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Year-round longitudinal health surveillance in UK Olympic Summer Sport Athletes 2016–2019
  1. Craig Ranson1,
  2. Moses Wootten1,
  3. Anita Biswas1,
  4. Lee Herrington1,
  5. David Gallimore1,
  6. Paul D Jackson1,
  7. Abbie Taylor2,
  8. Simon Spencer1,
  9. James Hull1,3,
  10. Steve McCaig1
  1. 1 English Institute of Sport, Manchester, UK
  2. 2 UK Sport, London, UK
  3. 3 UCL, London, UK
  1. Correspondence to Dr Craig Ranson, English Institute of Sport, Manchester, M11 3BS, UK; craig.ranson{at}


Objectives To identify the priority injury and illness types across UK summer Olympic World Class Programme sports to inform development, implementation and evaluation of associated injury risk mitigation and management initiatives.

Methods Four years (2016–2019) of electronic medical records of 1247 athletes from 22 sports were analysed and reported using methods based on the 2020 International Olympic Committee consensus statement for epidemiological recording and reporting.

Results 3562 injuries and 1218 illness were recorded, accounting for 146 156 and 27 442 time-loss days. Overall, 814 (65%) athletes reported at least one injury, while 517 (41%) reported at least one illness. There were 1.3 injuries per athlete year resulting in a mean burden of 54.1 days per athlete year. The lumbar/pelvis, knee, ankle and shoulder body regions had the highest incidence and burden. Athletes reported 0.5 illnesses per athlete year, resulting in a mean burden of 10.4 days per athlete year, with most composed of respiratory illness and gastroenteritis. Injuries within sport groups were representative of the injury risk profile for those sports (eg, knee, hand and head injuries had the highest incidence in combat sports), but respiratory illnesses were consistently the greatest problem for each sport group.

Conclusions To optimise availability for training and performance, systematic risk mitigation and management initiatives should target priority injury problems occurring in the lumbar/pelvis, knee, ankle and shoulder, and respiratory illness. Follow-up analysis should include identification of sport-specific priority health problems and associated risk factors.

  • Health
  • Sport
  • Illness

Data availability statement

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  • Contributors All authors contributed to the data interpretation and production of the manuscript. CR, the author acting as guarantor, led planning of the work. PDJ, DG, SS, LH, JH, MW and AB contributed to the methods development and data collection. MW, AT and SM conducted the data analysis and reporting.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

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

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.