Declaração de consenso do COI sobre recomendações e regulamentos para eventos esportivos em condições de calor

Sebastien Racinais; Yuri Hosokawa; Takao Akama; Stephane Bermon; Xavier Bigard; Douglas J Casa; Andrew Grundstein; Ollie Jay; Andrew Massey; Sergio Migliorini; Margo Mountjoy; Nebosa Nikolic; Yannis P Pitsiladis; Wolfgang Schobersberger; Juergen Michael  Steinacker; Fumihiro Yamasawa; David Anthony Zideman; Lars Engebretsen; Richard Budgett

Autores

Sebastien Racinais Research and Scientific Support Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Ad Dawhah, Qatar
Yuri Hosokawa Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
Takao Akama Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
Stephane Bermon Health and Science Department, World Athletics, Monaco
Xavier Bigard Union Cycliste Internationale (UCI), Aigle, Switzerland
Douglas J Casa Korey Stringer Institiute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
Andrew Grundstein Department of Geography, University of Georgia, Athens, Georgia, USA
Ollie Jay Heat and Health Research Incubator, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia
Andrew Massey Medical Department, Federation Internationale de Football Association, Zurich, Switzerland
Sergio Migliorini Medical Committee, World Triathlon (WT), Lausanne, Switzerland
Margo Mountjoy Hamilton, Stockholm, Sweden
Nebosa Nikolic World Sailing, London, UK
Yannis P Pitsiladis School of Sport and Health Sciences, University of Brighton, Eastbourne, UK
Wolfgang Schobersberger Institute for Sports Medicine, Alpine Medicine & Health Tourism (ISAG), UMIT Tirol – Private University for Health Sciences and technology, Hall, Austria
Juergen Michael Steinacker Sport- und Rehabilitationsmedizin, Universitat Ulm, Ulm, Germany
Fumihiro Yamasawa Marubeni Health Promotion Center, Tokyo, Japan
David Anthony Zideman International Olympic Committee Medical and Scientific Games Group, Pinner, Middlesex, UK
Lars Engebretsen Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
Richard Budgett International Olympic Committee, Lausanne, Switzerland

Palavras-chave:

Alta Temperatura, insolação, Choque Térmico, Esportes No Calor, Declaração Do COI

Resumo

Este documento apresenta as recomendações desenvolvidas pela Comissão Médica e Científica do COI e por diversas federações internacionais (FI) sobre a proteção de atletas que competem em condições de calor. Baseia-se em um grupo de trabalho, reuniões, experiência de campo e um processo Delphi. A primeira seção apresenta recomendações para que os organizadores de eventos monitorem as condições ambientais antes e durante a competição; providenciem gelo, sombra e refrigeração suficientes; e trabalhem em conjunto com as FI para eliminar limitações regulatórias e logísticas. A segunda seção resume as recomendações diretamente relacionadas ao comportamento dos atletas, incluindo o papel e os métodos de aclimatação ao calor; o controle da hidratação; e a adaptação ao aquecimento e ao vestuário. A terceira seção explica o manejo médico específico da insolação por esforço (IE) desde a triagem no campo de jogo até o atendimento pré-hospitalar em uma área dedicada ao calor, complementando os serviços médicos habituais. A quarta seção fornece um exemplo de como desenvolver uma análise de risco ambiental relacionada ao calor para competições esportivas em todas as FI. Em resumo, embora a hipertermia induzida pelo calor (EHS) seja uma das principais condições que representam risco de vida para atletas, ela é prevenível e tratável com a mitigação de riscos e a resposta médica adequadas. A proteção de atletas que competem no calor envolve a estreita cooperação do comitê organizador local, das federações nacionais e internacionais, dos atletas e suas equipes, e da equipe médica.

ARK
— Identificador persistente deste artigo: https://n2t.net/ark:/40019/oly.v3i3.30.g41

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