Preparticipation Screening May Save Athletes' Lives

by Joy Keller on Mar 01, 2007

If you train athletes, you may want to know about the validity of prescreening. In 1982, Italy introduced a mandatory nationwide screening process to reduce the incidence of sudden cardiovascular death (SCD) in athletes during competition. The screening process includes a detailed history, a physical exam and an electrocardiogram.

A study published recently in the Journal of the American Medical Association (2006; 269, 1593–1601) set out to discover whether the screening process was proving helpful in saving lives. The study period began in 1979, before screening was introduced, and ended in 2004. Between 1982 and 2004, more than 42,300 athletes ages 12–35 underwent prescreening. Unscreened nonathletes in the same age range served as controls.

Among the unscreened nonathletes, 265 deaths occurred, with no change in death rates after 1982. Among the screened athletes, 55 deaths occurred, with the death rate steadily decreasing after screening was introduced. The researchers noted an 89% decrease in the annual SCD mortality rate among athletes after the mandatory screening law was introduced. “These data demonstrate the benefit of the current Italian screening program and have important implications for implementing screening strategies for prevention of sudden death in athletes in other countries,” study authors wrote.—Ryan Halvorson

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About the Author

Joy Keller

Joy Keller IDEA Author/Presenter

Joy Keller is executive editor of IDEA Fitness Journal and IDEA Fit Business Success, and is also a certified personal trainer, indoor cycling instructor, yoga teacher (RYT 200) and Reiki Master. Joy joined IDEA Health & Fitness Association in 2002, and brought with her a wealth of information about how to fine-tune communication channels, after having spent her formative career years specializing in business-to-business journalism. Before she even graduated with honors from the respected University of Georgia journalism school, Joy was offered a job at one of the most successful trade publishing companies in the southeast, Shore Varrone, Inc. She made her mark in the automotive aftermarket industry as a creative thinker and journalist with an intuitive knack for researching and understanding niche audiences. Joy has worked on several titles, including Auto Trim & Restyling News, Truck Accessory News, Digital Output Magazine, Retail & Construction News, Miata magazine, Ford Racing, and many more. Her passion, however, lies with health and fitness. She was the associate editor of ACE Certified News while working at the American Council on Exercise, and transitioned that publication from a newsletter to a magazine. She has enjoyed 17 years at IDEA, where she has launched several publications, including the award-winning Inner IDEA Body-Mind Spirit Review, IDEA Pilates Today and IDEA Fit Business Success. Joy is a content creator and media 2.0 advocate who takes pride in discovering the unique information needs of qualified audiences, and she is dedicated to serving those needs while following the highest available standards.