Comprehensive Approaches in Sports Preparticipation Medical Evaluation

Yazarlar

DOI:

https://doi.org/10.66614/josep2026.4

Anahtar Kelimeler:

Athlete examination- Preparticipation- Sport- Sudden cardiac death- Sports medicine

Öz

Purpose: With the increasing global participation in sports across all demographic groups, the need for Preparticipation Medical Assessment (PME) is of paramount importance. This article examines the multifaceted nature of PME, encompassing nutritional, psychological, and musculoskeletal assessments as well as the importance of cardiac evaluation. The primary aim of this comprehensive approach is to prevent Sudden Cardiac Death (SCD) and mitigate risks, such as musculoskeletal injuries and Relative Energy Deficiency in Sport (RED-s), that may occur during the season, ultimately ensuring the long-term health and safety of athletes. This review aims to guide a broad audience, including sports physicians, coaches, physiotherapists, athletes' parents, and medical students, by examining the current approaches, components, and practices of PME in Türkiye, while also considering approaches in other countries. The primary objective is to highlight the critical role of PME in athletes' health, explain methods for identifying risk factors, and summarize current guidelines for assessing athletes' fitness for sport.

Referanslar

Bergeron M.F., Mountjoy M., & Armstrong N. (2015) International Olympic committee consensus statement on youth athletic development. Br J Sports Med. 49(13):843–51.. https://doi.org/10.1136/bjsports-2015-094962

Biese K.M., Winans M., & Rudek G. (2024). Sports specialization and sports motivation in middle school-aged athletes. J Athl Train. 59(3):274–80. https://doi.org/10.4085/1062-6050-0690.22

Bronwen L., Monica T., & Thomas. (2022). Screening for Low Energy Availability in Male Athletes: Attempted Validation of LEAM-Q. Nutrients. 14. 10.3390/nu14091873. https://doi.org/10.3390/nu14091873

Corrado D., Pelliccia A., & Bjørnstad H. (2005). Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol: Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology, European Heart Journal. 26 (5): 516–524. https://doi.org/10.1093/eurheartj/ehi325

Corrado D., Basso C., & Rizzoli G. (2003). Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol. 42:1959–1963. https://doi.org/10.1016/j.jacc.2003.03.002

Corrado D, Basso C, & Schiavon M. (1998). Screening for hypertrophic cardiomyopathy in young athletes. New Engl J Med. 339:364–369. https://doi.org/10.1056/NEJM199808063390602

Corrado D., Basso C., & Pavei A. (2006). Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 296(13):1593–1601. https://doi.org/10.1001/jama.296.13.1593

Drezner J.A., Sharma S., & Baggish A. (2017). International criteria for electrocardiographic interpretation in athletes: Consensus statement British Journal of Sports Medicine 51:704-731. https://doi.org/10.1136/bjsports-2016-097331

Fairburn C.G., Cooper, Z., & O’Connor, M. E. (2008). Eating Disorder Examination (Edition 16.0D). In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 265–308). New York: Guilford Press. https://www.corc.uk.net/media/1274/ede_rcpsychinformation.pdf

Franklin B.A., Eijsvogels T.M.H., & Pandey A. (2022). Physical activity, cardiorespiratory fitness, and cardiovascular health: a clinical practice statement of the American Society for Preventive Cardiology part II: physical activity, cardiorespiratory fitness, minimum and goal intensities for exercise training, prescriptive methods, and special patient populations. Am J Prev Cardiol. 2022;12: 100425. https://doi.org/10.1016/j.ajpc.2022.100425

Graziano F., Bondarev S., Corrado D., Zorzi A. (2025). Challenges of Screening Master Athletes. Cardiology 150 (6): 674–677. https://doi.org/10.1159/000538326

Graziano F, Vecchio C, Corrado D, Zorzi A. (2025). Cardiac Screening in Athletes: Current Status and Future Challenges. Open Access J Sports Med. 16:523274 https://doi.org/10.2147/OAJSM.S523274

Halasz G., Capelli B., & Crispino S.P. (2025). Diagnostic accuracy of contemporary ECG interpretation criteria in risk classification of master athletes. Front. Cardiovasc. Med. 12:1637853. https://doi.org/10.3389/fcvm.2025.1637853

Heikura I.A., Mountjoy M.L., & Ackerman KE. (2023). International Olympic Committee Clinical Assessment Tool for Relative Energy Deficiency in Sport 2 (IOC REDs CAT2). Br J Sports Med. 57(17):1068–9. https://doi.org/10.1136/bjsports-2023-107549

Keenan L., Ingram Y., Green B. (2023). Validation and clinical utility of the patient health questionnaire-9 and center for epidemiologic studies depression scale as depression screening tools in collegiate student-athletes. J Athl Train. 58(10):821–30. https://doi.org/10.4085/1062-6050-0558.22

LaPrade R.F., Agel J., & Baker J,. (2016). AOSSM early sport specialization consensus statement. Orthop J Sports Med. 4(4):2325967116644241. https://doi.org/10.1177/2325967116644241

Li H, Moreland JJ, Peek-Asa C, Yang J. (2017). Preseason anxiety and depressive symptoms and prospective injury risk in collegiate athletes. Am J Sports Med. 45(9):2148–55. https://doi.org/10.1177/0363546517702847

MacDonald J., Schaefer M., & Stumph J. (2019). Preparticipation physical evaluation 5th edition. Am Acad Pediatr. 539–46. PMID: 33929170

Maron B.J. (2000). The paradox of exercise. N Engl J Med. 343(19):1409–11. https://doi.org/10.1056/NEJM200011093431911

Melin A., Tornberg A.B., & Skouby S. (2014). The LEAF questionnaire: a screening tool for the identification of female athletes at risk for the female athlete triad. Br J Sports Med. Apr;48(7):540-5. https://doi.org/10.1136/bjsports-2013-093240

Mountjoy M., Sundgot-Borgen J., & Burke L. (2015). RED-S CAT Relative energy deficiency in sport (RED-S) clinical assessment tool (CAT) Br J Sports Med. 49(7):421–423. https://doi.org/10.1136/bjsports-2014-094559

Ozemek C., Bonikowske A., Christle J., Gallo P. (2025). ACSM’s) Guidelines for Exercise Testing and Prescription. 12th ed. Philadelphia, PA: Lippincott Williams & Wilkins p. 200–20. ISBN 197521921X, 9781975219215

Pelliccia A., Di Paolo F., & De Luca R. (2001). Efficacy of preparticipation screening for the detection of cardiovascular abnormalities at risk of sudden death in competitive athletes: the Italian experience. J Am Coll Cardiol. 37:151A https://doi.org/10.1016/S0735-1097(01)96573-8

Perez-Pedrogo C., Sanchez-Cardona I., & Castro-Diaz B. (2022). Psychometric properties of the generalized anxiety disorder 7-item scale in adolescents: an effective screening tool for school and community settings. P R Health Sci J. 41(4):226–32. PMID: 36516209

Pieles G.E., Cavarretta E., & Orchard J.J. (2026). Cardiac evaluation of paediatric athletes: A clinical consensus statement of the European Association of Preventive Cardiology (EAPC) of the ESC and the Association for European Paediatric and Congenital Cardiology (AEPC), European Heart Journal. ehag188. https://doi.org/10.1093/eurheartj/ehag188

Rippey P., Ashford J., & El-fallah Z. (2025). Preparticipation screening and electrocardiograms in athletes, Progress in Pediatric Cardiology, Volume 78, 101859, ISSN 1058-9813. https://doi.org/10.1016/j.ppedcard.2025.101859

Sarto P., Zorzi A., & Merlo L. (2023). Value of screening for the risk of sudden cardiac death in young competitive athletes. Eur Heart J. 44 (12):1084–1092. https://doi.org/10.1093/eurheartj/ehad017

Sarto P., Zorzi A., & Merlo L. (2023). Value of screening for the risk of sudden cardiac death in young competitive athletes, European Heart Journal, Volume 44, Issue 12, 21 March 2023, Pages 1084–1092. https://doi.org/10.1093/eurheartj/ehad017

Schulz J.M., Pohlod L., & Myers S. (2025). Are female athlete specific health considerations being assessed and addressed in preparticipation examinations? A scoping review and proposed framework, Journal of Sport and Health Science, Volume 14, 100981, ISSN 2095-2546. https://doi.org/10.1016/j.jshs.2024.100981

Shigematsu R, Katoh S, & Suzuki K. (2022). Risk factors of sportsrelated injury in school-aged children and adolescents: a retrospective questionnaire survey. Int J Environ Res Public Health. 19(14):8662. https://doi.org/10.3390/ijerph19148662

State of Play 2025. (2026). Participation Trends. https://projectplay.org/state-of-play-2025/participation-trends

Timpka T., Jacobsson J., & Bargoria V. (2017). Preparticipation predictors for championship injury and illness: cohort study at the Beijing 2015 international association of athletics federations World championships. Br J Sports Med. 51(4):271–6. https://doi.org/10.1136/bjsports-2016-096580

Türkiye Spor Hekimleri Derneği. (2018). Birinci Basamak Sağlık Hizmetlerinde Spora Katılım Belgesi Hazırlama Rehberi, ISBN 978-605-9665-26-Ankara Türk Tabipleri Birliği Yayınları, ISBN 978-605-9665-26-1

Vessella T., Zorzi A., & Merlo L. (2020). The Italian preparticipation evaluation programme: diagnostic yield, rate of disqualification and cost analysis, British Journal of Sports Medicine. 54:231-237. https://doi.org/10.1136/bjsports-2018-100293

Warburton D.E.R., Jamnik V.K., & Bredin S.S.D. (2011). PAR-Q+ research collaboration. The physical activity readiness questionnaire (PAR-Q+) and electronic physical activity readiness medical examination (ePARmed-X+). Health Fitness J Can. 4:3–23. https://doi.org/10.14288/hfjc.v4i2.103

Williams E.A., Pelto H.F., & Toresdahl B.G. (2019). Performance of the American Heart Association (AHA) 14-Point evaluation versus electrocardiography for the cardiovascular screening of high school athletes: a prospective study. J Am Heart Assoc. 8(14):e012235. https://doi.org/10.1161/JAHA.119.012235

World anti-doping agency. (2025). https://www.wada-ama.org/sites/default/files/2024-09/2025list_en_final_clean_12_september_2024.pdf

World Health Agency. (2026). https://www.who.int/publications/m/item/physical-activity-tur-2022-country-profile

Yayınlanmış

10-06-2026

Nasıl Atıf Yapılır

Demir Benli, M., & Sezer, İ. (2026). Comprehensive Approaches in Sports Preparticipation Medical Evaluation. Spor, Egzersiz ve Performans Dergisi, 1(1), 36-51. https://doi.org/10.66614/josep2026.4