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Wilderness Preparticipation Evaluation and Considerations for Special Populations
Elizabeth Joy1, Karin Van Baak2, Katherine L Dec3
1Clinical Outcomes Research, Intermountain Healthcare, Salt Lake City, Utah (Dr Joy).
Special populations like children, older adults, disabled athletes, and females face unique risks in outdoor sports. A thorough preparticipation evaluation is crucial for their safety and health during wilderness adventures.
Area of Science:
- Wilderness Medicine
- Sports Medicine
- Public Health
Background:
- Outdoor and wilderness sports present unique risks for specific populations.
- Children, older adults, disabled athletes, and females have distinct health considerations.
Purpose of the Study:
- To review the preparticipation evaluation needs for special populations in wilderness sports.
- To highlight population-specific risks and management strategies.
Main Methods:
- A narrative review of peer-reviewed English language articles.
- Searches conducted on PubMed and SportDiscus databases (1977–2014).
- Inclusion of web-based sources for comprehensive information.
Main Results:
- Children require focus on altitude-related risks and management.
- Older adults need awareness of chronic disease and medication interactions.
- Disabled athletes benefit from adaptive planning and equipment considerations.
- Female athletes require attention to pregnancy, menses, and iron levels.
Conclusions:
- Tailored preparticipation evaluations are essential for special populations.
- Addressing unique risks enhances safety and health in wilderness activities.
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