Looking after our jockeys - Q&A with Denis Egan

In this issue, we conclude our series of Question and Answer sessions with the chairs of the various committees that operate in the EMHF region. Following our features on the Pattern and doping control, we turn our attention to the well-being of our…

Author - Dr. Paull Khan

In this issue, we conclude our series of Question and Answer sessions with the chairs of the various committees that operate in the EMHF region.

Following our features on the Pattern and doping control, we turn our attention to the well-being of our human athletes, the jockeys.

Denis Egan, who until recently was CEO of the Irish Horseracing Regulatory Board, has also been the driving force within the International Federation of Horseracing Authorities (IFHA) when it comes to the welfare of riders. Not only does he chair the European Racing Medical Officers Group, but he has also been at the helm of the global International Conference for the Health, Safety and Welfare of Jockeys (ICHSWJ) since its inception some 15 years ago.

This time, our questions have been posed by various jockeys’ associations.

Q: What is the ICHSWJ?

DE: The ICHSWJ is a biennial conference for racing administrators, racecourse doctors, researchers and jockeys’ associations. The first conference was held in Tokyo (Japan) in 2006, and the ICHSWJ was officially recognised as one of the sub-committees of the IFHA in 2009. There have been eight conferences to date, which were held in Tokyo, Japan (2006), Antalya, Turkey (2008), Monmouth Park, USA (2012 & 2013), Hong Kong (2015) and Dubai, UAE (2010, 2017 and 2019).

The conference features presentations from the world’s leading racing administrators, racecourse doctors and researchers who work closely with jockeys both on the racecourse and through research studies. We are hoping to hold the next conference in Dubai in 2022, subject to COVID-19 restrictions being lifted.

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Q: What is the charter of the ICHSWJ?

DE: The mission of the ICHSWJ is to provide a forum to discuss and implement strategies to raise the standards of safety and the standards of care provided to jockeys and to create a safer and healthier everyday life for jockeys when they participate in the sport.

The ICHSWJ has seven strategic objectives, namely to:

• RAISE awareness of jockeys’ health, safety and welfare issues

• HARMONISE standards and procedures throughout the world

• HARMONISE the collection of injury data

• PROVIDE a forum for the sharing of information

• SHARE research findings and foster collaboration

• PROPOSE strategies to deal with issues on a global basis

• SET UP a more effective communication mechanism between countries

Q: What do you see as the main focus by the attendees and presenters re jockeys’ health, safety and welfare?Is it bone health, making weight in a healthy manner (e.g., saunas, nutrition and fluid intake), concussion, injuries and falls, psychological/mental health issues, PPE (e.g., helmets and vests), or all of the above?

DE: It is all of the above with an increasing focus on mental health, concussion and making weight safely.If you look back at the agendas for the eight conferences that have taken place, the focus of the initial conferences was on what could be described as ‘traditional’ jockey issues such as weights, injuries and safety equipment, with little or no research having been carried out in any of the areas. Now everything has changed, and the focus is on the increasing amount of research that has been carried out in jockey health and safety-related issues. In Ireland we have been funding research since 2003, and many other countries have now developed their own research programmes. There is now much greater research collaboration between countries than there would have been in the past, and this has contributed to better results.

The one thing that has surprised me most is the huge focus that is now on mental health. The first time it appeared on a conference agenda was in 2017, and it has now become such a major issue everywhere. There have been numerous studies carried out that have found there are significant levels of depression amongst jockeys; and the industry is now addressing this with most countries putting better support in place for jockeys.

Studies have found that the life of a jockey has major highs and lows, and while success is a high, there are far more lows such as wasting, injuries, failing, travelling and social media abuse, which can be very hard to take. Studies have also found that there is a complex interplay between physical and psychological challenges: weight, dehydration, making weight and mood.

Q: What do you think is the number one issue facing jockeys at the moment?

DE: There is no doubt that the number one issue facing jockeys at the moment is mental health; and the fallout from this is being addressed by both the governing bodies in collaboration with the jockeys, which is the way to go. Many countries make sports psychologists available for jockeys if they want to use their services. We have been doing this in Ireland for many years, and while some jockeys may have been reluctant to use these services in the past, more and more have come to realise the benefit of the service.

Q: There has been a lot of research into mental health and wellbeing issues in jockeys, especially in Ireland and the UK. What can governing bodies do to either proactively improve jockeys’ mental wellbeing or support those with issues?

DE: Practically every governing body is now aware of the importance of jockeys’ mental health and wellbeing. The best way of helping jockeys is to be aware of the issues they are facing and to work with the jockeys’ associations to address these issues. The recent collaboration between the Professional Jockeys Association in Great Britain and the BHA is testament to what can be achieved by working together where an outcome was delivered that benefited everyone.

The other way governing bodies can assist is through education and the provision of support services to jockeys, which are easily accessible. Jockeys sometimes need to be educated in the sense of making them aware of what is available and how the services can be accessed. It is sometimes difficult to encourage jockeys to use mental health support services as some see it as a sign of weakness that they need to access these services; and they don’t want their weighing room colleagues to know that they perceive themselves as having issues. In reality, it is a sign of mental strength that they (are) able to make the decision that they need the service.

Q: The issue of burnout is one that is increasing across all sports. How do you feel governing bodies deal with or recognise this as an issue?

DE: It is now being dealt with far better than it was in the past. Great Britain recently announced that jockeys will be restricted to riding at one meeting per day in 2022. This is the second year that this has occurred, and this was agreed in cooperation with the jockeys’ association there. In Ireland there was a holiday for the professional jump riders for a three-week period in early June this year. This worked very well as it gave the jockeys an opportunity for some down time to recharge and take a holiday.

Burnout may not be as big an issue for riders in countries where there are a small number of racecourses or where there is a restricted racing season, but nevertheless, all governing bodies need to be aware of it.

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The importance of good nutrition and its bearing on mental health

The importance of good nutrition and its bearing on mental healthUnique to the racing industry is the daily need for staff to meet required maximum weights. Many in racing already believe they understand nutrition and the best methods to make weight…

By Lissa Oliver

Unique to the racing industry is the daily need for staff to meet required maximum weights. Many in racing already believe they understand nutrition and the best methods to make weight, using tried and tested practices that have been in common use for decades. The perceived success of such practices leads to an attitude of ‘it works for me’ and a reluctance to change or adopt new suggestions, and few consider the future consequences on health in later years.

Dehydrating and starvation to make weight is commonplace, and long periods in saunas and salt baths, laxatives and self-induced vomiting are familiar practices. The health implications associated with these include poor bone density, hormonal issues and impaired mood profile. Despite increased awareness of these problems, they remain as common globally as they were thirty years ago.

To help address this, the UK based Racing Foundation awarded a grant of just over £200,000 to support a ground-breaking, nutritional intervention programme developed over three years by a specialist team at the Research Institute of Sport and Exercise Sciences at Liverpool John Moores University. The team is led by former jockey, Dr George Wilson, and includes the head of nutrition for cycling’s Team Sky, Dr James Morton, and Daniel Martin, a doctoral researcher and high-performance nutritionist for the Professional Jockeys Association.

Dr Wilson has already spent seven years (part-funded by the Sheikh Mansoor Racing Festival) researching the serious health implications of extreme weight-making practises in jockeys and has designed healthier, alternative weight-making programmes. In addition to offering the facilities at the University to measure bone and body composition, hydration, metabolism and provide strength and fitness assessments, he also works with racing organisations to provide workshops, tests, presentations and bespoke advice. He is in the ideal situation to conduct research into the health issues faced by racing staff, having ridden as a National Hunt jockey in his younger days.

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“For my first ride as a conditional jockey at Southwell in 1985, I lost a stone in five days to make 10st (63.50 kg) minimum weight, felt awful and, given the occupational risks, I shouldn’t have been near a horse, let alone riding in a race,” he reflects on his experience. He later rode as an amateur mostly in point-to-points and hunter chases when weight became a problem. “Having ridden over jumps, I fully empathise with staff and understand the need for, and risks from, dehydration and starvation. Riding out stable staff are weighed in some yards and most vacancies are advertised with a maximum weight, so making weight is not just a problem for jockeys but also for a lot of racing staff.

“I was aware that not a lot had changed since my own time in yards in the 1980s and 1990s and so I decided to do my doctorate in the effects of common weight-making practices such as dehydration and nutrition (or lack of!). In 2009 I started my first research and have now had 11 papers published.”

Currently, Dr Wilson is studying the effects of diet, dehydration and bone health of jockeys, but, as he recognises, comparisons of bone density between standard 12st athletes and 9st, (57.15 kg), jockeys may have potential flaws given jockeys are an atypical population, being much smaller athletes. Furthermore, unlike other athletes, jockeys don’t tend to perform substantial hard surface training that helps maintain healthy bone metabolism.

Assisting Dr Wilson is Daniel Martin, and their paper, Qualitative Research in Sport, Exercise and Health (31 August 2017), is the first body of research to investigate the opinions and practices of racehorse trainers in relation to rider welfare. Disappointingly for the researchers, from over 400 invitations, only five trainers expressed an interest to take part, something that certainly needs addressing.

A reluctance to face up to industry problems isn’t new and is not confined to trainers. “When I first went to the British racing industry authorities and said I wanted to do this, they originally didn’t offer any help,” he reveals. “There appeared to be a reluctance to accept that the current services and advice to help riders, particularly with weight-management, were clearly not working. Therefore, I just ‘kicked on’ with my research, and because jockeys had not received the sports science support in the past, they flocked to LJMU to undergo the testing and receive bespoke weight-management programmes.

“Thankfully, now everyone is aware of the issues and have embraced the research findings on healthier weight-management practices, and it appears we are all singing from the same hymn sheet. Indeed, Dr Jerry Hill, the Chief Medical Advisor at the British Horseracing Authority, is a collaborator on some of my recent published research and we have some other research projects we are currently working on together.”

Even so, it is an industry culturally-driven and based on the shared knowledge and experience of its senior professionals, which can represent an obstacle to Dr Wilson and his team when some of that knowledge is outdated and incorrect. As Martin explains within one of the published papers, “If apprentice and conditional jockeys can carry some knowledge of evidence-based practices and the dangers of traditional methods into their early careers, there will be less of a reliance on seeking advice from senior jockeys. Similarly, over time the ‘new’ practices will hopefully supersede the current archaic medley of dehydrative methods.”

It certainly behoves trainers to ensure that younger staff members are set good examples and it isn’t asking too much of their time or level of expertise to provide suitable meals, in yards where catering is offered. Where meals are not provided, posters and literature should be made available to display in the yard to help encourage awareness of a good diet.

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