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, M Vecchiato University of Padua , Padova , Italy Search for other works by this author on: Oxford Academic M Da Col University of Padua , Padova , Italy Search for other works by this author on: Oxford Academic G Berton Alto Vicentino Hospital, Cardiology Unit , Santorso , Italy Search for other works by this author on: Oxford Academic S Palermi Search for other works by this author on: Oxford Academic A Aghi Search for other works by this author on: Oxford Academic A Ermolao University of Padua , Padova , Italy Search for other works by this author on: Oxford Academic J Niebauer Universitaetsklinikum Salzburg , Salzburg , Austria Search for other works by this author on: Oxford Academic J Drezner University of Washington , Seattle , United States of America Search for other works by this author on: Oxford Academic D Neunhaeuserer University of Padua , Padova , Italy Search for other works by this author on: Oxford Academic
Funding Acknowledgements: None.
Author Notes
European Journal of Preventive Cardiology, Volume 31, Issue Supplement_1, June 2024, zwae175.277, https://doi.org/10.1093/eurjpc/zwae175.277
Published:
13 June 2024
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M Vecchiato, M Da Col, G Berton, S Palermi, A Aghi, A Ermolao, J Niebauer, J Drezner, D Neunhaeuserer, Mortality risk in bodybuilding: a call for action to promote safe sport participation, European Journal of Preventive Cardiology, Volume 31, Issue Supplement_1, June 2024, zwae175.277, https://doi.org/10.1093/eurjpc/zwae175.277
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Abstract
Introduction
Sudden Cardiac Death (SCD) is the leading non-traumatic cause of death in young athletes. Bodybuilding is a sport discipline that exposes the athlete to a series of health risks, including SCD, although studies investigating the associated mortality risk are lacking.
Purpose
The objective of this study was to analyze mortality data in a large worldwide population of male bodybuilders.
Methods
Male athletes who performed in competitions of the International Federation of Bodybuilding and Fitness (IFBB) between 2005 and 2020 were identified by an unofficial but extensive database as well as the event-results of the official IFBB website. A standardized web search tailored to detect deaths was performed for each athlete with specific keywords, providing a follow-up analysis through July 2023.
Results
A total of 19'411 athletes were identified. During the study period, 121 deaths were reported. The leading cause of death was from cardiovascular diseases, with 35 (29%) presumed or confirmed SCD detected. The incidence of SCD was 21 cases per 100'000 athletes per year (AY). Although master athletes (>40 years) had a higher mortality rate than younger athletes (119 vs 60 per 100'000 AY; p=0.001), no differences in incidence rate of SCD were shown (21 vs 22 per 100'000 AY; p=0.912). Professional bodybuilders had a higher risk of SCD than amateurs (180 vs 11 per 100'000 AY; p<0.001).
Conclusions
The risk of SCD is considerably high in bodybuilding athletes, particularly when compared with other sport specific mortality rates. The outcomes obtained from this study should alert the bodybuilding but also medical community, leading to a collective "call for action" to implement and improve preventive measures for the promotion of safe sport participation.
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Author notes
Funding Acknowledgements: None.
© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Issue Section:
Preventive Cardiology > Rehabilitation and Sports Cardiology > Sports Cardiology
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