Are female athlete specific health considerations being assessed and addressed in preparticipation examinations? A scoping review and proposed framework.

IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Journal of Sport and Health Science Pub Date : 2024-09-06 DOI:10.1016/j.jshs.2024.100981
Jenna M Schulz, Lois Pohlod, Samantha Myers, Jason Chung, Jane S Thornton
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Abstract

Background: Preparticipation examinations (PPEs) are unstandardized screening tools routinely used to collect an athlete's baseline health information prior to the start of a new competitive season. However, many PPEs include minimal and often nonspecific questions related to the health concerns of female athletes. A lack of female athlete specific health questions could result in missed red flags and subsequent injury or illness. As such, the objectives of this scoping review were to (a) determine what female athlete specific health questions currently exist in PPEs in the scientific literature to prevent injury and illness, and (b) map the results against the health domains outlined in the International Olympic Committee (IOC) consensus statement supplement on the female athlete.

Methods: We searched Embase, Scopus, CINAHL, Medline Ovid, and SPORTDiscus from inception to December 2022. Any study with female athlete specific health PPE questions or recommendations for questions (i.e., menstrual health, eating habits, musculoskeletal health, etc.) was included. Three reviewers independently screened titles and abstracts, followed by full text articles for eligibility and data extraction, with conflicts resolved by a third-party reviewer. Extracted data were summarized into 3 determined groupings.

Results: Of the 1356 studies screened, 41 were included in this study. Forty studies (98%) included questions/recommendations related to menstrual health. Thirty-one studies (76%) had questions/recommendations concerning disordered eating/eating habits. Twenty-four studies (59%) referred to body weight/image, and 16 studies (39%) referred to musculoskeletal health. No studies included questions on all IOC female athlete health domains.

Conclusion: There is currently a gap in female athlete specific health content included in PPEs. A more comprehensive, standardized PPE with a focus on inclusion of female athlete specific health questions and considerations should be developed to improve health and optimal participation of female athletes around the world.

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女运动员的特殊健康考虑因素是否在赛前检查中得到了评估和解决?范围审查和拟议框架。
背景:参赛前检查(PPE)是一种未标准化的筛查工具,通常用于在新赛季开始前收集运动员的基本健康信息。然而,许多 PPE 只包含极少的、通常是非特定的与女运动员健康问题相关的问题。如果缺乏针对女运动员的健康问题,就可能会错过危险信号,进而导致伤病。因此,本次范围审查的目的是:(a) 确定目前科学文献中的体育运动项目中存在哪些针对女运动员的健康问题,以预防伤病;(b) 将审查结果与国际奥林匹克委员会(IOC)关于女运动员的共识声明补充中列出的健康领域进行对比:我们检索了从开始到 2022 年 12 月的 Embase、Scopus、CINAHL、Medline Ovid 和 SPORTDiscus。任何涉及女运动员特定健康 PPE 问题或问题建议(如月经健康、饮食习惯、肌肉骨骼健康等)的研究均被纳入其中。三位审稿人分别独立筛选标题和摘要,然后对文章全文进行资格审查和数据提取,并由第三方审稿人解决冲突问题。提取的数据归纳为 3 个确定的组别:在筛选出的 1356 项研究中,有 41 项被纳入本研究。40项研究(98%)包含与月经健康相关的问题/建议。31项研究(76%)提出了有关饮食失调/饮食习惯的问题/建议。24 项研究(59%)涉及体重/形象,16 项研究(39%)涉及肌肉骨骼健康。没有一项研究包含国际奥委会女运动员健康的所有领域:结论:目前,PPE 中包含的针对女运动员的健康内容还存在差距。应开发一种更全面、更标准化的 PPE,重点纳入针对女运动员的健康问题和注意事项,以改善世界各地女运动员的健康状况,使她们以最佳状态参赛。
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来源期刊
CiteScore
18.30
自引率
1.70%
发文量
101
审稿时长
22 weeks
期刊介绍: The Journal of Sport and Health Science (JSHS) is an international, multidisciplinary journal that aims to advance the fields of sport, exercise, physical activity, and health sciences. Published by Elsevier B.V. on behalf of Shanghai University of Sport, JSHS is dedicated to promoting original and impactful research, as well as topical reviews, editorials, opinions, and commentary papers. With a focus on physical and mental health, injury and disease prevention, traditional Chinese exercise, and human performance, JSHS offers a platform for scholars and researchers to share their findings and contribute to the advancement of these fields. Our journal is peer-reviewed, ensuring that all published works meet the highest academic standards. Supported by a carefully selected international editorial board, JSHS upholds impeccable integrity and provides an efficient publication platform. We invite submissions from scholars and researchers worldwide, and we are committed to disseminating insightful and influential research in the field of sport and health science.
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