Zusammenfassung
Obwohl die Mehrheit der Jugendlichen gesund ist, führt der erhebliche Bewegungsmangel zu zunehmenden Zivilisationskrankheiten mit Übergewicht, kardiovaskulären Risikofaktoren oder Haltungsschäden. Bewegung und Sport können diese verhindern. Dieses Kapitel gibt eine Übersicht über die wichtigsten positiven Auswirkungen, aber auch über Gefahren von Bewegung und Sport. Für den praktischen Arzt werden die Bewegungsempfehlungen beschrieben und schlussendlich wird auf wichtige Pfeiler der sportmedizinischen Untersuchung (SPU) eingegangen. Die SPU ist eine wichtige Untersuchung zur Diagnose von gesundheitlichen Risiken und als Grundlage der sportlichen Tätigkeit, damit die Möglichkeiten des Jugendlichen im Rahmen von Freizeit-, Leistungssport oder in der Therapie bestmöglich ausgeschöpft werden können. Da diese SPU keiner vertragsärztlichen Leistung entspricht, ist relevant, dass sich der Arzt entscheidet, welcher Umfang an Untersuchungen notwendig und sinnvoll ist.
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Literatur
Andersen LB, Froberg K (2015) Advancing the understanding of physical activity and cardiovascular risk factors in children: the European Youth Heart Study (EYHS). Br J Sports Med 49:67–68
Andersen LB, Harro M, Sardinha LB, Froberg K, Ekelund U, Brage S, Anderssen SA (2006) Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet 368:299–304
Andersen LB, Riddoch C, Kriemler S, Hills AP (2011) Physical activity and cardiovascular risk factors in children. Br J Sports Med 45:871–876
Berenson GS, Srinivasan SR, Bao W, Newman WP 3rd, Tracy RE, Wattigney WA (1998) Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N Engl J Med 338:1650–1656
Biddle SJ, Asare M (2011) Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 45:886–895
Bizzini M, Junge A, Dvorak J (2013) Implementation of the FIFA 11+ football warm up program: how to approach and convince the Football associations to invest in prevention. Br J Sports Med 47:803–806
Blakemore SJ, Frith U (2005) The learning brain: lessons for education: a precis. Dev Sci 8:459–465
Boulet LP, O’Byrne PM (2015) Asthma and exercise-induced bronchoconstriction in athletes. N Engl J Med 372:641–648
Brand S (2016) Schlaf bei Jugendlichen. Kinderarztl Prax 87(2):06–110
Caine D, Maffulli N, Caine C (2008) Epidemiology of injury in child and adolescent sports: injury rates, risk factors, and prevention. Clin Sports Med 27:19–50, vii
Clenin G, Cordes M, Huber A, Schumacher YO, Noack P, ScalesJ KS (2015) Iron deficiency in sports – definition, influence on performance and therapy. Swiss Med Wkly 145:w14196
Cooper AR, Goodman A, Page AS, Sherar LB, Esliger DW, van Sluijs EM, Andersen LB, Anderssen S, Cardon G, Davey R, Froberg K, Hallal P, Janz KF, Kordas K, Kreimler S, Pate RR, Puder JJ, Reilly JJ, Salmon J, Sardinha LB, Timperio A, Ekelund U (2015) Objectively measured physical activity and sedentary time in youth: the International children’s accelerometry database (ICAD). Int J Behav Nutr Phys Act 12:113
Corrado D, Pelliccia A, Bjornstad HH, Vanhees L, Biffi A, Borjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E, Dugmore D, Mellwig KP, Assanelli D, Delise P, van- Buuren F, Anastasakis A, Heidbuchel H, Hoffmann E, Fagard R, Priori SG, Basso C, Arbustini E, Blomstrom-Lundqvist C, WJ MK, Thiene G, Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology (2005) Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 26:516–524
Dandoy C, Gereige RS (2012) Performance-enhancing drugs. Pediatr Rev 33:265–271. quiz 71–2
Dietz WH, Robinson TN (2005) Clinical practice. Overweight children and adolescents. N Engl J Med 352:2100–2109
DiFiori JP (2010) Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep 9:372–378
DiFiori JP, Benjamin HJ, Brenner J, Gregory A, Jayanthi N, Landry GL, Luke A (2014) Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. Clin J Sport Med 24:3–20
Donnelly JE, Hillman CH, Castelli D, Etnier JL, Lee S, Tomporowski P, Lambourne K, Szabo-Reed AN (2016) Physical activity, fitness, cognitive function, and academic achievement in children: a systematic review. Med Sci Sports Exerc 48:1223–1224 (This summary was written for the American College of Sports Medicine)
Douillard J (2001) Body, mind, and sport. Three rivers press, New York
Emery CA, Roy TO, Whittaker JL, Nettel-Aguirre A, van Mechelen W (2015) Neuromuscular training injury prevention strategies in youth sport: a systematic review and meta-analysis. Br J Sports Med 49:865–870
Grontved A, Ried-Larsen M, Moller NC, Kristensen PL, Froberg K, Brage S, Andersen LB (2015) Muscle strength in youth and cardiovascular risk in young adulthood (the European Youth Heart Study). Br J Sports Med 49:90–94
Grunert D (2006) Gesund und leistungsfähig durch Ayurveda im Sport. Via Nova, Petersberg
Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, Lancet G (2012) Physical activity series working. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 380:247–257
Hind K, Burrows M (2007) Weight-bearing exercise and bone mineral accrual in children and adolescents: a review of controlled trials. Bone 40:14–27
Hughes JM, Novotny SA, Wetzsteon RJ, Petit MA (2007) Lessons learned from school-based skeletal loading intervention trials: putting research into practice. Med Sport Sci 51:137–158
Joy E, Kussman A, Nattiv A (2016) 2016 update on eating disorders in athletes: a comprehensive narrative review with a focus on clinical assessment and management. Br J Sports Med 50:154–162
Kanis JA (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group. Osteoporos Int 4:368–381
Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn SA, James WP, Wang Y, McPherson K (2015) Child and adolescent obesity: part of a bigger picture. Lancet 385:2510–2520
Luckstead E, Satran A, Patel D (2002) Sport injury profiles, training and rehabilitation issues in American sports. Pediatr Clin N Am 49:753–767
Maron BJ, Friedman KP, Levine BD, Viskin S, Chaitman BR, Okin PM, Saul JP, Salberg L, Van Hare GF, Soliman EZ, Chen J, Matherne GP, Bolling SF, Mitten MJ, Caplan A, Balady GJ, Thompson PD, American Heart Association Council on Clinical Cardiology, Advocacy Coordinating Committee, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Surgery and Anesthesia, Council on Epidemiology and Prevention, Council on Functional Genomics and Translational Biology, Council on Quality of Care and Outcomes Research, and American College of Cardiology (2014) Assessment of the 12-lead electrocardiogram as a screening test for detection of cardiovascular disease in healthy general populations of young people (12–25 years of age): a scientific statement from the American Heart Association and the American College of Cardiology. J Am Coll Cardiol 64:1479–1514
Mountjoy M, Sundgot-Borgen J, Burke L, Carter S, Constantini N, Lebrun C, Meyer N, Sherman R, Steffen K, Budgett R, Ljungqvist A, Ackerman K (2015a) The IOC relative energy deficiency in sport clinical assessment tool (RED-S CAT). Br J Sports Med 49:1354
Mountjoy M, Sundgot-Borgen J, BurkeL CS, NConstantini N, Lebrun C, Meyer N, Sherman R, Steffen K, Budgett R, Ljungqvist A, Ackerman K (2015b) RED-S CAT. Relative Energy Deficiency in Sport (RED-S) Clinical Assessment Tool (CAT). Br J Sports Med 49:421–423
Myklebust G, Skjolberg A, Bahr R (2013) ACL injury incidence in female handball 10 years after the Norwegian ACL prevention study: important lessons learned. Br J Sports Med 47:476–479
Ostman-Smith I (2011) Sudden cardiac death in young athletes. Open Access J Sports Med 2:8597
Parsons JP, Hallstrand TS, Mastronarde JG, Kaminsky DA, Rundell KW, Hull JH, Storms WW, Weiler JM, Cheek FM, Wilson KC, Anderson SD, American Thoracic Society Subcommittee on Exercise-induced Bronchoconstriction (2013) An official American Thoracic Society clinical practice guideline: exercise-induced bronchoconstriction. Am J Respir Crit Care Med 187:1016–1027
Pickett W, Molcho M, Simpson K, Janssen I, Kuntsche E, Mazur J, Harel Y, Boyce WF (2005) Cross national study of injury and social determinants in adolescents. Inj Prev 11:213–218
Rizzoli R, Bianchi ML, Garabedian M, McKay HA, Moreno LA (2010) Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone 46:294–305
Steiner H, McQuivey RW, Pavelski R, Pitts T, Kraemer H (2000) Adolescents and sports: risk or benefit? Clin Pediatr (Phila) 39:161–166
Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik PM, Rowland T, Trost S, Trudeau F (2005) Evidence based physical activity for school-age youth. J Pediatr 146:732–737
Sundgot-Borgen J, Torstveit MK (2004) Prevalence of eating disorders in elite athletes is higher than in the general population. Clin J Sport Med 14:25–32
Van Brabandt H, Desomer A, Gerkens S, Neyt M (2016) Harms and benefits of screening young people to prevent sudden cardiac death. BMJ 353:i1156
Van Praag H, Christie BR, Sejnowski TJ, Gage FH (1999) Running enhances neurogenesis, learning, and long-term potentiation in mice. Proc Natl Acad Sci U S A 96:13427–13431
Verhagen E, Voogt N, Bruinsma A, Finch CF (2014) A knowledge transfer scheme to bridge the gap between science and practice: an integration of existing research frameworks into a tool for practice. Br J Sports Med 48:698–701
Viner R, Booy R (2005) Epidemiology of health and illness. BMJ 330:411–414
Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell TJ, Gao Y, Armstrong R, Prosser L, Summerbell CD (2011) Interventions for preventing obesity in children. Cochrane Database Syst Rev(3):CD001871
Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, O’Karma M, Wallace TC, Zemel BS (2016) The National Osteoporosis Foundation’s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int 27:1281–1386
Weiler JM, Anderson SD, Randolph C, Bonini S, Craig TJ, Pearlman DS, Rundell KW, Silvers WS, Storms WW, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, Lang DM, Nicklas RA, Oppenheimer J, Portnoy JM, Schuller DE, Spector SL, Tilles SA, Wallace D, Henderson W, Schwartz L, Kaufman D, Nsouli T, Shieken L, Rosario N, American Academy of Allergy, Asthma and Immunology; American College of Allergy, Asthma and Immunology; Joint Council of Allergy, Asthma and Immunology (2010) Pathogenesis, prevalence, diagnosis, and management of exercise-induced bronchoconstriction: a practice parameter. Ann Allergy Asthma Immunol 105:1–47
WHO (2010) Global recommendations on physical actvity for health. WHO, Geneva
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Kriemler, S., Grunert, D. (2018). Bewegung und Sport bei Jugendlichen. In: Stier, B., Weissenrieder, N., Schwab, K. (eds) Jugendmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52783-2_7
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