RESUMO
El Grupo de Trabajo Avilés fue impulsado por el Consejo Superior de Deportes en 2009 y está formado por representantes de los Centros de Medicina dela Educación Física y el Deporte de todas las comunidades autónomas que cuentan con estas infraestructuras y representantes de centros de medicinadel deporte de centros de tecnificación, centros municipales de medicina del deporte y la Agencia Española de Protección de la Salud en el Deporte. Comoobjetivos de este grupo de trabajo figuran la coordinación entre estas estructuras autonómicas de la medicina del deporte, el planteamiento de solucionescomunes a las diferentes problemáticas que sufren cada uno de los centros y el ser un grupo de asesoramiento, en los diferentes ámbitos de la medicinade la educación física y el deporte, para el Consejo Superior de Deportes.Este grupo de trabajo se reúne periódicamente; en su última reunión, celebrada en Barcelona el 3 y 4 de octubre de 2022, se acordaron una serie deconclusiones, en relación a la muerte súbita y las arritmias en el deporte, el SARS Cov-2, la prevención, la salud mental, la diversidad sexual y laespecialidad MIR.(AU)
The Avilés Working Group was promoted by the National Sports Council in 2009 and is made up of representatives of Physical Education and SportsMedicine Centers of all the autonomous communities that have these infrastructures, Sports Technification Centers, municipal Sports Medicine Centersand the Spanish Agency for Health Protection in Sport. The objectives of this working group include the coordination between these autonomousstructures of Sports Medicine, the proposal of common solutions to the different problems suffered by each of the centers and to be an advisory group inthe different areas of the Physical Education and Sports Medicine, for the National Sports Council.This working group meets periodically; at its last online meeting, held in Barcelona on October 3-4, 2022, a series of conclusions were agreed in relationto sudden death and arrytmias in sport, SARS Cov-2, prevention, mental health, sexual diversity and the MIR specialty.(AU)
O grupo de Trabalho Avilés foi incentivado pelo Conselho Superior de Esportes em 2009. É composto por representantes dos Centros de Medicina daEducação Física e Esporte de todas as comunidades autônomas que contam com estas infraestruturas, bem como representantes dos centros de medicinado esporte de centros técnicos, centros municipais de medicina do esporte e da Agencia Espanhola de Proteção da saúde no Esporte. Como objetivos detrabalho desde grupo, figuram a coordenação entre estas estruturas autonômicas da medicina do esporte, a criação de soluções comuns as diferentesproblemáticas que sofrem cada um dos centros, além de ser um grupo de assessoramento, nos diferentes âmbitos da medicina da educação física e doesporte, para o Conselho Superior de Esportes.Este grupo de trabalho se reúne periodicamente; Em sua última reunião, realizada em Barcelona de 3 e 4 de outubro de 2022, foi acordada uma série deconclusões em relação à morte súbita e arritmias no esporte, SARS Cov-2, prevenção, saúde mental, diversidade sexual e especialidade MIR.(AU)
Assuntos
Humanos , Esportes , Educação Física e Treinamento , Promoção da Saúde , Morte Súbita , Arritmias Cardíacas , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave , Saúde Mental , Diversidade de Gênero , Medicina Esportiva , EspanhaRESUMO
OBJECTIVES: To determine the prevalence of urinary incontinence (UI) among elite athletes and to compare prevalences between sexes and across different sports modalities. METHODS: This was a cross-sectional, observational study conducted in 754 elite athletes (455 women or girls and 299 men or boys). Participants completed a questionnaire to collect self-reported anthropometric measures, medical history and sport-related data, and the questionnaires International Consultation on Incontinence Questionnaire-UI Short-Form (ICQ-UI SF), Three Incontinence Questions (3IQ) and Incontinence Severity Index (ISI). RESULTS: According to replies to the ICQ-UI SF questionnaire, 33% of the athletes had UI at a mean age of 23.75±7.74 years. Prevalences were 45.1% in female compared to 14.7% male athletes (p<0.001) such that females were 5.45 times more likely to suffer this condition. In 59.9%, incontinence was stress UI. In 30.9%, UI was described as moderate to severe (according to ISI), and quality of life related to UI was scored 4.35±2.98 out of 10 (ICQ-UI SF). 22.7% reported they had experienced urine leakage while training; in 40.5% this occurred when jumping, in 19.6% while running and in 20.2% in different situations. CONCLUSIONS: The prevalence of UI observed in elite athletes was 33%. This prevalence was greater in females and also varied according to the sport practised.
Assuntos
Atletas , Esportes , Incontinência Urinária/epidemiologia , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Qualidade de Vida , Fatores Sexuais , Espanha/epidemiologia , Inquéritos e Questionários , Adulto JovemRESUMO
La función principal de la medicina del deporte es el cuidado de la salud del deportista, no solo desde el punto de vista del tratamiento, sino también desde el de la prevención. Los reconocimientos médicos para la aptitud deportiva, una de las atribuciones principales de esta especialidad, están destinados a descubrir patologías, enfermedades o alteraciones que pueden afectar a la salud, y abarcan desde las situaciones que pueden desencadenar incidentes mortales hasta las que, sin poner en riesgo la vida, pueden afectar la salud o el rendimiento del deportista. La realización adecuada de reconocimientos para el deporte implica el diagnóstico de problemas médicos que deben analizarse, entre otros puntos de vista, desde la óptica de la aptitud para la práctica deportiva, y el médico encargado debe disponer de una guía que le oriente sobre la decisión de autorizar o no la práctica de deporte, y en caso de no autorización, la temporalidad de esta y el riesgo asumible de participación en algunos deportes. Las contraindicaciones para la práctica deportiva mejor conocidas son las de origen cardiovascular, tratadas extensamente en la literatura, pero también existen contraindicaciones del resto de aparatos y sistemas del organismo, entendiendo que el deportista es un ser completo y que el ejercicio físico afecta a todo su conjunto. Este documento, además de recoger dichas contraindicaciones, analiza los aspectos legales que afectan a los profesionales en los que recae la responsabilidad de realizar los reconocimientos y los aspectos documentales que les son propios
Main purpose of sports medicine is reaching the health care of the athlete, not only from the point of view of treatment, but also from the point of view of prevention. The performance of preparticipation medical sports evaluation, one of the main attributions of this specialty, is aimed at the discovery of pathologies, diseases or alterations that may affect health. They might range from situations that can trigger deadly incidents, to those without putting life at risk, can affect the health or performance of the athlete. Adequate implementation of preparticipation medical sports evaluation implies the diagnosis of medical problems that must be analyzed, from other points of view such as the perspective of fitness for sport practice. In addition, the doctor in charge must have a guide for clearance for sports practice. In case of non-authorization, time for non-sports activities must be recommended in order to decrease injury risks. Cardiovascular pathologies are the best known contraindications in sport practice, treated extensively in the literature. However, there are also contraindications secondary to problems or issues of the rest of apparatus organs and systems of the organism, knowing that the athlete represents an entity in which physical exercise affects all their sets. This document highlights those contraindications already discussed above and analyzes the legal aspects of sports practice contraindications. Medical professionals are responsible for managing the pre-participation medical sports evaluation as well as the documentary aspects that support it
