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A Journal on Sports Medicine

Official Journal of the Italian Sports Medicine Federation
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Medicina dello Sport 1998 March;51(1):77-83

language: Italian

Fifteen years activity of a Sports Medicine Service. A contribution to the study of epidemiology and a revision of the causes of non suitability

Di Pizio E. 1, Di Giovanni G. 2

1 Servizio di Medicina dello Sport, ASL Teramo - Presidio Sanitario Giulianova;
2 Ambulatorio di Cardiologia, ASL Teramo - Presidio Sanitario Giulianova


The authors have analysed the data of the last fifteen years activity (1982-1996) of the Sports Medicine Service of the Sanitary Department in Giulianova (TE).
The analysis of 16,062 case sheets of the Sports Medicine have stood out the main causes of non-suitability which regard the 0.61% of the cases (98 subjects).
The period of time taken in consideration has been subdivided into lustres and thanks to a more advanced tecnology, it emerges that the percentage of non-suitability is about 1% and therefore it is more similar to the one noticed in other studies of epidemiology.
The disorders of the circulatory system are the main recurring causes of non-suitability (81%) and refer particularly to those adults who practise aerobics. This data is apparently in contrast with the common convinction of the utility of aerobics in the prevention and rehabilitation of those adults suffering from chronic diseases (coronary heart diseases, hypertension, etc.). But most of the adults practise aerobics, because it is more consonant whit their physical characteristics.
The judgement of non-suitability shouldn’t be irrevocable, but referred to the present condition of the athlete and the state of our knowledge. In a word, the judgement could change with the passing of time.
We hope for a wider circulation of the reports on cases and experiences of the various Centres and Services of Sports Medicine and for the establishment of a National Epidemiology Observatory, where the data can be inserted.

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