sports and society – Seite 5

antidoping elite sports performance sports and society team management

Risk for a Swiss medical doctor involved in a doping affair

As soon as he prescibes medicine to an athlete, any physician is confrounted if he wants or not, and if he is aware of it or not, with the numerous and often complex rules treating with the universal fight against doping. In case of an involountary mistakee or not, the doctor can be involved in very unpleasant situations over different regulations. As ignorance is no valid defense form, it seems obvious that it is very imporant that each practitionner is informed the better possible about these legal aspects. This is the objective of the following presentation.

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Role of sports medicine in physical activity prescription for prevention and treatment

There is incontrovertible evidence of the benefits of regular physical activity in the primary and secondary prevention of several chronic diseases, on contrary a sedentary lifestyle can progress into a Sedentary Death Syndrome (SeDS), which is a major Public Health burden due to its causing multiple chronic diseases and a large amount of premature deaths each year. In Italy, Sports Medicine represents a fundamental reference for those practicing physical activity at competitive or non-competitive level; its purposes include: health care of the athletes practicing all kind of sports, through the pre-participation screening for elegibility (such screening constitutes an established medical programme that has been implemented for more than 30 years), and the promotion of diagnostic and therapeutic protocols to guarantee the state of health of individual at high risk or carrying a specific diagnosed disease.

sports and society sports medicine

Sports Medicine in our four neighbour countries

It is indeed quite a challenge to define sports medicine in a way that suits the greatest number. The reason is that the speciality involves a wide scope of different healthcare measures for a very broad population, from professional athletes to recreative active individuals. It contains diagnostic, curative, rehabilitative and preventive medical measures, on the field, in the clinic and the medical office or even in the physiology laboratory. And this heterogeneity also concerns the physicians practicing – or pretending it! – sports medicine.

antidoping elite sports sports and society team management

The CADF: a possible independent model for the management of a comprehensive Anti-Doping programme

Created in 2008, the Cycling Anti-Doping Foundation (CADF), is a non-profit organization acting under Swiss law that became fully independent in 2013. Unique model for a sporting organization, the CADF’s role is to manage autonomously the Anti-Doping programme, on behalf of the Union Cycliste Internationale (UCI). The relationships between UCI and CADF are regulated by a contract signed by the CADF Foundation Board and UCI management. The CADF activities are conducted in compliance with the World Anti-Doping code [1], the UCI Anti-Doping rules [2].

antidoping sports and society

Reflections on doping governance in sport

Poor governance of sport, in particular all the policy implications that take the place of sport are causing many negative headlines in the press today. We have to do with doping, corruption, violence, rigging the competition, trafficking of players and all this corresponds to only the visible part of the iceberg. Sports ethics must be promoted to ensure good governance in sport suffers and this is undoubtedly these ethical issues are in the center of the concerns and challenges ahead for the IOC and for all national sports federations.

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Physical activity and cognitive function in older persons

Strategies to improve cognitive aging are highly needed. Among those, promotion of exercise and physical activity appears as one of the most attractive and beneficial intervention. Indeed, results from basic and clinical studies suggest that exercise and physical activity have positive effects on cognition in older persons without cognitive impairment, as well as in those with dementia. Despite inconsistent results, aerobic exercise appears to have the strongest potential to enhance cognition. However, even limited periods of walking (45 minutes, three times a week, over a 6-month period) have also been shown to enhance cognition, particularly executive functions.

elite sports sports and society team management

Professional path of former Swiss elite ice hockey players – influence of sporting career on professional career

A career in elite sports requires a significant investment of time. Professional sportsmen, such as Swiss ice hockey players, are intensively involved in the system of high-performance sports. From junior years through to the end of a professional career, a high investment of time is necessary to develop the appropriate sporting achievements. Building an ice hockey career occurs at the same time as the school phase of vocational training. The high time-demand of sport training can affect the choices and occupational opportunities offered at this time. After the end of the professional career and hockey players are forced to enter ’normal’ working life.

elite sports performance sports and society sports medicine sports nutrition team management recovery

Sports and Ramadan – influence on endurance performance

The intermittent fasting of Ramadan could affect various aspects of body physiology and biochemistry important to athletic success. Sleep time may be shortened. Disturbance of psychomotor performance, impaired vigilance and slower reactions can be observed particularly during afternoon. Food intake is limited to night-time meals. Well disciplined athletes usually maintain energy balance unless daily energy expenditures are very high. Daytime fluid depletion is inevitable if athletes exercise in the heat.

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Sports and ageing with osteoarthritis post joint replacement

Regular sports activity is not only healthy for cardiovascular and psychological reasons, but it is neither a risk factor for increased risk for osteoarthritis, except for posttraumatic osteoarthritis due to sports injuries. But there are few hints that excessice sports activity may lead to increased risk for osteoarthritis. Therefore, adapted and moderate sports activity can be recommended and should be promoted for osteoarthritis or after total joint replacement of the lower extremity. This leads to increased functional and subjective outcome.

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The elderly athlete in the sports medicine consultation

Senior sportsmen and -women still participate in great numbers in sport events, particularly in endurance sports. Among the participants of the Jungfrau Marathon 2014 were 43% of the 3046 runners older than 50 years. These persons beeing active in sports have age related sportmedical problems. With four case reports the article tries to give concrete propositions to the sportsmed physician. Some of the graphics and tables are particularly appropriate for the counselling of active seniors in sports.