Objective: Athletes who regularly train outdoors are more likely to be exposed to ultraviolet (UV) radiation, a major risk factor for skin cancer. However, the importance of adequate UV protection in sports is still an underdiscussed topic among athletes and officials. We developed a strategy for UV protection consultation (UVPC) for compulsory preparticipation physical evaluations (PPEs) and conducted this study to explore athletes` UV exposure and protective behaviors, as well as feasibility and acceptance of UVPC. Methods: In a cross-sectional study, we administered a survey to athletes who underwent a PPE at one of 23 participating certified sports medicine centers in Germany (22 in Saxony, 1 in Schleswig-Holstein) from February to June 2025. The questionnaire assessed individual UV exposure and protective behaviors. Based on the results, sports physicians provided a structured UVPC. Physicians provided online feedback on feasibility and acceptance of the procedure. The outcomes are described descriptively. Regression analyses were conducted to identify factors associated with protective behaviors. Results: Athletes` (N=375; mean age=16 years; male=50%) UV exposure varied greatly by sport. Increasing outdoor training time and prior sunburn were significantly associated with protective behaviors. Half of the athletes received a UVPC. The procedure was feasible and well-accepted by the majority of physicians (N=9). Conclusions: Overall, a UVPC is feasible and well-accepted in its suggested form within PPE. Athletes` individual UV exposure should be considered for a more targeted approach.
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