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exercise is medicine

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The prevalence of obesity is increasing worldwide, and excess body weight is associated with a substantially increased risk of adverse health conditions. Exercise supports the prevention and management of obesity; however, when used for weight loss, exercise (even at high volumes) is usually relatively ineffective, frequently producing less weight loss than expected based on measured energy expenditure.
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Exercise is medicine. This motto has become widely accepted. However, we are far from implementing it in clinical practice. This concerns both the advice given in the medical doctor and the knowledge of how to properly apply exercise as medicine. Only about 20-30% of medical doctors advise their patients to be physically active during a GP visit.
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Increased sports participation has resulted in an increased incidence of sports-related injuries. It has become increasingly clear that different sexes present with different injury profiles [1]. For instance, female athletes are more likely to sustain lower extremity injuries than males [2]. The underlying static factors include a wider pelvis, increased hip varus, femoral anteversion, as well as increased knee and external tibial torsion in the female body [2], and dynamic factors include dynamic valgus during landing [2].
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Vor einigen Monaten meldete sich eine Abiturientin bei mir mit der Bitte um ein Interview für ihre Maturaarbeit. Thema ihrer Arbeit war das (mögliche) Verbot von Kopfbällen bei Kindern und Jugendlichen im Fussball. Kurz darauf stellte sich im Rahmen der Generalversammlung der Gesellschaft für pädiatrische Sportmedizin (GPS) dieselbe Frage: Wieso sind in England/USA Kopfbälle im Jugendbereich verboten, in Deutschland und der Schweiz aber nicht?
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A few months ago, a high school graduate contacted me with a request for an interview for her “Matura thesis”. The topic of her thesis was the (possible) ban on headers in children and adolescents in soccer. Shortly afterwards, the same question came up at the general assembly of the Society for Paediatric Sports Medicine (GPS): why are headers banned in youth soccer in England/US, but not in Germany and Switzerland? Reason enough to take a closer look at this topic and try to find evidence-based answers to this question.
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