Radonić Vedran, Kozmar Damir, Počanić Darko, Jerkić Helena, Bohaček Ivan, Letilović Tomislav
Vedran Radonić, Institute for Emergency Medicine Sisak and Moslavina County, Ulica 1. svibnja 20, 44000 Sisak, Croatia,
Croat Med J. 2017 Aug 31;58(4):263-269. doi: 10.3325/cmj.2017.58.263.
To compare the overall and disease-specific mortality of Croatian male athletes who won one or more Olympic medals representing Yugoslavia from 1948 to 1988 or Croatia from 1992 to 2016, and the general Croatian male population standardized by age and time period.
All 233 Croatian male Olympic medalists were included in the study. Information on life duration and cause of death for the Olympic medalists who died before January 1, 2017, was acquired from their families and acquaintances. We asked the families and acquaintances to present medical documentation for the deceased. Data about the overall and disease-specific mortality of the Croatian male population standardized by age and time period were obtained from the Croatian Bureau of Statistics (CBS). Overall and disease-specific standard mortality ratios (SMR) with 95% confidence intervals (CI) were calculated to compare the mortality rates of athletes and general population.
Among 233 Olympic medalists, 57 died before the study endpoint. The main causes of death were cardiovascular diseases (33.3%), neoplasms (26.3%), and external causes (17.6%). The overall mortality of the Olympic medalists was significantly lower than that of general population (SMR 0.73, 95% CI 0.56-0.94, P=0.013). Regarding specific causes of death, athletes' mortality from cardiovascular diseases was significantly reduced (SMR 0.61, 95% CI 0.38-0.93, P=0.021).
Croatian male Olympic medalists benefit from lower overall and cardiovascular mortality rates in comparison to the general Croatian male population.
比较1948年至1988年代表南斯拉夫、1992年至2016年代表克罗地亚获得一枚或多枚奥运奖牌的克罗地亚男性运动员，与按年龄和时间段标准化的克罗地亚男性普通人群的总体死亡率和疾病特异性死亡率。
本研究纳入了所有233名克罗地亚男性奥运奖牌获得者。对于在2017年1月1日前去世的奥运奖牌获得者，从其家人和熟人处获取了寿命和死因信息。我们要求家人和熟人提供死者的医疗文件。按年龄和时间段标准化的克罗地亚男性人群的总体和疾病特异性死亡率数据来自克罗地亚统计局（CBS）。计算总体和疾病特异性标准死亡率（SMR）及其95%置信区间（CI），以比较运动员和普通人群的死亡率。
在233名奥运奖牌获得者中，57人在研究终点前死亡。主要死因是心血管疾病（33.3%）、肿瘤（26.3%）和外部原因（17.6%）。奥运奖牌获得者的总体死亡率显著低于普通人群（SMR 0.73，95% CI 0.56 - 0.94，P = 0.013）。关于具体死因，运动员因心血管疾病导致的死亡率显著降低（SMR 0.61，95% CI 0.38 - 0.93，P = 0.021）。
与克罗地亚男性普通人群相比，克罗地亚男性奥运奖牌获得者的总体死亡率和心血管死亡率较低。
