美国ACSM运动风险评估方案研究及其对我国的启示

Research on American ACSM Exercise Risk Assessment Program and Its Enlightenment to China

有规律的体力活动具有诸多健康效益,但也存在运动风险,其中最为致命的是以心源性猝死(SCD)和急性心肌梗死(AMI)为代表的心血管事件,运动风险评估旨在识别运动相关心血管事件的高风险个体,并作为制订运动处方或运动计划的参考。研究提出我国今后运动风险评估体系的构建路径:需要建立符合我国国情的医学、运动学专家协作模式,运用智能化技术降低运动风险评估的技术门槛;将健康教育融合运动风险评估过程,设计分类别的运动处方,以便有效降低与运动相关的严重心血管事件;通过立法明确运动中不良心血管事件的责任界定,保护运动健康服务业的发展。

Regular physical activity has many health benefits,but there are also sports risks. Among them,the most deadly are cardiovascular events represented by sudden cardiac death(SCD)and acute myocardial infarction(AMI). The purpose of exercise risk assessment is to identify high-risk individuals with exercise-related cardiovascular events and serve as a reference for exercise prescription or exercise plan. It is pointed out that the establishment of the sports risk assessment system in China in the future needs to establish the cooperation mode of medical and kinematics experts in line with China’s national conditions,and use intelligent technology to reduce the technical threshold of sports risk assessment,and need to integrate health education into the exercise risk assessment process and design classified exercise prescriptions to effectively reduce serious cardiovascular events related to exercise. The definition of responsibility for adverse cardiovascular events during sports should be clarified through legislation to protect the development of sports health service industry.