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Roundtable Consensus Statement Youth Football : Heat Stress and Injury Risk EXPERT PANEL

From 1995 to 2001, 21 young football players reportedly died from heat stroke in the United States (68). Since that time, the media has highlighted a number of similar incidents, as well as other heat-related problems with young players on the football field, such as exertional collapse. Despite the recognized benefits of sufficient fluid intake and precautionary measures to optimize performance and reduce the risk of heat illness, heatand dehydration-related problems persist on the football field—particularly in preseason practice. This roundtable highlighted football-specific empirical data and practices that directly relate to heat stress effects and heat injury risk in youth football. The presentations underscored the operational issues and factors related to heat injury risk and prevention in this age group, with a specific emphasis on preseason practice. Discussions related to general physiological, clinical, and behavioral aspects of hydration, temperature regulation, and heat strain and the clinical management of heat injury were intentionally limited so the informational outcomes of this roundtable could be readily integrated into practical and effective guidelines and strategies to reduce the risk of heat injury for youth football athletes. Recent published and unpublished on-field observations and survey-based information give new insight to fluid balance and core temperature responses during preseason practice, as well as how selected youth programs are managing environmental challenges and attempting to prevent on-field heat-related injuries. These new data, along with previous on-field observations and other published footballspecific studies and reports, provided the bases for discussions during the roundtable.