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.”
School Sports Benefits
June 14, 2016
The May 2016 issue of Kappan features an article by an assistant professor at Texas A & M and a doctoral academy fellow at the University of Arkansas who argue in favor of school-sponsored sports. They cite benefits to students, schools and communities:
“Student-athletes generally do better in school than other students – not worse. Opening high school sports to girls in the 1970s led to a significant and meaningful improvement in female college-going and workforce participation. Tougher academic eligibility requirements that schools place on athletes have decreased dropout rates among at-risk students.
“Schools that cut sports will likely lose the benefits that school-sponsored sports bestow. Removing these activities from K-12 education would likely have negative effects on historically underserved school communities. As was the case with the Great Depression, less-privileged families would be less able to afford the expense of having their children participate in organized sports due to the cost of travel and registration fees of club organizations.
“We do not contend that school-sponsored athletics are perfect and should be preserved exactly as they are, even in the face of financial constraints. In tough financial times, everything should be scrutinized. Sports are no exception. But when we look at the larger body of evidence, we find that sports are a tradition in U.S. education that has genuinely benefited students and their school communities.”
One by one the article (with the unfortunate title “History and evidence show school sports help students win”) disposes of typical arguments against school sports:
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That sports participation has no role in academic development and may undermine it.
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That European-style club programs would enable adolescents to participate in sports while eliminating negative influences that school sports have on academics.
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That eliminating school-sponsored sports will increase student participation in other extracurricular activities.
The evidence, according to the authors, does not support those arguments. Click here to read the article.