dc.contributor.author |
Brill, Stephan
|
|
dc.contributor.author |
Schwellnus, Martin Peter
|
|
dc.contributor.author |
Sewry, Nicola
|
|
dc.contributor.author |
Janse van Rensburg, Dina Christina
|
|
dc.contributor.author |
Jansen van Rensburg, Audrey
|
|
dc.contributor.author |
Jooste, Marcel
|
|
dc.contributor.author |
Leppan, Jordan
|
|
dc.contributor.author |
Boulter, Jeremy
|
|
dc.contributor.author |
Seocharan, Ishen
|
|
dc.contributor.author |
Jordaan, Esme
|
|
dc.date.accessioned |
2022-03-04T12:38:51Z |
|
dc.date.issued |
2023 |
|
dc.description.abstract |
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. |
en_ZA |
dc.description.department |
Sports Medicine |
en_ZA |
dc.description.embargo |
2022-11-29 |
|
dc.description.librarian |
hj2022 |
en_ZA |
dc.description.sponsorship |
The International Olympic Committee (IOC) Research Centre (South Africa) at the University of Pretoria and the South African Medical Research Council (SAMRC). |
en_ZA |
dc.description.uri |
https://tandfonline.com/toc/ipsm20 |
en_ZA |
dc.identifier.citation |
Brill, S., Schwellnus, M., Sewry, N. et al. 2023, 'Pre-race self-reported medical conditions and allergies in 133 641 Comrades ultramarathon (90km) runners - SAFER XXIII', The Physician and Sportsmedicine, vol. 51, no. 1, pp. 88-95, doi: 10.1080/00913847.2021.2004080. |
en_ZA |
dc.identifier.issn |
0091-3847 (print) |
|
dc.identifier.issn |
2326-3660 (online) |
|
dc.identifier.other |
10.1080/00913847.2021.2004080 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/84347 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
Taylor and Francis |
en_ZA |
dc.rights |
© 2021 Informa UK Limited, trading as Taylor & Francis Group. This is an electronic version of an article published in Physician and Sports medicine, vol. 51, no. 1, pp. 88-95, 2023. doi : 10.1080/00913847.2021.2004080. Physician and Sports medicine is available online at : http://www.tandfonline.comloi/tphy20. |
en_ZA |
dc.subject |
Running |
en_ZA |
dc.subject |
Pre-participation medical screening |
en_ZA |
dc.subject |
Cardiovascular disease (CVD) |
en_ZA |
dc.subject |
Chronic disease |
en_ZA |
dc.subject |
Risk factors |
en_ZA |
dc.title |
Pre-race self-reported medical conditions and allergies in 133 641 Comrades ultramarathon (90km) runners - SAFER XXIII |
en_ZA |
dc.type |
Postprint Article |
en_ZA |