Staying Safe While Playing Sports in the Heat

Staying Safe While Playing Sports in the Heat

Students who feel healthy enough to play competitive school sports may think they are strong enough to tough it out during sweltering practices or competitions. Almost every year, however, we hear about students collapsing on the playing field or getting dehydrated and sick during hot weather.  

Heat-related illness during athletic activities is a leading cause of disability or death among U.S. high school athletes.  

Dr. Mandie Tibball Svatek, a pediatrician at University Health and UT Health San Antonio, answers questions about what adults can do to prevent heat from sidelining young athletes. 

What to Know Before Signing Kids Up for Sports

Children who want to participate in sports should visit their pediatrician for a sports physical and checkup before starting practice.

Conditions That May Make it Difficult to Play Sports When it’s Hot

Every child is different. You can have a child with a particular health problem that might prevent them from acclimatizing well to the heat. 

A child with ADHD on certain medications may have problems with any sort of heat intolerance. Obese children with a BMI greater than 85% may not tolerate the heat as well. 

Children who have been playing every day this summer who haven't had the opportunity to stay hydrated or rest their muscles may be more susceptible to heat-related illnesses.

Understand the Heat Index

It's important to understand what the heat index might be. Devices such as a wet bulb thermometer can measure the heat index that day, or you can look at apps to see what the predicted heat index will be. 

If it's going to exceed 95 degrees, you need to talk about whether you have practice earlier in the day, later in the evening or take frequent breaks during practice. 

Signs of Heat Exhaustion

When a child develops heat exhaustion, they may experience:

  • Cramping in the legs
  • Nausea and vomiting
  • Dizziness
  • Tired and fatigued
  • Shortness of breath
  • Skin is flushed and moist

Talk with Your Child's Coach

Ask your child's coach if they have a plan of action. Oftentimes, coaches will plan around excessive heat if practice is outdoors. They may schedule early morning practice, shorten the practice times or schedule frequent breaks. 

Kids and Hydration

Children ages 9-12 should hydrate with 3-8 oz of water every 15 to 20 minutes.

If a child is an adolescent or older, they should hydrate with 1 to 1.5 liters of water every 15 to 20 minutes. 

Children's Health at University Health

Learn more about children's health on our website.

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