Evidence map›Paper›PMID 36150754›Full record

ArticleBritish journal of sports medicine2023

IOC consensus statement on recommendations and regulations for sport events in the heat.

Sebastien Racinais, Yuri Hosokawa, Takao Akama, Stephane Bermon, Xavier Bigard, Douglas J Casa, Andrew Grundstein, Ollie Jay, Andrew Massey, Sergio Migliorini and 9 more

Abstract readConsensus Statement
In one paragraph

Article in British journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Sebastien RacinaisResearch and Scientific Support Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Ad Dawhah, Qatar sebastien.racinais@aspetar.com.ORCID http://orcid.org/0000-0003-0348-4744
Yuri HosokawaFaculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan.ORCID http://orcid.org/0000-0001-9138-5361
Takao AkamaFaculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan.ORCID http://orcid.org/0000-0002-3937-2448
Stephane BermonHealth and Science Department, World Athletics, Monaco.ORCID http://orcid.org/0000-0002-9529-2901
Xavier BigardUnion Cycliste Internationale (UCI), Aigle, Switzerland.
Douglas J CasaKorey Stringer Institiute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA.ORCID http://orcid.org/0000-0002-8858-2636
Andrew GrundsteinDepartment of Geography, University of Georgia, Athens, Georgia, USA.ORCID http://orcid.org/0000-0002-0574-6253
Ollie JayHeat and Health Research Incubator, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.ORCID http://orcid.org/0000-0002-6076-6337
Andrew MasseyMedical Department, Federation Internationale de Football Association, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-8253-932X
Sergio MiglioriniMedical Committee, World Triathlon (WT), Lausanne, Switzerland.
Margo MountjoyHamilton, Stockholm, Sweden.
Nebosa NikolicWorld Sailing, London, UK.
Yannis P PitsiladisSchool of Sport and Health Sciences, University of Brighton, Eastbourne, UK.ORCID http://orcid.org/0000-0001-6210-2449
Wolfgang SchobersbergerInstitute for Sports Medicine, Alpine Medicine & Health Tourism (ISAG), UMIT Tirol - Private University for Health Sciences and technology, Hall, Austria.ORCID http://orcid.org/0000-0002-5657-0307
Juergen Michael SteinackerSport- und Rehabilitationsmedizin, Universitat Ulm, Ulm, Germany.
Fumihiro YamasawaMarubeni Health Promotion Center, Tokyo, Japan.ORCID http://orcid.org/0000-0001-6315-8479
David Anthony ZidemanInternational Olympic Committee Medical and Scientific Games Group, Pinner, Middlesex, UK.ORCID http://orcid.org/0000-0002-7111-6161
Lars EngebretsenMedical and Scientific Department, International Olympic Committee, Lausanne, Switzerland.
Richard BudgettInternational Olympic Committee, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This document presents the recommendations developed by the IOC Medical and Scientific Commission and several international federations (IF) on the protection of athletes competing in the heat. It is based on a working group, meetings, field experience and a Delphi process. The first section presents recommendations for event organisers to monitor environmental conditions before and during an event; to provide sufficient ice, shading and cooling; and to work with the IF to remove regulatory and logistical limitations. The second section summarises recommendations that are directly associated with athletes' behaviours, which include the role and methods for heat acclimation; the management of hydration; and adaptation to the warm-up and clothing. The third section explains the specific medical management of exertional heat stroke (EHS) from the field of play triage to the prehospital management in a dedicated heat deck, complementing the usual medical services. The fourth section provides an example for developing an environmental heat risk analysis for sport competitions across all IFs. In summary, while EHS is one of the leading life-threatening conditions for athletes, it is preventable and treatable with the proper risk mitigation and medical response. The protection of athletes competing in the heat involves the close cooperation of the local organising committee, the national and international federations, the athletes and their entourages and the medical team.

Indexed as

Heat StrokeSportsAcclimatizationAthletesHot TemperatureHumansheat-shock responsehot temperature

Identifiers

PMID36150754
PMCPMC9811094

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.