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ARTICLE |

An Olympic Medical Legacy FREE

John D. Cantwell, MD; Phil B. Fontanarosa, MD
[+] Author Affiliations

Dr Cantwell is the Chief Medical Officer of the 1996 Olympic Games and a clinical professor of medicine at Morehouse School of Medicine, Atlanta, Ga. Dr Fontanarosa is a Senior Editor, JAMA.

Reprints: John D. Cantwell, MD, Georgia Baptist Medical Center, 300 Boulevard NE, Box 413, Atlanta, GA 30312.


JAMA. 1996;276(3):248-249. doi:10.1001/jama.1996.03540030082038
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The Olympic Games date back at least 2700 years, when a young Greek cook named Coroebus planted his feet at the starting blocks of stone and dashed 200 m for the olive wreath. In the first 52 years, that single race was the only Olympic event.1 In the years to follow, the distance was lengthened, and other athletic events were added, along with cultural contests featuring music, art, and poetry. The Olympic Games became a celebration of the total human potential, for the Greeks placed great emphasis on the development of body, mind, and spirit. In AD 393, the Roman Emperor Theodosius terminated the Olympics after 1000 years, deeming the event a pagan festival. It wasn't until 1500 years later, and thanks to the vision and determination of a French baron, Pierre de Coubertin, that the Olympic flame was rekindled.

As we celebrate the centennial of the modern games

REFERENCES

Cantwell JD.  The Olympic Games in historical perspective . Atlanta Med . 1996;;70:11-14.
Lee I-M, Hsieh C-C, Paffenbarger RS Jr.  Exercise intensity and longevity in men: the Harvard Alumni Health Study . JAMA . 1995;;273:1179-1184.
Lakka TA, Venäläinen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen JT.  Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction . N Engl J Med . 1994;;330:1549-1554.
Blair SN, Kampert JB, Kohl HW III, et al.  Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women . JAMA . 1996;;276:205-210.
Blair SN, Kohl HW III, Barlow CE, Paffenbarger RS Jr, Gibbons LW, Macera CH.  Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men . JAMA . 1995;;273:1093-1098.
Kujala UM, Sarna S, Kaprio J, et al.  Hospital care in later life among former world-class Finnish athletes . JAMA . 1996;;276:216-220.
7.  Fries JF, Singh G, Morfeld D, et al. Running and the development of disability with age . Ann Intern Med . 1994;;121:502-509.
Ginsburg GS, Agil A, O'Toole M, et al.  Effects of a single bout of ultraendurance exercise on lipid levels and susceptibility of lipids to peroxidation in triathletes . JAMA . 1996;;276:221-225.
Dressendorfer RH, Wade CE, Hornick C, Timmis GC.  High-density lipoprotein cholesterol in marathon runners during a 20-day road race . JAMA . 1982;;247:1715-1717.
Williams PT.  High-density lipoprotein cholesterol and other risk factors for coronary heart disease in female runners . N Engl J Med . 1996;;334:1298-1303.
Maron BJ, Shirani J, Poliac LC, et al.  Sudden death in young competitive athletes: clinical, demographic, and pathological profile . JAMA . 1996;;276:199-204.
Van Camp SP, Bloom CM, Mueller FO, et al.  Nontraumatic sports death in high school and college athletes . Med Sci Sports Exerc . 1995;;27:641-647.
Liberthson RR.  Sudden death from cardiac causes in children and young adults . N Engl J Med . 1996;;334:1039-1044.
Weidenbener EJ, Krauss MD, Waller BF, et al.  Incorporation of screening echocardiography in the preparticipation exam . Clin J Sport Med . 1995;;5:86-89.
Murray P, Cantwell JD, Heath D, et al.  The role of limited echocardiography in screening athletes . Am J Cardiol . 1995;;76:849-850.
Klesges RC, Ward KD, Shelton ML, et al.  Changes in bone mineral content and lean body mass in male athletes: mechanisms of action and intervention effects . JAMA . 1996;;276:226-230.
Rencken ML, Chesnut CH III, Drinkwater BL.  Bone density at multiple sites in amenorrheic athletes . JAMA . 1996;;276:238-240.
Jonnavithula S, Warren MD, Fox RP, et al.  Bone density is compromised in amenorrheic women despite return of menses: a 2-year study . Obstet Gynecol . 1993;;81:669-674.
Pelliccia A, Maron BJ, Culasso F, et al.  Athlete's heart in women: echocardiographic characterization of highly trained elite female athletes . JAMA 1996;;276:211-215.
Pelliccia A, Maron BJ, Spataro A, Proschan MA, Spirito P.  The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes . N Engl J Med . 1991;;324:295-301.
Catlin DH, Murray TH.  Performance-enhancing drugs, fair competition, and Olympic sport . JAMA . 1996;;276:231-237.
MacAloon JJ. This Great Symbol: Pierre de Coubertin and the Origins of the Modern Olympic Games . Chicago, Ill: University of Chicago Press; 1981;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Cantwell JD.  The Olympic Games in historical perspective . Atlanta Med . 1996;;70:11-14.
Lee I-M, Hsieh C-C, Paffenbarger RS Jr.  Exercise intensity and longevity in men: the Harvard Alumni Health Study . JAMA . 1995;;273:1179-1184.
Lakka TA, Venäläinen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen JT.  Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction . N Engl J Med . 1994;;330:1549-1554.
Blair SN, Kampert JB, Kohl HW III, et al.  Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women . JAMA . 1996;;276:205-210.
Blair SN, Kohl HW III, Barlow CE, Paffenbarger RS Jr, Gibbons LW, Macera CH.  Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men . JAMA . 1995;;273:1093-1098.
Kujala UM, Sarna S, Kaprio J, et al.  Hospital care in later life among former world-class Finnish athletes . JAMA . 1996;;276:216-220.
7.  Fries JF, Singh G, Morfeld D, et al. Running and the development of disability with age . Ann Intern Med . 1994;;121:502-509.
Ginsburg GS, Agil A, O'Toole M, et al.  Effects of a single bout of ultraendurance exercise on lipid levels and susceptibility of lipids to peroxidation in triathletes . JAMA . 1996;;276:221-225.
Dressendorfer RH, Wade CE, Hornick C, Timmis GC.  High-density lipoprotein cholesterol in marathon runners during a 20-day road race . JAMA . 1982;;247:1715-1717.
Williams PT.  High-density lipoprotein cholesterol and other risk factors for coronary heart disease in female runners . N Engl J Med . 1996;;334:1298-1303.
Maron BJ, Shirani J, Poliac LC, et al.  Sudden death in young competitive athletes: clinical, demographic, and pathological profile . JAMA . 1996;;276:199-204.
Van Camp SP, Bloom CM, Mueller FO, et al.  Nontraumatic sports death in high school and college athletes . Med Sci Sports Exerc . 1995;;27:641-647.
Liberthson RR.  Sudden death from cardiac causes in children and young adults . N Engl J Med . 1996;;334:1039-1044.
Weidenbener EJ, Krauss MD, Waller BF, et al.  Incorporation of screening echocardiography in the preparticipation exam . Clin J Sport Med . 1995;;5:86-89.
Murray P, Cantwell JD, Heath D, et al.  The role of limited echocardiography in screening athletes . Am J Cardiol . 1995;;76:849-850.
Klesges RC, Ward KD, Shelton ML, et al.  Changes in bone mineral content and lean body mass in male athletes: mechanisms of action and intervention effects . JAMA . 1996;;276:226-230.
Rencken ML, Chesnut CH III, Drinkwater BL.  Bone density at multiple sites in amenorrheic athletes . JAMA . 1996;;276:238-240.
Jonnavithula S, Warren MD, Fox RP, et al.  Bone density is compromised in amenorrheic women despite return of menses: a 2-year study . Obstet Gynecol . 1993;;81:669-674.
Pelliccia A, Maron BJ, Culasso F, et al.  Athlete's heart in women: echocardiographic characterization of highly trained elite female athletes . JAMA 1996;;276:211-215.
Pelliccia A, Maron BJ, Spataro A, Proschan MA, Spirito P.  The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes . N Engl J Med . 1991;;324:295-301.
Catlin DH, Murray TH.  Performance-enhancing drugs, fair competition, and Olympic sport . JAMA . 1996;;276:231-237.
MacAloon JJ. This Great Symbol: Pierre de Coubertin and the Origins of the Modern Olympic Games . Chicago, Ill: University of Chicago Press; 1981;.
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