Current sports medicine reports
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Curr Sports Med Rep · Jul 2016
ReviewThe Impact of Fitness on Surgical Outcomes: The Case for Prehabilitation.
In recent years, a growing body of research has demonstrated that an individual's fitness level is a strong and independent marker of risk for cardiovascular and all-cause mortality. In addition, modest improvements in fitness through exercise intervention have been associated with considerable health outcome benefits. ⋯ The concept of 'prehabilitation' is based on the principle that patients with higher functional capability will better tolerate a surgical intervention, and studies have shown that patients with higher fitness have reduced postoperative complications and demonstrate better functional, psychosocial, and surgery-related outcomes. This review focuses on the impact of fitness on surgical outcomes and provides a rationale in support of routine application of prehabilitation in the management of patients undergoing surgery.
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Curr Sports Med Rep · May 2016
Call to Action on Making Physical Activity Assessment and Prescription a Medical Standard of Care.
The U. S. population is plagued by physical inactivity, lack of cardiorespiratory fitness, and sedentary lifestyles, all of which are strongly associated with the emerging epidemic of chronic disease. ⋯ This statement represents a summary of the discussion, recommendations, and next steps developed during the consensus meeting. Foremost, it is a "call to action" for current and future clinicians and the health care community to implement a PAVS in daily practice with every patient.
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The Special Olympics World Games (SOWG) were held in Los Angeles, CA, during the summer of 2015. Medical care for 26 sporting events spread over six major venues across the city was provided to more than 6,000 athletes and 3,000 delegates from 170 countries. ⋯ This required coordination between major medical providers as well as law enforcement, fire rescue, transportation, public health, and the organizers of the games. This article reviews the planning, training, and outcomes of the medical care and the Healthy Athletes program for the SOWG 2015.