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Chagué F, Reboursière E, Israël J, Hager JP, Ngassa P, Geneste M, Guinoiseau JP, Garet G, Girardin J, Sarda J, Cottin Y, Zeller M. Smoking and Vaping in Amateur Rugby Players, Coaches and Referees: Findings from a Regional Survey Might Help to Define Prevention Targets. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115720. [PMID: 34073509 PMCID: PMC8198015 DOI: 10.3390/ijerph18115720] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 05/18/2021] [Accepted: 05/20/2021] [Indexed: 01/02/2023]
Abstract
A high prevalence of cigarette smoking has been documented in France, and new patterns of tobacco and nicotine consumption are emerging, especially in some sports. In the amateur rugby population, data are scarce on harmful consumption and on the awareness of the risk of smoking. We analyzed the consumption of tobacco and other nicotine products in French amateur players, coaches and referees. Amateur players (>12 years old), coaches and referees participating in the Burgundy amateur championship were invited to answer an electronic, anonymous questionnaire during the 2017–2018 sport season. Among the 683 subjects (gender ratio M/F = 0.9), 176 (25.8%) were current smokers, including 32.4% of the referees and 28.2% of the coaches. The prevalence of smokers was higher in females (37.5%) than in males (24.6%). Most (86.4%) smoked within 2 h before/after a rugby session. Only 28 subjects (4.1%) usually vaped; 21 of them (75%) vaped within 2 h before/after a rugby session. Other tobacco or nicotine products were infrequent. The awareness about the risks of smoking before/after sport was incomplete, including in coaches and referees. The prevalence of cigarette smoking is alarming across the whole spectrum of rugby amateur actors. Education programs are urgently needed to reduce tobacco consumption in this at-risk population.
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Affiliation(s)
- Frédéric Chagué
- Cardiology Department, University Hospital Center Dijon Bourgogne, 21000 Dijon, France;
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Correspondence: ; Tel.: +33-619-748-171
| | - Emmanuel Reboursière
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Sport Medicine Department, University Hospital Center, 14000 Caen, France
| | - Jean Israël
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Cardiology Department, General Hospital, 91640 Bligny, France
| | - Jean-Philippe Hager
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Sport Medicine Department, Centre Orthopédique Santy, 69008 Lyon, France
| | - Patrice Ngassa
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
- Sport Medicine Department, Polyclinique Saint-Laurent, 35700 Rennes, France
| | - Marc Geneste
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Jean-Pierre Guinoiseau
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Gilles Garet
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Jacques Girardin
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Jacques Sarda
- French Rugby Federation, 91460 Marcoussis, France; (E.R.); (J.I.); (J.-P.H.); (P.N.); (M.G.); (J.-P.G.); (G.G.); (J.G.); (J.S.)
| | - Yves Cottin
- Cardiology Department, University Hospital Center Dijon Bourgogne, 21000 Dijon, France;
| | - Marianne Zeller
- Physiopathologie et Epidémiologie Cérébro-Cardiovasculaires (PEC2), EA 7460 UFR Sciences de Santé, University of Bourgogne Franche Comté, 21000 Dijon, France;
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Chevalier L, Guy JM, Doutreleau S. [Place of the exercise stress test at the sportsman]. Ann Cardiol Angeiol (Paris) 2018; 67:361-364. [PMID: 30301545 DOI: 10.1016/j.ancard.2018.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 08/23/2018] [Indexed: 06/08/2023]
Abstract
Is the stress test still part of the useful examinations in the detection of risk heart disease in sports subjects? Should we continue to use it as a surveillance examination in coronary sports patients? Meta-analysis, considering a ST subshift of more than 1mm as a criterion for positivity, underline the low prevalence of abnormal examinations and a significant rate of false-positives. But for the diagnosis of coronary artery disease, it is mainly the evolution of the ST segment to effort or recovery and the occurrence of stress arrhythmias that detect true positivity. When coronary risk is more important (presence of risk factors, resumption of sport, intense and prolonged efforts), it seems lawful to recommend such a review on a regular basis among men over 40 years of age with two risk factors but Also among veterans taking up sport after a period of prolonged inactivity. For the asymptomatic coronary athlete the stress test remains at the centre of the final decision for the resumption of a sport in competition irrespective of the method of revascularization. Of course the stress test, even inevitable, remains flawed in the detection of coronary artery disease in the asymptomatic athlete. However, it provides additional information on the condition of being maximal, and attaching importance to arrhythmias, the tensional profile and the maximum power developed in addition to the ST segment's only study.
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Affiliation(s)
- L Chevalier
- Clinique du sport, 33370 Bordeaux-Mérignac, France
| | - J M Guy
- Center de réadaptation cardiorespiratoire de la loire, 33370 Saint-Priest-en-Jarez, France.
| | - S Doutreleau
- Service de médecine du sport et explorations fonctionnelles, CHU, 33370 Grenoble, France
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