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A Journal on Sports Medicine

Official Journal of the Italian Sports Medicine Federation
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Medicina dello Sport 2016 June;69(2):194-203


language: English, Italian

Demographic and clinical determinants of judgment of unfitness for competitive sports in the Region of Tuscany: observational study of the period 2008-2014

Giorgio GALANTI 1, Chiara GIANNELLI 1, Piergiuseppe CALÀ 2, Alessio BARTOLETTI 1, Alberto BALDASSERONI 3

1 Scuola di Specializzazione in Medicina dello Sport e dell’Esercizio Fisico, Università di Firenze, AOU, Careggi, Florence, Italy; 2 Regione Toscana, Prevenzione e Sicurezza in Ambiente di Vita e di Lavoro, Alimenti e Veterinaria, Florence; Italy; 3 CeRIMP-Centro Regionale Infortuni e Malattie Professionali, Regione Toscana, Florence, Italy


BACKGROUND: In Italy the judgement of eligibility to agonistic sport practice is mandatory and results from a preliminary visit by a Sports Medicine Doctor. The athlete considered ineligible may appeal to the Regional Sport Commission. In our study we evaluated the athletes deemed ineligible in Tuscany Region over the period 2008-2014, including those who appealed to the Regional Commission.
METHODS: We analyzed periodic reports from local Sports Medicine Doctors and the database from the Regional Sport Commission in terms of demographic and clinical characteristics, exploring age, sex, geographic origin, symptoms and diseases of the ineligible athletes.
RESULTS: Over the observed period 1042709 eligibility visits were performed. In eligible athletes were 1308 (0.125%). The main causes of ineligibility were cardiovascular symptoms or diseases (N.=771). Two hundred and nine athletes appealed to the Regional Commission, which confirmed ineligibility in 30.6%. Cardiovascular symptoms and diseases tended to increase with age, especially in North-Western Tuscany.
CONCLUSIONS: The proportion of athletes deemed ineligible to agonistic sports in Tuscany is lower than that formerly observed in other Italian Regions. The main causes of ineligibility were cardiovascular symptoms and diseases, whose occurrence tended to increase with age.

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