Skip Navigation LinksHome > January 2006 - Volume 38 - Issue 1 > Usefulness and Cost Effectiveness of Cardiovascular Screenin...
Medicine & Science in Sports & Exercise:
Clinical Sciences: Clinical Investigations

Usefulness and Cost Effectiveness of Cardiovascular Screening of Young Adolescents

TANAKA, YUJI1; YOSHINAGA, MASAO1; ANAN, RYUICHIRO2; TANAKA, YASUHIRO2; NOMURA, YUICHI2; OKU, SHOZO3; NISHI, SEIJI3; KAWANO, YOSHIFUMI2; TEI, CHUWA2; ARIMA, KATSURA3

Collapse Box

Abstract

Objectives: This study was conducted to assess the usefulness of a screening system for cardiovascular disease in Kagoshima, Japan, and to compare its cost-effectiveness with that of a similar system reported in the United States.

Background: Preparticipation screening of young athletes has been implemented in many countries to prevent sudden death, but sudden death in young nonathletes remains a problem. In Japan, both athletes and nonathletes have been screened for the presence or absence of cardiovascular diseases for more than 20 yr.

Methods: From 1989 to 1997, all seventh graders in schools in Kagoshima, Japan, were screened for cardiovascular disease using a questionnaire and electrocardiogram before physical examination. They were screened again in the same way 3 yr later. One subject newly diagnosed with cardiovascular disease and recommended to limit athletic participation was defined as “high-risk.” Situations leading to cases of sudden death were verified with a report from the school in question.

Results: Of the initial study population, 99% participated in the program every year. A total of 37,807 subjects, including nine high-risk subjects, were evaluated consecutively for 6 yr. Of these nine subjects, six, including three patients with hypertrophic cardiomyopathy, were nonathletes. Three sudden deaths occurred during the study period; one student was from the high-risk group. The cost of this screening system was lower than that reported in the United States.

Conclusions: Population-based screening for heart disease in this age range is limited by various factors. To analyze the mechanisms of sudden death in adolescents, we, therefore, are in need of a nationwide registry that includes autopsies for all deadly events.

©2006The American College of Sports Medicine

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.

Connect With Us