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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.”
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Inactivity Epidemic
May 27, 2016
The Aspen Institute conducted its third “Project Play” Summit in Washington, D.C., on May 17. The sold-out event was both a stimulating and frustrating experience.
There are very many people doing marvelous things to increase the quantity and quality of sport participation among youth, especially focusing on ages 6 to 12 and underserved populations. However, intriguing local initiatives do not appear to be easily scalable, and the platitudes of national organizations do not appear to be reaching their local affiliates where youth coaches pressure parents and kids into year-around specialization and promise college scholarships.
We cannot expect that those whose business is winning medals (NGBs and USOC) or those whose business is making money (major college and professional sports) will be thought or action leaders who effectively increase participation rates and frequency or reduce obesity in adolescents. These goals will be good for PSAs and niche initiatives, but will never be a part of the DNA and daily mission of these entities.
We need to seek leadership of thought and action among adults who work with youth every day and who see sport not as an end in itself but as a means to help prepare the whole child for later life. And to be more precise, we need to seek leadership where the kids are and where facilities already exist. In our nation’s schools.
When recess and physical education programs with ample opportunities for free play and sports sampling are restored to elementary schools, and broad and deep programs of interscholastic athletic programs are adequately funded in junior high/middle schools and high schools, then and only then will we begin to reverse obesity in youth and their future burden on society as adults.
The epidemic isn’t obesity; it’s inactivity.
This nation must awaken to the reality that physical literacy is as important to our future as reading and writing have been in our past. Science, technology, engineering and math are important to our nation, of course, but possibly less essential to an individual’s health and happiness than physical literacy – developing the ability, confidence and desire to be physically active and, as an intentional consequence, much more likely to live healthier and longer.