Toivo Kerttu, Kannus Pekka, Kokko Sami, Alanko Lauri, Heinonen Olli J, Korpelainen Raija, Savonen Kai, Selänne Harri, Vasankari Tommi, Kannas Lasse, Kujala Urho M, Villberg Jari, Niemelä Onni, Parkkari Jari
Tampere Research Center of Sports Medicine, Ukk Institute, Tampere, Finland.
Ukk Institute for Health Promotion Research, Tampere, Finland.
BMJ Open Sport Exerc Med. 2020 Sep 3;6(1):e000804. doi: 10.1136/bmjsem-2020-000804. eCollection 2020.
To compare laboratory test results and lung function of adolescent organised sports participants (SP) with non-participants (NP).
In this cross-sectional study, laboratory tests (haemoglobin, iron status), and flow-volume spirometry were performed on SP youths (199 boys, 203 girls) and their NP peers (62 boys, 114 girls) aged 14-17.
Haemoglobin concentration <120/130 g/L was found in 5.8% of SP and 5.1% NP (OR 1.20, 95% CI 0.54 to 2.68). Ferritin concentration below 15 µg/L was found in 22.7% of both SP and NP girls. Among boys ferritin <30 µg/L was found in 26.5% of SP and 30.2% of NP (OR 0.76, 95% CI 0.40 to 1.47). Among SP iron supplement use was reported by 3.5% of girls and 1.5% of boys. In flow-volume spirometry with bronchodilation test, 7.0% of SP and 6.4% of NP had asthma-like findings (OR 1.17, 95% CI 0.54 to 2.54); those using asthma medication, that is, 9.8% of SP and 5.2% of NP were excluded from the analysis.
Screening for iron deficiency is recommended for symptomatic persons and persons engaging in sports. Lung function testing is recommended for symptomatic persons and persons participating in sports in which asthma is more prevalent.
比较青少年有组织体育活动参与者(SP)与非参与者(NP)的实验室检查结果和肺功能。
在这项横断面研究中,对14 - 17岁的SP青年(199名男孩,203名女孩)及其NP同龄人(62名男孩,114名女孩)进行了实验室检查(血红蛋白、铁状态)和流量 - 容积肺活量测定。
SP组中5.8%的人血红蛋白浓度<120/130 g/L,NP组为5.1%(比值比1.20,95%置信区间0.54至2.68)。SP组和NP组女孩中均有22.7%的人铁蛋白浓度低于15 μg/L。在男孩中,SP组26.5%的人铁蛋白<30 μg/L,NP组为30.2%(比值比0.76,95%置信区间0.40至1.47)。在SP组中,3.5%的女孩和1.5%的男孩报告使用了铁补充剂。在进行支气管扩张试验的流量 - 容积肺活量测定中,SP组7.0%的人和NP组6.4%的人有哮喘样表现(比值比1.17,95%置信区间0.54至2.54);使用哮喘药物的人,即SP组的9.8%和NP组的5.2%被排除在分析之外。
建议对有症状的人和从事体育运动的人进行缺铁筛查。建议对有症状的人和参与哮喘更普遍运动项目的人进行肺功能测试。