Key result
~49% of amateur Masters footballers remain on the field despite experiencing active chest pain.
Why the study?
Although regular exercise improves health, strenuous exercise causes a transient increase in cardiac risk among Masters age footballers.
Cross-Sectional (n=153)
Masters footballers have a high prevalence of cardiac risk factors and symptoms, with significant gaps in appropriate responses to potential MI symptoms, highlighting the need for targeted cardiac education and preventive measures.
Suggests targeted cardiac education may be needed for Masters footballers; hypothesis-generating for effects on symptom response and outcomes.
BACKGROUND: Football (soccer) is popular among those of Masters age (≥35 years). Although regular exercise improves health, strenuous exercise causes a transient increase in cardiac risk. AIM: To gain insight into cardiac risk factors, symptoms, and knowledge, attitudes and beliefs about myocardial infarction (MI), and support for prevention. METHODS: A web-based survey using REDCap was completed by 153 amateur Masters footballers from A grade competition (n = 24), B or lower grade (n = 95) or social games (n = 34) in Sydney, Australia. RESULTS: Participants were aged 49.3 ± 7.5 years and primarily male (92.2%), Caucasian (88.9%) and university educated (75.2%). Risk factors included hypercholesterolaemia (37.3%), hypertension (19.6%), smoker (7.8%), overweight (40.5%) or obese (13.1%). One-fifth (21.6%) reported ≥1 potential cardiac symptom during activity in the prior year, for which one-quarter (24.2%) sought medical attention. Knowledge of typical MI symptoms was high (>80%) but lower (<40%) for less typical symptoms. Half (49.6%) were not confident to recognise MI in themselves. Half (49.0%) would remain on the field for 5-10 min with chest pain. Only 39.9% were aware that warning signs might precede MI by days. They overestimated survival from cardiac arrest (43%). Participants supported training in automatic external defibrillators (AED) and cardiopulmonary resuscitation (84%), AED at games (85%) and cardiac education (>70%). CONCLUSIONS: Cardiac risk factors are common In Masters footballers, with one in five experiencing possible cardiac symptoms in the prior year. While gaps exist in knowledge and optimal responses, strong support exists for preventive measures.
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Francis et al. (2021) conducted a cross-sectional in Cardiovascular risk (n=153). Web-based survey was evaluated on Cardiac risk factors, symptoms, and knowledge, attitudes and beliefs about myocardial infarction. Among 153 amateur Masters footballers, 21.6% reported potential cardiac symptoms during activity in the prior year, and 49.0% would remain on the field for 5-10 min with chest pain.
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