The 20th century witnessed the globalisation of international sporting comp
etitions, most notably in Olympic Competition. Thus whereas fewer than 20 c
ountries competed in the 1900 Olympic Games, close to 200 countries were re
presented at the 2000 Olympic Games in Sydney. There has also been a progre
ssive improvement in athletic performance during the past century, for reas
ons that are described in this article.
A question that needs to be asked is whether this increased global particip
ation in competitive sport has improved the health of the general populatio
n in those countries in which international competitive sports have been pr
omoted. There is little evidence to support this possibility. An important
goal of the beg inning century must be to globalise sporting participation
amongst the general population specifically for health enhancement.