Athletes, doctors, and lawyers with first names beginning with "D" die sooner

Do Elite Athletes Live Longer? A Systematic Review of Mortality and Longevity in Elite Athletes

BACKGROUND

Understanding of an athlete's lifespan is limited with a much more sophisticated knowledge of their competitive careers and little knowledge of post-career outcomes. In this review, we consider the relationship between participation at elite levels of sport and mortality risk relative to other athletes and age- and sex-matched controls from the general population. Our objective was to identify, collate, and disseminate a comprehensive list of risk factors associated with longevity and trends and causes of mortality among elite athletes.

METHODS

English language articles were searched using the Web of Science database. Keywords athletes, death, elite, "high performance" life expect*, longevity, mortality, players, professional, and sport were used to locate research articles. Seventeen additional articles were retrieved from reference lists found in these papers and a general web search. The inclusion criteria were the following: (1) publication year 1980 or later; (2) the study examined elite-level athletes; and (3) outcome data measured mortality/longevity trends and/or causes.

RESULTS

Fifty-four peer-reviewed publications and three articles from online sources met the criteria for inclusion. Baseball, football, soccer, basketball, and cycling had the most reported data on elite athletes' lifespan longevities. A variety of mechanisms have attempted to explain mortality risk (e.g., handedness, playing position, achievement, etc.). Considerable support was found for superior longevity outcomes for elite athletes, particularly those in endurance and mixed sports.

CONCLUSIONS

Future research into the mechanisms that may affect mortality risk is important for a better understanding of life expectancies in both eminent and non-eminent populations. Participation in elite sport is generally favorable to lifespan longevity.

KEY POINTS

A majority of studies included in this review reported superior lifespan longevity outcomes for elite athletes compared to age- and sex-matched controls from the general population and other athletes.Several mechanisms within and between sports may have powerful effects on the overall lifespan longevities of players (e.g., type of sport, playing position, race, and energy system).Future research on mortality in elite athletes would benefit from more comprehensive statistical measures and reliable databases to determine potential mechanisms that may influence mortality trends and causes in both athlete and non-athlete samples.

Do people whose names begin with "D" really die young?

It has been reported that professional baseball players whose first names begin with the letter "D" tend to die relatively young (E. L. Abel & M. L. Kruger, 2010). However, the statistical evidence for this claim is based on selective data and a statistical test that ignores important confounding influences. A valid test applied to more comprehensive data from the same source does not show a statistically significant relationship between initials and longevity. In addition, data for the years 1960 through 2004 for 6.7 million White, non-Hispanic California decedents do not replicate the claim that D's die young.

The Baseball Hall of Fame is not the kiss of death

E. Abel andM. Kruger (2005) reported that the median life expectancy of Major League Baseball players after election to the Baseball Hall of Fame is 5 years shorter than that of players of the same age who are not elected to the Hall of Fame. This conclusion is surprising because there is no compelling explanation for such a dramatic reduction in life expectancy. However, the data used in that study are incorrect. A robust test applied to correct data shows that there is no statistically persuasive difference in the life expectancy of players elected to the Hall of Fame and their peers.