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Sport and exercise genomics: the FIMS 2019 consensus statement update
  1. Kumpei Tanisawa1,
  2. Guan Wang2,
  3. Jane Seto3,4,
  4. Ioanna Verdouka2,
  5. Richard Twycross-Lewis5,
  6. Antonia Karanikolou2,
  7. Masashi Tanaka6,
  8. Mats Borjesson7,8,
  9. Luigi Di Luigi9,
  10. Michiko Dohi10,
  11. Bernd Wolfarth11,
  12. Jeroen Swart12,
  13. James Lee John Bilzon13,
  14. Victoriya Badtieva14,15,
  15. Theodora Papadopoulou16,17,
  16. Maurizio Casasco18,
  17. Michael Geistlinger19,
  18. Norbert Bachl20,21,
  19. Fabio Pigozzi22,
  20. Yannis Pitsiladis2
  1. 1 Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan
  2. 2 Collaborating Centre of Sports Medicine, University of Brighton, Eastbourne, UK
  3. 3 Murdoch Children's Research Institute, Parkville, Victoria, Australia
  4. 4 Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
  5. 5 School of Engineering and Materials Science, Queen Mary University of London, London, UK
  6. 6 Department for Health and Longevity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
  7. 7 Department of Neuroscience and Physiology, Center for Health and Performance, Goteborg University, Göteborg, Sweden
  8. 8 Sahlgrenska University Hospital/Ostra, Göteborg, Sweden
  9. 9 Unit of Endocrinology, Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
  10. 10 Sport Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan
  11. 11 Department of Sport Medicine, Humboldt University and Charité University School of Medicine, Berlin, Germany
  12. 12 UCT Research Unit for Exercise Science and Sports Medicine, Cape Town, South Africa
  13. 13 Department for Health, University of Bath, Bath, UK
  14. 14 I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russian Federation
  15. 15 Moscow Research and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department, Moscow, Russian Federation
  16. 16 Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK
  17. 17 British Association of Sport and Exercise Medicine, Doncaster, UK
  18. 18 Italian Federation of Sports Medicine (FMSI), Rome, Italy
  19. 19 Unit of International Law, Department of Constitutional, International and European Law, University of Salzburg, Salzburg, Salzburg, Austria
  20. 20 Institute of Sports Science, University of Vienna, Vienna, Austria
  21. 21 Austrian Institute of Sports Medicine, Vienna, Austria
  22. 22 Sport Medicine Unit, Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy
  1. Correspondence to Professor Yannis Pitsiladis, Collaborating Centre of Sports Medicine, University of Brighton, Eastbourne BN20 7UR, UK; Y.Pitsiladis{at}Brighton.ac.uk

Abstract

Rapid advances in technologies in the field of genomics such as high throughput DNA sequencing, big data processing by machine learning algorithms and gene-editing techniques are expected to make precision medicine and gene-therapy a greater reality. However, this development will raise many important new issues, including ethical, moral, social and privacy issues. The field of exercise genomics has also advanced by incorporating these innovative technologies. There is therefore an urgent need for guiding references for sport and exercise genomics to allow the necessary advancements in this field of sport and exercise medicine, while protecting athletes from any invasion of privacy and misuse of their genomic information. Here, we update a previous consensus and develop a guiding reference for sport and exercise genomics based on a SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis. This SWOT analysis and the developed guiding reference highlight the need for scientists/clinicians to be well-versed in ethics and data protection policy to advance sport and exercise genomics without compromising the privacy of athletes and the efforts of international sports federations. Conducting research based on the present guiding reference will mitigate to a great extent the risks brought about by inappropriate use of genomic information and allow further development of sport and exercise genomics in accordance with best ethical standards and international data protection principles and policies. This guiding reference should regularly be updated on the basis of new information emerging from the area of sport and exercise medicine as well as from the developments and challenges in genomics of health and disease in general in order to best protect the athletes, patients and all other relevant stakeholders.

  • genes
  • genetics
  • genetic testing
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Footnotes

  • Twitter @rinsho, @JBilzon, @Dora_Sportmed

  • Contributors All authors contributed significantly to this manuscript and all fulfilled the requirements for authorship as declared in the BJSM instructions to authors.

  • Funding This study was supported in part by the Grant-in-Aid for JSPS Fellows from the Ministry of Education, Culture, Sports, Science, and Technology (16J09593 to KT) and the JSPS KAKENHI Grant Number (16H01872 to MT) (Tokyo, Japan). Open access was paid by MEXT-Supported Program for the Strategic Research Foundation at Private Universities, 2015-2019 from the Ministry of Education, Culture, Sports, Science and Technology (S1511017).

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.