Do five screening tools identify the same number of runners who require pre-exercise medical clearance? SAFER XXXIV

dc.contributor.authorSmith, Chanel
dc.contributor.authorSewry, Nicola Ann
dc.contributor.authorNolte, Kim
dc.contributor.authorSwanevelder, Sonja
dc.contributor.authorEngelke, Nina
dc.contributor.authorVan Kamp, Calvin
dc.contributor.authorJordaan, Esme
dc.contributor.authorSchwellnus, Martin Peter
dc.date.accessioned2024-02-05T09:43:49Z
dc.date.issued2024
dc.description.abstractOBJECTIVES : Currently, there are five international screening tools that are recommended to identify individuals who require pre-exercise medical clearance to reduce the risk of medical encounters during exercise. Therefore, the aim was to determine the percentage of race entrants who are advised to obtain pre-exercise medical clearance and the observed agreement between these five different international pre-exercise medical screening tools. METHODS : In all, 76,654 race entrants from the Two Oceans Marathon (2012–2015) that completed an online pre-race screening questionnaire. Five pre-exercise medical screening tools (American Heart Association (AHA), pre-2015 American College of Sport Medicine (ACSM), post-2015 ACSM, Physical Activity Readiness Questionnaire (PAR-Q), and the European Association of Cardiovascular Prevention and Rehabilitation (EACPR)) were retrospectively applied to all participants. The % (95%CI) race entrants requiring medical clearance identified by each tool and the observed agreement between tools (%) was determined. RESULTS : The % entrants requiring medical clearance varied from 6.7% to 33.9% between the five tools: EACPR (33.9%; 33.5–34.3); pre-2015 ACSM (33.9%; 33.5–34.3); PAR-Q (23.2%; 22.9–23.6); AHA (10.0%; 9.7–10.2); post-2015 ACSM (6.7%; 6.5–6.9). The observed agreement was highest between the pre-2015 ACSM and EACPR (35.4%), for pre-2015 ACSM and PAR-Q (24.8%), PAR-Q and EACPR (24.8%), and lowest between the post-2015 ACSM and AHA (4.1%). CONCLUSION : The percentage of race entrants identified to seek medical clearance (and observed agreement) varied considerably between pre-exercise medical screening tools. Further research should determine which tool has the best predictive ability in identifying those at higher risk of medical encounters during exercise.en_US
dc.description.departmentPhysiologyen_US
dc.description.departmentSports Medicineen_US
dc.description.embargo2024-02-10
dc.description.librarianhj2024en_US
dc.description.sdgSDG-03:Good heatlh and well-beingen_US
dc.description.sponsorshipPartially funded by a research grant from the International Olympic Committee (IOC) Research Center (South Africa) at the University of Pretoria. The South African Medical Research Council (SAMRC) provided partial funding for the statistical analysis.en_US
dc.description.urihttps://tandfonline.com/toc/ipsm20en_US
dc.identifier.citationSmith, C., Sewry, N., Nolte, K., et al. 2024, 'Do five screening tools identify the same number of runners who require pre-exercise medical clearance? SAFER XXXIV', Physician and Sportsmedicine, vol. 52, no. 1, pp. 77-83, doi : 10.1080/00913847.2023.2176161.en_US
dc.identifier.issn0091-3847 (print)
dc.identifier.issn2326-3660 (online)
dc.identifier.other10.1080/00913847.2023.2176161
dc.identifier.urihttp://hdl.handle.net/2263/94296
dc.language.isoenen_US
dc.publisherTaylor and Francisen_US
dc.rights© 2023 Informa UK Limited, trading as Taylor & Francis Group. This is an electronic version of an article published in Physician and Sports medicine, vol. 52, no. 1, pp. 77-83, 2024, doi : 10.1080/00913847.2023.2176161. Physician and Sports medicine is available online at : http://www.tandfonline.comloi/tphy20.en_US
dc.subjectPre-exercise medical screeningen_US
dc.subjectPre-exercise medical clearanceen_US
dc.subjectEndurance athletesen_US
dc.subjectMedical encounters (MEs)en_US
dc.subjectSDG-03: Good health and well-beingen_US
dc.titleDo five screening tools identify the same number of runners who require pre-exercise medical clearance? SAFER XXXIVen_US
dc.typePostprint Articleen_US

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