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Background Within the topic of intersex athletes in elite sports, science has become a decisive factor in decision- and policy-making. However, in the academic literature approaches to this topic vary. An overview of these approaches is proposed to provide better insight into relevant aspects and underlying values and may serve as a starting point on the path toward a solid solution of the question of categorization of intersex athletes in elite sporting competition. Objective This systematic review aims to discover how the topic of intersex elite athletes is positioned in the academic literature from January 2000 to July 2022 from a neutral perspective. Methods A comprehensive search in eleven databases using the search terms [intersex* and sport*] yielded 87 articles. A qualitative content analysis was conducted to find all authors’ statements including perspectives on intersex athletes and proposals for solutions. Underlying values were extracted and connected to each other during axial coding. Results The results provide an overview of the sometimes-contradictory perspectives toward intersex elite athletes and proposals for solutions. Three core values were distilled: social justice for intersex elite athletes, competition fairness, and evidence-based practice. The authors’ statements disclose an interaction/conflict between social justice and competition fairness. Conclusions The results raise an important discussion on the role of science within the topic of intersex elite athletes. A multidisciplinary approach including scientists and other experts is suggested to find an appropriate solution. Additionally, more awareness on intersex variations is needed for a better overall understanding and to ensure a respectful approach for everyone involved.

Background Relative age effects (RAEs) typically favour older members within a cohort; however, research suggests that younger players may experience some long-term advantages, such as longer career length. The purposes of this study were to replicate previous findings on RAEs among National Hockey League (NHL) ice hockey players, National Basketball Association (NBA) basketball players and National Football League (NFL) football players and to investigate the influence of relative age on career length in all three sports. Methods Using official archives, birthdates and number of games played were collected for players drafted into the NBA (N = 407), NFL (N = 2380) and NHL (N = 1028) from 1980 to 1989. We investigated the possibility that younger players might be able to maximize their career length by operationalizing career length as players’ number of games played throughout their careers. Results There was a clear RAE for the NHL, but effects were not significant for the NBA or NFL. Moreover, there was a significant difference in matches played between birth quartiles in the NHL favouring relatively younger players. There were no significant quartiles by career length effects in the NBA or NFL. Conclusions The significant relationship between relative age and career length provides further support for relative age as an important constraint on expertise development in ice hockey but not basketball or football. Currently, the reason why relatively younger players have longer careers is not known. However, it may be worth exploring the influence of injury risk or the development of better playing skills.

Many researchers have considered the impact of physical exercise on perceptual-cognitive performance. There have also been a substantial number of studies that have examined how perceptual-cognitive skills differ between elite athletes and non-athletes. However, the knowledge on how physical exercise interacts with perceptual-cognitive skill is limited. This systematic review aims to provide detailed information on how athletes’ perceptual-cognitive performance is influenced by acute physical exercise load and whether these effects differ between elite athletes and lesser skilled groups.