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Turska-Kmieć A, Neunhaeuserer D, Mazur A, Dembiński Ł, del Torso S, Grossman Z, Barak S, Hadjipanayis A, Peregud-Pogorzelski J, Kostka T, Bugajski A, Huss G, Kowalczyk-Domagała M, Wyszyńska J. Sport activities for children and adolescents: the Position of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians 2023-Part 1. Pre-participation physical evaluation in young athletes. Front Pediatr 2023; 11:1125958. [PMID: 37425260 PMCID: PMC10323832 DOI: 10.3389/fped.2023.1125958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 06/05/2023] [Indexed: 07/11/2023] Open
Abstract
The European Academy of Paediatrics (EAP) and the European Confederation of Primary Care Paediatricians (ECPCP) emphasize the importance of promoting healthy lifestyles within the pediatric population. Many health professionals have questions concerning adequate levels of physical activity for both the healthy pediatric population and for those who may have specific complications. Unfortunately, the academic literature that provides recommendations for participation in sport activities within the pediatric population that have been published during the last decade in Europe is limited and is mainly dedicated to specific illnesses or advanced athletes and not toward the general population. The aim of part 1 of the EAP and ECPCP position statement is to assist healthcare professionals in implementing the best management strategies for a pre-participation evaluation (PPE) for participation in sports for individual children and adolescents. In the absence of a uniform protocol, it is necessary to respect physician autonomy for choosing and implementing the most appropriate and familiar PPE screening strategy and to discuss the decisions made with young athletes and their families. This first part of the Position Statement concerning Sport Activities for Children and Adolescents is dedicated to healthy young athletes.
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Affiliation(s)
- Anna Turska-Kmieć
- Department of Cardiology, Children’s Memorial Health Institute, Warsaw, Poland
- Polish PaediatricSociety, Warsaw, Poland
- Working Group on Sports Cardiology, Polish Cardiac Society, Warsaw, Poland
| | - Daniel Neunhaeuserer
- Sports and Exercise Medicine Division, University of Padova Department of Medicine, Padova, Italy
- Clinical Network of Sports and Exercise Medicine of the Veneto Region, Padova, Italy
| | - Artur Mazur
- Polish PaediatricSociety, Warsaw, Poland
- The European Academy of Paediatrics, EAP, Brussels, Belgium
- Institute of Medical Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Łukasz Dembiński
- Polish PaediatricSociety, Warsaw, Poland
- The European Academy of Paediatrics, EAP, Brussels, Belgium
- Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland
| | - Stefano del Torso
- The European Academy of Paediatrics, EAP, Brussels, Belgium
- Childcare Worldwide, Padova, Italy
| | - Zachi Grossman
- The European Academy of Paediatrics, EAP, Brussels, Belgium
- Adelson School of Medicine, Ariel University, Ariel, Israel
- Maccabi Health Services, Pediatric Clinic, Tel Aviv, Israel
| | - Shimon Barak
- The European Confederation of Primary Care Paediatricians (ECPCP), Lyon, France
- Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Adamos Hadjipanayis
- The European Academy of Paediatrics, EAP, Brussels, Belgium
- School of Medicine, European University Cyprus, Nicosia, Cyprus
- Paediatric Department, Larnaca General Hospital, Larnaca, Cyprus
| | - Jarosław Peregud-Pogorzelski
- Polish PaediatricSociety, Warsaw, Poland
- Department of Paediatrics, Paediatric Oncology and Immunology, Pomeranian Medical University, Szczecin, Poland
| | - Tomasz Kostka
- Department of Geriatrics, Medical University of Lodz, Lodz, Poland
- The Polish Society of Sports Medicine, Wroclaw, Poland
| | - Andrzej Bugajski
- The Polish Society of Sports Medicine, Wroclaw, Poland
- Department of Physiotherapy, College of Physiotherapy, Wroclaw, Poland
| | - Gottfried Huss
- The European Confederation of Primary Care Paediatricians (ECPCP), Lyon, France
- Kinder-Permanence Hospital Zollikerberg, Zollikerberg, Switzerland
| | - Monika Kowalczyk-Domagała
- Department of Cardiology, Children’s Memorial Health Institute, Warsaw, Poland
- Working Group on Paediatric Cardiology, Polish Cardiac Society, Warsaw, Poland
| | - Justyna Wyszyńska
- Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland
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Lai YH, Carr S. Is Parental Attachment Security Contextual? Exploring Context-Specific Child-Parent Attachment Patterns and Psychological Well-Being in Taiwanese Youths. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2020; 30:389-405. [PMID: 31529770 DOI: 10.1111/jora.12531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Scant research to date has explored the possibility of context-specific variation in attachment security within a given relationship. In this paper, two cross-sectional studies were designed (1) to develop and validate context-specific attachment scales in Traditional-Chinese and (2) to explore variations in attachment security within a given parental relationship but between the contexts of sport and academics, relating them to global attachment patterns and indicators of psychological well-being. Results indicated that Taiwanese youth can and do perceive contextual variation within a given parental relationship. However, the relationship between such contextual variation and psychological outcomes was complex. Contextual variation may be a meaningful and useful way to explore and think about within-parent attachment fluctuation.
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A Critical Exploration of Child-Parent Attachment as a Contextual Construct. Behav Sci (Basel) 2018; 8:bs8120112. [PMID: 30544893 PMCID: PMC6315501 DOI: 10.3390/bs8120112] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 12/07/2018] [Accepted: 12/09/2018] [Indexed: 11/25/2022] Open
Abstract
Bowlby’s attachment theory has been employed as a broad and integrative framework to explore human wellness across a range of disciplines. Attachment theory has even been labelled one of the last surviving “grand theories” not to have been completely dismissed, replaced, or extensively reworked. However, despite the ubiquitous nature of some of the theory’s fundamental tenets, there are always possibilities for new conceptual development, extension, and revision. In this paper, we critically explore the idea of “context-specific” attachment within parent-child relationships. We briefly outline critical assumptions and key areas of attachment and articulate potential rationale, conceptualization, and relevance of contextual attachment.
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Zongo P, Frayon S, Antoine-Jonville S, Wattelez G, Le Roux PY, Hue O, Galy O. Anthropometric Characteristics and Physical Fitness in Rural and Urban 11- to 16-Year-Old Melanesian Adolescents: A Cross-sectional Study in New Caledonian Schools. Asia Pac J Public Health 2017; 29:589-598. [PMID: 29094632 DOI: 10.1177/1010539517735414] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We evaluated anthropometric characteristics and physical fitness in 556 Melanesian adolescents from rural and urban New Caledonia to build health education programs focused on physical activity. In 2013, body weight, height, skinfold thickness, lean body mass (LBM), percentage fat body mass (%FBM), physical fitness (power, agility, speed, maximal aerobic speed [MAS], estimated VO2max), and self-reported physical activity were assessed. Rural adolescents were significantly shorter and faster, had lower weight, %FBM, LBM, and power output and similar MAS and VO2max, and were more active than urban adolescents. Rural girls were significantly shorter, had higher MAS and VO2max, and were faster and significantly more active than urban girls while similar %BFM was observed in both groups of girls. Rural boys showed significantly lower height, weight, %FBM, and power and were significantly faster and more active than urban boys. In conclusion, rural Melanesian adolescents are more active, with good physical fitness (especially boys), although high %FBM was noted (especially in girls).
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Affiliation(s)
- Paul Zongo
- 1 Université des Antilles, Pointe à Pitre Cedex, France.,2 School of Teacher Education, University of New Caledonia, Nouméa, New Caledonia
| | - Stephane Frayon
- 2 School of Teacher Education, University of New Caledonia, Nouméa, New Caledonia
| | | | - Guillaume Wattelez
- 2 School of Teacher Education, University of New Caledonia, Nouméa, New Caledonia
| | - Pierre-Yves Le Roux
- 2 School of Teacher Education, University of New Caledonia, Nouméa, New Caledonia
| | - Olivier Hue
- 1 Université des Antilles, Pointe à Pitre Cedex, France
| | - Olivier Galy
- 2 School of Teacher Education, University of New Caledonia, Nouméa, New Caledonia
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Abstract
A positive youth sports experience is essential if an athlete is to develop a lifelong commitment to sport. Children enjoy play and adults can create opportunities for physical, emotional, and cognitive development through sport for all children. This article reviews the current state of youth sports in the US, highlighting some of the problems of the current model and efforts to transform and improve the youth sports experience in the US. The new model of youth sports emphasizes the importance of developing 'physical literacy' in all young athletes, increasing availability of recreational sports activities, providing quality coaching to all, improved sports safety, improved availability of sports venues for athletes at all levels, and at an affordable cost for all. The US Olympic Committee, following an innovative programme by USA Hockey, has developed and promoted the American Developmental Model to its component Sport National Governing Boards to improve the experience of young athletes. The sports-informed paediatric psychiatrist, knowledgeable about child and family development and aware of the local youth sports opportunities and challenges, is well prepared to advocate for a healthy and fun sport experience for every young athlete.
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Malisoux L, Frisch A, Urhausen A, Seil R, Theisen D. Injury incidence in a sports school during a 3-year follow-up. Knee Surg Sports Traumatol Arthrosc 2013; 21:2895-900. [PMID: 22968623 DOI: 10.1007/s00167-012-2185-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Accepted: 08/17/2012] [Indexed: 11/29/2022]
Abstract
PURPOSE This study prospectively analysed sports injury incidence over 3 seasons in a regional sports school within an injury surveillance project, involving 372 athletes (12-19 years) from 16 different disciplines. METHODS A personal sports diary was used to record all sporting activities daily for every athlete. Injuries (time-loss definition) were registered via a standardized questionnaire. RESULTS Sports injury incidence (injuries/1,000 h) evolved from 3.9 in the first year to 4.8 in the second (p < 0.01) and down to 2.8 in the third (p < 0.001, compared to the preceding periods). Significant decreases of injury incidence in the third year were also observed when classifying injuries as traumatic or overuse, and as new or recurrent. The proportion of recurrent injuries was lower in the third period (11 %) when compared to the first (19.5 %, p < 0.05) and the second one (26.3 %, p < 0.05). Injury incidence was lowest during the third period for all severity categories. The same was found when considering injuries within racket, team and individual sports. CONCLUSIONS Implementing an injury surveillance system in this setting was associated with a lower injury incidence in the third observation period. This project may have influenced stakeholders' awareness and attitude towards the sports injury problematic.
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Affiliation(s)
- Laurent Malisoux
- Sports Medicine Research Laboratory, Public Research Centre for Health, 76 rue d'Eich, 1460, Luxembourg, Luxembourg,
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Brown WJ, de Matviuk MAC. Sports celebrities and public health: Diego Maradona's influence on drug use prevention. JOURNAL OF HEALTH COMMUNICATION 2010; 15:358-373. [PMID: 20574875 DOI: 10.1080/10810730903460575] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Exposure to a sports celebrity through media and sporting events can have important influences on a public health issue associated with that celebrity. The battle against drug use by Argentinean soccer icon Diego Maradona has provoked concerns about drug abuse and prevention in Argentina, particularly among young people. The present study analyzes how two forms of involvement with Maradona affected the public's concern and perceptions of drug use after Maradona's drug-related health crisis in 2004. Results indicate that those who had a greater degree of parasocial interaction with Maradona were more likely to have an increased awareness of drug abuse, a greater personal concern about drug abuse, abstained from drug use, and more strongly support drug abuse prevention programs. In contrast, identification with Maradona had a mitigating effect on drug use prevention. Implications of these findings regarding the influence of sports celebrities on substance abuse are discussed.
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Affiliation(s)
- William J Brown
- School of Communication and the Arts, Regent University, Virginia Beach, Virginia, USA
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