Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”
Late to the Game
November 8, 2016
The Michigan High School Athletic Association’s Task Force on Multi-Sport Participation has learned that school sports are in competition versus non-school youth sports, not only programmatically but also and more fundamentally, philosophically. School sports sees child development quite differently and has as its mission developing the whole child.
Non-school youth sports business interests have convinced consumers (that’s parents) that early and intense specialization with private lessons and personal trainers, and lots of travel and tournaments is necessary for a child’s athletic interests and ultimate happiness. That is sometimes true ... once in a very great while.
What is much more often true is that specialization in a sport that is too early and too intense stunts a young person’s physical literacy, which often leads to less well-rounded athletic ability, a more sedentary lifestyle and poorer health in later life.
The theme of the Task Force recommendations to the MHSAA so far is that we have to reach youth and their parents earlier in life if we hope to compete for their hearts and minds.
When 80 percent of youth drop out of organized sports by the age of 13 – usually because they have been left out or become burned out – we’ve missed the kickoff if we start talking to them in 9th grade about the benefits of multi-sport participation and the school sport experience. In fact, the game is more than half over by then and our messages fall on deaf ears. We are absolutely correct with our message but appear out of step and out of touch to those who have only heard the sports specialization speech from youth coaches and their commercial interests.