Ski mountaineering (skimo) has been accepted as a new sport for the 2026 Milan-Cortina Olympics. The equipment used in this competitive ski mountaineering varies from leisure ski mountaineering equipment mainly in one point: the minimal weight. At the elite athlete level, skimo demands both maximal endurance performance and a high-intensity anaerobic capacity for the sprint and vertical races. Race time significantly correlates to VO2max, body mass index and racing gear mass. Available literature only rarely comments on competitive skimo injuries. Injuries are not only due to falls in downhill skiing but also can result from external hazards, such as avalanches and cold. The high training load of athletes in combination with a low body weight, low body fat, and exposure to cold cause high rates of respiratory infections in athletes. The inclusion of skimo into the Olympic program is expected to result in certain changes, such as higher training loads for the athletes and increased scientific interest into training methods.
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