Section Sports Medicine & Sport, Exercise Medicine and Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Sport, Exercise Medicine and Lifestyle Institute (SEMLI), Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Phys Sportsmed. 2022 Apr;50(2):147-156. doi: 10.1080/00913847.2021.1885965. Epub 2021 Mar 2.
To determine the prevalence of chronic prescription medication (CPM) use in distant runners (by age and sex) and to compare CPM use in 21.1 km vs. 56 km race entrants.
A cross-sectional study of 76,654 race entrants who completed a pre-race medical screening questionnaire during race registration, which included questions on the use of CPM and CPM use in eight main categories of CPM. Prevalence (%, 95%CIs) and prevalence ratios (PR) are reported.
The prevalence of any CPM use was 12.5% (12.2-12.8). CPM use was higher in older age categories vs. the youngest age category (31-40 yrs vs. ≤30 yrs: PR = 1.4; 41-50 yrs vs. ≤30 yrs: PR = 2.1; >50 yrs vs. ≤30 yrs: PR = 3.4) (p < 0.0001) and females vs. males (PR = 1.1; p < 0.0001). The use of any CPM was significantly higher in 21.1 km vs. 56 km race entrants (PR = 1.2; p < 0.0001). Prevalence of CPM use in main categories was: blood pressure lowering medication (3.7%), cholesterol lowering medication (3.6%), asthma medication (3.1%), and medication to treat anxiety/depression (2.6%). The pattern of CPM in the main categories differed between 21.1 km and 56 km race entrants.
One in eight race entrants use CPM, with a higher prevalence of use among older race entrants, female vs. males, and 21.1 km vs. 56 km race entrants. Frequent CPMs used are blood pressure lowering medication, cholesterol lowering medication, asthma medication, and medication to treat anxiety/depression. The use of CPM medications may increase the risk of medical complications during exercise, and these data help identify subgroups of entrants that may be at higher risk for race medical encounters.
确定远距离跑步者（按年龄和性别）慢性处方药（CPM）使用的流行率，并比较 21.1 公里和 56 公里比赛参赛者中 CPM 的使用情况。
对在比赛注册期间完成赛前医疗筛查问卷的 76654 名比赛参赛者进行横断面研究，该问卷包括关于 CPM 使用情况和 CPM 在八个主要 CPM 类别中的使用情况的问题。报告流行率（%，95%CI）和流行率比（PR）。
任何 CPM 使用的流行率为 12.5%（12.2-12.8）。与最年轻的年龄组（31-40 岁与≤30 岁：PR=1.4；41-50 岁与≤30 岁：PR=2.1；>50 岁与≤30 岁：PR=3.4）相比，年龄较大的年龄组中 CPM 的使用更高（p<0.0001），女性与男性相比（PR=1.1；p<0.0001）。与 56 公里比赛参赛者相比，21.1 公里比赛参赛者中任何 CPM 的使用明显更高（PR=1.2；p<0.0001）。主要类别的 CPM 使用流行率为：降压药（3.7%）、降胆固醇药（3.6%）、哮喘药（3.1%）和治疗焦虑/抑郁的药物（2.6%）。21.1 公里和 56 公里比赛参赛者在主要类别中的 CPM 模式不同。
每八名参赛者中就有一名使用 CPM，年龄较大的参赛者、女性与男性、21.1 公里与 56 公里参赛者的使用比例较高。经常使用的 CPM 是降压药、降胆固醇药、哮喘药和治疗焦虑/抑郁的药物。CPM 药物的使用可能会增加运动时发生医疗并发症的风险，这些数据有助于确定可能更需要比赛医疗服务的参赛人群体。
