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Study: Football Deaths Related to Temperature Change
The number of heat-related deaths among high school and college football players tripled between 1994 and 2009, and changes in weather conditions may be the cause, say scientists at the University of Georgia. Analyzing temperature and climate data on the days of 58 players’ deaths over the 30 years prior to 2009 along with records of the height, weight and position of each player, researchers found that heat indexes were notably higher during the latter 15 years, coinciding with the increase in deaths.

“In general, on days the deaths occurred, the temperature was hotter and the air more humid than normal local conditions,” said climatologist and associate professor of geography Andrew Grundstein, senior author of the study.

Published in the International Journal of Biometeorology, the study found that the majority of the deaths occurred in August, on days when practices ended prior to noon. The study also found a trend toward increased size in football players since the 1980s, another possible contributing factor. In particular, linemen accounted for 86 percent of the deaths.

The study began in response to a 2009 Georgia High Schools Association mandate that schools develop written polices for extreme-weather practice, which schools struggled with due to a lack of adequate data examining the relationship between temperature and injury. While the American College of Sports Medicine offers intensity guidelines for athletic practices based on a wet bulb globe temperature measurement and the National Weather Service offers a heat index, neither system adequately accounts for sun exposure or protective pads and helmets, says Grundstein.

“We all want a single magic number to indicate the heat threshold,” Grundstein said. “But so many factors contribute to heat stress that it's impossible to draw the line at a single temperature.” Still, he says, the heat-measurement tools available can be useful, as well as ensuring players are slowly acclimated to outdoor workouts and that all staff is trained to watch for signs of heat stress.

Though the data included in the study included only the period between 1980 and 2009, the trend in athlete deaths appears to be ongoing, with 2011 seeing the "worst week in 35 years" of athlete deaths. Grundenstein is currently working with other researchers to study heat-related injuries in high school football players, hoping to provide data necessary to curb the incidence of heat-related injury and reduce the number of athlete deaths.
Posted At 9:16 AM • Comments (8)

This underlines the importance of connecting training to weather information. To many athletes, also in the hobby section, do not pay enough attention to the fact that weather should always be a factor to determine the kind of training. Good arficle-thx!
Comment By Jens Baltrusch At 2/28/2012 11:08 AM
Exercise and the heat is not solely a 100 degree temperature issue. One must take into account ambient air temperature, relative humidity, radiant heat and air movement. In addition, the amount of equipment to be worn must be considered. The most updated information on exertional heat stroke and sudden death can be found on the Korey Stringer Institute website at www.ksi.uconn.edu. Also, in 2009, The National Athletic Trainers' Association released heat acclimatization guidelines specific to secondary school athletics. these can be found on their website at www.nata.org.
Comment By David Csillan, MS, ATC, LAT At 2/28/2012 12:16 PM
While I agree with most of the information in the article, as well as the previous comments, I think another important factor is the overall health of our youth population. Young people are eating more and more processed foods, starting at younger ages, and therefore, diseases such as type 2 diabetes are occurring with much more frequency and at younger ages. Cardiovascular disease, in general, is developing at earlier ages, due to our unhealthy eating habits and lifestyles. Combine this factor with an increase in temperature and the other factors mentioned, and I believe you're bound to see more deaths. However, I believe that increasingly poor nutritional habits are the biggest factor.
Comment By Randy Ash At 2/28/2012 1:18 PM
Better add to the factors the fact that so many of these kids are 'bulking up' because they see college and NFL guys at higher and higher weights. In the last 23 years that I've officiated football, it's been obvious that they're getting bigger. And much of the average HS player's bulk is not muscle, which seems to me puts additional strain on body systems. Coupled with all the above, and it's a recipe for disaster.
Comment By John Earl At 2/28/2012 1:35 PM
Most of these deaths occur during the first two three weeks of football practice. The reason is the body as not acclimated to the heat. I believe all of the above are contributing factors, but also living and working in air conditioning does not help either. Deaths from heat were not a factor when I played 50 some years ago, I also played in the days when water on the practice field was taboo. Just my two cents. We need longer practice times with out equipment so the acclamation can occur.
Comment By Eugene Fritz At 2/28/2012 2:12 PM
More than nutrition, I believe the most importanmt factor contributing to the increase in fatalities is the increased amount of time today's children spend indoors. When I was growing up in the 70's and 80's, kids spent many more hours outdoors because we didn't have computers, video games and our own TV's with hundreds channels to choose from. If more time were devoted to the acclimatization period, as others have suggested, I believe fewer tradgedies would result.
Comment By ATC Mark At 2/28/2012 2:59 PM
Even being acclimated to the heat and humidity still won't stop someone from becoming a heat casualty. Being in the Marine Corps for 8 years, I have seen Marines go down as a heat case no matter how much they have acclimated themselves to heat and humidity of NC and SC. One way to help slow down the body from cooking itself to death to definitely have a thermometer to check the core temperature and then to have a cooler with water, ice, and bed sheet in it and then drap it over the athlete so begin the cooling process of the body while awaiting ems. I did some interning this past fall in Florida after getting out of the Marines last March and found that the high schools in that particular area did not have a measure to help deal with a cooling down process of the body while awaiting ems. By doing the cold sheet while awaiting to get the athlete to a whirlpool with ice water could probably save an athletes life. Was there any research done on whether the coaches started cooling the body down by placing the athletes in a ice cold whirlpool or drapping the body in a cold soaked sheet while awaiting ems?
Comment By jennifer At 2/28/2012 7:05 PM
Recent research has shown the following 2 steps to be appropriate treatment for someone suffering from exertional heat stroke is (in this order): 1) immediately cooling by placing the athlete in an immersion tub. Average internal body temperature after a 3 hour practice can reach 104 degrees F. It takes about 15 minutes to reach below 100 degrees F with the use of the immersion tank. Water temperature should be 39 - 59 degrees F. While in the tank, the water should be constantly stirred. 2) Once the body temperature gets below 100 degrees, then immediate EMS transport is required.
Comment By David Csillan, MS, ATC, LAT At 3/1/2012 4:24 PM
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