36 former Swiss elite athletes, all of them members of the National team in 1973, were re-examined in 1988 at an average age of 42 years, together with a control group of 23 normally active men. In 1988, maximum oxygen uptake (VO2max) was 68 +/- 5 ml/kg.min in the 18 still active runners, 55 +/- 8 ml/kg.min in the 9 inactive former runners, 45 +/- 6 ml/kg.min in bobsledders, and 44 +/- 6 ml/kg.min in controls. In 1988, the 27 runners had modest but significantly more frequent radiological signs of degenerative hip disease than non-runners, while no influence of long-term physical training on the radiological state of the ankle joint was found. In 1988, runners tended to report themselves healthier; subgroup analyses revealed 1) that this superior self-rated health was confined to those runners still active in 1988 (p less than 0.05) and that VO2max in 1988 was associated with subjective wellbeing (p less than 0.05), and 2) that body fat content was the strongest negative predictor of self-rated health (p = 0.001). 22% of former elite athletes indicated chronic, sports-related complaints but nevertheless rated their health as good as their athletic counterparts free of complaints. 53% of the elite athletes felt that the "benefits" of their own sports career outweighed its "costs", and in two of five of all athletes even "by far". This attitude was neither significantly influenced by the existence of chronic sports-related complaints nor by radiological signs of degenerative hip disease.(ABSTRACT TRUNCATED AT 250 WORDS)