HIGHLIGHTS

• The all-around was one of four events in which Biles had won gold in Rio 2016
• The 24-year-old earlier withdrew from her team event after a single vault
• A sweep of the gold medals at the Tokyo Olympics would have made Biles the most accomplished woman Olympian in any sport

United States gymnastics star Simone Biles won’t defend her Olympic gold in the women’s all-around competition. A day after she withdrew from the team final, USA Gymnastics said in a statement that Biles has withdrawn from the all-around competition, which was one of four competitions in which she won gold at the 2016 Rio Olympics.

“After further medical evaluation, Simone Biles has withdrawn from the final individual all-around competition at the Tokyo Olympic Games, in order to focus on her mental health,” said the USAG in its statement.

“Simone will continue to be evaluated daily to determine whether or not to participate in next week’s individual event finals. Jade Carey, who had the ninth highest score in qualifications, will participate in her place in the all-around.”

Carey initially did not qualify because she was the third-ranking American behind Biles and Sunisa Lee. International Gymnastics Federation rules limit countries to two athletes per event in the finals.

Adams said mental health remained a big issue and that it was a matter the organisation had been working on for some time.

IOC President Thomas Bach was seen in deep conversation with Biles on the floor of the Ariake Gymnastics Centre on Tuesday before handing out medals.