dc.contributor.author |
Schwellnus, Martin Peter
|
|
dc.contributor.author |
Swanevelder, Sonja
|
|
dc.contributor.author |
Derman, Wayne
|
|
dc.contributor.author |
Borjesson, Mats
|
|
dc.contributor.author |
Schwabe, Karen
|
|
dc.contributor.author |
Jordaan, Esme
|
|
dc.date.accessioned |
2019-03-26T11:11:33Z |
|
dc.date.available |
2019-03-26T11:11:33Z |
|
dc.date.issued |
2019-05 |
|
dc.description.abstract |
OBJECTIVES : To examine the efficacy and feasibility of an online prerace medical screening and educational intervention programme for reducing medical complications in long-distance races.
METHODS : This was an 8-year observational study of medical encounter rates among 153 208 Two Oceans race starters (21.1 and 56 km) in South Africa. After the first 4-year control (CON) period, we introduced an online prerace medical screening (based on European pre-exercise screening guidelines) and an automated educational intervention programme. We compared the incidence of medical encounters (per 1000 starters; all and serious life threatening) in the CON versus the 4-year intervention (INT) period.
RESULTS : In comparison to the CON period (2008–2011: 65 865 starters), the INT period (2012–2015: 87 343 starters) had a significantly lower incidence (adjusted for age group, sex, race distance) of all medical encounters by 29% (CON=8.6 (7.9–9.4); INT=6.1 (5.6–6.7), p<0.0001), in the 21.1 km race by 19% (CON=5.1 (4.4–5.9); INT=4.1 (3.6–4.8), p=0.0356) and in the 56 km race by 39% (CON=14.6 (13.1–16.3); INT=9.0 (7.9–10.1), p<0.0001). Serious life-threatening encounters were significantly reduced by 64% (CON=0.6 (0.5–0.9); INT=0.2 (0.1–0.4); p=0.0003) (adjusted for age group and sex). Registration numbers increased in the INT period (CON=81 345; INT=106 743) and overall % race starters were similar in the CON versus INT period. Wet-bulb globe temperature was similar in the CON and INT periods.
CONCLUSION : All medical encounters and serious life-threatening encounters were significantly lower after the introduction of a prescreening and educational intervention programme, and the programme was feasible. |
en_ZA |
dc.description.department |
Sports Medicine |
en_ZA |
dc.description.librarian |
hj2019 |
en_ZA |
dc.description.uri |
http://bjsm.bmj.com |
en_ZA |
dc.identifier.citation |
Schwellnus M, Swanevelder S, Derman W, et al
Prerace medical screening and education reduce medical encounters in distance road races: SAFER VIII study in 153 208 race starters
British Journal of Sports Medicine Published 2019;53:634–63. doi: 10.1136/bjsports-2018-099275. |
en_ZA |
dc.identifier.issn |
0306-3674 (print) |
|
dc.identifier.issn |
1473-0480 (online) |
|
dc.identifier.other |
10.1136/bjsports-2018-099275 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/68712 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
BMJ Publishing Group |
en_ZA |
dc.rights |
© Author(s) (or their employer(s)) 2018. Published by BMJ. |
en_ZA |
dc.subject |
Endurance |
en_ZA |
dc.subject |
Epidemiology |
en_ZA |
dc.subject |
Marathon |
en_ZA |
dc.subject |
Recreational |
en_ZA |
dc.subject |
Exercise |
en_ZA |
dc.subject |
Observational study |
en_ZA |
dc.subject |
South Africa (SA) |
en_ZA |
dc.subject |
Prerace medical screening |
en_ZA |
dc.subject |
Education |
en_ZA |
dc.subject |
Distance road races |
en_ZA |
dc.title |
Prerace medical screening and education reduce medical encounters in distance road races : SAFER VIII study in 153 208 race starters |
en_ZA |
dc.type |
Postprint Article |
en_ZA |