Cardiovascular pre-participation screening and risk assessment in the masters athlete: International recommendations and a Canadian perspective

ABSTRACT: Although routine physical activity is associated with health benefits, there is also a transient increased risk of adverse cardiovascular events during vigorous physical activity. Methods to detect disease and ensure that athletic pursuits are safe and appropriate have been proposed. However, for competitive athletes older than 35 years—masters athletes—debate about the optimal battery of tests for comprehensive risk assessment has been considerable. While the use of tools such as the Physical Activity Readiness Questionnaire for Everyone is standard, some agencies recommend more comprehensive risk assessment processes, and screening protocols vary widely across the world. Along with some form of pre-participation screening, risk-mitigating strategies might include educating masters athletes to exercise safely, to report new and unusual symptoms for evaluation, and to consider preventive health habits (e.g., monitor blood pressure and lipid levels, maintain healthy body weight). Other strategies might include modifying exercise for high-risk individuals, ensuring emergency procedures are in place, and installing automated external defibrillators in all sporting venues. Developing pre-participation screening and risk assessment recommendations for Canada’s heterogeneous population will require a better understanding of cardiovascular disease prevalence and more evidence regarding the effectiveness of proposed pre-participation screening procedures for the masters athlete. 

Autor / Fonte:Issue: BCMJ, Vol. 58, No. 4, May 2016, page(s) 196-202 Articles Barbara N. Morrison, BHK, Hamed Nazzari, MD, PhD, Daniel J. Lithwick, MHA, Jack Taunton, MD, Saul Isserow, MBBCh, Brett Heilbron, MB ChB, Darren E.R. Warburton, PhD