在马拉松比赛中,年轻,中年和老年跑步者的突然心脏骤停
Tomohiro Manabe1, Jo Kato2, Fumihiro Yamasawa3
1Sports Medicine Research Center, Keio University, Yokohama, Japan; Medical Committee, Japan Association of Athletics Federations (JAAF), Tokyo, Japan.
马拉松期间突然心脏骤停 (SCA) 的发生率随着年龄的增长而增加,特别是在40岁以上的男性中. 这一发现凸显了马拉松选手需要进行特定年龄的参与前查.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 流行病学 流行病学
背景情况:
- 运动期间的突然心脏骤停 (SCA),虽然不频繁,但可能是致命的.
- 关于马拉松跑步期间年龄和SCA发生率之间的关系的数据有限.
研究的目的:
- 在不同年龄组的马拉松比赛中调查SCA的发病率.
- 在马拉松参与者中识别与年龄相关的SCA风险因素.
主要方法:
- 在日本田径联合会认证的马拉松比赛中对SCA病例的前景观察 (2011年4月至2019年3月).
- SCA定义为在比赛期间或比赛后1小时内崩,需要复苏.
- 根据年龄组和性别分析发病率.
主要成果:
- 在516场马拉松比赛中,观察了超过410万名参与者.
- 每10万名跑步者的SCA发病率为40岁以下的0.9,40岁的0.9,50岁的2.6和60岁以上的5.5.
- 在老年人群中观察到较高的SCA率,主要在男性中.
结论:
- 马拉松期间SCA发生率随着年龄的增长显著增加,特别是在男性中.
- 年长的男性马拉松运动员代表了SCA的高风险人群.
- 这些发现支持需要针对特定年龄的参与前查,以减轻风险.
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