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Consensus statement
Prevention and management of non-communicable disease: the IOC consensus statement, Lausanne 2013
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  1. Gordon O Matheson1,2,
  2. Martin Klügl3,
  3. Lars Engebretsen4,5,6,
  4. Fredrik Bendiksen4,
  5. Steven N Blair7,
  6. Mats Börjesson8,9,
  7. Richard Budgett5,
  8. Wayne Derman10,
  9. Uğur Erdener5,
  10. John P A Ioannidis11,
  11. Karim M Khan12,
  12. Rodrigo Martinez13,
  13. Willem Van Mechelen10,14,15,
  14. Margo Mountjoy16,
  15. Robert E Sallis17,
  16. Martin Schwellnus10,
  17. Rebecca Shultz1,2,
  18. Torbjørn Soligard5,
  19. Kathrin Steffen4,
  20. Carl Johan Sundberg18,
  21. Richard Weiler19,20,
  22. Arne Ljungqvist5
  1. 1Division of Sports Medicine, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California, USA
  2. 2Human Performance Laboratory, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California, USA
  3. 3Department of Healthy Policy and Management, Harvard University, Boston, USA
  4. 4Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sports Science, Oslo, Norway
  5. 5Medical & Scientific Department, International Olympic Committee, Lausanne, Switzerland
  6. 6Orthopaedic Center, Ullevål University Hospital, University of Oslo, Oslo, Norway
  7. 7Departments of Exercise Science and Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, USA
  8. 8Åstrands Laboratory, The Swedish School of Sports and Health Sciences, Stockholm, Sweden
  9. 9Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden
  10. 10Clinical Sports & Exercise Medicine Research Group, UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, University of Cape Town, Cape Town, South Africa
  11. 11Department of Medicine and Department of Health Research & Policy, Department of Statistics, Stanford Prevention Research Center, Stanford University School of Medicine, Stanford University School of Humanities and Sciences, Stanford, California, USA
  12. 12Department of Family Practice and School of Kinesiology, The University of British Columbia, Vancouver, Canada and Aspetar: The Qatar Orthopaedic and Sports Medicine Hospital
  13. 13IDEO, Design and Biology, Boston, USA
  14. 14Department of Public & Occupational Health and EMGO Institute for Health & Care Research, VU University Medical Center, Amsterdam, The Netherlands
  15. 15School of Human Movement Studies, University of Queensland, Brisbane, Australia
  16. 16Department of Family Medicine, Michael G DeGroote School of Medicine, McMaster University, Hamilton, Canada
  17. 17Department of Family Medicine, Fontana Medical Center, Kaiser Permanente Southern California, Fontana, USA
  18. 18Department of Physiology & Pharmacology, Karolinska Institutet, Stockholm, Sweden
  19. 19Population Health Domain Physical Activity Research Group, Department of Epidemiology & Public Health, University College London, London, UK
  20. 20University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Dr Gordon O Matheson, Sports Medicine Center 341 Galvez Street, Stanford, CA 94305, USA; gord{at}stanford.edu

Abstract

Morbidity and mortality from preventable, non-communicable chronic disease (NCD) threatens the health of our populations and our economies. The accumulation of vast amounts of scientific knowledge has done little to change this. New and innovative thinking is essential to foster new creative approaches that leverage and integrate evidence through the support of big data, technology and design thinking. The purpose of this paper is to summarise the results of a consensus meeting on NCD prevention sponsored by the IOC in April 2013. Within the context of advocacy for multifaceted systems change, 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. True innovation lies in the ability to align thinking around these core strategies to ensure successful implementation of NCD prevention and management programmes within healthcare. The IOC and SEM community are in an ideal position to lead this disruptive change. The outcome of the consensus meeting was the creation of the IOC Non-Communicable Diseases ad hoc Working Group charged with the responsibility of moving this agenda forward.

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https://doi.org/10.1136/bjsports-2013-093034

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