
With its combination of human physiology, biomechanics, nutrition, psychology, and experimental science, the IB Sports, Exercise and Health Science syllabus can initially feel like several different subjects combined into one. However, the course is structured around three connected themes, all of which are explored through the dual lenses of health and performance. In this post, we’ll break down the syllabus and explain what you can expect to study throughout the course.
The current IB Sports, Exercise and Health Science (SEHS) syllabus is designed for first assessment in 2026. SEHS is both a human science and an experimental science, combining the study of physiology, biomechanics, and psychology with practical investigations completed in laboratory and field settings. The syllabus is organized into three main themes:
Theme A – Exercise physiology and nutrition of the human body
Theme B – Biomechanics
Theme C – Sports psychology and motor learning
These themes are highly interconnected rather than completely separate units. For example, an athlete's performance may simultaneously depend on their energy systems, movement technique, training programme, motivation, and ability to cope with pressure. The syllabus is therefore designed to encourage students to make connections between different topics rather than simply memorize isolated facts.
Theme A explores how the body's physiological systems work together to support health, physical activity, and sporting performance. You will investigate communication between body systems, the maintenance of stable internal conditions, transportation of gases and nutrients, nutrition and hydration, energy production, training responses, and the health effects of physical activity.
This topic examines how different systems within the human body communicate and coordinate their functions.
You will investigate how communication between body systems allows the body to respond to exercise and changing conditions. Areas you may study include:
Communication between the nervous and endocrine systems
Hormones and their effects on physiological processes
Neural communication
Coordination of physiological responses during physical activity
Relationships between internal communication and sporting performance
The purpose is to understand the body as an integrated system rather than viewing each organ or physiological system independently.
Homeostasis refers to the body's ability to maintain a relatively stable internal environment despite changes inside or outside the body. You will examine processes including:
Blood pH regulation
Heart regulation
Thermoregulation
Blood glucose regulation
Negative feedback mechanisms
For example, thermoregulation depends on several body systems working together through mechanisms such as sweating, vasodilation, vasoconstriction, shivering, and non-shivering thermogenesis. Factors such as training status, body composition, environmental conditions, and sex differences can also influence thermoregulation. At HL, this topic is extended to consider the body's acute responses and longer-term adaptations to environmental conditions, including temperature, humidity, and altitude.
This section focuses on the cardiovascular and respiratory systems. You will examine how the cardiovascular system transports:
Oxygen
Nutrients
Hormones
Heat
Metabolic waste
Important variables include:
Heart rate
Stroke volume
Cardiac output
Blood pressure
Redistribution of blood during exercise
You will also study the respiratory system and how ventilation and gas exchange support cellular respiration. Variables such as tidal volume, minute ventilation, breathing rate, age, fitness level, body size, and exercise intensity can all influence respiratory responses.
Overall, Topic A1 helps you understand how the body's systems communicate, regulate internal conditions, and deliver the materials required for exercise and everyday life.
This topic explores how food, water, and energy availability influence both health and performance.
You will study why maintaining appropriate levels of water and electrolytes is essential for normal physiological function. Possible areas include:
Fluid intake and loss
Sweat and evaporation
Electrolyte regulation
Dehydration
Hypernatremia
Hyponatremia
Body mass and urine measurements of hydration
Cardiovascular drift during prolonged exercise
You will also examine how the hypothalamus, pituitary gland, and kidneys help regulate water and electrolyte balance.
This section explores how nutrition supports the body's physiological functions and physical performance. At both SL and HL, you will investigate the three major macronutrients:
Carbohydrates
Proteins
Lipids
You will consider how their availability and metabolism influence health and exercise performance, as well as how nutritional requirements differ according to factors such as age, sex differences, body composition, activity level, and the demands of the sport. You will also examine nutritional strategies before and during exercise and issues such as low energy availability (LEA) and relative energy deficiency in sport (RED-S). At HL, you will go further by studying:
Micronutrients, including the roles of iron, calcium, sodium, potassium, and vitamins
The relationship between micronutrients and oxygen transport, muscle contraction, metabolism, and tissue formation
The gut microbiome
How genetics, diet, medication, and lifestyle influence the microbiome
How the gut microbiome can affect nutrient availability, health, and performance
This section examines how the body produces ATP to support physical activity. You will study three energy systems:
Phosphagen system
Glycolytic system
Oxidative system
Rather than operating completely separately, these systems contribute along an energy continuum. Their relative contribution varies with factors such as exercise duration and intensity. For example, the oxidative system dominates during rest and prolonged lower-intensity activity, while anaerobic pathways become increasingly important during short periods of high-intensity exercise or sudden increases in intensity.
The final topic in Theme A investigates how the body responds and adapts to training and physical activity.
You will examine the characteristics that make physical training effective and how training programmes can be designed around the individual and the activity. This includes considering:
Training intensity
Frequency
Duration
Specificity
Progression
Adaptation
Periodization
Individual differences
Rather than viewing training as simply "doing more exercise", you will consider how appropriate manipulation of training variables can produce particular physiological adaptations while reducing problems such as injury and overtraining.
This section examines the relationship between physical activity and long-term health. You will consider:
Energy intake, expenditure, and storage
Muscular health
Immune function
Osteoporosis
Obesity
Hypertension
Cardiovascular disease
Type 2 diabetes
Regular activity can reduce the risk of several chronic conditions, although the appropriate amount and type of activity vary with factors such as age and sex. At HL, you will also consider the planning of exercise programmes for different populations, such as:
Children and adolescents
Older adults
Pregnant individuals
HL students additionally explore the physiological causes of fatigue and the science of recovery. Possible causes of fatigue include:
Phosphocreatine depletion
Liver and muscle glycogen depletion
Changes in sodium and potassium concentrations
Acidosis
Accumulation of inorganic phosphate
Dehydration
Hyperthermia
You will also evaluate indicators and strategies for recovery, including:
Blood lactate measurements
Muscle soreness
Psychological readiness
Water intake
Protein and carbohydrate intake
Creatine
Polyphenol-rich foods
Myofascial release
Compression garments
Thermotherapy
Sleep
Biomechanics applies principles of physics and anatomy to human movement. Rather than simply describing how someone runs, jumps, throws, or strikes an object, biomechanics allows you to analyze why a movement occurs, what forces are involved, and how technique could be made more efficient, effective, or safe.
This topic focuses on the anatomical and mechanical structures that allow the human body to produce movement.
You will become familiar with anatomical terminology used to describe human movement. This includes:
Axial and appendicular skeleton
Superior and inferior
Proximal and distal
Anterior and posterior
Medial and lateral
Major anatomical planes and axes
You will also study movement terminology such as:
Flexion and extension
Abduction and adduction
Pronation and supination
Rotation
Circumduction
Plantarflexion and dorsiflexion
Inversion and eversion
At HL, this section extends into anthropometry, including the measurement of body proportions and its use in equipment design and ergonomics.
You will examine the relationship between structure and function in:
Bone
Ligaments
Cartilage
Fascia
Tendons
You will also investigate different forms of articulation, including:
Fibrous joints
Cartilaginous joints
Synovial joints
This section examines how muscles generate movement and stability. You will investigate:
Motor units
The all-or-none principle
Muscle fibre types I, IIa, and IIx
Motor-unit recruitment
Hypertrophy and atrophy
Agonists and antagonists
Isometric contractions
Concentric contractions
Eccentric contractions
Isokinetic contractions
At HL, you will examine the sliding filament theory, including the roles of actin, myosin, calcium, ATP, troponin, and tropomyosin in muscular contraction.
The body can also be understood as a system of levers. You will study:
First-class levers
Second-class levers
Third-class levers
Fulcrum
Effort
Load
Mechanical advantage and disadvantage
You will consider both levers within the body and external sporting equipment that can alter movement or enhance performance.
This topic applies mechanical principles more directly to sporting movement.
You will use Newtonian mechanics to explain linear and angular motion. Areas include:
Speed
Velocity
Acceleration
Force
Weight
Momentum
Impulse
Stability
Centre of mass
Base of support
Angular motion
For example, you will consider why applying a greater impulse produces a greater change in momentum and how changes in body position influence stability. At HL, you will extend this understanding through ideas including:
Collisions
Coefficient of restitution
Friction
Work
Power
This area examines how movement through air or water affects sports performance. You will study projectile motion and consider factors such as:
Initial velocity
Angle of projection
Release height
Gravity
Air resistance
Characteristics of the projectile
The wider biomechanics of fluids can help explain the flight of sporting objects and the movement of athletes through air or water.
Movement analysis involves breaking a skill into phases so that technique can be systematically studied. The syllabus uses phases including:
Preparatory phase
Force production
Critical instant
Follow-through for discrete skills
Recovery for continuous skills
Movement analysis can then be applied to improve performance, rehabilitation, accessibility, and safety.
This topic examines why musculoskeletal injuries occur and how their likelihood and consequences can be reduced.
You will distinguish between different risk factors for injury. External factors can include environmental conditions and the use or absence of protective equipment. Internal risk factors can include:
Age
Sex differences
Pregnancy
Training status
Congenital factors
Previous injuries
You will also distinguish between:
Acute trauma – resulting from a sudden or excessive application of force
Cumulative trauma – resulting from repeated applications of force
Chronic or overuse injuries – often associated with repeated movement or biomechanical technique
Possible injuries involve connective tissues, muscle, bone, skin, and functional concussion-like brain injuries.
This area examines approaches intended to reduce injury risk. You may consider:
Protective equipment
Equipment adjustment
Body size and anthropometry
Movement technique
Appropriate training
Force absorption
Rehabilitation strategies
The overall aim is to understand how biomechanical and physiological knowledge can be used to prevent injuries and support safe return to activity.
Theme C examines the psychological factors that influence sporting participation, learning, performance, and well-being. Rather than focusing exclusively on elite athletes, the theme considers why people behave differently in exercise and health settings, how skills are acquired, what motivates people, and how psychological strategies can improve performance.
This topic examines why different people respond differently to the same sporting or exercise situations.
You will investigate personality traits and how they can influence behaviour. Personality factors may include characteristics such as:
Extraversion
Openness
Conscientiousness
Agreeableness
Neuroticism or emotional stability
At HL, you will also explore social learning theory, including how behaviours can be learned through observation and imitation. An important point in the syllabus is that there is no single personality profile that predicts sporting success. Behaviour results from interactions between personality, experience, learning, and environmental factors.
Mental toughness examines how individuals respond to pressure and challenge. You will consider characteristics including:
Confidence
Commitment
Resilience
Perceived control
Appraisal of challenges
Mental toughness can contribute to performance in high-pressure situations and may be developed through experience and training rather than being completely fixed. At HL, this extends into concepts such as:
Self-fulfilling prophecy
Learned helplessness
Health outcomes associated with mental toughness
Attribution theory
Motor learning examines how physical skills are acquired, practised, transferred, and perfected. You will study competing models of how motor learning occurs, including the information processing model and ecological model. You will also examine approaches such as:
Traditional linear pedagogy
Non-linear pedagogy
Constraints-led approaches
Schema theory
Ecological dynamics theory
Open-loop and closed-loop theories
Traditional models also describe three broad stages of skill learning:
Cognitive
Associative
Autonomous
You will investigate how coaching should change as performers progress through these stages. Other concepts include the psychological refractory period, which helps explain why responding to a second stimulus can be delayed, and transfer of learning, which examines how previous experience affects the acquisition of new skills.
This topic examines why individuals begin, continue, or withdraw from sporting and physical activities. You will investigate different explanations of motivation and consider how factors within the individual interact with the sporting environment. Possible areas include:
Achievement motivation
Intrinsic motivation
Extrinsic motivation
Psychological needs
Self-determination
Rewards
Goal orientation
Coaching environments
You will also examine motivational climate. Two contrasting climates are:
Mastery climate – emphasizes effort, cooperation, individual development, and improvement.
Ego climate – emphasizes winning, competition, and comparison with others.
The syllabus identifies mastery climates as generally more effective for enjoyment, teamwork, and long-term performance. You will also explore how coaches can use the TARGET framework (Task, Authority, Recognition, Grouping, Evaluation, and Time) to create a mastery-oriented environment.
Sport can create significant psychological pressure. This topic examines how stress, arousal, and anxiety influence health and performance.
Arousal describes an individual's level of physical and psychological activation. You will investigate theories including:
Drive theory
Inverted-U theory
Individual zones of optimal functioning
Catastrophe theory
You will also distinguish between different dimensions and experiences of anxiety and examine ways anxiety can be measured through subjective and physiological measurements.
Coping strategies can broadly be divided into:
Problem-focused coping – attempts to alter or remove the stressor.
Emotion-focused coping – manages the emotional response to the stressor.
Avoidance-focused coping – attempts to distance the individual from the stressor.
You will consider techniques such as:
Problem solving
Seeking information
Social support
Self-talk
Relaxation
Distraction
At HL, you will investigate how the effectiveness of different strategies depends on whether the stressor is controllable or uncontrollable, as well as the particular athlete and situation.
The final topic examines psychological interventions that can be used to enhance performance.
You will distinguish between:
Outcome goals – focused on an objective result relative to others.
Performance goals – focused on achieving a measurable personal performance target.
Process goals – focused on the technique or strategy required to perform successfully.
The effectiveness of different goals depends partly on the individual and their achievement motivation. At HL, you will additionally investigate:
The goal-setting paradox
Goal adjustment
"Do-your-best" goals
Open goals
HL students also study imagery as a psychological skill. Imagery involves mentally recreating experiences using different senses without physically performing the activity. You will examine:
Cognitive imagery
Motivational imagery
Specific and general imagery
PETTLEP
Paivio's imagery framework
PETTLEP considers physical, environment, task, timing, learning, emotion, and perspective when designing effective imagery interventions.
We hope you found this post helpful! For more useful materials associated with the IB, check out the wide variety of IA, EE and TOK exemplars available at Clastify and other guides available on our blog.