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Medical encounters at community-based physical activity events (parkrun) in the UK
Charles R Pedlar1,2, Kyriaki Myrissa3, Megan Barry3
1Faculty of Sport and Applied Performance Science, St Mary's University Twickenham, Twickenham, UK pedlarc@stmarys.ac.uk.
Objective:
To determine the incidence, clinical correlates and exposure risk of medical encounters during community-based physical activity events in the UK.
Methods:
An analysis of medical data from weekly, community-based physical activity events (parkrun) at 702 UK locations over a 6-year period (29 476 294 participations between 2014 and 2019) was conducted in order to define the incidence and clinical correlates of serious life-threatening, non-life-threatening and fatal medical encounters.
Results:
84 serious life-threatening encounters (overall incidence rate=0.26/100 000 participations) occurred including 18 fatalities (0.056/100 000 participations). Statistical modelling revealed that the probabilities of serious life-threatening encounters were exceptionally low, however, male sex, increasing age, slower personal best parkrun time and less prior running engagement/experience (average number of runs per year and number of years as a parkrun participant) were associated with increased probability of serious life-threatening encounters. These were largely accounted for by cardiac arrest (48/84, 57%) and acute coronary syndromes (20/84, 24%). Non-life-threatening medical encounters were mainly attributed to tripping or falling, with a reported incidence of 39.2/100 000 participations.
Conclusions:
Serious life-threatening and fatal medical encounters associated with parkrun participation are extremely rare. In the context of a global public health crisis due to inactivity, this finding underscores the safety and corollary public health value of community running/walking events as a strategy to promote physical activity.
Insights
Medical emergencies during community running events like parkrun are very rare. Factors like male sex, older age, and less running experience slightly increase risk, but the overall safety supports these events for public health.
Area of Science:
- Public Health
- Sports Medicine
- Epidemiology
Background:
- Community-based physical activity events are crucial for public health.
- Understanding medical encounter risks is vital for event safety and promotion.
- The global inactivity crisis necessitates safe and accessible physical activity strategies.
Purpose of the Study:
- To determine the incidence and clinical correlates of medical encounters during UK community physical activity events.
- To assess the exposure risk associated with participation in parkrun events.
- To evaluate the safety profile of large-scale community running events.
Main Methods:
- Analysis of medical data from 702 UK parkrun locations (2014-2019).
- Inclusion of 29,476,294 participations to define incidence rates.
- Statistical modeling to identify correlates of serious medical encounters.
Main Results:
- Serious life-threatening encounters: 0.26/100,000 participations; fatalities: 0.056/100,000.
- Increased risk associated with male sex, older age, slower run times, and less running experience.
- Cardiac arrest (57%) and acute coronary syndromes (24%) were primary causes of serious events. Non-life-threatening events (39.2/100,000) mainly due to falls.
Conclusions:
- Serious and fatal medical events during parkrun are extremely rare.
- The safety of these events supports their role in combating inactivity.
- Community running/walking events offer significant public health benefits.
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