What Impact Have the IOC Medical Consensus Statements Made on Athlete Health? A Survey of Medical Commissions from National Olympic/Paralympic Committees and International Sports Federations

Overview

Journal BMJ Open Sport Exerc Med

Specialty Orthopedics

Date 2024 Apr 26

PMID 38665384

Authors

Lauren Victoria Fortington

Marelise Badenhorst

Wayne Derman

Carolyn Emery

Kati Pasanen

Martin Schwellnus

Evert Verhagen

Caroline F Finch

Affiliations

Soon will be listed here.

Abstract

Background: The International Olympic Committee (IOC) Medical and Scientific Commission has supported collating and sharing evidence globally by developing sports medicine consensus statements ('Statements''). Publishing the Statements requires substantial resources that must be balanced by use and impact on policy and practice. This study aimed to gain a better understanding of awareness and uptake of the Statements globally through a survey of the National Olympic Committees (NOC), National Paralympic Committees (NPC) and International Federations (IF).

Method: A cross-sectional survey of medical commission representatives from NOCs/NPCs/IFs. A structured questionnaire was distributed through the IOC head office, informed by prior research. Questions comprised a mix of closed and open-text responses with results presented descriptively by organisation type and total.

Results: 55 responses were included: 29 (52%) from NOC/NPC representatives (response rate 14%) and 26 (47%) from IF representatives (response rate 63%). All Statements had been used by at least one respondent, with the Statement addressing concussion ranked highest (used by 33/55). The main barriers to use were financial limitations (n=21), club/sport culture and behaviours (n=19) and lack of understanding from coaches/team sport personnel (n=19). Participants believed the Statements were a successful strategy for improving athlete health (n=39/51 agree or strongly agree).

Conclusion: There was clear support for the continued development of sports medicine guidance, including in the format of these Statements. To ensure Statements lead to demonstrable health benefits for athletes, input from athletes, coaches and supporting staff is needed, as well as clearer identification of the purpose and audience of each topic developed.

Citing Articles

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Bonell Monsonis O, Sporri J, Gouttebarge V, Bolling C, Verhagen E Sports Med Open. 2025; 11(1):17.

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References

Burns L, Weissensteiner J, Cohen M . Lifestyles and mindsets of Olympic, Paralympic and world champions: is an integrated approach the key to elite performance?. Br J Sports Med. 2018; 53(13):818-824. DOI: 10.1136/bjsports-2018-099217. View

Gokeler A, Grassi A, Hoogeslag R, Van Houten A, Lehman T, Bolling C . Return to sports after ACL injury 5 years from now: 10 things we must do. J Exp Orthop. 2022; 9(1):73. PMC: 9339063. DOI: 10.1186/s40634-022-00514-7. View

Fortington L, Handcock R, Derman W, Emery C, Pasanen K, Schwellnus M . Citation impact and reach of the IOC sport and exercise medicine consensus statements. BMJ Open Sport Exerc Med. 2023; 9(1):e001460. PMC: 9896205. DOI: 10.1136/bmjsem-2022-001460. View

Raysmith B, Drew M . Performance success or failure is influenced by weeks lost to injury and illness in elite Australian track and field athletes: A 5-year prospective study. J Sci Med Sport. 2016; 19(10):778-83. DOI: 10.1016/j.jsams.2015.12.515. View

McCormack L, Sheridan S, Lewis M, Boudewyns V, Melvin C, Kistler C . Communication and dissemination strategies to facilitate the use of health-related evidence. Evid Rep Technol Assess (Full Rep). 2014; (213):1-520. PMC: 4781094. DOI: 10.23970/ahrqepcerta213. View

Bahr R, Clarsen B, Derman W, Dvorak J, Emery C, Finch C . International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). Br J Sports Med. 2020; 54(7):372-389. PMC: 7146946. DOI: 10.1136/bjsports-2019-101969. View

Patricios J, Schneider K, Dvorak J, Ahmed O, Blauwet C, Cantu R . Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022. Br J Sports Med. 2023; 57(11):695-711. DOI: 10.1136/bjsports-2023-106898. View

Arundale A, Silvers-Granelli H, Myklebust G . ACL injury prevention: Where have we come from and where are we going?. J Orthop Res. 2021; 40(1):43-54. DOI: 10.1002/jor.25058. View

Schwellnus M, Adami P, Bougault V, Budgett R, Clemm H, Derman W . International Olympic Committee (IOC) consensus statement on acute respiratory illness in athletes part 1: acute respiratory infections. Br J Sports Med. 2022; . DOI: 10.1136/bjsports-2022-105759. View

10.

Dijkstra H, Pollock N, Chakraverty R, Alonso J . Managing the health of the elite athlete: a new integrated performance health management and coaching model. Br J Sports Med. 2014; 48(7):523-31. PMC: 3963533. DOI: 10.1136/bjsports-2013-093222. View

11.

Fortington L, Badenhorst M, Bolling C, Derman W, Emery C, Pasanen K . Are we levelling the playing field? A qualitative case study of the awareness, uptake and relevance of the IOC consensus statements in two countries. Br J Sports Med. 2023; 57(21):1371-1381. PMC: 10646857. DOI: 10.1136/bjsports-2022-105984. View

12.

Smyth E, Donaldson A, Drew M, Menaspa M, Cooke J, Guevara S . What Contributes to Athlete Performance Health? A Concept Mapping Approach. Int J Environ Res Public Health. 2023; 20(1). PMC: 9819660. DOI: 10.3390/ijerph20010300. View

13.

Rabin B, Brownson R, Haire-Joshu D, Kreuter M, Weaver N . A glossary for dissemination and implementation research in health. J Public Health Manag Pract. 2008; 14(2):117-23. DOI: 10.1097/01.PHH.0000311888.06252.bb. View

14.

Renstrom P, Ljungqvist A, Arendt E, Beynnon B, Fukubayashi T, Garrett W . Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sports Med. 2008; 42(6):394-412. PMC: 3920910. DOI: 10.1136/bjsm.2008.048934. View

15.

McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S . Consensus statement on concussion in sport-the 5 international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017; 51(11):838-847. DOI: 10.1136/bjsports-2017-097699. View

16.

Ardern C, Ekas G, Grindem H, Moksnes H, Anderson A, Chotel F . 2018 International Olympic Committee Consensus Statement on Prevention, Diagnosis, and Management of Pediatric Anterior Cruciate Ligament Injuries. Orthop J Sports Med. 2018; 6(3):2325967118759953. PMC: 5865521. DOI: 10.1177/2325967118759953. View

17.

Mountjoy M, Sundgot-Borgen J, Burke L, Carter S, Constantini N, Lebrun C . The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014; 48(7):491-7. DOI: 10.1136/bjsports-2014-093502. View

18.

Finch C, Talpey S, Bradshaw A, Soligard T, Engebretsen L . Research priorities of international sporting federations and the IOC research centres. BMJ Open Sport Exerc Med. 2016; 2(1):e000168. PMC: 5125424. DOI: 10.1136/bmjsem-2016-000168. View