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Mortality and causes of death among Croatian male Olympic medalists
Vedran Radonić1, Damir Kozmar, Darko Počanić
1Vedran Radonić, Institute for Emergency Medicine Sisak and Moslavina County, Ulica 1. svibnja 20, 44000 Sisak, Croatia, vedran.radonic91@gmail.com.
Insights
Croatian male Olympic medalists have significantly lower overall and cardiovascular disease mortality rates compared to the general male population. This study highlights the long-term health benefits associated with elite athletic achievement.
Area of Science:
- Sports Medicine
- Public Health
- Epidemiology
Background:
- Elite athletes often exhibit superior health outcomes compared to the general population.
- Understanding long-term mortality risks in Olympic medalists is crucial for public health initiatives.
Purpose of the Study:
- To compare the overall and disease-specific mortality of Croatian male Olympic medalists with the general Croatian male population.
- To investigate mortality differences based on cardiovascular diseases, neoplasms, and external causes.
Main Methods:
- A cohort study including 233 Croatian male Olympic medalists (1948-2016).
- Mortality data collected from families and acquaintances, with medical documentation requested.
- Comparison with age- and time-standardized mortality data from the Croatian Bureau of Statistics (CBS).
- Calculation of Standard Mortality Ratios (SMR) with 95% Confidence Intervals (CI).
Main Results:
- Overall mortality was significantly lower in Olympic medalists (SMR 0.73, 95% CI 0.56-0.94).
- Cardiovascular disease mortality was significantly reduced among medalists (SMR 0.61, 95% CI 0.38-0.93).
- Neoplasms and external causes were the second and third leading causes of death, respectively.
Conclusions:
- Croatian male Olympic medalists experience a survival advantage over the general male population.
- Reduced cardiovascular mortality is a key factor contributing to the lower overall mortality observed in this athlete cohort.
Aim:
To compare the overall and disease-specific mortality of Croatian male athletes who won one or more Olympic medals representing Yugoslavia from 1948 to 1988 or Croatia from 1992 to 2016, and the general Croatian male population standardized by age and time period.
Methods:
All 233 Croatian male Olympic medalists were included in the study. Information on life duration and cause of death for the Olympic medalists who died before January 1, 2017, was acquired from their families and acquaintances. We asked the families and acquaintances to present medical documentation for the deceased. Data about the overall and disease-specific mortality of the Croatian male population standardized by age and time period were obtained from the Croatian Bureau of Statistics (CBS). Overall and disease-specific standard mortality ratios (SMR) with 95% confidence intervals (CI) were calculated to compare the mortality rates of athletes and general population.
Results:
Among 233 Olympic medalists, 57 died before the study endpoint. The main causes of death were cardiovascular diseases (33.3%), neoplasms (26.3%), and external causes (17.6%). The overall mortality of the Olympic medalists was significantly lower than that of general population (SMR 0.73, 95% CI 0.56-0.94, P=0.013). Regarding specific causes of death, athletes' mortality from cardiovascular diseases was significantly reduced (SMR 0.61, 95% CI 0.38-0.93, P=0.021).
Conclusions:
Croatian male Olympic medalists benefit from lower overall and cardiovascular mortality rates in comparison to the general Croatian male population.
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