TY - JOUR T1 - Protecting the world’s finest athletes: periodic health evaluation practices of the top performing National Olympic Committees from the 2016 Rio or 2018 PyeongChang Olympic Games JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 961 LP - 967 DO - 10.1136/bjsports-2020-103481 VL - 55 IS - 17 AU - Dustin Nabhan AU - David Taylor AU - Melie Lewis AU - Roald Bahr Y1 - 2021/09/01 UR - http://bjsm.bmj.com/content/55/17/961.abstract N2 - Aim To describe the periodic health evaluation (PHE) practices of the top performing National Olympic Committees (NOCs).Methods We sent a survey to NOCs finishing in the top 8 for medal count at the 2016 Rio Olympic Games or 2018 PyeongChang Olympic Games. The survey included four sections: (1) PHE staff composition and roles, (2) beliefs regarding the PHE, (3) a ranking of risk factors for future injury and (4) details on the elements of the PHE.Results All 14 NOCs with top 8 finishes at the 2016 Rio Olympic Games or 2018 PyeongChang Olympic Games completed the survey. NOCs included a median of seven staff specialties in the PHE, with physicians and physiotherapists having the highest level of involvement. There was agreement that PHEs are effective in identifying current health conditions (13/14) and that athletes should receive individualised action plans after their PHE (14/14), but less agreement (6/14) that PHEs can predict future injury. The practices of NOCs were diverse and often specific to the athlete population being tested, but always included the patient’s health history, laboratory studies, cardiovascular screening and assessments of movement capacity. The top three risk factors for future injury were thought to be previous injury, age and training experience.Conclusions Among the top performing NOCs, the PHE is a comprehensive, multidisciplinary process aimed to identify existing conditions and provide baseline health and performance profiles in the event of future injury. Research linking PHEs to injury prevention is needed.All data relevant to the study are included in the article or uploaded as supplemental information. All data relevant to the study are included in the study. ER -