Improving Over the Long Run
October 22, 2013
A participant in a 5K run told me recently that when she first entered races, her goal was just to finish. After those early successes, her goal in entering races was to improve her personal best time.
It was only after several years of consistent improvement that she entertained the thought of actually trying to attain a spot in the top 20. Eventually, a “Top 10” and then a “Top 5” finish became the goal. And only recently has she made it a goal to try to win one of these races.
This is a wise way to approach sports. Engage at first to improve your health and fitness. Then to enhance your speed, coordination and/or endurance. Then to test the limits of your abilities. And only then to test yourself against others.
Adults might look to this as a natural, healthy way to improve themselves in almost any endeavor. And adults who are coaching youth should look to it as a healthy way to lead young people to improve both as athletes and as human beings.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”