. 2023 Jul 27;9(3):e001626.

doi: 10.1136/bmjsem-2023-001626. eCollection 2023.

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

Jürgen M Steinacker^{1

2

3

4}, Willem van Mechelen^{2

5

6

7

8}, Wilhelm Bloch^{9

10}, Mats Börjesson^{2

11

12}, Maurizio Casasco¹³, Bernd Wolfarth^{3

14

15}, Carolin Knoke^{1

2}, Theodora Papadopoulou^{16

17}, Janine Wendt¹, Hashel Al Tunaiji^{18

19}, Dietrich Andresen²⁰, Olena Andrieieva²¹, Norbert Bachl^{22

23}, Victoriya Badtieva^{24

25}, Friedhelm J Beucher²⁶, Cheri A Blauwet²⁷, Jose-Antonio Casajus Mallen^{28

29

30}, Ju-Ho Chang³¹, German Clénin^{32

33}, Naama Constantini^{34

35}, Demitri Constantinou^{36

37}, Luigi Di Luigi³⁸, Lukas Declercq³⁹, Stephane Doutreleau^{40

41}, Svitlana Drozdovska⁴², Martine Duclos^{41

43

44}, Andrea Ermolao^{45

46}, Thomas Fischbach⁴⁷, Anastasia N Fischer^{48

49}, Chiara Fossati⁵⁰, Jeorge Franchella⁵¹, Mark Fulcher^{52

53}, Jan C Galle⁵⁴, Christian Gerloff⁵⁵, Evelina Georgiades⁵⁶, Boris Gojanovic^{57

58}, Marcela González Gross^{30

59}, Andy Grote⁶⁰, Martin Halle^{61

62}, Hans Hauner⁶³, Matthew Payton Herring⁶⁴, Mikio Hiura⁶⁵, Kerstin Holze⁶⁶, Gerhard Huber^{67

68}, David Hughes^{69

70}, Mark R Hutchinson^{49

71

72}, Anca Ionescu^{73

74}, Dina Christina Janse van Rensburg^{37

75}, Anna Jegier^{73

76}, Natasha Jones⁷⁷, Kirsten Kappert-Gonther⁷⁸, Monika Kellerer⁶³, Yutaka Kimura^{79

80}, Agrita Kiopa⁸¹, Bernd Kladny⁸², Gerhard Koch⁸³, Elin Kolle⁸⁴, Greg Kolt⁸⁵, Yiannis Koutedakis^{86

87}, Stephan Kress⁸⁸, Susi Kriemler^{33

89}, Jens Kröger⁹⁰, Christian Kuhn^{91

92}, Roman Laszlo⁹³, Ralph Lehnert⁹⁴, François J Lhuissier^{41

95

96}, Kerstin Lüdtke⁹⁷, Shigeru Makita^{80

98}, Pedro Manonelles Marqueta^{23

98}, Winfried März⁹⁹, Kirill Micallef-Stafrace^{73

100}, Mike Miller¹⁰¹, Melita Moore¹⁰², Erich Müller¹⁰³, Daniel Neunhäuserer^{45

46}, I Renay Onur¹⁰⁴, Vahur Ööpik¹⁰⁵, Malgorzata Perl¹⁰⁶, Anastassios Philippou⁸⁶, Hans-Georg Predel^{107

108}, Sebastien Racinais¹⁰⁹, Algirdas Raslanas¹¹⁰, Ruediger Reer^{2

73

111}, Klaus Reinhardt¹¹², Claus Reinsberger¹⁵, Sandra Rozenstoka^{23

81

113

114}, Robert Sallis¹¹⁵, Luis B Sardinha^{116

117}, Martin Scherer^{118

119}, Jasper Schipperijn¹²⁰, Romain Seil¹²¹, Benedict Tan^{122

123}, Arno Schmidt-Trucksäss¹²⁴, Nils Schumacher¹¹¹, Bernhard Schwaab¹²⁵, Ansgar Schwirtz¹²⁶, Masato Suzuki⁸⁰, Jeroen Swart^{23

127}, Ralph Tiesler¹²⁸, Ulf Tippelt¹²⁹, Eleanor Tillet^{17

130}, Jane Thornton¹³¹, Bulent Ulkar^{23

132}, Eve Unt¹³³, Evert Verhagen⁵, Thomas Weikert⁶⁶, Roberto Vettor^{46

134}, Sheng Zeng^{23

135}, Richard Budgett¹³⁶, Lars Engebretsen^{136

137}, Ugur Erdener¹³⁶, Fabio Pigozzi^{3

138}, Yannis P Pitsiladis^{3

139}

Affiliations

¹ Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany.
² European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany.
³ International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland.
⁴ Institute for Rehabilitation Medicine Research at Ulm University, Institut für rehabilitationsmedizinische Forschung an der Universität Ulm, Bad Buchau, Germany.
⁵ Department of Public and Occupational Health, location Vrije Universiteit, Amsterdam University Medical Centers, Amsterdam, Netherlands.
⁶ School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia.
⁷ Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
⁸ UCD School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
⁹ Institute for Cardiology and Sports Medicine, German Sport University, Cologne, Germany.
¹⁰ Exercise is Medicine Germany, Frankfurt, Germany.
¹¹ Department of Molecular and Clinical Medicine, University of Gothenburg, Goteborg, Sweden.
¹² Institute of Medicine, Sahlgrenska University Hospital, Goteborg, Region Västra Götaland, Sweden.
¹³ Italian Federation of Sports Medicine (FMSI), Rome, Italy.
¹⁴ Department of Sport Medicine, Humboldt University and Charité University School of Medicine, Berlin, Deutschland, Germany.
¹⁵ German Society for Sports Medicine and Prevention, Deutsche Gesellschaft für Sportmedizin und Prävention (DGSP), Frankfurt, Germany.
¹⁶ Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK.
¹⁷ British Association of Sport and Exercise Medicine, Doncaster, South Yorkshire, UK.
¹⁸ Sports Medicine, United Arab Emirates National Olympic Committee, Dubai, UAE.
¹⁹ Sports Medicine & Sciences Unit, Zayed Military University, Abu Dhabi, UAE.
²⁰ German Heart Foundation, Die Deutsche Herzstiftung, Berlin, Germany.
²¹ Department of Health, Fitness and Recreation, National University of Physical Education and Sport of Ukraine, Kiew, Ukraine.
²² Institute of Sports Science, University of Vienna, Vienna, Austria.
²³ International Federation of Sports Medicine, Lausanne, Switzerland.
²⁴ Sport Medicine, I M Sechenov First Moscow State Medical University, Moscow, Russia.
²⁵ Sport Medicine, Moscow Scientific and Practical Center of Medical Rehabilitation and Sports Medicine, Moscow, Russian.
²⁶ National Paralympic Committee Germany (Deutscher Behindertensportverband (DBS), Bonn, Germany.
²⁷ Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
²⁸ University of Zaragoza, GENUD "Growth, Exercise, NUtrition and Development" Research Group, Zaragoza, Spain.
²⁹ Department of Physiatry and Nursing, Faculty of Health and Sport Science (FCSD), University of Zaragoza, Zaragoza, Spain.
³⁰ Exercise is Medicine Spain, University of Zaragoza, Zaragoza, Spain.
³¹ The Association for International Sport for All (TAFISA), Frankfurt, Germany.
³² Sportsmedical Centre Bern-Ittigen, Ittigen, Switzerland.
³³ Sport and Exercise Medicine Switzerland (SEMS), Bern, Switzerland.
³⁴ Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
³⁵ Exercise is Medicine Israel, Hebrew University, Jerusalem, Israel.
³⁶ Centre for Exercise Science and Sports Medicine, University of Witwatersrand, Johannesburg, South Africa.
³⁷ South African Sports Medicine Association (SASMA), Pretoria, South Africa.
³⁸ Unit of Endocrinology - Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy.
³⁹ House of Sport, Europe Active, Brussels, Belgium.
⁴⁰ Department of Sports Medicine, University Grenoble Alpes, Grenoble, Auvergne-Rhône-Alpes, France.
⁴¹ French Society of Exercise and Sports Medicine, Société Française de Médecine de l'Exercice et du Sport, Paris, France.
⁴² National University of Physical Education and Sport of Ukraine, Kyiv, Ukraine.
⁴³ Department of Sport Medicine and Functional Explorations, University-Hospital (CHU), G. Montpied Hospital, Clermont-Ferrand, France.
⁴⁴ UMR 1019, INRAE, French National Research Institute for Agriculture, Food and Environment, Clermont-Ferrand, France.
⁴⁵ Sports and Exercise Medicine Division, Department of Medicine, Università degli Studi di Padova, Padova, Italy.
⁴⁶ Exercise is Medicine Italy, Università degli Studi di Padova, Padova, Italy.
⁴⁷ German Association of Paediatric and Adolescent Care Specialists, BVKJ - Berufsverband der Kinder- und Jugendärzte, Cologne, Germany.
⁴⁸ Sports Medicine and Pediatrics, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio, USA.
⁴⁹ American College of Sports Medicine, Indianapolis, Indiana, USA.
⁵⁰ Faculty of Sport and Exercise Sciences, University of Rome 'Foro Italico', Roma, Lazio, Italy.
⁵¹ Hospital de Clínicas José San Martin, University of Buenos Aires, Buenos Aires, Argentina.
⁵² Australasian College of Sport and Exercise Physicians, Melbourne, Victoria, Australia.
⁵³ AUT Sports Performance Research Institute New Zealand, Auckland, New Zealand.
⁵⁴ German Society of Nephrology (Deutsche Gesellschaft für Nephrologie (DGfN)), Berlin, Germany.
⁵⁵ German Society for Neurology (Deutsche Gesellschaft für Neurologie (DGN)), Berlin, Germany.
⁵⁶ Cyprus Olympic Commitee, Nicosia, Cyprus.
⁵⁷ Sports Medicine, Swiss Olympic Medical Center, Hopital de la Tour, Meyrin, Geneva, Switzerland.
⁵⁸ SportAdo Consultation - Multidisciplinary Unit of Adolescent Health, University Hospital of Lausanne, Lausanne, Switzerland.
⁵⁹ Department of Health and Human Performance - Facultad de CC de la Actividad Física y del Deporte, INEF Universidad Politécnica de Madrid, Madrid, Spain.
⁶⁰ Senat, Freie und Hansestadt Hamburg, Hamburg, Germany.
⁶¹ European Association of Preventive Cardiology (EAPC), European Society of Cardiology (ECS), Biot, France.
⁶² Department of Prevention and Sports Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany.
⁶³ German Diabetes Foundation, Deutsche Diabetes Stiftung, Düsseldorf, Germany.
⁶⁴ Health Research Institute, University of Limerick, Limerick, Ireland.
⁶⁵ Center for Brain and Health Sciences, Aomori University, Aomori, Japan.
⁶⁶ German Olympic Sports Confederation, Deutscher Olympischer Sportbund, Frankfurt am Main, Germany.
⁶⁷ Institute of Sports and Sport Science, University Heidelberg, Heidelberg, Germany.
⁶⁸ Deutscher Verband für Gesundheitssport und Sporttherapie e.V. (DVGS), Hamburg, Germany.
⁶⁹ Sports Medicine, Australian Institute of Sport, Canberra, Canberra, Australia.
⁷⁰ Australian Institute of Sport, Australian Sports Commission, Canberra, Canberra, Australia.
⁷¹ Department of Orthopaedics, University of Illinois at Chicago, Chicago, Illinois, USA.
⁷² American College of Sports Medicine Foundation, Indianapolis, Indiana, USA.
⁷³ European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.
⁷⁴ Carol Davila University of Medicine and Pharmacy, Bucharest, Bucharest, Romania.
⁷⁵ Section Sports Medicine, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South Africa.
⁷⁶ Department of Sports Medicine, Medical University of Lodz, Lodz, Poland.
⁷⁷ Moving Medicine, Faculty of Sport and Exercise Medicine UK, Edinburgh, UK.
⁷⁸ Bundesvereinigung Prävention und Gesundheitsförderung e.V. (BVBG), Bonn, Germany.
⁷⁹ Health Science Center, Kansai Medical University, Osaka, Japan.
⁸⁰ Exercise is Medicine Japan, Japanese Society of Physical Fitness and Sports Medicine, Osaka, Japan.
⁸¹ Rīga Stradiņš University, Riga, Latvia.
⁸² German Society of Orthopaedics and Trauma (Deutsche Gesellschaft für Orthopädie und Unfallchirurgie (DGOU)) with the German Society for Trauma Surgery (DGU) and German Society of Orthopaedics and Orthopaedic Surgery (DGOOC), Berlin, Germany.
⁸³ Platform on Nutrition and Physical Activity, Plattform Ernährung und Bewegung e.V. (peb), Berlin, Germany.
⁸⁴ Exercise is Medicine Norway, Oslo, Norway.
⁸⁵ School of Science and Health, University of Western Sydney, Sydney, New South Wales, Australia.
⁸⁶ Exercise is Medicine Greece, National and Kapodistrian University of Athens, Athens, Greece.
⁸⁷ School of Exercise Science and Dietetics, University of Thessaly, Trikala, Greece.
⁸⁸ German Diabetes Association (Deutsche Diabetes Gesellschaft (DDG)), Berlin, Germany.
⁸⁹ Institute of Epidemiology, Biostatistics and Prevention, Zuerich University, Zuerich, Switzerland.
⁹⁰ German Diabetes Support (diabetesDE - Deutsche Diabetes-Hilfe), Charlottenburg, Germany.
⁹¹ German Alliance for Baths, Bäderallianz Deutschland, Köln, Germany.
⁹² International Assocation for Sport and Leisure Facilities, Köln, Germany.
⁹³ German Cardiac Society (Deutsche Gesellschaft für Kardiologie - Herz- und Kreislaufforschung (DGK)), Düsseldorf, Nordrhein-Westfalen, Germany.
⁹⁴ Hamburg Sport Association (Hamburger Sportbund e.V.), Hamburg, Germany.
⁹⁵ UMR INSERM 1272 Hypoxie et poumon, Université Sorbonne Paris Nord - Campus de Bobigny, Bobigny, France.
⁹⁶ Hôpital Jean-Verdier, Médecine de l'exercice et du sport, Assistance Publique - Hôpitaux de Paris, Bondy, France.
⁹⁷ German Society for Physiotherapy Science (Deutsche Gesellschaft für Physiotherapiewissenschaft (DGPTW)), Hamburg, Germany.
⁹⁸ Dept. of Rehabilitation, Saitama Medical University, Saitama, Japan.
⁹⁹ D.A.CH Society Prevention of Cardiovascular Diseases, D.A.CH-Gesellschaft Prävention von Herz-Kreislauf-Erkrankungen, Hamburg, Germany.
¹⁰⁰ University Sports Complex, Institute for Physical Education and Sport, Msida, Malta.
¹⁰¹ World Olympians Association (WOA), Lausanne, Switzerland.
¹⁰² Global Esports Federation (GEF), Singapore.
¹⁰³ European College of Sport Science, Köln, Germany.
¹⁰⁴ Istanbul Spor Etkinlikleri ve Isletmeciligi A S, City of Istanbul, Istanbul, Turkey.
¹⁰⁵ Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia.
¹⁰⁶ Exercise is Medicine Poland, Legionowo, Poland.
¹⁰⁷ German Hypertension League (Deutsche Hochdruckliga e.V. (DHL)), Heidelberg, Baden-Württemberg, Germany.
¹⁰⁸ German Society for Hypertension and Prevention (Deutsche Gesellschaft für Hypertonie und Prävention), Heidelberg, Germany.
¹⁰⁹ Research Education Centre, ASPETAR - Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
¹¹⁰ Department of Educational Assistance, Physical and Health Education, Vytautas Magnus University, Vilnius, Lithuania.
¹¹¹ Department of Movement Science, University of Hamburg, Hamburg, Germany.
¹¹² German Medical Association (Bundesaerztekammer), Berlin, Germany.
¹¹³ Sports Laboratory, Sports Medicine and Physical Health Centre, Riga, Latvia, Riga, Latvia.
¹¹⁴ Latvian Sports Medicine Association, Riga, Latvia.
¹¹⁵ Family Medicine, Kaiser Permanente, Fontana, California, USA.
¹¹⁶ Exercise is Medicine Portugal, Universidade de Lisboa, Lisboa, Portugal.
¹¹⁷ Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.
¹¹⁸ German Society of General Practice and Family Medicine (Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM)), Berlin, Germany.
¹¹⁹ Department of General Practice and Primary Care, University Medical Center, Hamburg, Germany.
¹²⁰ International Society for Physical Activity and Health (ISPAH), Vancouver, British Columbia, Canada.
¹²¹ Society for Orthopaedic and Traumatologic Sports Medicine (GOTS), Jena, Germany.
¹²² Exercise is Medicine Singapore, Singapore.
¹²³ Department of Sport & Exercise Medicine, Changi General Hospital, Singapore.
¹²⁴ Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, Basel, Switzerland.
¹²⁵ German Society for the Prevention and Rehabilitation of Cardiovascular Diseases (Deutsche Gesellschaft für Prävention und Rehabilitation von Herz-Kreislauferkrankungen (DGPR)), Koblenz, Germany.
¹²⁶ German Society of Sports Science, Deutsche Vereinigung für Sportwissenschaft (DVS), Frankfurt, Germany.
¹²⁷ Health through Physical Activity, Lifestyle and Sport (HPALS) Research Centre, University of Cape Town, Cape Town, South Africa.
¹²⁸ Federal Institute for Sports Science (Bundesinstitut für Sportwissenschaft (BISp)), Bonn, Nordrhein-Westfalen, Germany.
¹²⁹ Institute for Applied Training Science Leipzig, Leipzig, Sachsen, Germany.
¹³⁰ Division of Surgery and Interventional Science, University College London, London, UK.
¹³¹ Public Health and Family Medicine, University of Western Ontario Schulich School of Medicine and Dentistry, London, Ontario, Canada.
¹³² Sports Medicine Department, Faculty of Medicine, Ankara University, Ankara, Ankara, Turkey.
¹³³ Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
¹³⁴ Department of Medicine, Università degli Studi di Padova, Padova, Italy.
¹³⁵ Laboratory of Regenerative Medicine, Haikou, Hainan, China.
¹³⁶ International Olympic Committee, Lausanne, Switzerland.
¹³⁷ Division of Orthopedic Surgery, University of Oslo, Oslo, Norway.
¹³⁸ Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.
¹³⁹ School of Sport and Health Sciences, University of Brighton, Eastbourne, UK.

PMID: 37533594
PMCID: PMC10391804
DOI: 10.1136/bmjsem-2023-001626

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

Jürgen M Steinacker et al. BMJ Open Sport Exerc Med. 2023.

. 2023 Jul 27;9(3):e001626.

doi: 10.1136/bmjsem-2023-001626. eCollection 2023.

Authors

Affiliations

¹ Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany.
² European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany.
³ International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland.
⁴ Institute for Rehabilitation Medicine Research at Ulm University, Institut für rehabilitationsmedizinische Forschung an der Universität Ulm, Bad Buchau, Germany.
⁵ Department of Public and Occupational Health, location Vrije Universiteit, Amsterdam University Medical Centers, Amsterdam, Netherlands.
⁶ School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Queensland, Australia.
⁷ Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
⁸ UCD School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
⁹ Institute for Cardiology and Sports Medicine, German Sport University, Cologne, Germany.
¹⁰ Exercise is Medicine Germany, Frankfurt, Germany.
¹¹ Department of Molecular and Clinical Medicine, University of Gothenburg, Goteborg, Sweden.
¹² Institute of Medicine, Sahlgrenska University Hospital, Goteborg, Region Västra Götaland, Sweden.
¹³ Italian Federation of Sports Medicine (FMSI), Rome, Italy.
¹⁴ Department of Sport Medicine, Humboldt University and Charité University School of Medicine, Berlin, Deutschland, Germany.
¹⁵ German Society for Sports Medicine and Prevention, Deutsche Gesellschaft für Sportmedizin und Prävention (DGSP), Frankfurt, Germany.
¹⁶ Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK.
¹⁷ British Association of Sport and Exercise Medicine, Doncaster, South Yorkshire, UK.
¹⁸ Sports Medicine, United Arab Emirates National Olympic Committee, Dubai, UAE.
¹⁹ Sports Medicine & Sciences Unit, Zayed Military University, Abu Dhabi, UAE.
²⁰ German Heart Foundation, Die Deutsche Herzstiftung, Berlin, Germany.
²¹ Department of Health, Fitness and Recreation, National University of Physical Education and Sport of Ukraine, Kiew, Ukraine.
²² Institute of Sports Science, University of Vienna, Vienna, Austria.
²³ International Federation of Sports Medicine, Lausanne, Switzerland.
²⁴ Sport Medicine, I M Sechenov First Moscow State Medical University, Moscow, Russia.
²⁵ Sport Medicine, Moscow Scientific and Practical Center of Medical Rehabilitation and Sports Medicine, Moscow, Russian.
²⁶ National Paralympic Committee Germany (Deutscher Behindertensportverband (DBS), Bonn, Germany.
²⁷ Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
²⁸ University of Zaragoza, GENUD "Growth, Exercise, NUtrition and Development" Research Group, Zaragoza, Spain.
²⁹ Department of Physiatry and Nursing, Faculty of Health and Sport Science (FCSD), University of Zaragoza, Zaragoza, Spain.
³⁰ Exercise is Medicine Spain, University of Zaragoza, Zaragoza, Spain.
³¹ The Association for International Sport for All (TAFISA), Frankfurt, Germany.
³² Sportsmedical Centre Bern-Ittigen, Ittigen, Switzerland.
³³ Sport and Exercise Medicine Switzerland (SEMS), Bern, Switzerland.
³⁴ Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
³⁵ Exercise is Medicine Israel, Hebrew University, Jerusalem, Israel.
³⁶ Centre for Exercise Science and Sports Medicine, University of Witwatersrand, Johannesburg, South Africa.
³⁷ South African Sports Medicine Association (SASMA), Pretoria, South Africa.
³⁸ Unit of Endocrinology - Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy.
³⁹ House of Sport, Europe Active, Brussels, Belgium.
⁴⁰ Department of Sports Medicine, University Grenoble Alpes, Grenoble, Auvergne-Rhône-Alpes, France.
⁴¹ French Society of Exercise and Sports Medicine, Société Française de Médecine de l'Exercice et du Sport, Paris, France.
⁴² National University of Physical Education and Sport of Ukraine, Kyiv, Ukraine.
⁴³ Department of Sport Medicine and Functional Explorations, University-Hospital (CHU), G. Montpied Hospital, Clermont-Ferrand, France.
⁴⁴ UMR 1019, INRAE, French National Research Institute for Agriculture, Food and Environment, Clermont-Ferrand, France.
⁴⁵ Sports and Exercise Medicine Division, Department of Medicine, Università degli Studi di Padova, Padova, Italy.
⁴⁶ Exercise is Medicine Italy, Università degli Studi di Padova, Padova, Italy.
⁴⁷ German Association of Paediatric and Adolescent Care Specialists, BVKJ - Berufsverband der Kinder- und Jugendärzte, Cologne, Germany.
⁴⁸ Sports Medicine and Pediatrics, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio, USA.
⁴⁹ American College of Sports Medicine, Indianapolis, Indiana, USA.
⁵⁰ Faculty of Sport and Exercise Sciences, University of Rome 'Foro Italico', Roma, Lazio, Italy.
⁵¹ Hospital de Clínicas José San Martin, University of Buenos Aires, Buenos Aires, Argentina.
⁵² Australasian College of Sport and Exercise Physicians, Melbourne, Victoria, Australia.
⁵³ AUT Sports Performance Research Institute New Zealand, Auckland, New Zealand.
⁵⁴ German Society of Nephrology (Deutsche Gesellschaft für Nephrologie (DGfN)), Berlin, Germany.
⁵⁵ German Society for Neurology (Deutsche Gesellschaft für Neurologie (DGN)), Berlin, Germany.
⁵⁶ Cyprus Olympic Commitee, Nicosia, Cyprus.
⁵⁷ Sports Medicine, Swiss Olympic Medical Center, Hopital de la Tour, Meyrin, Geneva, Switzerland.
⁵⁸ SportAdo Consultation - Multidisciplinary Unit of Adolescent Health, University Hospital of Lausanne, Lausanne, Switzerland.
⁵⁹ Department of Health and Human Performance - Facultad de CC de la Actividad Física y del Deporte, INEF Universidad Politécnica de Madrid, Madrid, Spain.
⁶⁰ Senat, Freie und Hansestadt Hamburg, Hamburg, Germany.
⁶¹ European Association of Preventive Cardiology (EAPC), European Society of Cardiology (ECS), Biot, France.
⁶² Department of Prevention and Sports Medicine, Klinikum rechts der Isar, Technische Universität München, München, Germany.
⁶³ German Diabetes Foundation, Deutsche Diabetes Stiftung, Düsseldorf, Germany.
⁶⁴ Health Research Institute, University of Limerick, Limerick, Ireland.
⁶⁵ Center for Brain and Health Sciences, Aomori University, Aomori, Japan.
⁶⁶ German Olympic Sports Confederation, Deutscher Olympischer Sportbund, Frankfurt am Main, Germany.
⁶⁷ Institute of Sports and Sport Science, University Heidelberg, Heidelberg, Germany.
⁶⁸ Deutscher Verband für Gesundheitssport und Sporttherapie e.V. (DVGS), Hamburg, Germany.
⁶⁹ Sports Medicine, Australian Institute of Sport, Canberra, Canberra, Australia.
⁷⁰ Australian Institute of Sport, Australian Sports Commission, Canberra, Canberra, Australia.
⁷¹ Department of Orthopaedics, University of Illinois at Chicago, Chicago, Illinois, USA.
⁷² American College of Sports Medicine Foundation, Indianapolis, Indiana, USA.
⁷³ European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland.
⁷⁴ Carol Davila University of Medicine and Pharmacy, Bucharest, Bucharest, Romania.
⁷⁵ Section Sports Medicine, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South Africa.
⁷⁶ Department of Sports Medicine, Medical University of Lodz, Lodz, Poland.
⁷⁷ Moving Medicine, Faculty of Sport and Exercise Medicine UK, Edinburgh, UK.
⁷⁸ Bundesvereinigung Prävention und Gesundheitsförderung e.V. (BVBG), Bonn, Germany.
⁷⁹ Health Science Center, Kansai Medical University, Osaka, Japan.
⁸⁰ Exercise is Medicine Japan, Japanese Society of Physical Fitness and Sports Medicine, Osaka, Japan.
⁸¹ Rīga Stradiņš University, Riga, Latvia.
⁸² German Society of Orthopaedics and Trauma (Deutsche Gesellschaft für Orthopädie und Unfallchirurgie (DGOU)) with the German Society for Trauma Surgery (DGU) and German Society of Orthopaedics and Orthopaedic Surgery (DGOOC), Berlin, Germany.
⁸³ Platform on Nutrition and Physical Activity, Plattform Ernährung und Bewegung e.V. (peb), Berlin, Germany.
⁸⁴ Exercise is Medicine Norway, Oslo, Norway.
⁸⁵ School of Science and Health, University of Western Sydney, Sydney, New South Wales, Australia.
⁸⁶ Exercise is Medicine Greece, National and Kapodistrian University of Athens, Athens, Greece.
⁸⁷ School of Exercise Science and Dietetics, University of Thessaly, Trikala, Greece.
⁸⁸ German Diabetes Association (Deutsche Diabetes Gesellschaft (DDG)), Berlin, Germany.
⁸⁹ Institute of Epidemiology, Biostatistics and Prevention, Zuerich University, Zuerich, Switzerland.
⁹⁰ German Diabetes Support (diabetesDE - Deutsche Diabetes-Hilfe), Charlottenburg, Germany.
⁹¹ German Alliance for Baths, Bäderallianz Deutschland, Köln, Germany.
⁹² International Assocation for Sport and Leisure Facilities, Köln, Germany.
⁹³ German Cardiac Society (Deutsche Gesellschaft für Kardiologie - Herz- und Kreislaufforschung (DGK)), Düsseldorf, Nordrhein-Westfalen, Germany.
⁹⁴ Hamburg Sport Association (Hamburger Sportbund e.V.), Hamburg, Germany.
⁹⁵ UMR INSERM 1272 Hypoxie et poumon, Université Sorbonne Paris Nord - Campus de Bobigny, Bobigny, France.
⁹⁶ Hôpital Jean-Verdier, Médecine de l'exercice et du sport, Assistance Publique - Hôpitaux de Paris, Bondy, France.
⁹⁷ German Society for Physiotherapy Science (Deutsche Gesellschaft für Physiotherapiewissenschaft (DGPTW)), Hamburg, Germany.
⁹⁸ Dept. of Rehabilitation, Saitama Medical University, Saitama, Japan.
⁹⁹ D.A.CH Society Prevention of Cardiovascular Diseases, D.A.CH-Gesellschaft Prävention von Herz-Kreislauf-Erkrankungen, Hamburg, Germany.
¹⁰⁰ University Sports Complex, Institute for Physical Education and Sport, Msida, Malta.
¹⁰¹ World Olympians Association (WOA), Lausanne, Switzerland.
¹⁰² Global Esports Federation (GEF), Singapore.
¹⁰³ European College of Sport Science, Köln, Germany.
¹⁰⁴ Istanbul Spor Etkinlikleri ve Isletmeciligi A S, City of Istanbul, Istanbul, Turkey.
¹⁰⁵ Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia.
¹⁰⁶ Exercise is Medicine Poland, Legionowo, Poland.
¹⁰⁷ German Hypertension League (Deutsche Hochdruckliga e.V. (DHL)), Heidelberg, Baden-Württemberg, Germany.
¹⁰⁸ German Society for Hypertension and Prevention (Deutsche Gesellschaft für Hypertonie und Prävention), Heidelberg, Germany.
¹⁰⁹ Research Education Centre, ASPETAR - Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
¹¹⁰ Department of Educational Assistance, Physical and Health Education, Vytautas Magnus University, Vilnius, Lithuania.
¹¹¹ Department of Movement Science, University of Hamburg, Hamburg, Germany.
¹¹² German Medical Association (Bundesaerztekammer), Berlin, Germany.
¹¹³ Sports Laboratory, Sports Medicine and Physical Health Centre, Riga, Latvia, Riga, Latvia.
¹¹⁴ Latvian Sports Medicine Association, Riga, Latvia.
¹¹⁵ Family Medicine, Kaiser Permanente, Fontana, California, USA.
¹¹⁶ Exercise is Medicine Portugal, Universidade de Lisboa, Lisboa, Portugal.
¹¹⁷ Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.
¹¹⁸ German Society of General Practice and Family Medicine (Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM)), Berlin, Germany.
¹¹⁹ Department of General Practice and Primary Care, University Medical Center, Hamburg, Germany.
¹²⁰ International Society for Physical Activity and Health (ISPAH), Vancouver, British Columbia, Canada.
¹²¹ Society for Orthopaedic and Traumatologic Sports Medicine (GOTS), Jena, Germany.
¹²² Exercise is Medicine Singapore, Singapore.
¹²³ Department of Sport & Exercise Medicine, Changi General Hospital, Singapore.
¹²⁴ Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, Basel, Switzerland.
¹²⁵ German Society for the Prevention and Rehabilitation of Cardiovascular Diseases (Deutsche Gesellschaft für Prävention und Rehabilitation von Herz-Kreislauferkrankungen (DGPR)), Koblenz, Germany.
¹²⁶ German Society of Sports Science, Deutsche Vereinigung für Sportwissenschaft (DVS), Frankfurt, Germany.
¹²⁷ Health through Physical Activity, Lifestyle and Sport (HPALS) Research Centre, University of Cape Town, Cape Town, South Africa.
¹²⁸ Federal Institute for Sports Science (Bundesinstitut für Sportwissenschaft (BISp)), Bonn, Nordrhein-Westfalen, Germany.
¹²⁹ Institute for Applied Training Science Leipzig, Leipzig, Sachsen, Germany.
¹³⁰ Division of Surgery and Interventional Science, University College London, London, UK.
¹³¹ Public Health and Family Medicine, University of Western Ontario Schulich School of Medicine and Dentistry, London, Ontario, Canada.
¹³² Sports Medicine Department, Faculty of Medicine, Ankara University, Ankara, Ankara, Turkey.
¹³³ Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
¹³⁴ Department of Medicine, Università degli Studi di Padova, Padova, Italy.
¹³⁵ Laboratory of Regenerative Medicine, Haikou, Hainan, China.
¹³⁶ International Olympic Committee, Lausanne, Switzerland.
¹³⁷ Division of Orthopedic Surgery, University of Oslo, Oslo, Norway.
¹³⁸ Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.
¹³⁹ School of Sport and Health Sciences, University of Brighton, Eastbourne, UK.

PMID: 37533594
PMCID: PMC10391804
DOI: 10.1136/bmjsem-2023-001626

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.

Keywords: Health promotion; Physical activity; Physical activity promotion in primary care; Sports & exercise medicine; Sports medicine.

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Conflict of interest statement

Competing interests: EV is Editor in Chief of BMJ Open Sports & Exercise Medicine.

Figures

**Figure 1**
Country prevalence of insufficient physical activity (A) in women in 2016 and (B) in men in 2016.

**Figure 2**
Population-based health promotion and the interaction of various actors at different levels to support and communicate with the target group in order to achieve health goals.

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

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