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 Casasco
13
, Bernd Wolfarth
3
14
15
, Carolin Knoke
1
2
, Theodora Papadopoulou
16
17
, Janine Wendt
1
, Hashel Al Tunaiji
18
19
, Dietrich Andresen
20
, Olena Andrieieva
21
, Norbert Bachl
22
23
, Victoriya Badtieva
24
25
, Friedhelm J Beucher
26
, Cheri A Blauwet
27
, Jose-Antonio Casajus Mallen
28
29
30
, Ju-Ho Chang
31
, German Clénin
32
33
, Naama Constantini
34
35
, Demitri Constantinou
36
37
, Luigi Di Luigi
38
, Lukas Declercq
39
, Stephane Doutreleau
40
41
, Svitlana Drozdovska
42
, Martine Duclos
41
43
44
, Andrea Ermolao
45
46
, Thomas Fischbach
47
, Anastasia N Fischer
48
49
, Chiara Fossati
50
, Jeorge Franchella
51
, Mark Fulcher
52
53
, Jan C Galle
54
, Christian Gerloff
55
, Evelina Georgiades
56
, Boris Gojanovic
57
58
, Marcela González Gross
30
59
, Andy Grote
60
, Martin Halle
61
62
, Hans Hauner
63
, Matthew Payton Herring
64
, Mikio Hiura
65
, Kerstin Holze
66
, 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 Jones
77
, Kirsten Kappert-Gonther
78
, Monika Kellerer
63
, Yutaka Kimura
79
80
, Agrita Kiopa
81
, Bernd Kladny
82
, Gerhard Koch
83
, Elin Kolle
84
, Greg Kolt
85
, Yiannis Koutedakis
86
87
, Stephan Kress
88
, Susi Kriemler
33
89
, Jens Kröger
90
, Christian Kuhn
91
92
, Roman Laszlo
93
, Ralph Lehnert
94
, François J Lhuissier
41
95
96
, Kerstin Lüdtke
97
, Shigeru Makita
80
98
, Pedro Manonelles Marqueta
23
98
, Winfried März
99
, Kirill Micallef-Stafrace
73
100
, Mike Miller
101
, Melita Moore
102
, Erich Müller
103
, Daniel Neunhäuserer
45
46
, I Renay Onur
104
, Vahur Ööpik
105
, Malgorzata Perl
106
, Anastassios Philippou
86
, Hans-Georg Predel
107
108
, Sebastien Racinais
109
, Algirdas Raslanas
110
, Ruediger Reer
2
73
111
, Klaus Reinhardt
112
, Claus Reinsberger
15
, Sandra Rozenstoka
23
81
113
114
, Robert Sallis
115
, Luis B Sardinha
116
117
, Martin Scherer
118
119
, Jasper Schipperijn
120
, Romain Seil
121
, Benedict Tan
122
123
, Arno Schmidt-Trucksäss
124
, Nils Schumacher
111
, Bernhard Schwaab
125
, Ansgar Schwirtz
126
, Masato Suzuki
80
, Jeroen Swart
23
127
, Ralph Tiesler
128
, Ulf Tippelt
129
, Eleanor Tillet
17
130
, Jane Thornton
131
, Bulent Ulkar
23
132
, Eve Unt
133
, Evert Verhagen
5
, Thomas Weikert
66
, Roberto Vettor
46
134
, Sheng Zeng
23
135
, Richard Budgett
136
, Lars Engebretsen
136
137
, Ugur Erdener
136
, Fabio Pigozzi
3
138
, Yannis P Pitsiladis
3
139
Affiliations
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
Item in Clipboard
Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration
Jürgen M Steinacker et al.
BMJ Open Sport Exerc Med.
.
Display options
Format
doi: 10.1136/bmjsem-2023-001626.
eCollection 2023.
Authors
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 Casasco
13
, Bernd Wolfarth
3
14
15
, Carolin Knoke
1
2
, Theodora Papadopoulou
16
17
, Janine Wendt
1
, Hashel Al Tunaiji
18
19
, Dietrich Andresen
20
, Olena Andrieieva
21
, Norbert Bachl
22
23
, Victoriya Badtieva
24
25
, Friedhelm J Beucher
26
, Cheri A Blauwet
27
, Jose-Antonio Casajus Mallen
28
29
30
, Ju-Ho Chang
31
, German Clénin
32
33
, Naama Constantini
34
35
, Demitri Constantinou
36
37
, Luigi Di Luigi
38
, Lukas Declercq
39
, Stephane Doutreleau
40
41
, Svitlana Drozdovska
42
, Martine Duclos
41
43
44
, Andrea Ermolao
45
46
, Thomas Fischbach
47
, Anastasia N Fischer
48
49
, Chiara Fossati
50
, Jeorge Franchella
51
, Mark Fulcher
52
53
, Jan C Galle
54
, Christian Gerloff
55
, Evelina Georgiades
56
, Boris Gojanovic
57
58
, Marcela González Gross
30
59
, Andy Grote
60
, Martin Halle
61
62
, Hans Hauner
63
, Matthew Payton Herring
64
, Mikio Hiura
65
, Kerstin Holze
66
, 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 Jones
77
, Kirsten Kappert-Gonther
78
, Monika Kellerer
63
, Yutaka Kimura
79
80
, Agrita Kiopa
81
, Bernd Kladny
82
, Gerhard Koch
83
, Elin Kolle
84
, Greg Kolt
85
, Yiannis Koutedakis
86
87
, Stephan Kress
88
, Susi Kriemler
33
89
, Jens Kröger
90
, Christian Kuhn
91
92
, Roman Laszlo
93
, Ralph Lehnert
94
, François J Lhuissier
41
95
96
, Kerstin Lüdtke
97
, Shigeru Makita
80
98
, Pedro Manonelles Marqueta
23
98
, Winfried März
99
, Kirill Micallef-Stafrace
73
100
, Mike Miller
101
, Melita Moore
102
, Erich Müller
103
, Daniel Neunhäuserer
45
46
, I Renay Onur
104
, Vahur Ööpik
105
, Malgorzata Perl
106
, Anastassios Philippou
86
, Hans-Georg Predel
107
108
, Sebastien Racinais
109
, Algirdas Raslanas
110
, Ruediger Reer
2
73
111
, Klaus Reinhardt
112
, Claus Reinsberger
15
, Sandra Rozenstoka
23
81
113
114
, Robert Sallis
115
, Luis B Sardinha
116
117
, Martin Scherer
118
119
, Jasper Schipperijn
120
, Romain Seil
121
, Benedict Tan
122
123
, Arno Schmidt-Trucksäss
124
, Nils Schumacher
111
, Bernhard Schwaab
125
, Ansgar Schwirtz
126
, Masato Suzuki
80
, Jeroen Swart
23
127
, Ralph Tiesler
128
, Ulf Tippelt
129
, Eleanor Tillet
17
130
, Jane Thornton
131
, Bulent Ulkar
23
132
, Eve Unt
133
, Evert Verhagen
5
, Thomas Weikert
66
, Roberto Vettor
46
134
, Sheng Zeng
23
135
, Richard Budgett
136
, Lars Engebretsen
136
137
, Ugur Erdener
136
, 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
Item in Clipboard
Display options
Format
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.
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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…
Figure 1
Country prevalence of insufficient physical activity (A) in women in 2016 and (B)…
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…
Figure 2
Population-based health promotion and the interaction of various actors at different levels to…
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.
References
-
- World Health Organization . Global status report on physical activity 2022; 2022.
-
- Wilson F, Gormley J, Hussey J. Exercise therapy in the management of musculoskeletal disorders. In: Exercise Therapy in the Management of Musculoskeletal Disorders. London: Wiley-Blackwell, 25 March 2011. 10.1002/9781118788622 - DOI
LinkOut - more resources
Full Text Sources
Miscellaneous
