; chronic disease; risk factors; SUDDEN CARDIAC DEATH; CARDIOVASCULAR EVALUATION; EXERCISE PHYSIOLOGY; RISK; PREVENTION; CARDIOLOGY; SPORTS;

D O I：

10.1080/00913847.2021.2004080

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives To determine the prevalence of self-reported pre-race chronic medical conditions and allergies in ultramarathon race entrants and to explore if these are associated with an increased risk of race-day medical encounters (MEs). Methods Data from two voluntary open-ended pre-race medical screening questions (Q1 - history of allergies; Q2 - history of chronic medical conditions/prescription medication use) were collected in 133641 Comrades Marathon race entrants (2014-2019). Race-day ME data collected prospectively over 6 years are reported as incidence (per 1000 starters) and incidence ratios (IR: 95%CI's). Results Pre-race medical screening questions identified race entrants with a history of chronic medical conditions and/or prescription medication use (6.9%) and allergies (7.4%). The % entrants with risk factors for cardiovascular disease (CVD) was 30% and being older (>45 years) or male (27.5%) were the most frequent CVD risk factors. 0.3% of entrants reported existing CVD. The overall incidence of MEs was 20/1000 race starters. MEs were significantly higher in race entrants reporting a 'yes' to Q1 (allergies) (IR = 1.3; 1.1-1.5) (p = 0.014) or Q2 (chronic medical conditions and/or prescription medication use) (IR = 1.3; 1.1-1.5) (p = 0.0006). Conclusions Voluntary completion of two open-ended questions identified chronic medical conditions and/or prescription medication use in 6.9% and allergies in 7.4% of ultramarathon race entrants. This is lower than that reported for other races that implemented compulsory completion of a more comprehensive pre-screening questionnaire. Despite potential under-reporting, a pre-race self-reported history of chronic medical conditions and allergies was associated with a higher risk of race-day MEs.

引用

页码：88 / 95

页数：8