Body composition and bone health status of jockeys: current findings, assessment methods and classification criteria

Jockeys are unlike other weight-making athletes as the sport of horse racing requires strict weight management to meet the racing stipulations, protracted working hours and an extended racing season with limited downtime. Several studies have reported on the body composition and bone status of male and female professional and retired jockeys, yet the variety of assessment techniques, lack of standardised testing protocols and classifcation inconsist ency make interpretation and comparison between studies problematic. This review aimed to appraise the existing body composition and bone health evidence in jockeys and evaluate the assessment methods and classification criteria used. Dual-energy X-ray absorptiometry (DXA) has been used most frequently in jockey research to assess body composition and bone status, while various generic skinfold equations have been used to predict body fat percentage. Evidence indicates fat jockeys are now taller and heavier than the data reported in earlier studies. Absolute fat mass has steadily increased in male jockeys in the last decade. The bone status of male jockeys remains a concern as constant low bone density (BMD) is evident in a large percentage of young and experienced professional jockeys. Due to limited studies and variations in assessment methods, further research is required to investigate bone turn-over markers in male and female jockeys. A standardised testing protocol using internationally recognised assessment guidelines is critical for the accurate interpretation and evaluation of body composition and bone health measurements. Furthermore, establishing jockey-specific BMD and bone turnover reference ranges should be considered using existing and future data

Mental health and wellbeing of jockeys

Despite receiving much public attention in recent years, the mental health status of jockeys has not been established. This study investigated the incidence of common mental health disorders in jockeys. Amateur (n=74) and professional (n=42) jockeys completed an online anonymous questionnaire incorporating validated self-reported measurement tools to assess the prevalence of psychological distress, depression, anxiety, social phobia, perceived stress and self-esteem. Personal and lifestyle characteristics were also reported. Fifty four percent of jockeys were experiencing symptoms of at least one of general psychological distress, depression, general anxiety disorder or social anxiety. Professional jockeys displayed significantly greater mean scores on measures of psychological distress (p<0.01), depression (p<0.05), anxiety (p<0.05) and perceived stress (p<0.01). No difference was present in measures between professional flat and jump jockeys. Professional jockeys were classified as displaying symptoms of depression (mean score 20.29; 57.1% at or above threshold of 16) and perceived stress (mean score 20.24; 52.4% at or above threshold of 20). Current injury, social anxiety or high levels of perceived stress increased the likelihood of displaying depressive symptoms in the jockey sample. With a high prevalence of depression and perceived stress evident in professional jockeys, mental health support strategies should be implemented with specific focus on stress management and dealing with injury. Future research should further investigate factors that increase the susceptibility of jockeys to mental health disorders

Mental health difficulties among professional jockeys: a narrative review

Introduction Emerging academic literature and high profile disclosures of mental health difficulties and mental illness from current and former professional jockeys suggest that further exploration of the mental health of jockeys is required. To date, a comprehensive review of jockeys’ mental health has yet to be conducted. Objectives To examine the existing literature related to jockeys’ mental health, including the prevalence of symptoms associated with mental health difficulties and help-seeking. Design A narrative review of the literature was conducted with articles screened from inception until January 2021. Results Sixteen studies were included in the narrative review. Studies covered a range of mental health difficulties which included mood (depression), anxiety, distress, disordered eating and substance misuse. Rates of help-seeking among jockeys were also explored. Results indicated that jockeys reported higher levels of depressive and anxiety symptoms compared with other elite athletes. Substance misuse, in particular adverse alcohol use, also appears greater among jockeys than other elite athletes. Distress symptoms appear comparable with other elite athletes. Risk factors for mental health difficulties included injury, perceived stress, athlete burnout, career dissatisfaction and the contemplation of retirement. Weight-making negatively impacts jockeys’ mood and attitudes towards eating, with lower competitive riding weights associated with more disordered eating attitudes. Moreover, help-seeking from mental health professionals appears low. Conclusion The review identifies a high prevalence of symptoms of mental health difficulties among professional jockeys. Applied recommendations and future research considerations are proposed throughout the review articl

Estimation of body fat percentage in jockeys: implications for a weight category sport

The assessment of body composition in horse racing, a unique weight-restricted sport, provides an important health and performance indicator. The accuracy of skinfold prediction equations at estimating % body fat (% BF) was compared with dual-energy X-ray absorptiometry (DXA) data in a group of professional Irish jockeys (age 27.5 ± 7.7 years). Body composition was assessed in seventy-two male professional jockeys (flat n=35 and national hunt n=37) using standardised guidelines for skinfold thickness at 8 sites and DXA body fat assessment. Hydration status was assessed using urine specific gravity (Usg) to determine if participants were euhydrated and male specific prediction equations (Durnin and Womersley, Evans, Lohman, Reilly, Withers and Zemski) were selected to estimate % BF. Jockeygroup specific equations were developed using the collected dataset. The selected equations underestimated % BF with variability between equations ranging from 7% to 10% compared to the DXA % BF of 15%. Flat jockeys were significantly lighter and shorter (p < 0.05) compared to national hunt jockeys resulting in the need for individual jockey-specific equations. The Flat and National Hunt Jockey specific equations demonstrated overall agreement accounting for 84% and 83% variance, respectively. Caution must be taken when using existing prediction equations due to the variability of % BF relative to DXA. Jockey-specific equations offer an alternative method for interpreting estimated body fat %

Common mental disorders among Irish jockeys: prevalence and risk factors

Objective Jockeys compete in a sport, horseracing, renowned for its physical and psychological demands. Previous research has identified that common mental disorders (CMDs) may be prevalent among this unique population of athletes. The aim of the present study was to further explore the prevalence of CMDs among jockeys and to test for associations with potential risk factors. Methods An anonymous survey was distributed to professional jockey online. Self-report screening tools for four CMDs (psychological distress, depression, generalized anxiety, and adverse alcohol use) were included alongside predictor variables from questionnaires assessing for burnout, career satisfaction, social support, and the contemplation of retirement. Binary logistic regression was used to explore associations between CMDs (present versus not present) and risk factors. Eighty-four professional jockeys completed the questionnaire (response rate = 52%). Results In total, 79% of jockeys met the threshold for at least one CMD. Prevalence (%) of CMD varied as follows: adverse alcohol (61%), depression (35%), generalized anxiety (27%), and psychological distress (19%). Burnout, career (dis)satisfaction, lower levels of social support, and the contemplation of retirement increased the odds of meeting the criteria for CMDs. Conclusion The findings indicate that jockeys report CMD symptoms at comparable rates to athletes in other sports. The study was the first to highlight potential risk factors as predictors of CMDs among jockeys, including burnout, career satisfaction, and the current contemplation of retirement. Screening tools for the risk factors demonstrated may, therefore, provide useful in the early identification of CMDs among jockeys. The development of jockey-specific assessment tools, education programmes, and interventions may help better understand and support the mental health of jockey