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However, adverse events can occur in rare cases, particularly during high-intensity or prolonged exercise. During physical activity, at-risk patients can experience major cardiac events, whereas adverse events affecting the musculoskeletal system are more common but less severe. A sports preparticipation evaluation (PPE) for apparently healthy adults is designed to detect at-risk individuals and prevent potentially fatal events. This guideline for conducting PPEs was developed by consensus among 16 medical societies and sports associations and is based on previously published guidelines and consensus papers. Sports medicine physicians and potential participants were also surveyed to assess the recommendations\u2019 content, feasibility, and implementation. On the basis of the 20 recommendations developed and agreed upon by the abovementioned entities, PPE comprises individuals\u2019 personal, family, and sports histories, as well as a physical examination. 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The authors have not received a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. The guideline-development process was not supported financially; all members of the working groups were volunteers. The IFOM received funding from the lead professional organization (DGSP) for the preparation of the synopsis and the implementation of the surveys, but there was no further financial support.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}},{"value":"Information on the management of potential conflicts of interest is listed in the Supplementary Material (S1). Below, only relevant competing interests are listed: C.J., B.W., A.N., and T.S. are members of the DGSP executive board. C.K. is the head of the DGSP office. A.H., M.C., T.K., K.R., A.N., F.M., H.S., C.R., F.M., K.K., P.P., and A.C. are members of the DGSP scientific board\/experts. K.R. is the owner of a software company for metabolic endurance diagnostics (Ergonizer Software e.K., Germany). T.S. received research funding from an ergometer manufacturer (Ergoline GmbH, Germany). All other authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The data presented in this study are available on reasonable request from the corresponding author.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Data availability"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Patient consent for publication"}},{"value":"Not applicable.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"C.J. conceived the idea for the consensus statement. C.J., A.H., A.N., and B.W. formed the consensus groups. C.J., B.W., A.N., A.H., A.C., C.R., and K.K. led the working groups. K.G. and A.W. ensured compliance with the predefined guideline methodology. All authors were included in the development of the recommendations. They contributed to reviewing and giving feedback on each iteration of the consensus draft. All authors read and approved the final version of the manuscript.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Author contributions"}}]}}