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Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”

Physical Literacy

April 26, 2016

Dr. Tony Moreno has been on the faculty of Eastern Michigan University since 2004, and he has worked with the Michigan High School Athletic Association coaches education program since 2000. He met recently with the MHSAA’s Task Force on Multi-Sport Participation. This paraphrases some of what he shared:

  1. Young people who do not learn physical literacy (learn how to solve movement problems), are less likely to be physically active and, therefore, less likely to be physically fit (and more ultimately costly to society).

  2. Specialization leads to silos of ability that hinder competence and confidence in other activities, and these deficits last a lifetime. Sports done right creates a culture of problem-solvers.

  3. Research is inconclusive if specialization is the path to the elite level of sports, but it is conclusive that specialization is the path to chronic, long-term negative effects.

  4. The root of today’s problems is the loss of physical education from schools. The result today is “privatized PE” available for the “haves” (not the “have-nots”). It’s a free market, capitalized experience for those able to pay for it; but it’s no longer just for country club sports, but all sports, and it’s even coming to football (7 on 7).

  5. Those who want to reintroduce multi-sport participation or return schools to the center of the youth sports experience must learn how to compete with non-school, commercial offerings for the hearts and minds of parents and coaches, which is where the “cash and control” of youth sports resides.

  6. To educate means “to draw out.” Our purpose in school sports is to draw out the hidden abilities in youth and help them build confidence and competence to become healthier problem-solvers. Specialization is an expensive health issue for society that balanced participation can help to mitigate.