Recommendations on Youth Participation in Ultra-Endurance Running Events: A Consensus Statement

Volker Scheer, Ricardo J.S. Costa, Stéphane Doutreleau, Beat Knechtle, Pantelis T. Nikolaidis, William O. Roberts, Oliver Stoll, Adam S. Tenforde, Brian Krabak

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Participation in ultra-endurance running (UER) events continues to grow across ages, including youth athletes. The 50- and 100-km are the most popular distances among youth athletes. Most youth athletes are between 16–18 years; however, some runners younger than 12 years have successfully completed UER events. Parents, athletes, coaches, race directors, and medical professionals often seek advice regarding the safety of youth athletes participating in these events, especially with regard to potential short and long-term health consequences. UER may impact key organ systems during growth and development. We propose a decision-making process, based on current knowledge and the experience of the consensus group that addresses age regulations, medical and psychological well-being, training status and race-specific factors (such as distance, elevation change, remoteness, ambient temperatures, level of medical assistance, and type of provisions provided by the race organizers) to use until evidence of long-term consequences of UER in youth athletes is available. These recommendations are aimed at safe participation in UER events for youth athletes with a proper and individualized assessment.

Original languageEnglish (US)
Pages (from-to)1123-1135
Number of pages13
JournalSports Medicine
Issue number6
StatePublished - Jun 2021

Bibliographical note

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature.


Dive into the research topics of 'Recommendations on Youth Participation in Ultra-Endurance Running Events: A Consensus Statement'. Together they form a unique fingerprint.

Cite this