title: Prevention and management of non-communicable disease: the IOC consensus statement, Lausanne 2013.
abstract: Morbidity and mortality from preventable, non-communicable 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 behavioural change as the core component of all clinical programs for the prevention and management of chronic disease. 2. Establish actual centres to design, implement, study, and improve preventive programs for chronic disease. 3. Use human-centered design 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.
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, USA, gord@stanford.edu.
authors.forename: Gordon O
authors.initials: GO
authors.lastname: Matheson
authors.forename: Martin
authors.initials: M
authors.lastname: Klügl
authors.forename: Lars
authors.initials: L
authors.lastname: Engebretsen
authors.forename: Fredrik
authors.initials: F
authors.lastname: Bendiksen
authors.forename: Steven N
authors.initials: SN
authors.lastname: Blair
authors.forename: Mats
authors.initials: M
authors.lastname: Börjesson
authors.forename: Richard
authors.initials: R
authors.lastname: Budgett
authors.forename: Wayne
authors.initials: W
authors.lastname: Derman
authors.forename: Uğur
authors.initials: U
authors.lastname: Erdener
authors.forename: John P A
authors.initials: JP
authors.lastname: Ioannidis
authors.forename: Karim M
authors.initials: KM
authors.lastname: Khan
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Martinez
authors.forename: Willem
authors.initials: W
authors.lastname: van Mechelen
authors.forename: Margo
authors.initials: M
authors.lastname: Mountjoy
authors.forename: Robert E
authors.initials: RE
authors.lastname: Sallis
authors.forename: Martin
authors.initials: M
authors.lastname: Schwellnus
authors.forename: Rebecca
authors.initials: R
authors.lastname: Shultz
authors.forename: Torbjørn
authors.initials: T
authors.lastname: Soligard
authors.forename: Kathrin
authors.initials: K
authors.lastname: Steffen
authors.forename: Carl Johan
authors.initials: CJ
authors.lastname: Sundberg
authors.forename: Richard
authors.initials: R
authors.lastname: Weiler
authors.forename: Arne
authors.initials: A
authors.lastname: Ljungqvist
mesh_terms: D002908:Chronic Disease / Q000517:prevention & control*; D003258:Consumer Behavior; D006293:Health Promotion; D006801:Humans; D007390:International Agencies; D008019:Life Style; D011314:Preventive Health Services / Q000458:organization & administration*; D040242:Risk Reduction Behavior; D013178:Sports Medicine / Q000193:education / Q000379:methods