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June 12, 2026European Journal of Preventive CardiologyOpen Access

Cardiovascular risk profile in Japanese Olympic athletes

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Population

1081 elite Japanese athletes who underwent pre-participation evaluation for 2020 Tokyo or 2022 Beijing…

Design

Cross-sectional

Key result

Among elite Japanese athletes, dyslipidemia (35%) and overweight (23%) were common, with power athletes having a significantly higher prevalence of overweight than endurance athletes (27% vs 14%, P<0.01).

Authors

KAK Ashikaga

Discussion

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Overview

Alerts clinicians to screen athletes for dyslipidemia; leaves open whether it alters outcomes or requires specific therapy.

Key Points

  • This study aims to evaluate the prevalence and factors associated with cardiovascular risk in elite Japanese athletes.
  • Retrospective evaluation of 1081 elite athletes (570 males, 511 females)
  • Assessment of CV risk factors including family history, smoking, overweight, hypertension, dyslipidemia, and diabetes mellitus
  • Analysis based on age, sex, body size, and sport category
  • 47% of athletes had no cardiovascular risk factors
  • Dyslipidemia was the most common risk factor at 35%
  • Power athletes showed a higher prevalence of overweight compared to endurance athletes (27% vs. 14%, p < 0.01)

Study Design

Type

Cross-Sectional (n=1,081)

Structured PICO

P
Population
1,081 elite Japanese athletes (mean age 25.3 years, 47% female) undergoing pre-participation evaluation for the 2020 Tokyo or 2022 Beijing Olympic games.
O
Outcome
Prevalence and distribution of cardiovascular risk factors (CV family history, smoking habit, overweight, hypertension, dyslipidemia, and diabetes mellitus)

Main Result

Absolute Event Rate: 27% vs 14%

p-value: p=<0.01

While nearly half of elite Japanese athletes have no cardiovascular risk factors, dyslipidemia and overweight are common, particularly among male and power athletes.

Cite This Study

K Ashikaga (2026) conducted a cross-sectional in Cardiovascular risk factors (n=1,081). Power sport category vs. Endurance sport category was evaluated on Prevalence of overweight (p=<0.01). Among elite Japanese athletes, dyslipidemia (35%) and overweight (23%) were common, with power athletes having a significantly higher prevalence of overweight than endurance athletes (27% vs 14%, P<0.01).

synapsesocial.com/papers/6a2bd11d6550ea4541ffe88ahttps://doi.org/10.1093/eurjpc/zwag249.402
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Beyond performance: uncovering cardiometabolic and imaging profiles in female athletes2026
  2. 2Fit but not immune from the risk: the hidden burden of dyslipidemia in elite athletes2025
  3. 3The athlete's perception on the extreme exercise hypothesis2026
  4. 4Association of Heavy Smoking With High Body Mass Index and Cardiovascular Risk Score in Japan.2025 · 1 citations
  5. 5Pushing the limits: cardiovascular and functional profiles of marathon and ultramarathon endurance runners2026