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.”

Playing Time: Paying It Forward

February 23, 2018

(What follows is an excerpt from an article by Jon Solomon of the Aspen Institute. Find the full article here.

There’s a time to sort the weak from the strong in sports. It’s not before kids grow into their bodies, minds and true interests.

Through age 12, at least, the Aspen Institute’s Project Play recommends that sports programs invest in every kid equally. That includes playing time – a valuable developmental tool that too many coaches assign based on player skill level and the score of the game. You will see this recommendation reflected in our Parent Checklists and companion videos.

The argument is simple for equal playing time: Research shows that what kids want out of a sports experience is both action and access to the action. Getting stuck at the end of the bench does not foster participation. And we all know greater participation is sorely needed in youth sports. Only 37 percent of kids ages 6 to 12 regularly played team sports in 2016, down from 45 percent in 2008, according to data from the Sports & Fitness Industry Association in the Aspen Institute’s State of Play 2017 report

Kids who quit sports often do so because of lack of playing time, which can be a result of lack of confidence. Confidence is a byproduct of proper preparation and adults who believe in the players, according to IMG Academy Head of Leadership Development James Leath

“From a small child to the world’s greatest athlete, those who are confident are confident because they have taken thousands of shots, tried and failed many times, then tried again and got it right,” Leath said.

Playing time shouldn’t be earned at younger ages. It should be paid forward to develop a future athlete.