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December 13, 2012BMJ107 citations

Survival of the fittest: retrospective cohort study of the longevity of Olympic medallists in the modern era

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PCPhilip ClarkeSWS. J. WalterAHAndrew Hayen

Key Result

Olympic medallists lived an average of 2.8 years longer than the general population, with a relative conditional survival of 1.08 (95% CI 1.07-1.10) at 30 years after winning.

Study Design

Type

Cohort (n=15,174)

Multicenter

Yes

Structured PICO

Do Olympic medallists live longer than the general population?

P
Population
15,174 Olympic athletes from nine country groups who won medals in the Olympic Games held in 1896-2010
I
Intervention
Being an Olympic medallist
C
Comparator
Matched cohorts in the general population (by country, age, sex, and year of birth)
O
Outcome
Relative conditional survivalhard clinical

Olympic medallists have a significant survival advantage over the general population, living an average of 2.8 years longer.

Main Result

Effect estimate: Relative conditional survival 1.08 (95% CI 1.07-1.10)

Limitations

  • Study was not designed to explain the survival effect

Abstract

OBJECTIVE: To determine whether Olympic medallists live longer than the general population. DESIGN: Retrospective cohort study, with passive follow-up and conditional survival analysis to account for unidentified loss to follow-up. SETTING AND PARTICIPANTS: 15,174 Olympic athletes from nine country groups (United States, Germany, Nordic countries, Russia, United Kingdom, France, Italy, Canada, and Australia and New Zealand) who won medals in the Olympic Games held in 1896-2010. Medallists were compared with matched cohorts in the general population (by country, age, sex, and year of birth). MAIN OUTCOME MEASURES: Relative conditional survival. RESULTS: More medallists than matched controls in the general population were alive 30 years after winning (relative conditional survival 1.08, 95% confidence interval 1.07 to 1.10). Medallists lived an average of 2.8 years longer than controls. Medallists in eight of the nine country groups had a significant survival advantage compared with controls. Gold, silver, and bronze medallists each enjoyed similar sized survival advantages. Medallists in endurance sports and mixed sports had a larger survival advantage over controls at 30 years (1.13, 1.09 to 1.17; 1.11, 1.09 to 1.13) than that of medallists in power sports (1.05, 1.01 to 1.08). CONCLUSIONS: Olympic medallists live longer than the general population, irrespective of country, medal, or sport. This study was not designed to explain this effect, but possible explanations include genetic factors, physical activity, healthy lifestyle, and the wealth and status that come with international sporting glory.

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Cite This Study

Clarke et al. (2012) conducted a cohort in Olympic medallists (n=15,174). Olympic medallist status vs. Matched cohorts in the general population was evaluated on Relative conditional survival (Relative conditional survival 1.08, 95% CI 1.07-1.10). Olympic medallists lived an average of 2.8 years longer than the general population, with a relative conditional survival of 1.08 (95% CI 1.07-1.10) at 30 years after winning.

synapsesocial.com/papers/6a07e2c7416812afca06e6eehttps://doi.org/10.1136/bmj.e8308
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