Consensus statements

Medical Commission Meeting

IOC consensus statements have been published based on the works of the Medical and Scientific Commission. Find out more about these publications and reports.

27. IOC Consensus Meeting on methods for recording and reporting of epidemiological data on injury and illness in sport - 2019

26. IOC Consensus Meeting on Mental Health in Elite Athletes - 2018

25. IOC Consensus Meeting on serious knee injuries in Children - 2017

24. IOC Consensus meeting on Dietary Supplements and the high-performance athlete – 2017

23. IOC Consensus meeting on Pain Management – 2016

22. IOC Consensus meeting on the Health Consequences of a saturated Sports Calendar – 2016

21. IOC Consensus Statement on Relative Energy Deficiency in Sport (RED-S), beyond the Female Athlete Triad - 2015

20. IOC Consensus Meeting on Harassment and Abuse in Sport - 2015

19. IOC Consensus Meeting on Exercise and Pregnancy in Sport - 2015

18. IOC Consensus Meeting on Sex Reassignment and Hyperandrogenism - 2015

17. IOC Consensus Statement on youth athletic development  - 2015

16. Prevention and Management of Chronic Disease – 2013

15. IOC Consensus Statement on concussion in sport - 2013

14. IOC Consensus Statement on Body Composition Health and Performance in Sport - 2012

13. IOC Consensus Statement on the “Health and fitness of young people through physical activity and sport” - 2011

12. IOC Consensus Statement on the use of platelet-rich plasma (PRP) in sports medicine - 2011

11. IOC Consensus Statement on sports nutrition - 2010

10. IOC Consensus Statement on Periodic Health Evaluation of Elite Athletes - 2009

9. IOC Consensus meeting on Fasting and Sport – 2009

8. IOC Consensus Statement on knee injury - 2008

7. IOC Consensus Statement on asthma in elite athletes - 2008

6. IOC Consensus Statement on molecular basis of connective tissue and muscle injuries in sport - 2007

5. IOC Consensus Statement on sexual harassment and abuse in sport - 2007

4. IOC Consensus Statement adopted on "Training the Elite Child Athlete" - 2005

3. IOC Consensus Statement on the Female Athlete Triad - 2005

2. IOC Consensus Statement on sudden cardiovascular death in sport 2004

1. IOC Consensus Statement on athletes who have changed sex - 2004

 

 

IOC consensus meeting on methods for recording and reporting of epidemiological data on injury and illness in sport

Injury and illness surveillance, and epidemiological studies, are fundamental elements of concerted efforts to protect the health of the athlete. To encourage consistency in the definitions and methodology used, and to enable data across studies to be compared, research groups have published 11 sport-specific or setting-specific consensus statements on sports injury (and, eventually, illness) epidemiology to date. Our objective was to further strengthen consistency in data collection, injury definitions and research reporting through an updated set of recommendations for sports injury and illness studies, including a new Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist extension. The IOC invited a working group of international experts to review relevant literature and provide recommendations. The procedure included an open online survey, several stages of text drafting and consultation by working groups and a 3-day consensus meeting in October 2019. This statement includes recommendations for data collection and research reporting covering key components: defining and classifying health problems; severity of health problems; capturing and reporting athlete exposure; expressing risk; burden of health problems; study population characteristics and data collection methods. Based on these, we also developed a new reporting guideline as a STROBE Extension - the STROBE Sports Injury and Illness Surveillance (STROBE-SIIS). The IOC encourages ongoing in- and out-of-competition surveillance programmes and studies to describe injury and illness trends and patterns, understand their causes and develop measures to protect the health of the athlete. Implementation of the methods outlined in this statement will advance consistency in data collection and research reporting.

Read a summary of the Consensus meeting here

IOC consensus meeting on mental health in elite athletes

Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.

Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.

Read a summary of the Consensus meeting here.

IOC Consensus Meeting on serious knee injuries in children

The number of serious knee injuries i.e. anterior cruciate ligament (ACL) in active children practising a variety of sports is rising. In October 2017, the IOC convened an expert group of international surgical leaders and specialised physiotherapists in treating and preventing these injuries to address this as no agreements currently exist on prevention and treatment methods i.e. surgery or nonoperative and rehabilitation. There is also limited information on the psychological impact of such injury on children. The meeting resulted in an international consensus statement that should set the stage for future research and summarise the current knowledge in this field. Read a summary of the Consensus meeting here.

IOC Consensus meeting on Dietary Supplements and the high-performance athlete – 2017

"The use of dietary supplements is widespread among elite athletes, as it is in the general population. In May 2017, the IOC Medical and Scientific Commission organised a consensus meeting at the IOC Headquarters in Lausanne, with the aim to review all aspects of the use of dietary supplements by high-performance athlete.
Read the Consensus Statement here.
And the accompanying editorial here.

Consensus meeting on Pain Management

Pain is a common problem among elite athletes and is frequently associated with sport injury. Both pain and injury interfere with the performance of elite athletes. There are currently no evidence-based or consensus-based guidelines for the management of pain in elite athletes. Typically, pain management consists of the provision of analgesics, rest and physical therapy. More appropriately, a treatment strategy should address all contributors to pain including underlying pathophysiology, biomechanical abnormalities and psychosocial issues, and should employ therapies providing optimal benefit and minimal harm. To advance the development of a more standardised, evidence-informed approach to pain management in elite athletes, the IOC Medical and Scientific Commission organised a consensus meeting at the IOC Headquarters in Lausanne in May 2017, which critically evaluated the current state of the science and practice of pain management in sport and prepared recommendations for a more unified approach to this important topic. Please find the statement here.

IOC Consensus meeting on the Health Consequences of a saturated Sports Calendar

In 2016, the IOC convened an expert group to review the scientific evidence for the relationship of load and health outcomes in sport. This paper summarises the results linking load to risk of illness and overtraining in athletes, and provides athletes, coaches and support staff with practical guidelines for appropriate load management to reduce the risk of illness and overtraining in sport. These include guidelines for prescription of training and competition load, as well as for monitoring of training, competition and psychological load, athlete well-being and illness. In the process, urgent research priorities were identified.
Read the Consensus Statement here: part 1 and part 2

IOC consensus statement on Relative Energy Deficiency in Sport (RED-S), beyond the Female Athlete Triad

In 2015, the IOC convened a group of experts to update the female athlete triad consensus statement. Based on the available science, this group introduces a broader, more comprehensive term for the condition previously known as “Female Athlete Triad”. The term “Relative Energy Deficiency in Sport” (RED-S), points to the complexity involved and the fact that male athletes are also affected. The syndrome of Relative Energy Deficiency in Sports (RED-S) refers to impaired physiological function including, but not limited to, metabolic rate, menstrual function, bone health, immunity, protein synthesis, cardiovascular health caused by relative energy deficiency.

Read the Consensus Statement here

Read more information on RED-S by the original authors here

For the athlete treatment team, please find a clinical tool to assist with the diagnosis and management of Relative Energy Deficiency in Sport (RED-S CAT). Please click on the link to find the explanation, instructions and English version : http://bjsm.bmj.com/content/49/7/421.full.pdf+html

This tool is available in the following languages: French, Spanish, Italian, Norwegian, Japanese and German.

Consensus Meeting on Harassment and Abuse in Sport

In October 2015, the IOC Medical and Scientific Commission organised a consensus meeting at the IOC Headquarters in Lausanne, that resulted in the following publication:

Read the Consensus Statement here

Consensus Meeting on Exercise and Pregnancy in Sport

In September 2015, the IOC Medical and Scientific Commission organised a consensus meeting at the IOC Headquarters in Lausanne, that resulted in the following publication:

Read the Consensus Statement here

Consensus Meeting on Sex Reassignment and Hyperandrogenism

Background

In 2003 the IOC Medical Commission organised a consensus meeting in Stockholm that resulted in recommendations related to the eligibility for athletes who have undergone sex reassignment to compete under the new sex.  In 2010, the IOC Medical Commission held a consensus meeting on Female Hyperandrogenism.  As a result of this meeting, and prior to the 2012 London Olympic Games, the IOC implemented the IOC Regulations on Female Hyperandrogenism (hereafter the “Regulations”). These Regulations were subsequently updated for the 2014 Sochi Winter Olympic Games, and published in September 2013.

Consensus meeting November 2015

In November 2015, the IOC Medical and Scientific Commission convened an expert group to review the available scientific and clinical evidence on Sex Reassignment and Hyperandrogenism in female athletes.  Although there was not unanimity of opinion on all details discussed the statement reflects a consensus of those participating.  However, following the Court of Arbitration for Sport (CAS) interim award in the Chand v AFI and IAAF case, the IOC is not in a position to  introduce rules on hyperandrogenism until the issues of the case are resolved.

Read the Consensus Statement here

Consensus statement on youth athletic development 

The benefits of sports participation on the health, fitness and well-being of young people has been well proven; nonetheless, there are considerable challenges in trying to maintain inclusive, sustainable and enjoyable participation for all levels of athletic achievement.

In an effort to provide an evidence-based approach to youth athletic development, an IOC panel of medical and scientific experts convened in November 2014 in Lausanne, Switzerland, to evaluate the current state of the science and practice of young athlete development. This statement, published in the British Journal of Sports Medicine (May 2015), presents the resulting outcome of this meeting and outlines recommendations for developing healthy, resilient and capable young athletes, while providing opportunities for all levels of sports participation and success.

Find out more and read the statement

IOC consensus statement on Prevention and Management of Chronic Disease

In April 2013, the IOC convened a consensus meeting on non-communicable chronic disease (NCD) prevention. Morbidity and mortality from preventable, NCD threatens the health of our populations and our economies. The IOC's focus is to create solutions that gain traction within healthcare systems. The group of participants attending the meeting achieved consensus on a strategy for the prevention and management of chronic disease that includes the following: (1) Focus on behavioural change as the core component of all clinical programmes for the prevention and management of chronic disease. (2) Establish actual centres to design, implement, study and improve preventive programmes for chronic disease. (3) Use human-centred design in the creation of prevention programmes with an inclination to action, rapid prototyping and multiple iterations. (4) Extend the knowledge and skills of Sports and Exercise Medicine (SEM) professionals to build new programmes for the prevention and treatment of chronic disease focused on physical activity, diet and lifestyle. (5) Mobilise resources and leverage networks to scale and distribute programmes of prevention.

Read the Consensus Statement here

Consensus meeting on Hyperandrogenism in Women Athletes

Background

In 2010, the IOC Medical Commission held a consensus meeting on Female Hyperandrogenism. As a result of this meeting, and prior to the 2012 London Olympic Games, the IOC implemented the IOC Regulations on Female Hyperandrogenism (hereafter the “Regulations”). These Regulations were subsequently updated for the 2014 Sochi Winter Olympic Games, and published in September 2013.

Consensus meeting October 2013

In October 2013, the IOC Medical Commission convened an expert group to review the available scientific and clinical evidence on Hyperandrogenism and to update the Regulations, accordingly. In doing so, the expert group acknowledged that the Regulations are a living document, subject to change from time to time, as further evidence becomes available. The group’s recommendations will be presented to the IOC Executive Board in the first half of 2014.

Consensus statement on concussion in sport

April 2013

This consensus statement is an outcome of the Fourth International Consensus Conference on Concussion in Sport, held in November 2012 in Zurich, and aimed at defining the best ways to manage and prevent cases of concussion in sport. Concussion, which is one of the most common injuries in sport with potential serious long-term consequences on the health of athletes, was until recently under-diagnosed and treated. It is now fully recognised as a very serious health threat, and sports federations are taking measures to protect athletes from adverse effects and to ensure that players recover adequately following an incident. The new 2012 Zurich Consensus statement, published in the British Journal of Sports Medicine (March 2013), is designed to build on the principles outlined in the previous research and to develop further conceptual understanding of the problem.

Find out more and read the statement

Consensus Statement on Body Composition Health and Performance in Sport

March 2012

Body composition is an important health and performance variable. In weight-sensitive sports, many athletes use extreme methods to rapidly reduce or maintain a low body mass in order to gain a competitive advantage. This can lead to severe medical problems, with fatal consequences in extreme cases. To date, there is no universally applicable criterion or “gold standard” methodology for body composition assessment.

The authors of the paper conclude that the multi-component model (derived from body volume, total body water, bone mineral, and body mass) might be employed as a performance or selection criterion. However, when body composition is monitored to assess the effectiveness of an intervention, then other laboratory or field methods such as DXA, densitometry, anthropometry, or ultrasound may be more practical. The Body Mass Index (BMI) is not a useful means of assessing or monitoring body composition (it is only a measure of relative weight), nor are those methods that make assumptions about the density of fat-free mass in their computation.

Read the Consensus Statement here

Do you want to learn more about issues that can put a healthy body image at risk?

Reproduced from Ackland TR, Lohman TG, Sundgot-Borgen J, et al: Current status of body composition assessment in sport. Review and position statement on behalf of the Ad Hoc Research Working Group on Body Composition Health and Performance, under the auspices of the IOC Medical Commission. Sports Med 2012:42 (3): 227 – 249, with permission from Springer International Publishing Switzerland (© 2011. All rights reserved).

IOC Consensus Statement on the “Health and fitness of young people through physical activity and sport”

12 September 2011

The expert paper defines the health consequences of inactivity; it identifies the determinants of sports participation and drop-outs, and provides recommendations on potential solutions and global partnerships. The ultimate purpose of this scientific effort is to improve the health and fitness of young people throughout the world, thereby decreasing the morbidity and mortality deriving from non-communicable diseases.

Find out more and read the statement 

IOC Medical Commission Statement on female reproductive system in sport

At the April 2011 IOC Medical & Science Group meeting in Monaco, the issue of the continued exclusion of women from some sports on the grounds of the risk of injury to their reproductive system was raised and discussed. Following the recommendations from the medical and scientific experts at the meeting, the IOC Medical Commission agreed and adopted a statement on injuries to the female reproductive organs:

“No female athlete should be denied the opportunity to participate in any Olympic sport on the basis that she might sustain an injury to her reproductive organs. A survey of injury data has failed to find any evidence of an increased risk of acute or chronic damage to the female reproductive organs occurring as a direct result of participation in sport.”

IOC Consensus Statement on the use of platelet-rich plasma (PRP) in sports medicine

“Acute and chronic musculoskeletal injuries in sport are common and problematic for both athletes and clinicians. A significant proportion of these injuries remain difficult to treat, and many athletes suffer from decreased performance and longstanding pain and discomfort. Platelet Rich Plasma (PRP) is now being widely used to treat musculoskeletal injuries in sport.
Whilst the role of PRP in tissue healing and regeneration may open up a new area in regenerative medicine, there remains a large amount of work to understand the mechanism of action of PRP in the regeneration and repair process of a given tissue. The IOC consensus paper delivers recommendations on this complex topic and is based on preliminary research conducted by experts in this field, such as the Aspetar Hospital in Doha, Qatar. »

Find out more and read the statement

IOC consensus statement on sports nutrition 2010

Diet significantly influences athletic performance. All athletes should adopt specific nutritional strategies before, during and after training and competition to maximise their mental and physical performance. Evidence-based guidelines on the amount, composition, and timing of food intake have been defined to help athletes perform and train more effectively, with less risk of illness and injury.

Find out more and read the statement

IOC Consensus Statement on Periodic Health Evaluation of Elite Athletes

16 July 2009

In March 2009, the International Olympic Committee assembled an expert group listed above to discuss the current state of the art of the pre-participation health evaluation aiming to provide recommendations for a practical elite athlete Periodic Health Examination (PHE), as well as to outline the need for further research. The PHE can serve many purposes. The PHE includes a comprehensive assessment of the athlete’s current health status and risk of future injury or disease and, typically, is the entry point for medical care of the athlete. The PHE also serves as a tool for periodic health evaluation and monitoring in athletes.

Find out more and read the statement

Consensus Meeting on Fasting and Sport

In April 2009, the IOC Medical Commission organised a consensus meeting at the IOC Headquarters in Lausanne, that resulted in the following publication:

Read the Consensus Statement here

IOC expert group publishes consensus statement on knee injury

05 May 2008

Non-contact anterior cruciate ligament (ACL) injury is a serious knee injury which affects young women in much higher numbers than young men, especially in sports like basketball, netball and team handball. A group of physicians, physical therapists, biomechanists and other scientists were invited by the IOC Medical Commission to discuss ACL, risk factors, prevention programmes and the need for further research. The expert panel concluded that improved education and greater awareness were key: "Athletes, coaches, and parents all play a vital role in the fight to prevent ACL injuries, which remains the largest single problem in orthopaedic sports medicine ».

Find out more and read the statement 

IOC adopts Consensus Statement on sexual harassment and abuse in sport

08 February 2007

The Executive Board of the International Olympic Committee (IOC) adopted a Consensus Statement on “Sexual Harassment and Abuse in Sport”. This unique document defines the problems, identifies the risk factors and provides guidelines for prevention and resolution. The aim of the Consensus is to improve the health and protection of athletes through the promotion of effective preventive policy as well as to increase the awareness of these problems among the people in the entourage of the athletes.

Find out more and read the statement 

Consensus Statement adopted on "Training the Elite Child Athlete"

14 November 2005

Having identified “Training the Elite Child Athlete” as a theme to be carefully studied, the IOC Medical Commission (MC) held a meeting in Lausanne. Coordinated by Margo Mountjoy M.D, member of the IOC MC and Lyle Micheli M.D., of the Harvard Medical School, discussions involved a group of experts including leading paediatric sports medicine and scientific experts from around the world as well as a retired elite child athlete. During the meeting, relative scientific literature was reviewed and safe guidelines were produced for the training of the elite child athlete.

Find out more and read the statement 

IOC Consensus Statement on the Female Athlete Triad

9 November 2005

Protecting the health of the athlete is the primary goal of the International Olympic Committee’s Medical Commission (IOC MC). While athletes should be encouraged to strive for excellence, there is an obligation on the part of coaches, team physicians, other health care providers, International Federations, and sport governing bodies to recognise pressures, actions, and situations that may be detrimental to the athlete’s health. One area of concern for many female athletes is the pressure to meet unrealistic weight or body fat levels.

Find out more and read the consensus statement 

IOC approves consensus with regard to athletes who have changed sex

17 May 2004

The Executive Board of the International Olympic Committee (IOC) approved the consensus proposed by the IOC Medical Commission stating the conditions to be respected for a person who has changed sex to compete in sports competitions. These conditions will be applied as of the Games of the XXVIII Olympiad in 2004 in Athens. The consensus is based on an ad-hoc committee convened by the IOC Medical Commission that met on 28 October 2003 in Stockholm to discuss and issue recommendations on the participation of individuals who have undergone sex reassignment (male to female and vice versa) in sport.

Find out more and read the statement

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