Epidemiology and prevention of injuries in young sportsmen. A 35 year observational study of the sport and art classes in the Canton of Geneva

2015 ◽  
Vol 63 (3) ◽  
Keyword(s):  
Physical Activity ◽  
Sports Medicine ◽  
Performance Enhancement ◽  
Physical Activity Promotion ◽  
Training Time ◽  
Activity Promotion ◽  
Sporting Activities ◽  
Athletic Development

Injury prevention is a priority in the field of sports medicine and in physical activity promotion, in particular for youth. Injuries can lead to long term handicaps and disengagement from physical activity. The follow up of young sportsmen in the canton of Geneva over the last 35 years has permitted to get an idea of the prevalence of injuries in young sportsmen and allows a comparison with the general population. It has also permitted to get an idea of the influence prevention has had on injuries. We found that injuries were not significantly different in youth sportsmen (0.27 injuries/child/year) than in the general age matched population, but that injury’s among sporting youth occurred mainly during their sporting activities. Traditional prevention did not decrease injury prevalence but reduced the proportion of overuse injuries. Since performance level and training time increased over the study period, without a concomitant increase in injury’s, it can be hypothesized that prevention contributed to performance enhancement. The concept of a learning effect, or the preventive influence, of an injury is evoked. The idea that injuries are part of athletic development (performance) and might not be reducible below a certain threshold is also discussed.

scholarly journals Physical activity modification in youth with congenital heart disease: a comprehensive narrative review

2020 ◽  
Author(s):  
Arend W. van Deutekom ◽  
Adam J. Lewandowski
Keyword(s):  
Physical Activity ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Physical Activity Intervention ◽  
Large Range ◽  
Physical Activity Promotion ◽  
Activity Levels ◽  
Activity Promotion

Abstract Congenital heart disease (CHD) affects nearly 1% of births. As survival rates have dramatically improved, the majority of individuals with CHD now live into adulthood. As these patients age, they become prone to a large range of complications, such as chronic heart failure and acquired cardiovascular disease. Promotion of a healthy and active lifestyle from childhood onwards has been suggested as a sustainable and effective strategy to enhance cardiovascular health, improve quality of life and reduce immediate and long-term risk in people with CHD. Well-established physical activity consensus statements for youth with CHD have now been published. In this article, we review how increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, what is known about physical activity in children with CHD, describe the unique factors that contribute to achieving sufficient and insufficient physical activity levels and summarize the evidence of trials on physical activity promotion in youth with CHD. Furthermore, we discuss some of the challenges that need to be addressed by further research regarding the optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD. Impact Congenital heart disease (CHD) affects nearly 1% of births, with the majority of individuals with CHD now living into adulthood due to improved survival. As CHD patients age, they become prone to a large range of cardiovascular complications. This article discusses how and why increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, the barriers to achieving sufficient physical activity levels and the evidence from trials on physical activity promotion in youth with CHD. The optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD are discussed.

scholarly journals An intervention of physical activity promotion in an university hospital. A prospective cohort study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Ladner ◽  
S D Mihailescu ◽  
D Cerasuolo
Keyword(s):  
Physical Activity ◽  
Health Workers ◽  
Public Health Intervention ◽  
Physical Activity Promotion ◽  
University Hospital ◽  
Activity Promotion ◽  
The Mean ◽  
High Level ◽  
The Impact

Abstract Background Rouen University Hospital implements a policy of health promotion hospital since 2016. The objective of this study was to evaluate prospectively the impact of physical activity promotion in hospital health workers (HW), using pedometers over a period of six months. Methods Physical activity was measured by electronic pedometers distributed to HW, with the aim to improve their physical activity and to measure it during six months. Online questionnaires collected at different points of follow-up, from inclusion to sixth month (a total of seven points of follow-up). Socio-demographic and characteristics on type of health work were collected as well as the number of steps and the behavior regarding their routine physical activity. Results A total of 680 HW were included in the cohort. The sex ratio M:W was 0.16. The mean age was 41.6 years (SD = 10.7). 44.0% were non-medical caregivers, 32.1% were in administrative section, 14.3% were technical workers and 9.7% were physicians or pharmacists; 53.7% of HW reported doing sport regularly. At inclusion the mean number of daily steps was 8662. The mean progression for all professional profiles between first week and sixth month was of 1082 steps daily, with difference according to position: 1319 in physicians, 1234 in non-medical caregivers, 1106 in administrative workers and 314 in technical workers. In linear regression model, the mean number of progression of daily steps was 964 in physicians, 752 in non-medical caregivers. Conclusions The study shows a significant increase in the number of daily steps measured objectively using an incentive tool, as pedometer during six months of intervention. Further researches are needed to determine if these changes are sustainable over a long period of time Key messages Despite high level of daily steps at baseline, the longitudinal study shows an increase of daily steps over a 6-month period. Such public health intervention is a relevant method to engage people in self-monitoring their physical activity.

scholarly journals Exploring the impact of the ‘new’ ParticipACTION: overview and introduction of the special issue

2018 ◽  
Vol 38 (4) ◽  
pp. 153-161 ◽  
Author(s):  
Guy Faulkner ◽  
Lira Yun ◽  
Mark S. Tremblay ◽  
John C. Spence
Keyword(s):  
Physical Activity ◽  
Physical Activity Promotion ◽  
Population Based ◽  
Organizational Level ◽  
Activity Levels ◽  
Marketing Organization ◽  
Individual Level ◽  
Activity Promotion ◽  
The Impact

ParticipACTION is the Canadian physical activity communications and social marketing organization first launched in the fall of 1971 and then ceased operations in 2001. ParticipACTION was relaunched in 2007. Framed as a public health natural experiment, evidence was collected from a population-based survey of knowledge, awareness, understanding of physical activity, and physical activity levels among Canadians (individual level), and key informant surveys and interviews examining capacity, readiness and advocacy for physical activity promotion among physical activity organizations (organizational level). The purpose of this paper is to first provide an overview of some of the major initiatives undertaken by the ‘new’ ParticipACTION that may have contributed to any changes at these individual or organizational levels. Second, the paper sets the stage for the three empirical papers in this special series reporting follow-up results.

scholarly journals Whole family-based physical activity promotion intervention: the Families Reporting Every Step to Health pilot randomised controlled trial protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e030902 ◽  
Author(s):  
Justin M Guagliano ◽  
Helen Elizabeth Brown ◽  
Emma Coombes ◽  
Elizabeth S Haines ◽  
Claire Hughes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Controlled Trial ◽  
Pilot Trial ◽  
Family Members ◽  
Physical Activity Promotion ◽  
Activity Promotion ◽  
Ethical Approval ◽  
Family Based ◽  
Randomised Controlled

IntroductionFamily-based physical activity (PA) interventions present a promising avenue to promote children’s activity; however, high-quality experimental research is lacking. This paper describes the protocol for the FRESH (Families Reporting Every Step to Health) pilot trial, a child-led family-based PA intervention delivered online.Methods and analysisFRESH is a three-armed, parallel-group, randomised controlled pilot trial using a 1:1:1 allocation ratio with follow-up assessments at 8 and 52 weeks postbaseline. Families will be eligible if a minimum of one child in school Years 3–6 (aged 7–11 years) and at least one adult responsible for that child are willing to participate. Family members can take part in the intervention irrespective of their participation in the accompanying evaluation and vice versa.Following baseline assessment, families will be randomly allocated to one of three arms: (1) FRESH; (2) pedometer-only or (3) no-intervention control. All family members in the pedometer-only and FRESH arms receive pedometers and generic PA promotion information. FRESH families additionally receive access to the intervention website; allowing participants to select step challenges to ‘travel’ to target cities around the world, log steps and track progress as they virtually globetrot. Control families will receive no treatment. All family members will be eligible to participate in the evaluation with two follow-ups (8 and 52 weeks). Physical (eg, fitness and blood pressure), psychosocial (eg, social support) and behavioural (eg, objectively measured family PA) measures will be collected at each time point. At 8-week follow-up, a mixed methods process evaluation will be conducted (questionnaires and family focus groups) assessing acceptability of the intervention and evaluation. FRESH families’ website engagement will also be explored.Ethics and disseminationThis study received ethical approval from the Ethics Committee for the School of the Humanities and Social Sciences at the University of Cambridge. Findings will be disseminated via peer-reviewed publications, conferences and to participating families.Trial registration numberISRCTN12789422

scholarly journals Promoting physical activity and physical function in people with long-term conditions in primary care: the Function First realist synthesis with co-design

2021 ◽  
Vol 9 (16) ◽  
pp. 1-104
Author(s):  
Rebecca-Jane Law ◽  
Joseph Langley ◽  
Beth Hall ◽  
Christopher Burton ◽  
Julia Hiscock ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Physical Function ◽  
Care Service ◽  
Evidence Synthesis ◽  
Physical Activity Promotion ◽  
Programme Theory ◽  
Long Term Conditions ◽  
Activity Promotion

Background As people age and accumulate long-term conditions, their physical activity and physical function declines, resulting in disability and loss of independence. Primary care is well placed to empower individuals and communities to reduce this decline; however, the best approach is uncertain. Objectives To develop a programme theory to explain the mechanisms through which interventions improve physical activity and physical function in people with long-term conditions in different primary care contexts, and to co-design a prototype intervention. Data sources Systematic literature searches of relevant databases with forwards and backwards citation tracking, grey literature searches and further purposive searches were conducted. Qualitative data were collected through workshops and interviews. Design Realist evidence synthesis and co-design for primary care service innovation. Setting Primary care in Wales and England. Participants Stakeholders included people with long-term conditions, primary care professionals, people working in relevant community roles and researchers. Methods The realist evidence synthesis combined evidence from varied sources of literature with the views, experiences and ideas of stakeholders. The resulting context, mechanism and outcome statements informed three co-design workshops and a knowledge mobilisation workshop for primary care service innovation. Results Five context, mechanism and outcome statements were developed. (1) Improving physical activity and function is not prioritised in primary care (context). If the practice team culture is aligned to the elements of physical literacy (mechanism), then physical activity promotion will become routine and embedded in usual care (outcome). (2) Physical activity promotion is inconsistent and unco-ordinated (context). If specific resources are allocated to physical activity promotion (in combination with a supportive practice culture) (mechanism), then this will improve opportunities to change behaviour (outcome). (3) People with long-term conditions have varying levels of physical function and physical activity, varying attitudes to physical activity and differing access to local resources that enable physical activity (context). If physical activity promotion is adapted to individual needs, preferences and local resources (mechanism), then this will facilitate a sustained improvement in physical activity (outcome). (4) Many primary care practice staff lack the knowledge and confidence to promote physical activity (context). If staff develop an improved sense of capability through education and training (mechanism), then they will increase their engagement with physical activity promotion (outcome). (5) If a programme is credible with patients and professionals (context), then trust and confidence in the programme will develop (mechanism) and more patients and professionals will engage with the programme (outcome). A prototype multicomponent intervention was developed. This consisted of resources to nurture a culture of physical literacy, materials to develop the role of a credible professional who can promote physical activity using a directory of local opportunities and resources to assist with individual behaviour change. Limitations Realist synthesis and co-design is about what works in which contexts, so these resources and practice implications will need to be modified for different primary care contexts. Conclusions We developed a programme theory to explain how physical activity could be promoted in primary care in people with long-term conditions, which informed a prototype intervention. Future work A future research programme could further develop the prototype multicomponent intervention and assess its acceptability in practice alongside existing schemes before it is tested in a feasibility study to inform a future randomised controlled trial. Study registration This study is registered as PROSPERO CRD42018103027. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 16. See the NIHR Journals Library website for further project information.

Framing Social Comparison Feedback With Financial Incentives for Physical Activity Promotion: A Randomized Trial

2020 ◽  
Vol 17 (6) ◽  
pp. 641-649
Author(s):  
Mitesh S. Patel ◽  
David A. Asch ◽  
Roy Rosin ◽  
Dylan S. Small ◽  
Scarlett L. Bellamy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Trial ◽  
Social Comparison ◽  
Financial Incentives ◽  
Physical Activity Promotion ◽  
Intervention Period ◽  
Activity Data ◽  
Activity Promotion ◽  
Steps Per Day

Background: Social comparison feedback is often used in physical activity interventions but the optimal design of feedback is unknown. Methods: This 4-arm, randomized trial consisted of a 13-week intervention period and 13-week follow-up period. During the intervention, 4-person teams were entered into a weekly lottery valued at about $1.40/day and contingent on the team averaging ≥7000 steps per day. Social comparison feedback on performance was delivered weekly for 26 weeks, and varied by reference point (50th vs 75th percentile) and forgiveness in use of activity data (all 7 d or best 5 of 7 d). The primary outcome was the mean proportion of participant-days achieving the 7000-step goal. Results: During the intervention period, the unadjusted mean proportion of participant-days that the goal was achieved was 0.47 (95% confidence interval [CI]: 0.38 to 0.56) in the 50th percentile arm, 0.38 (95% CI: 0.30 to 0.37) in the 75th percentile arm, 0.40 (95% CI: 0.31 to 0.49) in the 50th percentile with forgiveness arm, and 0.47 (95% CI: 0.38 to 0.55) in the 75th percentile with forgiveness arm. In adjusted models during the intervention and follow-up periods, there were no significant differences between arms. Conclusions: Changing social comparison feedback did not impact physical activity.

scholarly journals Effects of exercise and physical activity promotion: meta-analysis informing the 2018 EULAR recommendations for physical activity in people with rheumatoid arthritis, spondyloarthritis and hip/knee osteoarthritis

RMD Open ◽  
2018 ◽  
Vol 4 (2) ◽  
pp. e000713 ◽  
Author(s):  
Anne-Kathrin Rausch Osthoff ◽  
Carsten Bogh Juhl ◽  
Keegan Knittle ◽  
Hanne Dagfinrud ◽  
Emalie Hurkmans ◽  
...  
Keyword(s):  
Public Health ◽  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Sports Medicine ◽  
Meta Analysis ◽  
Physical Activity Promotion ◽  
Cardiovascular Fitness ◽  
Activity Promotion

ObjectiveTo evaluate the effectiveness of exercise and physical activity (PA) promotion on cardiovascular fitness, muscle strength, flexibility, neuromotor performance (eg, balance) and daily PA in people with rheumatoid arthritis (RA), spondyloarthritis (SpA) and hip/knee osteoarthritis (HOA/KOA).Methodssystematic review (SR) and meta-analysis (MA) were performed searching the databases PubMed/Medline, CENTRAL, Embase, Web of Science, Emcare and PsycInfo until April 2017. We included randomised controlled trials (RCTs) in adults (≥18 years) with RA, SpA and HOA/KOA, investigating the effects of exercise or PA promotion according to the public health PA recommendations by the American College of Sports Medicine. The time point of interest was the first assessment after the intervention period. If suitable, data were pooled in a MA using a random-effects model presented as standardised mean difference (SMD).ResultsThe SR included 63 RCTs, of which 49 (3909 people with RA/SpA/HOA/KOA) were included in the MA. Moderate effects were found of aerobic exercises and resistance training on cardiovascular fitness (SMD 0.56 (95% CI 0.38 to 0.75)) and muscle strength (SMD 0.54 (95% CI 0.35 to 0.72)), respectively, but no effect of combined strength/aerobic/flexibility exercises on flexibility (SMD 0.12 (95% CI -0.16 to 0.41)). PA promotion interventions produced a small increase in PA behaviour (SMD 0.21 (95% CI 0.03 to 0.38)).ConclusionExercises and PA promotion according to public health recommendations for PA improved cardiovascular fitness, muscle strength and PA behaviour, with moderate effect sizes in people with SpA, RA and HOA/KOA.Trial registration numberCRD42017082131.

scholarly journals Predictors of long-term change of a physical activity promotion programme in primary care

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Alvaro Sanchez ◽  
Gonzalo Grandes ◽  
Ricardo Ortega Sánchez-Pinilla ◽  
Jesus Torcal ◽  
Imanol Montoya
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Physical Activity Promotion ◽  
Term Change ◽  
Promotion Programme ◽  
Activity Promotion

scholarly journals Development and Effects of a Physical Activity Promotion Programs for Elderly Patients Hospitalized in Long-term Care Hospital

2020 ◽  
Vol 27 (4) ◽  
pp. 400-412
Author(s):  
Se In Ryu ◽  
Aekyung Kim
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Long Term Care ◽  
Physical Activity Promotion ◽  
Control Group ◽  
Care Hospital ◽  
Term Care ◽  
Activity Promotion ◽  
Physical Activity Promotion Program

Purpose: The purpose of this study was to develop a physical activity promotion program and identify it's effects on physical fitness, fall efficacy, vitality, happiness, and adaptation for older adults hospitalized in long-term care hospital.Methods: The research design was a quasi-experimental, nonequivalence control group design. Older adults in long-term care hospitals were assigned to the experimental (n=28) or control group (n=27). The experimental group received a 12-week program consisting of total of 60 sessions, 5 times a week for 20-40 minutes per day.Results: The homogeneity test for the participant physical performance showed no statistically significant differences between the two groups. There were a statistical significant differences between the two groups in muscular strength (Right t=13.81, <i>p</i>=.001, Left t=48.91, <i>p</i>=.001), muscle endurance (t=99.50, <i>p</i>=.001), cardiopulmonary endurance (t=50.12, <i>p</i>=.001), coordination (t=-7.94, <i>p</i>=.001), balance existed (t=-4.84, <i>p</i>=.001), flexibility (t=20.23, <i>p</i>=.001), fall efficacy (t=6.06, <i>p</i>=001), vitality (t=7.01, <i>p</i>=.001) and happiness (t=3.95, <i>p</i>=.001). There was no significant statistical difference between the experimental group and the control group for adaptation (t=0.74, <i>p</i>=.460).Conclusion: The results of this research supports the use of the physical activity promotion program developed in this research as a physical activity and happiness promoting program for older adults in long-term care hospital.

scholarly journals The Protocol and Feasibility Results of a Preliminary Instagram-Based Physical Activity Promotion Study

Technologies ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 70
Author(s):  
Zakkoyya H. Lewis ◽  
Shalis Danayan
Keyword(s):  
Physical Activity ◽  
Social Media ◽  
Retention Rate ◽  
Mode Of Delivery ◽  
Physical Activity Promotion ◽  
Intervention Period ◽  
Intervention Method ◽  
Activity Promotion ◽  
Media Platform

Background: Social media-based interventions are commonly used mode of delivery for physical activity promotion interventions. Instagram is an understudied social media platform and our purpose was to describe a detailed study protocol and report the feasibility of an Instagram-based physical activity promotion intervention. Method: Participants (n = 45) were recruited and randomized to follow one of three Instagram accounts for 3 months. The groups included a control, a popular fitness account, and two intervention groups. Participants were asked to complete weekly surveys for four weeks, at a 2-month follow up, and at a 3-month follow up. Participants were incentivized by being entered into a drawing for a free wearable activity monitor. Results: The intervention rate was 40% while the retention rate after four weeks was 33.3% and 22.2% after three months. Participants in the intervention groups reported higher education from the study account, enjoyment, and satisfaction. Conclusion: Although the study was well-received, more research is needed to determine how to increase retention within an Instagram-based intervention. Researchers should consider methods for participant identification, variations of interactive content, and extending the intervention period when designing their own study.

Sign in / Sign up

Export Citation Format

Share Document