학술논문

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.
Document Type
Academic Journal
Author
Fortington LV; Edith Cowan University, Joondalup, Western Australia, Australia.; Badenhorst M; Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand.; Derman W; IOC Research Centre South Africa, Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.; Emery C; Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.; Pasanen K; Sport Injury Prevention Research Centre, University of Calgary Faculty of Kinesiology, Calgary, Alberta, Canada.; Schwellnus M; IOC Research Centre South Africa, Sport, Exercise Medicine and Lifestyle Institute (SEMLI), University of Pretoria, Faculty of Health Sciences, Pretoria, Gauteng, South Africa.; Verhagen E; Amsterdam Collaboration on Health and Safety in Sports, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, Amsterdam, The Netherlands, Amsterdam, The Netherlands.; Finch CF; Edith Cowan University, Joondalup, Western Australia, Australia.
Source
Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101681007 Publication Model: eCollection Cited Medium: Print ISSN: 2055-7647 (Print) Linking ISSN: 20557647 NLM ISO Abbreviation: BMJ Open Sport Exerc Med Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2055-7647
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.
Competing Interests: Competing interests: All authors are members of a centre affiliated with the IOC Medical Research Network, recognised for their research into the protection of athlete health research. Early results were presented and discussed in two meetings linked to the network, with attendance from representatives of 11 research centres and the IOC Medical and Scientific Commission. Neither the IOC nor its Medical Commission contributed to details and decisions about the study design, its conduct or the interpretation and discussion of results.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)