Abstract:
BACKGROUND:ECG is recommended for preparticipation health examination in athletes. Owing to a lack of consensus on how to read and interpret athletes' ECGs, different criteria for abnormality are used. AIMS:To compare the prevalence of abnormal ECGs and test the correlation between visual and computer-based measurements. METHODS:In a preparticipation cardiac screening examination of 595 male professional soccer players aged 18-38 years, ECGs were categorised according to the European Society of Cardiology's (ESC) recommendations and the Seattle criteria, respectively. Visual measurements were conducted with callipers on-screen on the averaged PQRST complex in each lead, calculated by the trimmed mean. Computer-based measurements were derived from the medium beat. Heart rhythm and conduction were scored visually by a cardiologist. Categorical variables were compared by κ statistics (K) and continuous variables by intraclass correlation. RESULTS:ECGs of good quality were available from 579 players. According to the ESC's recommendations and Seattle criteria, respectively, ECGs were categorised as abnormal in 171 (29.5%) vs 64 (11.1%) players after visual assessment, and in 293 (50.6%; K=0.395) vs 127 (21.9%; K=0.564) after computer-based measurements. Intraclass correlation was very good for measurements of R and S wave amplitudes and moderate to very good for intervals. K was very good for pathological Q wave amplitudes and moderate for T wave inversions. CONCLUSIONS:Abnormal ECGs were more than twice as common after computer-based than after visual measurements. Such a difference will markedly influence the number of athletes who need further examinations. Reference values may need adjustments dependent on measurement methods.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Berge HM,Steine K,Andersen TE,Solberg EE,Gjesdal Kdoi
10.1136/bjsports-2014-093412subject
Has Abstractpub_date
2014-05-01 00:00:00pages
761-7issue
9eissn
0306-3674issn
1473-0480pii
bjsports-2014-093412journal_volume
48pub_type
杂志文章abstract:BACKGROUND:Over the last few years, changes in cutaneous homoeostasis resulting from sports activities have been reported. In particular, alterations in sweating mechanisms, the hydrolipid barrier, and surface bacterial flora, together with exposure to atmospheric conditions and the need to use medicaments, detergents,...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.35.2.100
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:To establish a simple, valid, and acceptable method of predicting peak oxygen uptake (VO2peak) in patients with chronic fatigue syndrome (CFS), which could provide a basis for subsequent exercise prescription at an appropriate intensity as part of a clinical rehabilitation programme. METHODS:A total of 130 ...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.33.5.352
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:Certain exercise prescriptions for patients with cancer may improve self-reported quality of life (QoL) and self-reported physical function (PF). We investigated the effects of exercise on QoL and PF in patients with cancer and studied differences in effects between different intervention-related and exercise...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2017-097891
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To determine prospectively gait-related intrinsic risk factors for patellofemoral pain (PFP) in a population of novice recreational runners. DESIGN:Prospective cohort study. PARTICIPANTS:102 novice recreational runners (89 women) with no history of knee or lower leg complaints. INTERVENTIONS:The standing f...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.046649
更新日期:2008-06-01 00:00:00
abstract::Three tests were conducted to assess the effectiveness of three different intensities of exercise both in reducing blood lactic acid (LA) levels and in influencing subjects' heart rate (HR), following a 2000 m race in a rowing boat. In the first and second tests these variables were investigated during a 13 min recove...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.19.4.199
更新日期:1985-12-01 00:00:00
abstract::The objective of the present systematic review was to investigate whether physical fitness in childhood and adolescence is a predictor of cardiovascular disease (CVD) risk factors, events and syndromes, quality of life and low back pain later in life. Physical fitness-related components were: cardiorespiratory fitness...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2008.056499
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To systematically review evidence of primary outcomes from randomised controlled trials (RCTs) examining the effect of treatment strategies on quality of life (QoL) or psychosocial factors in individuals with knee osteoarthritis (OA). DESIGN:Systematic review with meta-analysis. DATA SOURCES:Medline, Embase...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2017-098099
更新日期:2018-08-01 00:00:00
abstract::In order to identify injury-proneness in female competitive gymnasts, 20 measures of flexibility, hypermobility, spinal posture and anthropometry were performed on 40 competitive gymnasts and injury scores were derived from the severity and extent of previous gymnastic injury and inherent hypermobility traits. Results...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.20.1.31
更新日期:1986-03-01 00:00:00
abstract::The rehabilitation of the knee with a deficient anterior cruciate ligament (ACL) always presents a great challenge. Isokinetic assessment allows muscle performance to be quantified. The antishear device, introduced by Johnson, has the distinct advantage of minimizing the anterior translation force during isokinetic ex...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/bjsm.29.3.171
更新日期:1995-09-01 00:00:00
abstract::The effects of an intensive 4 week Alpine climbing expedition on percentage body fat, absolute body fat and lean body mass was investigated in 14 adult male students. Anthropometric measures were taken on two occasions during the training period prior to the expedition, twice during the expedition and finally eight we...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.14.2-3.126
更新日期:1980-07-01 00:00:00
abstract::Reports on reproducibility of lactate markers usually considered only two trials. The authors assessed reproducibility of power output at seven markers in 11 fit subjects over at least six trials under tightly controlled conditions. Subjects undertook incremental exercises (50 W start, +50 W every 3 min to exhaustion)...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2010.076380
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND/AIM:To compare outcome of early mobilisation and plaster immobilisation in patients with a simple elbow dislocation. We hypothesised that early mobilisation would result in earlier functional recovery. METHODS:From August 2009 to September 2012, 100 adult patients with a simple elbow dislocation were enroll...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bjsports-2015-094704
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVES:To evaluate injury patterns of snowbladers and compare them with those of skiers and snowboarders. To determine possible effects of helmet use in these sports on injury to the head and neck. METHODS:This prospective case series observational study was conducted by collecting the injury reports from the ski ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.6.511
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that microwave hyperthermia treatment (MHT) increases heat shock proteins (HSPs) in the human vastus lateralis muscle. METHODS:Four untrained healthy male volunteers participated in this study. The lateral side of the thigh of one leg (heated leg) was heated with a microwave generator ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2006.032938
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To estimate the overall incidence of acute and overuse volleyball injuries, and to describe factors associated with ankle sprains. METHODS:486 players from the second and third Dutch national volleyball divisions participated in the study and were followed prospectively during a whole season. Three measureme...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.005785
更新日期:2004-08-01 00:00:00
abstract::To determine the consequences of two different stride frequencies on ventilation (VE) at similar levels of carbon dioxide production (VCO2), eleven male subjects performed two work tests on the treadmill. One test involved walking at a speed of 5 km/hr on a 15% grade while the other consisted of running on the treadmi...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.19.4.210
更新日期:1985-12-01 00:00:00
abstract::To determine the rate of current or previous use of anabolic steroids by students at a UK college of technology, a questionnaire survey of 687 day students was conducted. The questionnaire began with a general section for all of the students, which ended with the question 'Have you ever used anabolic steroids?'. A fur...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.27.3.200
更新日期:1993-09-01 00:00:00
abstract::Jet skiing is a rapidly growing sport. The craft incorporate safety features and the manufacturers issue detailed safety instructions. Racing is conducted with adequate attention to clothing, safety and insurance. However, casual use is widespread and is sometimes irresponsible. Serious injuries to riders are uncommon...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.25.4.232
更新日期:1991-12-01 00:00:00
abstract::Administration of recombinant human erythropoietin (rHumanEPO) improves sporting performance and hence is frequently subject to abuse by athletes, although rHumanEPO is prohibited by the WADA. Approaches to detect rHumanEPO doping have improved significantly in recent years but remain imperfect. A new transcriptomic-b...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2014-093529
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To determine the plasma glucose levels in non-diabetic patients with rotator cuff tear. DESIGN:Frequency-matched case-control study. SETTING:University Teaching Hospital. PARTICIPANTS:The study included 194 subjects who were operated on at our institution. Group 1 included 97 consecutive patients (36 men a...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.049320
更新日期:2009-04-01 00:00:00
abstract:AIM:To describe injury and illness incidence during the 2018 Winter Olympic Games (WOG) by Team USA. METHODS:A descriptive observational study. We used registered Team USA Olympic athletes' electronic medical records to review preparticipation health histories and medical encounters immediately prior to and throughout...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2018-100015
更新日期:2020-08-01 00:00:00
abstract::Preparticipation screening programmes for underlying cardiac pathologies are now commonplace for many international sporting organisations. However, providing medical clearance for an asymptomatic athlete without a family history of sudden cardiac death (SCD) is especially challenging when the athlete demonstrates par...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2011-090838
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population. METHODS:Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cogni...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bjsports-2014-093984
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Illness accounts for a significant proportion of consultations with a team physician travelling with elite athletes. OBJECTIVE:To determine if international travel increases the incidence of illness in rugby union players participating in a 16-week tournament. SETTING:2010 Super 14 Rugby Union tournament. ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2012-091395
更新日期:2012-09-01 00:00:00
abstract::Sedentary time is a modifiable determinant of poor health, and in older adults, reducing sedentary time may be an important first step in adopting and maintaining a more active lifestyle. The primary purpose of this consensus statement is to provide an integrated perspective on current knowledge and expert opinion per...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-097209
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To evaluate a potential reduction in injury related healthcare costs when using the '11+ Kids' injury prevention programme compared with a usual warmup in children's football. METHODS:This cost effectiveness analysis was based on data collected in a cluster randomised controlled trial over one season from fo...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsports-2018-099395
更新日期:2019-03-01 00:00:00
abstract::Regular physical exercise reduces cardiovascular morbidity and mortality. A small proportion of athletes, however, are at increased risk of exercise-related sudden cardiac death (SCD) as a result of quiescent cardiac anomalies. The preventable nature of such deaths has prompted the medical and sporting governing bodie...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2008.054874
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:To examine differences in ad libitum fluid intake, comparing a 6% carbohydrate/electrolyte drink (CHO-E) and water, and associated differences in core temperature and other selected physiological and perceptual responses in adolescent athletes during tennis training in the heat. METHODS:Fourteen healthy, fit...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2005.023333
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the protective eyewear promotion (PEP) project, which was a comprehensive educational strategy to increase the use of appropriate protective eyewear by squash players. METHODS:An ecological study design was used. Four squash venues in one playing association were randomly chosen to receive PEP an...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.018366
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To assess energy demand during a judo match and the kinetics of recovery by measuring the metabolites of the oxypurine cascade, lipolytic activity, and glycolytic pathway. METHODS:Venous blood samples were taken from 16 national judoists (mean (SEM) age 18.4 (1.6) years), before (T(1)) and three minutes (T(2...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.3.245
更新日期:2003-06-01 00:00:00