Epidemiology of exertional heat illnesses in organised sports: A systematic review

Journal of Science and Medicine in Sport
Prasanna Janaka GamageCaroline F Finch

Abstract

This systematic review summarises reports of the incidence of exertional heat illnesses (EHI) in organised sports, to examine any trends in the EHI incidence over time, and to describe EHI incidence based on sporting activity, geographic location, and type of EHI. Three electronic databases (CINAHL, PubMed, SportDiscuss) were searched from inception to January 2019. Original data in all epidemiological studies (any design except case-studies and case-series) that reported EHI incidence data in organised sports, across all age categories, and published in an English language peer-reviewed journal were included. The primary search yielded 3556 results of which 62 studies were included in the final analysis, with 71% being from the USA. Reported EHI incidence rates ranged from 0.01 (cheerleading) to 4.19 (American football) per 1000 athletic-exposures (AEs), and 0.01 (mini-marathon) to 54.54 (desert ultra-marathon) per 100 participants. Endurance type events (running, cycling, adventure races) reported the highest EHI incidence rates per 100 participants. There was a considerable increase in EHI fatalities reported in the literature over the last three decades in American football and an increased reporting of EHI incidence in end...Continue Reading

Citations

Aug 29, 2020·International Journal of Environmental Research and Public Health·Wenwen ChengRobert D Brown
Nov 18, 2020·Journal of Sports Sciences·Eric T HedgeSean D Peterson
Jan 21, 2021·Journal of Functional Morphology and Kinesiology·Joshua HagenScott Galster
Oct 15, 2020·Journal of Science and Medicine in Sport·Stephen McMahonLauren V Fortington
May 23, 2021·Journal of Science and Medicine in Sport·Lauren FortingtonLyndal Bugeja
Aug 2, 2021·Scandinavian Journal of Medicine & Science in Sports·Karsten HollanderPascal Edouard

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