Abstract
BackgroundSeveral studies have demonstrated that body habitus is associated with survival (life expectancy) time. We sought to determine if survival differed between elite athletes with a range of body types. We hypothesized that the survival would differ between athlete types and that ectomorph athletes would have longer survival than heavier athletes.MethodsFor each Olympics between 1928 and 1948 we identified the top (up to 20) Olympic male and female finishers in the high jump (HJ), discus throw, marathon, and 100-m run. We determined date of death using internet searches and calculated age-specific expected survival using published US life tables. We adjusted life expectancy for country of origin based on Global Burden of Disease data.ResultsWe identified a death date for 336 of 429 (78%) Olympic athletes including 229 males (55 marathon, 56 100-m 58 high jump, 60 discus), and 107 females (54 100-m, 25 high jump, 28 discus). Discus throwers were heaviest and marathon runners the lightest and oldest athletes (p < 0.01). Observed-expected survival was highest for high jumpers (7.1 years for women, 3.7 years for men) and marathon runners (4.7 years for men) and lowest for sprinters (−1.6 years for women and −0.9 years for men). In multivariate analysis controlling for age and gender, type of sport remained significantly associated with mortality with greatest survival for high jumpers and marathon runners compared to discus throwers and sprinters (p = 0.005). Controlling for weight, reduced the survival benefit of high jumpers over discus throwers, but had little effect on the survival benefit of marathon runners vs. sprinters.ConclusionSignificant differences in long term survival exist for different types of track and field Olympic athletes that were explained in part by weight.
Highlights
Several studies have demonstrated that body habitus is associated with survival time
Marathon runners followed by discus throwers were oldest at the time of Olympics (Tables 1, 2)
Discus throwers were heavier than other athletes
Summary
Several studies have demonstrated that body habitus is associated with survival (life expectancy) time. We sought to determine if survival differed between elite athletes with a range of body types. Studies of the mortality of elite athletes compared to the general population have shown favorable outcome for many, but not all, sports. A study of German international soccer players demonstrated shorter life expectancy compared to age-matched. Several studies have demonstrated that body habitus is associated with survival, with higher body mass index (BMI) being associated with increased mortality in the general population [6]. Elite power lifters (known to have a high BMI) have been shown to have a higher mortality than the general population in several studies [7, 8]
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