Saturday, November 12, 2011

American Academy of Pediatrics offre nouvelle Guidelness pour éviter les blessures de la maladie de chaleur chez les jeunes athlètes

American Academy of Pediatrics offers new Guidelness to avoid injuries in young athletes heat disease
by the American Academy of Pediatrics - 8/19/2011Before young athletes start to physical conditioning fall sports, pediatricians have some advice for athletes, parents and adults who are practical running on muggy days: use some common sense and appropriate measures to keep children safe.

In a revised policy statement, "climate Heat Stress and exercising of children and Adolescents," published in the issue of September 2011 for Pediatrics (published online August 8), the American Academy of Pediatrics (AAP) recommends that sports programmes for young people, implementing the comprehensive strategies to protect themselves from the disease of heat.

"Healthier children and athletes can participate safely in outdoor sports and activities in a wide range of warm to hot, but adult sometimes create situations that are potentially dangerous, said g. Stephen." Rice, MD, FAAP, co-author of the policy statement and a former member of the Executive Committee of the Council of the AAP on fitness and sport medicine. "Heat disease is entirely preventable if the coaches and the other adults take certain precautions to protect young athletes."

Among the recommendations:

Training for coaches, trainers and other adult risk reduction. Ensure that trained staff is available on-site to monitor for and quickly deal with heat illness. Educating children on the preparation of the heat to improve security and reduce the risk of heat illness. Allowing children to adapt gradually to physical activity in the heat. Offers time for and encouraging fluid intake sufficient before, during and after exercise. Modify the activity as necessary in view of the heat and the limits of individual athletes. Practices and games perhaps should be cancelled or postponed to the cooler times. Periods of rest of at least 2 hours between the same day contest hot hot weather. Limiting the participation of children who have had a recent illness or other risk factors that would reduce exercise-heat tolerance. Develop and put in place a plan of emergency action.

The most notable change in the policy of the AAP is the recognition that children can tolerate and adapt to exercise in the heat as well as similarly made adult, when adequate hydration is maintained. The old policy of the AAP, published in 2000, suggested that the children were less able to tolerate and adapt to the heat stress compared to adults, but more recent research found children and adults have physiological similar reactions when it engages in the same conditions.

The revised policy focuses on the factors that put children at risk of exertional heat illness and how adults can modify youth sports activities to minimize the risk of heat illness. The policy includes a detailed list of risk factors and possible changes. But the new statement, unlike that of the previous, gave no precise rules on the question of whether games or practices should be cancelled if the temperature reaches a certain level.

"While the coaches must take the decisions to improve the security of a team or event as set field, individual participants may require more or less concern based on their State of health and the air conditioning," said co-author Director Michael f. Bergeron, Ph.d., FACSM, of the National Institute of health & Performance athletic Sanford USD Medical CenterSioux Falls, S.D.

For example, the policy statement describes a healthy 12 years that is adapted and used for the heat, and that would be fine soccer play a 95-degree day. But a football player overweight, who has recently recovered from diarrhea, and running sprints of wind at the end of the second training session of three hours on the first warm day of pre-season football, will be more at risk, even if it is only 85 degrees.

"Sports directors, coaches, teachers and other adults who are supervising the children exercising in the heat must be aware of ways to reduce the risk of heat illness, and they should develop an emergency action plan", said Cynthia Devore, MD, FAAP, co-author of the Bill and the President of the Council of the AAP on the school health. "It is particularly important at the high school football pre-season."

The American Academy of Pediatrics is an organization of 60,000 pediatricians of primary health care, pediatric medical subspecialists and Pediatric Surgical specialists dedicated to health, safety and well-being of infants, children, adolescents and young adults. For more information, visit

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