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9. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration

Author

Steinacker, Jürgen M, primary, Mechelen, Willem van, additional, Bloch, Wilhelm, additional, Börjesson, Mats, additional, Casasco, Maurizio, additional, Wolfarth, Bernd, additional, Knoke, Carolin, additional, Papadopoulou, Theodora, additional, Wendt, Janine, additional, Al Tunaiji, Hashel, additional, Andresen, Dietrich, additional, Andrieieva, Olena, additional, Bachl, Norbert, additional, Badtieva, Victoriya, additional, Beucher, Friedhelm J, additional, Blauwet, Cheri A, additional, Casajus Mallen, Jose-Antonio, additional, Chang, Ju-Ho, additional, Clénin, German, additional, Constantini, Naama, additional, Constantinou, Demitri, additional, Di Luigi, Luigi, additional, Declercq, Lukas, additional, Doutreleau, Stephane, additional, Drozdovska, Svitlana, additional, Duclos, Martine, additional, Ermolao, Andrea, additional, Fischbach, Thomas, additional, Fischer, Anastasia N, additional, Fossati, Chiara, additional, Franchella, Jeorge, additional, Fulcher, Mark, additional, Galle, Jan C, additional, Gerloff, Christian, additional, Georgiades, Evelina, additional, Gojanovic, Boris, additional, González Gross, Marcela, additional, Grote, Andy, additional, Halle, Martin, additional, Hauner, Hans, additional, Herring, Matthew Payton, additional, Hiura, Mikio, additional, Holze, Kerstin, additional, Huber, Gerhard, additional, Hughes, David, additional, Hutchinson, Mark R., additional, Ionescu, Anca, additional, Janse van Rensburg, Dina Christina, additional, Jegier, Anna, additional, Jones, Natasha, additional, Kappert-Gonther, Kirsten, additional, Kellerer, Monika, additional, Kimura, Yutaka, additional, Kiopa, Agrita, additional, Kladny, Bernd, additional, Koch, Gerhard, additional, Kolle, Elin, additional, Kolt, Greg, additional, Koutedakis, Yiannis, additional, Kress, Stephan, additional, Kriemler, Susi, additional, Kröger, Jens, additional, Kuhn, Christian, additional, Laszlo, Roman, additional, Lehnert, Ralph, additional, Lhuissier, François J, additional, Lüdtke, Kerstin, additional, Makita, Shigeru, additional, Manonelles Marqueta, Pedro, additional, März, Winfried, additional, Micallef-Stafrace, Kirill, additional, Miller, Mike, additional, Moore, Melita, additional, Müller, Erich, additional, Neunhäuserer, Daniel, additional, Onur, I. Renay, additional, Ööpik, Vahur, additional, Perl, Malgorzata, additional, Philippou, Anastassios, additional, Predel, Hans-Georg, additional, Racinais, Sebastien, additional, Raslanas, Algirdas, additional, Reer, Ruediger, additional, Reinhardt, Klaus, additional, Reinsberger, Claus, additional, Rozenstoka, Sandra, additional, Sallis, Robert, additional, Sardinha, Luis B, additional, Scherer, Martin, additional, Schipperijn, Jasper, additional, Seil, Romain, additional, Tan, Benedict, additional, Schmidt-Trucksäss, Arno, additional, Schumacher, Nils, additional, Schwaab, Bernhard, additional, Schwirtz, Ansgar, additional, Suzuki, Masato, additional, Swart, Jeroen, additional, Tiesler, Ralph, additional, Tippelt, Ulf, additional, Tillet, Eleanor, additional, Thornton, Jane, additional, Ulkar, Bulent, additional, Unt, Eve, additional, Verhagen, Evert, additional, Weikert, Thomas, additional, Vettor, Roberto, additional, Zeng, Sheng, additional, Budgett, Richard, additional, Engebretsen, Lars, additional, Erdener, Ugur, additional, Pigozzi, Fabio, additional, and Pitsiladis, Yannis P, additional

Published
2023
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13. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration

Author

Steinacker, Jürgen M, Mechelen, Willem van, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane, Drozdovska, Svitlana, Duclos, Martine, Ermolao, Andrea, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Franchella, Jeorge, Fulcher, Mark, Galle, Jan C, Gerloff, Christian, Georgiades, Evelina, Gojanovic, Boris, González Gross, Marcela, Grote, Andy, Halle, Martin, Hauner, Hans, Herring, Matthew Payton, Hiura, Mikio, Holze, Kerstin, Huber, Gerhard, Hughes, David, Hutchinson, Mark R., Ionescu, Anca, Janse van Rensburg, Dina Christina, Jegier, Anna, Jones, Natasha, Kappert-Gonther, Kirsten, Kellerer, Monika, Kimura, Yutaka, Kiopa, Agrita, Kladny, Bernd, Koch, Gerhard, Kolle, Elin, Kolt, Greg, Koutedakis, Yiannis, Kress, Stephan, Kriemler, Susi, Kröger, Jens, Kuhn, Christian, Laszlo, Roman, Lehnert, Ralph, Lhuissier, François J, Lüdtke, Kerstin, Makita, Shigeru, Manonelles Marqueta, Pedro, März, Winfried, Micallef-Stafrace, Kirill, Miller, Mike, Moore, Melita, Müller, Erich, Neunhäuserer, Daniel, Onur, I. Renay, Ööpik, Vahur, Perl, Malgorzata, Philippou, Anastassios, Predel, Hans-Georg, Racinais, Sebastien, Raslanas, Algirdas, Reer, Ruediger, Reinhardt, Klaus, Reinsberger, Claus, Rozenstoka, Sandra, Sallis, Robert, Sardinha, Luis B, Scherer, Martin, Schipperijn, Jasper, Seil, Romain, Tan, Benedict, Schmidt-Trucksäss, Arno, Schumacher, Nils, Schwaab, Bernhard, Schwirtz, Ansgar, Suzuki, Masato, Swart, Jeroen, Tiesler, Ralph, Tippelt, Ulf, Tillet, Eleanor, Thornton, Jane, Ulkar, Bulent, Unt, Eve, Verhagen, Evert, Weikert, Thomas, Vettor, Roberto, Zeng, Sheng, Budgett, Richard, Engebretsen, Lars, Erdener, Ugur, Pigozzi, Fabio, Pitsiladis, Yannis P, Steinacker, Jürgen M, Mechelen, Willem van, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane, Drozdovska, Svitlana, Duclos, Martine, Ermolao, Andrea, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Franchella, Jeorge, Fulcher, Mark, Galle, Jan C, Gerloff, Christian, Georgiades, Evelina, Gojanovic, Boris, González Gross, Marcela, Grote, Andy, Halle, Martin, Hauner, Hans, Herring, Matthew Payton, Hiura, Mikio, Holze, Kerstin, Huber, Gerhard, Hughes, David, Hutchinson, Mark R., Ionescu, Anca, Janse van Rensburg, Dina Christina, Jegier, Anna, Jones, Natasha, Kappert-Gonther, Kirsten, Kellerer, Monika, Kimura, Yutaka, Kiopa, Agrita, Kladny, Bernd, Koch, Gerhard, Kolle, Elin, Kolt, Greg, Koutedakis, Yiannis, Kress, Stephan, Kriemler, Susi, Kröger, Jens, Kuhn, Christian, Laszlo, Roman, Lehnert, Ralph, Lhuissier, François J, Lüdtke, Kerstin, Makita, Shigeru, Manonelles Marqueta, Pedro, März, Winfried, Micallef-Stafrace, Kirill, Miller, Mike, Moore, Melita, Müller, Erich, Neunhäuserer, Daniel, Onur, I. Renay, Ööpik, Vahur, Perl, Malgorzata, Philippou, Anastassios, Predel, Hans-Georg, Racinais, Sebastien, Raslanas, Algirdas, Reer, Ruediger, Reinhardt, Klaus, Reinsberger, Claus, Rozenstoka, Sandra, Sallis, Robert, Sardinha, Luis B, Scherer, Martin, Schipperijn, Jasper, Seil, Romain, Tan, Benedict, Schmidt-Trucksäss, Arno, Schumacher, Nils, Schwaab, Bernhard, Schwirtz, Ansgar, Suzuki, Masato, Swart, Jeroen, Tiesler, Ralph, Tippelt, Ulf, Tillet, Eleanor, Thornton, Jane, Ulkar, Bulent, Unt, Eve, Verhagen, Evert, Weikert, Thomas, Vettor, Roberto, Zeng, Sheng, Budgett, Richard, Engebretsen, Lars, Erdener, Ugur, Pigozzi, Fabio, and Pitsiladis, Yannis P

Abstract

Non-communicable diseases (NCDs), including coronary heart disease, stroke, hypertension, type 2 diabetes, dementia, depression and cancers, are on the rise worldwide and are often associated with a lack of physical activity (PA). Globally, the levels of PA among individuals are below WHO recommendations. A lack of PA can increase morbidity and mortality, worsen the quality of life and increase the economic burden on individuals and society. In response to this trend, numerous organisations came together under one umbrella in Hamburg, Germany, in April 2021 and signed the ‘Hamburg Declaration’. This represented an international commitment to take all necessary actions to increase PA and improve the health of individuals to entire communities. Individuals and organisations are working together as the ‘Global Alliance for the Promotion of Physical Activity’ to drive long-term individual and population-wide behaviour change by collaborating with all stakeholders in the community: active hospitals, physical activity specialists, community services and healthcare providers, all achieving sustainable health goals for their patients/clients. The ‘Hamburg Declaration’ calls on national and international policymakers to take concrete action to promote daily PA and exercise at a population level and in healthcare settings., Peer Reviewed

Published
2023

14. Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration

Author

Steinacker, Jürgen M; https://orcid.org/0000-0001-8901-9450, van Mechelen, Willem, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin; https://orcid.org/0000-0002-4907-4428, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio; https://orcid.org/0000-0002-7215-6931, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri; https://orcid.org/0000-0002-3363-7695, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane; https://orcid.org/0000-0001-8816-0356, Drozdovska, Svitlana, Duclos, Martine; https://orcid.org/0000-0002-7158-386X, Ermolao, Andrea; https://orcid.org/0000-0002-0546-1514, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Kriemler, Susi; https://orcid.org/0000-0002-3384-7940, et al, Steinacker, Jürgen M; https://orcid.org/0000-0001-8901-9450, van Mechelen, Willem, Bloch, Wilhelm, Börjesson, Mats, Casasco, Maurizio, Wolfarth, Bernd, Knoke, Carolin; https://orcid.org/0000-0002-4907-4428, Papadopoulou, Theodora, Wendt, Janine, Al Tunaiji, Hashel, Andresen, Dietrich, Andrieieva, Olena, Bachl, Norbert, Badtieva, Victoriya, Beucher, Friedhelm J, Blauwet, Cheri A, Casajus Mallen, Jose-Antonio; https://orcid.org/0000-0002-7215-6931, Chang, Ju-Ho, Clénin, German, Constantini, Naama, Constantinou, Demitri; https://orcid.org/0000-0002-3363-7695, Di Luigi, Luigi, Declercq, Lukas, Doutreleau, Stephane; https://orcid.org/0000-0001-8816-0356, Drozdovska, Svitlana, Duclos, Martine; https://orcid.org/0000-0002-7158-386X, Ermolao, Andrea; https://orcid.org/0000-0002-0546-1514, Fischbach, Thomas, Fischer, Anastasia N, Fossati, Chiara, Kriemler, Susi; https://orcid.org/0000-0002-3384-7940, and et al

Abstract

Non-communicable diseases (NCDs), including coronary heart disease, stroke, hypertension, type 2 diabetes, dementia, depression and cancers, are on the rise worldwide and are often associated with a lack of physical activity (PA). Globally, the levels of PA among individuals are below WHO recommendations. A lack of PA can increase morbidity and mortality, worsen the quality of life and increase the economic burden on individuals and society. In response to this trend, numerous organisations came together under one umbrella in Hamburg, Germany, in April 2021 and signed the 'Hamburg Declaration'. This represented an international commitment to take all necessary actions to increase PA and improve the health of individuals to entire communities. Individuals and organisations are working together as the 'Global Alliance for the Promotion of Physical Activity' to drive long-term individual and population-wide behaviour change by collaborating with all stakeholders in the community: active hospitals, physical activity specialists, community services and healthcare providers, all achieving sustainable health goals for their patients/clients. The 'Hamburg Declaration' calls on national and international policymakers to take concrete action to promote daily PA and exercise at a population level and in healthcare settings.

Published
2023

16. Assessing the Awareness and Behaviors of U.S. High School Nurses with Respect to the Female Athlete Triad

Author

Kroshus, Emily, Fischer, Anastasia N., and Nichols, Jeanne F.

Abstract

Female high school athletes are an at-risk population for the Female Athlete Triad--a syndrome including low energy availability (with or without disordered eating), menstrual dysfunction, and low bone mineral density. School nurses can play an important role in reducing the health burden of this syndrome, by educating coaches and athletes, and by referring symptomatic student-athletes to appropriate community resources for evaluation and treatment. This study assessed knowledge, attitudes, communication, and referral behaviors of U.S. high school nurses about the Female Athlete Triad. Participants were a random sample of 370 U.S. high school nurses. The results indicated that only 19% of the nurses were able to identify the three components of the Triad and only 25% reported that they work proactively with coaches to help prevent health issues among their female athletes. Over 95% expressed interest in learning more about the Triad. Implications for educational program design are discussed.

Published
2015
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33. Effect of Exercise Recommendation on Adolescents With Concussion.

Author

Stumph, Justin, Young, Julie, Singichetti, Bhavna, Yi, Honggang, Valasek, Amy, Bowman, Eric, MacDonald, James, Yang, Jingzhen, and Fischer, Anastasia

Subjects
TEENAGE boys, TEENAGE girls, EXERCISE, BRAIN concussion, HEALING, TIME
Abstract

We examined the effect of a noncontact, subsymptom exacerbation early exercise recommendation on recovery from sports-related concussion. Retrospective analysis of adolescents, 10-17 years old, with symptomatic concussion, within 30 days of injury was performed. Time to recovery was measured between the early exercise group and a comparison group. A total of 187 patients studied—112 in the exercise group and 75 in the comparison group; 55% were male (n = 103). The exercise group had a significantly longer duration of concussion symptoms (18.5 days vs 14, P =.002), although both groups recovered within the expected time to recovery for concussion. When analyzed separately, males experienced longer time to recovery from injury (19 days vs 14, P =.003), than females, respectively (18 days vs 14.5, P =.18). Recommendation of early exercise resulted in significantly longer recovery from concussion in male adolescents but had no significant effect in female adolescents; both groups recovered within the expected time frame. [ABSTRACT FROM AUTHOR]

Published
2020
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41. Prevalence of Spondylolysis in Symptomatic Adolescent Athletes: An Assessment of Sport Risk in Nonelite Athletes.

Author

Selhorst, Mitchell DPT, OCS, Fischer, Anastasia MD, and MacDonald, James MD, MPH

Subjects
*SPORTS injuries risk factors, *BASEBALL injuries, *HOCKEY injuries, *MEDICAL records, *PEDIATRICS, *RISK assessment, *SOCCER injuries, *SOFTBALL, *SPORTS injuries, *SPORTS medicine, *GYMNASTICS injuries, *RELATIVE medical risk, *SPONDYLOLYSIS, *DISEASE prevalence, *RETROSPECTIVE studies, *ACQUISITION of data methodology, *LUMBAR pain, *DISEASE risk factors
Abstract

Objective: To assess the risk of spondylolysis by sport in nonelite adolescent athletes with low back pain (LBP). Design: Retrospective case series. Setting: Hospital-based sports medicine clinic. Patients: The medical charts of 1025 adolescent athletes with LBP (age 15 +/- 1.8 years) were examined; 308 (30%) were diagnosed with a spondylolysis. Assessment of Risk: Risk of spondylolysis was assessed in 11 sports for males and 14 sports for females. Main Outcome Measure: Relative risk of diagnosis of spondylolysis injury. Results: The risk of spondylolysis differed by sex with baseball (54%), soccer (48%), and hockey (44%) having the highest prevalence in males and gymnastics (34%), marching band (31%), and softball (30%) for female athletes. Baseball was the only sport to demonstrate a significant increased risk of spondylolysis. Conclusions: The sports with the greatest risk of spondylolysis in adolescent athletes in this study were not consistent with published literature. Clinicians should be cautious generalizing high-risk sports to their practice, as geographic region and level of the athlete may significantly influence the incidence of spondylolysis in the population they are treating. [ABSTRACT FROM AUTHOR]

Published
2019
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50. Physicians' Management Practices and Perceived Health Risks When Postconcussion Symptoms Persist.

Author

Rose, Sean C., Fischer, Anastasia N., and Heyer, Geoffrey L.

Subjects
SYMPTOMS, PUBLIC health, PHYSICIANS, MEDICAL personnel, OCCUPATIONS, SPORTS injuries treatment, BED rest, CONVALESCENCE, MEDICAL protocols, NEURORADIOLOGY, SPORTS injuries, EVIDENCE-based medicine, CROSS-sectional method, POSTCONCUSSION syndrome, THERAPEUTICS
Abstract

Background: Concussion guidelines recommend physical and cognitive rest until all postconcussion symptoms resolve, in part because of potential health risks, including catastrophic injury related to a second impact. However, when postconcussion symptoms persist for weeks or months, these risks are poorly characterized.Hypothesis: Physicians' perceived health risks and management strategies for patients with persistent postconcussion symptoms will vary.Study Design: Cross-sectional study.Level Of Evidence: Level 3.Methods: A survey of the physician members of the American College of Sports Medicine assessed the perceived health risks related to advancing activity, the indications for neuroimaging, and the referral patterns for patients with persistent postconcussion symptoms.Results: A total of 572 physicians completed the survey (response rate, 27.2%). The majority of physicians recommended physical rest (97.4%) and cognitive rest (93.8%) within the first week of injury. Perceived health risks related to advancing activity in the symptomatic patient differed at 2 weeks versus 3 months after injury (P < 0.001 for all comparisons). Respondents from the United States were more likely to list second impact syndrome as a potential health risk at 2 weeks compared with respondents from other countries (P = 0.04). The majority (56%) responded that the risk of second impact syndrome remains until all symptoms resolve. When postconcussion symptoms persist beyond 1 month, 61.9% of physicians responded that neuroimaging is indicated. Approximately 60% of respondents had access to a multidisciplinary concussion clinic within 60 miles of their practice.Conclusion: When postconcussion symptoms persist, the perceived health risks, management practices, and access to multidisciplinary care vary among physicians. [ABSTRACT FROM AUTHOR]

Published
2016
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