Differences according to gender in reporting physical symptoms during echocardiographic screening in healthy teenage athletes
Differences according to gender in reporting physical symptoms during echocardiographic screening in healthy teenage athletes
复制标题
健康青少年运动员在超声心动图筛查期间报告身体症状的性别差异
作者：
M. Movahed;Adolfo Martinez;Holly E. R. Morrell;S. Greaves;J. Greaves;S. Sattur
许多研究表明，女性比男性更容易出现身体症状。然而，没有数据表明青少年男女运动员在报告身体症状方面存在差异。我们的目的是评估健康青少年运动员身体症状的性别差异。方法对1465名年龄在13 ~ 19岁的高中运动员进行超声心动图筛查，检查心脏异常。使用手持式心脏超声设备（OptiGo, Philips）进行筛查。所有参与者都积极参与了高中体育活动。每位运动员在筛选前都要填写一份调查问卷。这些运动员被要求报告在运动或锻炼过程中出现的身体症状。筛查期间未进行体格检查。结果男性1031人（70.4%），女性434人（29.6%）。女性青少年运动员报告的身体症状明显更多（190/434,43.8% vs 267/ 1031, 25.9%，优势比：2.28，可信区间：1.76-2.81,p < 0.001）。症状与任何超声心动图鉴定的心脏异常均无相关性。在报告症状的差异是显著的所有身体症状的问卷调查。结论年轻健康运动员报告躯体症状的发生率较高，与心脏异常无关。年轻的女运动员报告身体症状的频率几乎是男运动员的两倍。
Abstract Background Many studies have suggested that more women then men present with physical symptoms. There is no data available, however, on the differences in reporting of physical symptoms between teenage male and female athletes. Our objective was to evaluate the differences according to gender in physical symptoms in healthy teenage athletes. Methods A total of 1,465 high school athletes, between the ages of 13 and 19 years participated in a mass echocardiographic screening programme for detection of cardiac abnormalities. Screening was conducted using a hand-carried cardiac ultrasound device (OptiGo, Philips). All participants were actively involved in a high school sport programme. Each athlete was required to fill out a questionnaire before the screening. The athletes were asked to report the occurrence of physical symptoms with activity or exercise. A physical examination was not performed during screening. Results There were 1,031 (70.4%) male and 434 (29.6%) female participants. Significantly more female teenage athletes reported physical symptoms (190/434, 43.8% versus 267/1,031, 25.9%, odds ratio: 2.28, confidence interval: 1.76–2.81, p less than 0.001). Symptoms did not correlate with any echocardiographically identified cardiac abnormalities in either gender. The differences in the reporting of symptoms were significant for all physical symptoms addressed by the questionnaire. Conclusion There is a high prevalence of reporting physical symptoms in young healthy athletes without any relation to cardiac abnormalities. Young female athletes report physical symptoms nearly twice as often as their male counterparts.