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Prevention and management of noncommunicable disease: the IOC Consensus Statement, Lausanne 2013
Gordon O Matheson1, Martin Klügl, Lars Engebretsen
1*Division of Sports Medicine, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California; †Department of Orthopaedic Surgery, Human Performance Laboratory, Stanford University School of Medicine, Stanford, California; ‡Department of Healthy Policy and Management, Harvard University, Boston, Massachusetts; §Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sports Science, Oslo, Norway; ¶Department of Epidemiology and Public Health, Population Health Domain Physical Activity Research Group, University College London, London, United Kingdom; ‖Orthopaedic Center, Ullevål University Hospital, University of Oslo, Oslo, Norway; **Departments of Exercise Science; and ††Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; ‡‡Åstrands Laboratory, The Swedish School of Sport and Health Sciences, Stockholm, Sweden; §§Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; ¶¶Clinical Sports and 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; ‖‖Departments of Medicine; and ***Health Research and Policy, Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, California; †††Department of Statistics, Stanford University School of Humanities and Sciences, Stanford, California; ‡‡‡Department of Family Practice and School of Kinesiology, University of British Columbia, Vancouver, Canada and Aspetar: Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar; §§§Design and Biology, IDEO, Boston, Massachusetts; ¶¶¶Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands; ‖‖‖School of Human Movement Studies, University of Queensland,
Abstract:
Morbidity and mortality from preventable, noncommunicable 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 summarize the results of a consensus meeting on NCD prevention sponsored by the International Olympic Committee (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 health care 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 behavioral change as the core component of all clinical programs for the prevention and management of chronic disease. 2. Establish actual centers to design, implement, study, and improve preventive programs for chronic disease. 3. Use human-centered design (HCD) in the creation of prevention programs 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 programs for the prevention and treatment of chronic disease focused on physical activity, diet, and lifestyle. 5. Mobilize resources and leverage networks to scale and distribute programs of prevention. True innovation lies in the ability to align thinking around these core strategies to ensure successful implementation of NCD prevention and management programs within health care. 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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