[Guidelines on children preparticipation physical evaluation. Update]

The practice of physical activities in children and adolescents requires that the pediatrician carry out a physical examination and extend certification that enables them to participate. When listening to doctors and sports institutions concerns, our Committee decided to update the topic. The relevant point that we have considered is to change the term “Certificate” for “Record”,which implies shared responsibility among doctors, parents, institutions and teachers when taking into consideration the child that practices physical activity; the best time to request an electrocardiogram, and to emphasize attention on the locomotive apparatus when doing a physical examination. The idea is that this model of medical record will be used by educational and sports organizations at a national level in order to unify concepts and criteria and leave aside the countless health cards that are scattered throughout the country.