ArticleJournal of athletic training2019
Epidemiology of Exertional Heat Illnesses in National Collegiate Athletic Association Athletes During the 2009-2010 Through 2014-2015 Academic Years.
Article in Journal of athletic training, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Effects of internal cooling on physical performance, physiological and perceptional parameters when exercising in the heat: A systematic review with meta-analyses.Frontiers in physiology · 2023Pooled it
- Environmental Surveillance of Norovirus RNA in Restaurant Settings: Cleaning Materials as Primary Viral Reservoirs.International journal of environmental research and public health · 2026Article
- The Untapped Potential of Expert Elicitation in Sports Medicine Epidemiology.Sports medicine - open · 2026Article
- Self-reported exertional heat illness and risk factors among collegiate marching band artists.Sports medicine and health science · 2025Article
- Article
- Glutamine Supplementation: A Possible Strategy to Help Mitigate Health Risks of Heat-Related Illness.Journal of nutrition and metabolism · 2024Review
- Exertional heat stroke in sport and the military: epidemiology and mitigation.Experimental physiology · 2022Review
- Stress Response and Safe Driving Time of Bus Drivers in Hot Weather.International journal of environmental research and public health · 2022Article
- Increasing Health Risks During Outdoor Sports Due To Climate Change in Texas: Projections Versus Attitudes.GeoHealth · 2022Article
- Exertional heat illnesses in marching band artists: a case series.International journal of biometeorology · 2021Article
- Factors Affecting Incidence Rate of Exertional Heat Illnesses: Analysis of 6 Years of High School Football Practices in North Central Florida.Orthopaedic journal of sports medicine · 2021Article
- Exertional Heat Stroke Knowledge and Management among Emergency Medical Service Providers.International journal of environmental research and public health · 2021Article
- The Effect of Minimum and Maximum Air Temperatures in the Summer on Heat Stroke in Japan: A Time-Stratified Case-Crossover Study.International journal of environmental research and public health · 2021Article
- Heat-Related Illnesses Transported by United States Emergency Medical Services.Medicina (Kaunas, Lithuania) · 2020Article
- Exertional Heat Illness Preparedness Strategies: Environmental Monitoring Policies in United States High Schools.Medicina (Kaunas, Lithuania) · 2020Article
- A Comprehensive Model for Estimating Heat Vulnerability of Young Athletes.International journal of environmental research and public health · 2020Article
- The Gastrointestinal Exertional Heat Stroke Paradigm: Pathophysiology, Assessment, Severity, Aetiology and Nutritional Countermeasures.Nutrients · 2020Review
- Exertional Heat-Stroke Preparedness in High School Football by Region and State Mandate Presence.Journal of athletic training · 2019Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextExertional heat illnesses (EHIs) among football athletes have been widely researched, but data examining all collegiate sports are limited.
objectiveTo describe the epidemiology of EHI in 25 National Collegiate Athletic Association (NCAA) sports.
designDescriptive epidemiology study.
settingThe NCAA Injury Surveillance Program during the 2009-2010 through 2014-2015 academic years. PATIENTS OR OTHER
participantsA voluntary sample of 166 NCAA institutions over 2048 team-seasons. MAIN OUTCOME MEASURE(S): Athletic trainers reported EHIs to the NCAA Injury Surveillance Program. Only EHIs sustained during a sanctioned practice or competition were included. The EHI rate, specific diagnoses, and number of emergency transports were measured.
resultsOverall, 232 EHI events were reported (0.47/10 000 athlete-exposures [AEs]; 95% confidence interval [CI] = 0.41, 0.53). Football comprised 75% of all EHI events and had the largest rate (1.55/10 000 AEs; 95% CI = 1.32, 1.78). The overall EHI rate was higher in preseason practices (1.16/10 000 AEs) than all other time periods (regular and postseason practices and all competitions; 0.23/10 000 AEs, injury rate ratio [IRR] = 4.96; 95% CI = 3.79, 6.50). This result was retained when examining the individual sports of football (3.65/10 000 versus 0.63/10 000 AEs, IRR = 5.82; 95% CI = 4.18, 8.10), men's soccer (1.11/10 000 versus 0.07/10 000 AEs, IRR = 16.819; 95% CI = 1.89, 138.55), and women's soccer (1.10/10 000 versus 0.05/10 000 AEs, IRR = 22.52; 95% CI = 2.77, 183.05). The EHI rates were highest in states with elevated annual temperatures (1.05/10 000 AEs). Heat cramps (39%), heat exhaustion (27%), and dehydration (29%) were the most common types of EHI. Nineteen athletes with EHI (8%) required emergency transport.
conclusionsFootball players continue to experience the most EHIs; however, EHIs can potentially occur in all NCAA sports. Continued emphasis on preseason EHI policies and institution-specific environmental guidelines is needed to address EHI rates.
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Registered trials
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