All causes mortality in male professional soccer players
All causes mortality in male professional soccer players
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DOI：
10.1093/eurpub/ckm035
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发表时间：
2007-12-01
影响因子：
4.4
通讯作者：
Taioli, Emanuela
中科院分区：
文献类型：
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作者：
Taioli, Emanuela
背景：尽管公众对职业足球运动员的健康状况非常关注，但到目前为止还没有对足球运动员各种原因造成的死亡率进行正式研究。对1975年至2003年期间意大利职业足球运动员的死亡率进行了研究。方法：从公开资料中筛选出5389名运动员，年龄14-35岁，从出生到2003年12月31日积极追踪生命状况，追踪时间为204-125个主题年。计算了总体死亡率和按死因分类的死亡率；通过对足球运动员队列适用男性历期和按年龄分类的死亡率，计算了预期死亡人数。观察死亡和预期死亡之间的比率给出了标准化的死亡率比率。结果：死于循环系统疾病、癌症和免疫缺陷的人数明显低于预期。车祸SMR为2.23(95%可信区间1.46~3.27)。肌萎缩侧索硬化症(ALS)死亡4例，预期死亡0.2例，SMR为18.18(95%可信区间5.00-46.55)。结论：这些发现对公众健康的影响必须与观察到的癌症和心血管疾病死亡率的显著降低相平衡。然而，死亡的早期年龄和队列的年轻构成对未来几年这一人群中ALS死亡率的相对权重提出了疑问。
Background: Despite the great public concern for the health status of professional soccer players, no formal study on mortality from all causes in soccer players has been performed so far. A study on mortality rates of professional soccer players in Italy between 1975 and 2003 was conducted. Methods: A total of 5389 players, age 14-35 years at enrollment were identified from public sources, and actively followed up for vital status from birth up to 31 December 2003, for 204 125 subject-years of follow-up. Overall and cause-specific mortality rates were calculated; expected number of deaths was calculated by applying the calendar period and age cause-specific mortality rates for men to the cohort of soccer players. The ratios between the observed and expected deaths gave the Standardized Mortality Ratios. Results: Deaths from diseases of the circulatory system, cancer and immune deficiency were significantly lower than expected. The SMR for car accidents was 2.23 (95% Cl 1.46-3.27). There were four deaths for Amyotrophic Lateral Sclerosis (ALS), and 0.2 expected, giving a SMR of 18.18 (95% Cl 5.00-46.55). Conclusion: The pubic health impact of these findings has to be balanced against the significant observed lower mortality for cancer and cardiovascular disease. However, the early age at death, and the youthful composition of the cohort pose questions on the relative weight of ALS mortality in this population in the coming years.