Epidemiology of exertional heat illnesses in organised sports: A systematic review |
| |
| Affiliation: | 1. Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Australia;2. The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Australia;3. Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, United Kingdom;4. School of Allied Health Sciences, Griffith University, Australia;5. Centre for Health System Reform and Integration, University of Queensland-Mater Research Institute, Australia;1. Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore;2. Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore;3. Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore;4. Global Asia Institute, National University of Singapore, Singapore;5. N.1 Institute for Health, National University of Singapore, Singapore;6. Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, UK;7. School of Kinesiology, Shanghai University of Sport, China;8. Institute for Digital Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore |
| |
| Abstract: | ObjectiveThis systematic review summarises reports of the incidence of exertional heat illnesses (EHI) in organised sports, to examine any trends in the EHI incidence over time, and to describe EHI incidence based on sporting activity, geographic location, and type of EHI.MethodThree electronic databases (CINAHL, PubMed, SportDiscuss) were searched from inception to January 2019. Original data in all epidemiological studies (any design except case-studies and case-series) that reported EHI incidence data in organised sports, across all age categories, and published in an English language peer-reviewed journal were included.ResultsThe primary search yielded 3556 results of which 62 studies were included in the final analysis, with 71% being from the USA. Reported EHI incidence rates ranged from 0.01 (cheerleading) to 4.19 (American football) per 1000 athletic-exposures (AEs), and 0.01 (mini-marathon) to 54.54 (desert ultra-marathon) per 100 participants. Endurance type events (running, cycling, adventure races) reported the highest EHI incidence rates per 100 participants. There was a considerable increase in EHI fatalities reported in the literature over the last three decades in American football and an increased reporting of EHI incidence in endurance type events during the last 5-years.ConclusionUse of different terminology and injury definitions in most studies have resulted in an inconsistency in reporting EHI incidence data, and also likely underreporting of less-severe forms of EHI conditions. Longitudinal studies focused on different sports and conducted in more countries (outside the USA), are needed for better understanding the global impact of EHI and the impact of prevention measures. |
| |
| Keywords: | Heat stress Heat stress disorders Hot temperature Sports medicine |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
