Thursday, April 19, 2012

Quick Sports Physicals Not Enough to Ensure Health of Teen Athletes

Loyola Pediatrician Shares Why Group Sports Physicals Aren’t Enough

MAYWOOD, Ill. -- Parenting a teenage athlete is a juggling act—monitoring homework, keeping up with practice and training schedules, weeks packed with competitions or games. It may seem like a never-ending “to-do” list and that yearly sports physical can seem like just one more thing in a busy parent’s life. But the quickest way of checking it off the list could be detrimental to a teen’s health.

“Sports injuries are a small portion of what is affecting our teens’ health and well-being. The sports physical required by schools and sports leagues just skims the surface and doesn’t dive deep enough into the real issues that affect a teen’s health,” said Jerold Stirling, MD, pediatrician at Loyola University Health System and chair of the Department of Pediatrics at Loyola University Chicago Stritch School of Medicine. “Some of the deeper issues such as mental health, social and emotional challenges can’t be addressed in a school gym surrounded by hundreds of other kids or with a quick exam at a retail store."

According to the Centers for Disease Control and Prevention (CDC), nearly half of the 19 million cases of sexually transmitted diseases (STDs) reported each year are with people between the ages of 15-24. The CDC also reports that suicide is the third-leading cause of death in the same age group. And nearly 20 percent of teens are overweight or obese. These health risks can’t be addressed with a quick sports physical or in a public place.

“As children grow into their teen years, social and mental health need to be addressed in a safe, private environment. Teens need to know they can bring their questions and concerns to someone who cares and will keep it confidential,” Stirling said. “No one knows your young athlete like his or her primary-care doctor. That relationship can open a door for teens to feel comfortable asking questions about their health and overall well-being."

In addition, the American Academy of Pediatrics has released new recommendations concerning heart screenings and vaccines that aren’t required for a sports physical but are integral to a teen’s physical health.

“Many parents see the sports physical done in a school gym or quick clinic as the only medical attention their child needs when this isn’t the case,” Stirling said. “There are many issues that can’t be detected in a simple physical. In fact, many young athletes don’t get the care they need. It’s just assumed that they are healthy because all the boxes on the sports physical have been checked off, and that can be dangerous."

Stirling also recommends parents schedule an appointment with their child’s primary-care physician well before the season begins.

“If parents wait too long and we do find a problem, we won’t have time to address it. By bringing a young athlete in early enough before the season begins, if we do find something, we can work on treatments and therapies to resolve the issue so the child won’t miss any time on the field,” Stirling said.

To make the most out of the appointment, Stirling suggested parents and teens fill out the required forms together honestly. Parents also should emphasize the confidentiality of a doctor’s visit and how this is an opportunity to talk about all health concerns.

“How a teen is doing in school, his or her career goals, relationships with parents and peers - as a pediatrician, these are all things that I care about in my patients,” Stirling said. “You won’t find these on a form, but they really are an integral part of what makes a person healthy."

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About Loyola University Health System

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system that includes Loyola University Medical Center (LUMC), located on a 61-acre campus in Maywood, Gottlieb Memorial Hospital (GMH), on a 36-acre campus in Melrose Park, and convenient locations offering primary and specialty care services throughout Cook, Will and DuPage counties. At the heart of LUMC is a 547-licensed-bed hospital that houses the Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, a Level 1 trauma center, a burn center, a children's hospital, Loyola Outpatient Center, and Loyola Oral Health Center. The campus also is home to Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. The GMH campus includes a 254-licensed-bed community hospital, a Professional Office Building with 150 private practice clinics, an adult day care program, the Gottlieb Center for Fitness, the Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. It serves people and communities in 22 states from coast to coast with 93 hospitals, and 120 continuing care locations — including home care, hospice, PACE and senior living facilities — that provide nearly 2.5 million visits annually.