Journal article
Source notes
British Journal of Sports Medicine · 2023
Bibliographic details
Source record
Best practice recommendations for body composition considerations in sport to reduce health and performance risks
BMJ. 57(17). 1148-1160.
- Study type
- Critical review, practitioner survey and expert recommendations
- Review basis
- Full text reviewed
Does an athlete need a particular body-fat level to perform well? Evidence from 29 studies did not identify a universal cutoff that predicts sporting success. Body composition mattered in some settings, but training history, skills and other performance measures also mattered. A separate survey of 125 practitioners working across 61 sports and 26 countries found continuing concern about an excessive focus on physique. Together, the findings support carefully justified, individual assessment rather than treating an ideal-looking body or a sport-wide target as proof of readiness or potential.
Lower body fat was associated with better endurance performance in some studies, and increases in muscle mass accompanied benefits across several sports. These patterns do not show that every athlete should become leaner or heavier. Effects depend on the sport, the athlete's starting point and how any change occurs. A physique common among successful competitors may also reflect their training rather than explain their success.
How Does This Show Up in Real Life?
Before a team arranges body-composition testing, the authors recommend asking what useful decision the result will inform and whether the athlete has appropriate support. Their guidance includes informed consent, a suitably trained assessor and discussion within a health and performance team. Results should be treated as confidential medical information, with the athlete deciding who can access them. A number also needs interpretation alongside measurement error and the person's previous results. A small apparent change may not represent a meaningful tissue change. For athletes under 18, the recommendations generally avoid such assessment unless medically indicated or exceptionally justified. The aim is to support health and sporting development without making frequent measurements or arbitrary physique goals the center of training.
The research was concentrated in endurance sports and was too varied for a pooled analysis. Only one database and one initial screener were used. Survey response counts varied by question, and comparisons across years may reflect different respondents. The proposed assessment process still needs evaluation in practice, including its longer-term effects on athletes' physical and psychological health.
Why We Cite It
Alpekin can use this work to explain why the value of a measurement depends on how information is collected, interpreted and communicated. A technically available test does not automatically answer a useful question. This perspective is particularly relevant when evaluating services or claims that turn body measurements into performance promises.
The paper supports a measured approach to physique-related decisions, with individual benefit and potential harm considered together. It offers a practical assessment framework, while leaving open which changes help a particular athlete and whether the proposed safeguards improve outcomes over time.
Where this source appears
Pages citing this source
No currently public pages cite this source.