Pre-race self-reported medical conditions and allergies in 133 641 Comrades ultramarathon (90km) runners - SAFER XXIII
dc.contributor.author | Brill, Stephan | |
dc.contributor.author | Schwellnus, Martin Peter | |
dc.contributor.author | Sewry, Nicola Ann | |
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 |