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Differences according to gender in reporting physical symptoms during echocardiographic screening in healthy teenage athletes

Published online by Cambridge University Press:  01 June 2008

Mohammad Reza Movahed ,
Adolfo Martinez ,
Holly Morrell ,
Seaneen Greaves ,
Jeff Greaves  and
Sudhakar Sattur
Mohammad Reza Movahed*
Affiliation:
Section of Cardiology, University of Arizona College of Medicine, Sarver Heart Center, Tucson, Arizona Department of Medicine, Division of Cardiology, Southern Arizona VA Health Care System, Tucson, Arizona A Heart For Sports, Yorba Linda, California, United States of America
Adolfo Martinez
Affiliation:
Section of Cardiology, University of Arizona College of Medicine, Sarver Heart Center, Tucson, Arizona
Holly Morrell
Affiliation:
A Heart For Sports, Yorba Linda, California, United States of America
Seaneen Greaves
Affiliation:
A Heart For Sports, Yorba Linda, California, United States of America
Jeff Greaves
Affiliation:
A Heart For Sports, Yorba Linda, California, United States of America
Sudhakar Sattur
Affiliation:
Section of Cardiology, University of Arizona College of Medicine, Sarver Heart Center, Tucson, Arizona
*
Correspondence to: Mohammad Reza Movahed, MD, PhD, FACP, FACC, FCCP, Director of Coronary Care Unit, University of Arizona Sarver Heart Center, 1051 North Campbell Avenue, Tucson, AZ 85724, United States of America. Tel: +520-626 6223; Fax: +520 626 5181; E-mail: [email protected]
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Abstract

Background

Many studies have suggested that more women then men present with physical symptoms. There is no data available, however, on the differences in reporting of physical symptoms between teenage male and female athletes. Our objective was to evaluate the differences according to gender in physical symptoms in healthy teenage athletes.

Methods

A total of 1,465 high school athletes, between the ages of 13 and 19 years participated in a mass echocardiographic screening programme for detection of cardiac abnormalities. Screening was conducted using a hand-carried cardiac ultrasound device (OptiGo, Philips). All participants were actively involved in a high school sport programme. Each athlete was required to fill out a questionnaire before the screening. The athletes were asked to report the occurrence of physical symptoms with activity or exercise. A physical examination was not performed during screening.

Results

There were 1,031 (70.4%) male and 434 (29.6%) female participants. Significantly more female teenage athletes reported physical symptoms (190/434, 43.8% versus 267/1,031, 25.9%, odds ratio: 2.28, confidence interval: 1.76–2.81, p less than 0.001). Symptoms did not correlate with any echocardiographically identified cardiac abnormalities in either gender. The differences in the reporting of symptoms were significant for all physical symptoms addressed by the questionnaire.

Conclusion

There is a high prevalence of reporting physical symptoms in young healthy athletes without any relation to cardiac abnormalities. Young female athletes report physical symptoms nearly twice as often as their male counterparts.

Keywords

Cardiacvalvessudden deathepidemiologyadolescencesport
Type
Original Article
Information
Cardiology in the Young , Volume 18 , Issue 3 , June 2008 , pp. 303 - 306
Copyright
Copyright © Cambridge University Press 2008

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References

1.Barsky, AJ, Peekna, HM, Borus, JF. Somatic symptom reporting in women and men. J Gen Intern Med 2001; 16: 266–275.CrossRefGoogle ScholarPubMed
2.Eminson, M, Benjamin, S, Shortall, A, Woods, T, Faragher, B. Physical symptoms and illness attitudes in adolescents: an epidemiological study. J Child Psychol Psychiatry 1996; 37: 519–528.CrossRefGoogle ScholarPubMed
3.Kroenke, K, Spitzer, RL. Gender differences in the reporting of physical and somatoform symptoms. Psychosom Med 1998; 60: 150–155.CrossRefGoogle ScholarPubMed
4.Kimble, LP, McGuire, DB, Dunbar, SB, et al. Gender differences in pain characteristics of chronic stable angina and perceived physical limitation in patients with coronary artery disease. Pain 2003; 101: 45–53.CrossRefGoogle ScholarPubMed
5.Philpott, S, Boynton, PM, Feder, G, Hemingway, H. Gender differences in descriptions of angina symptoms and health problems immediately prior to angiography: the ACRE study. Appropriateness of Coronary Revascularisation study. Soc Sci Med 2001; 52: 1565–1575.CrossRefGoogle ScholarPubMed
6.Kyker, KA, Limacher, MC. Gender differences in the presentation and symptoms of coronary artery disease. Curr Womens Health Rep 2002; 2: 115–119.Google ScholarPubMed
7.Poikolainen, K, Kanerva, R, Lonnqvist, J. Life events and other risk factors for somatic symptoms in adolescence. Pediatrics 1995; 96 (Pt 1): 59–63.CrossRefGoogle ScholarPubMed
8.Rhee, H, Miles, MS, Halpern, CT, Holditch-Davis, D. Prevalence of recurrent physical symptoms in US adolescents. Pediatr Nurs 2005; 31: 314–319; 350.Google Scholar
9.Barrett, JE, Barrett, JA, Oxman, TE, Gerber, PD. The prevalence of psychiatric disorders in a primary care practice. Arch Gen Psychiatry 1988; 45: 1100–1106.CrossRefGoogle Scholar
10.Weissman, MM, Klerman, GL. Sex differences and the epidemiology of depression. Arch Gen Psychiatry 1977; 34: 98–111.CrossRefGoogle ScholarPubMed
11.Katon, W, Kleinman, A, Rosen, G. Depression and somatization: a review. Part I. Am J Med 1982; 72: 127–135.CrossRefGoogle ScholarPubMed
12.Kroenke, K, Spitzer, RL, Williams, JB, et al. Physical symptoms in primary care. Predictors of psychiatric disorders and functional impairment. Arch Fam Med 1994; 3: 774–779.CrossRefGoogle ScholarPubMed
13.Piccinelli, M, Simon, G. Gender and cross-cultural differences in somatic symptoms associated with emotional distress. An international study in primary care. Psychol Med 1997; 27: 433–444.CrossRefGoogle Scholar
14.Rhee, H, Holditch-Davis, D, Miles, MS. Patterns of physical symptoms and relationships with psychosocial factors in adolescents. Psychosom Med 2005; 67: 1006–1012.CrossRefGoogle ScholarPubMed
15.Fillingim, RB, Maixner, W. Gender differences in the response to noxious stimuli. Pain Forum 1995; 44: 255–262.Google Scholar
16.Berkley, KJ. Sex differences in pain. Behav Brain Sci 1997; 20: 371–380; discussion 435–513.CrossRefGoogle ScholarPubMed
17.Derbyshire, SWG. Sources of variation in assessing male and female responses to pain. New Ideas Psychology 1997; 15: 83–95.CrossRefGoogle Scholar
18.Pennebaker, JW. The psychology of physical symptoms. New York, Springer-Verlag; 1982.CrossRefGoogle Scholar
19.van Wijk, CM, Kolk, AM. Sex differences in physical symptoms: the contribution of symptom perception theory. Soc Sci Med 1997; 45: 231–246.CrossRefGoogle ScholarPubMed
20.Verbrugge, LM. Sex differences in complaints and diagnoses. J Behav Med 1980; 3: 327–355.CrossRefGoogle ScholarPubMed
21.Mechanic, D. Social psychologic factors affecting the presentation of bodily complaints. N Engl J Med 1972; 286: 1132–1139.CrossRefGoogle ScholarPubMed
22.Otto, MW, Dougher, MJ. Sex differences and personality factors in responsivity to pain. Percept Mot Skills 1985; 61: 383–390.CrossRefGoogle ScholarPubMed
23.Verbruggev, LM. Sex differentials in health. Public Health Reports 1982; 97: 417–437.Google Scholar
24.Verbrugge, LM. Gender and health: an update on hypotheses and evidence. J Health Soc Behav 1985; 26: 156–182.CrossRefGoogle ScholarPubMed
25.Gijsbers van Wijk, CM, van Vliet, KP, Kolk, AM, Everaerd, WT. Symptom sensitivity and sex differences in physical morbidity: a review of health surveys in the United States and The Netherlands. Women Health 1991; 17: 91–124.CrossRefGoogle ScholarPubMed
26.Hoeper, EW, Nycz, GR, Regier, DA, Goldberg, ID, Jacobson, A, Hankin, J. Diagnosis of mental disorder in adults and increased use of health services in four outpatient settings. Am J Psychiatry 1980; 137: 207–210.Google ScholarPubMed
27.Mustard, CA, Kaufert, P, Kozyrskyj, A, Mayer, T. Sex differences in the use of health care services. N Engl J Med 1998; 338: 1678–1683.CrossRefGoogle ScholarPubMed
28.Waldron, I. Sex differences in illness incidence, prognosis and mortality: issues and evidence. Soc Sci Med 1983; 17: 1107–1123.CrossRefGoogle Scholar
29.Daly, C, Clemens, F, Lopez Sendon, JL, et al. Gender differences in the management and clinical outcome of stable angina. Circulation 2006; 113: 490–498.CrossRefGoogle ScholarPubMed