As of 2017,  all junior athletes entered into ITU international competitions are required to have completed a Pre-Participation Examination (PPE).

From 2018, all athletes competing in the ITU competitions in Youth, Junior, U23, Elite and Elite paratriathlon categories must have completed a pre-competition health screening which includes a questionnaire, a physical examination and an ECG following the IOC’s recommended procedure.

Thereafter, all Youth, Junior, U23, Elite and Elite paratriathlon athletes, competing in ITU competitions, must complete the medical questionnaire and undergo a medical examination each year, and, in addition, must undergo a resting ECG every two years. For all other triathlete age groups this screening is strongly recommended.

If you are planning on racing at the ITU level in 2020, you must complete you annual PPE.

No athlete will be placed on an ITU start list without a valid PPE for 2020.

The following steps will guide you through completion of the ITU PPE process.

  1. Complete the ITU questionnaire (attached HERE)
  2. Complete a physical evaluation with a medical doctor/physician
  3. Complete an electrocardiogram (ECG) if you have not completed one within 24 months of your first planned 2020 event.

Once you have completed your PPE, you will need to submit the document into your Smartabase account before being able to acquire your 2020 Triathlon Canada International Competition Card (ICC).

NOTE: It is important that you complete the PPE as soon as possible if you intend to race in the early part of 2020.

More than 90% of sudden death in competitive athletes are related to pre-existing cardiovascular problems (SCD). The SCD of an athlete on the field remains the most devastating medical event in sports.

The purpose of this screening is to identify, as accurately as possible, athletes at risk in order to advise them accordingly. According with the European Society of Cardiology (ESC), epidemiology studies on population of thousands of competitive athletes showed a decrease of up to 89% in SCDs with a PPE including a 12 lead rest ECG.

For information please review the PPE policy from the ITU here.