BMJ Open Sport & Exercise Medicine (Aug 2023)
Global Alliance for the Promotion of Physical Activity: the Hamburg Declaration
- Christian Gerloff,
- Sebastien Racinais,
- Mats Borjesson,
- Erich Müller,
- Hashel Al Tunaiji,
- Andrea Ermolao,
- Lars Engebretsen,
- Wilhelm Bloch,
- Richard Budgett,
- David Hughes,
- Dina Christina Janse van Rensburg,
- Hans Hauner,
- Susi Kriemler,
- Boris Gojanovic,
- Martin Scherer,
- Martine Duclos,
- Claus Reinsberger,
- Uğur Erdener,
- Mark Fulcher,
- Willem van Mechelen,
- Benedict Tan,
- Romain Seil,
- Luigi Di Luigi,
- Bernd Wolfarth,
- Jeroen Swart,
- Victoriya Badtieva,
- Theodora Papadopoulou,
- Maurizio Casasco,
- Norbert Bachl,
- Fabio Pigozzi,
- Jürgen M Steinacker,
- Anca Ionescu,
- Mike Miller,
- Yannis P Pitsiladis,
- Martin Halle,
- Robert Sallis,
- Natasha Jones,
- Luis B Sardinha,
- Matthew Payton Herring,
- Arno Schmidt-Trucksäss,
- Svitlana Drozdovska,
- Demitri Constantinou,
- Sandra Rozenštoka,
- Bülent Ülkar,
- Naama Constantini,
- Yiannis Koutedakis,
- Cheri A Blauwet,
- Daniel Neunhäuserer,
- Jasper Schipperijn,
- German Clénin,
- Janine Wendt,
- Anna Jegier,
- Sheng Zeng,
- Chiara Fossati,
- Roberto Vettor,
- Jane Thornton,
- Elin Kolle,
- Hans-Georg Predel,
- Winfried März,
- Dietrich Andresen,
- Pedro Manonelles Marqueta,
- Christian Kuhn,
- Eleanor Tillet,
- Melita Moore,
- Carolin Knoke,
- Olena Andrieieva,
- Friedhelm J Beucher,
- Jose-Antonio Casajus Mallen,
- Ju-Ho Chang,
- Lukas Declercq,
- Stephane Doutreleau,
- Thomas Fischbach,
- Anastasia N Fischer,
- Jeorge Franchella,
- Jan C Galle,
- Evelina Georgiades,
- Marcela González Gross,
- Andy Grote,
- Mikio Hiura,
- Kerstin Holze,
- Gerhard Huber,
- Mark R. Hutchinson,
- Kirsten Kappert-Gonther,
- Monika Kellerer,
- Yutaka Kimura,
- Agrita Kiopa,
- Bernd Kladny,
- Gerhard Koch,
- Greg Kolt,
- Stephan Kress,
- Jens Kröger,
- Roman Laszlo,
- Ralph Lehnert,
- François J Lhuissier,
- Kerstin Lüdtke,
- Shigeru Makita,
- Kirill Micallef-Stafrace,
- I. Renay Onur,
- Vahur Ööpik,
- Malgorzata Perl,
- Anastassios Philippou,
- Algirdas Raslanas,
- Ruediger Reer,
- Klaus Reinhardt,
- Nils Schumacher,
- Bernhard Schwaab,
- Ansgar Schwirtz,
- Masato Suzuki,
- Ralph Tiesler,
- Ulf Tippelt,
- Eve Unt,
- Thomas Weikert
Affiliations
- Christian Gerloff
- German Society for Neurology (Deutsche Gesellschaft für Neurologie (DGN)), Berlin, Germany
- Sebastien Racinais
- Research Education Centre, ASPETAR - Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Mats Borjesson
- Department of Molecular and Clinical Medicine, Center for Health and Performance, University of Gothenburg, Gothenburg, Sweden
- Erich Müller
- European College of Sport Science, Köln, Germany
- Hashel Al Tunaiji
- Sports Medicine, United Arab Emirates National Olympic Committee, Dubai, UAE
- Andrea Ermolao
- Sports and Exercise Medicine Division, Department of Medicine, Università degli Studi di Padova, Padova, Italy
- Lars Engebretsen
- International Olympic Committee, Lausanne, Switzerland
- Wilhelm Bloch
- Institute for Cardiology and Sports Medicine, German Sport University, Cologne, Germany
- Richard Budgett
- International Olympic Committee, Lausanne, Switzerland
- David Hughes
- Sports Medicine, Australian Institute of Sport, Canberra, Canberra, Australia
- Dina Christina Janse van Rensburg
- South African Sports Medicine Association (SASMA), Pretoria, South Africa
- Hans Hauner
- German Diabetes Foundation, Deutsche Diabetes Stiftung, Düsseldorf, Germany
- Susi Kriemler
- Sport and Exercise Medicine Switzerland (SEMS), Bern, Switzerland
- Boris Gojanovic
- Swiss Olympic Medical Center, Hôpital de La Tour, Meyrin, Geneva, Switzerland
- Martin Scherer
- Institut und Poliklinik für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
- Martine Duclos
- French Society of Exercise and Sports Medicine, Société Française de Médecine de l`Exercice et du Sport, Paris, France
- Claus Reinsberger
- German Society for Sports Medicine and Prevention, Deutsche Gesellschaft für Sportmedizin und Prävention (DGSP), Frankfurt, Germany
- Uğur Erdener
- International Olympic Committee, Lausanne, Switzerland
- Mark Fulcher
- Australasian College of Sport and Exercise Physicians, Melbourne, Victoria, Australia
- Willem van Mechelen
- European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany
- Benedict Tan
- Exercise is Medicine Singapore, Singapore
- Romain Seil
- Society for Orthopaedic and Traumatologic Sports Medicine (GOTS), Jena, Germany
- Luigi Di Luigi
- Unit of Endocrinology - Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
- Bernd Wolfarth
- International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland
- Jeroen Swart
- International Federation of Sports Medicine, Lausanne, Switzerland
- Victoriya Badtieva
- Sport Medicine, I M Sechenov First Moscow State Medical University, Moscow, Russia
- Theodora Papadopoulou
- Defence Medical Rehabilitation Centre, Stanford Hall, Loughborough, UK
- Maurizio Casasco
- Italian Federation of Sports Medicine (FMSI), Rome, Italy
- Norbert Bachl
- Institute of Sports Science, University of Vienna, Vienna, Austria
- Fabio Pigozzi
- International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland
- Jürgen M Steinacker
- Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany
- Anca Ionescu
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Mike Miller
- World Olympians Association (WOA), Lausanne, Switzerland
- Yannis P Pitsiladis
- International Federation of Sports Medicine, Fédération Internationale de Médecine du Sport (FIMS), Lausanne, Switzerland
- Martin Halle
- European Association of Preventive Cardiology (EAPC), European Society of Cardiology (ECS), Biot, France
- Robert Sallis
- Family Medicine, Kaiser Permanente, Fontana, California, USA
- Natasha Jones
- Moving Medicine, Faculty of Sport and Exercise Medicine UK, Edinburgh, UK
- Luis B Sardinha
- Exercise is Medicine Portugal, Universidade de Lisboa, Lisboa, Portugal
- Matthew Payton Herring
- Health Research Institute, University of Limerick, Limerick, Ireland
- Arno Schmidt-Trucksäss
- Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, Basel, Switzerland
- Svitlana Drozdovska
- National University of Physical Education and Sport of Ukraine, Kyiv, Ukraine
- Demitri Constantinou
- Centre for Exercise Science and Sports Medicine, University of Witwatersrand, Johannesburg, South Africa
- Sandra Rozenštoka
- International Federation of Sports Medicine, Lausanne, Switzerland
- Bülent Ülkar
- International Federation of Sports Medicine, Lausanne, Switzerland
- Naama Constantini
- Sport Medicine, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel
- Yiannis Koutedakis
- Exercise is Medicine Greece, National and Kapodistrian University of Athens, Athens, Greece
- Cheri A Blauwet
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women`s Hospital, Harvard Medical School, Boston, Massachusetts, USA
- Daniel Neunhäuserer
- Sports and Exercise Medicine Division, Department of Medicine, Università degli Studi di Padova, Padova, Italy
- Jasper Schipperijn
- International Society for Physical Activity and Health (ISPAH), Vancouver, British Columbia, Canada
- German Clénin
- Sportsmedical Centre Bern-Ittigen, Ittigen, Switzerland
- Janine Wendt
- Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany
- Anna Jegier
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- Sheng Zeng
- International Federation of Sports Medicine, Lausanne, Switzerland
- Chiara Fossati
- Faculty of Sport and Exercise Sciences, University of Rome `Foro Italico`, Roma, Lazio, Italy
- Roberto Vettor
- Exercise is Medicine Italy, Università degli Studi di Padova, Padova, Italy
- Jane Thornton
- Family Medicine, Western University, London, Ontario, Canada
- Elin Kolle
- Exercise is Medicine Norway, Oslo, Norway
- Hans-Georg Predel
- German Hypertension League (Deutsche Hochdruckliga e.V. (DHL)), Heidelberg, Baden-Württemberg, Germany
- Winfried März
- D.A.CH Society Prevention of Cardiovascular Diseases, D.A.CH-Gesellschaft Prävention von Herz-Kreislauf-Erkrankungen, Hamburg, Germany
- Dietrich Andresen
- German Heart Foundation, Die Deutsche Herzstiftung, Berlin, Germany
- Pedro Manonelles Marqueta
- International Federation of Sports Medicine, Lausanne, Switzerland
- Christian Kuhn
- German Alliance for Baths, Bäderallianz Deutschland, Köln, Germany
- Eleanor Tillet
- British Association of Sport and Exercise Medicine, Doncaster, South Yorkshire, UK
- Melita Moore
- Global Esports Federation (GEF), Singapore
- Carolin Knoke
- Division of Sports and Rehabilitation Medicine, University Hospital Ulm, Ulm, Germany
- Olena Andrieieva
- Department of Health, Fitness and Recreation, National University of Physical Education and Sport of Ukraine, Kiew, Ukraine
- Friedhelm J Beucher
- National Paralympic Committee Germany (Deutscher Behindertensportverband (DBS), Bonn, Germany
- Jose-Antonio Casajus Mallen
- University of Zaragoza, GENUD “Growth, Exercise, NUtrition and Development” Research Group, Zaragoza, Spain
- Ju-Ho Chang
- The Association for International Sport for All (TAFISA), Frankfurt, Germany
- Lukas Declercq
- House of Sport, Europe Active, Brussels, Belgium
- Stephane Doutreleau
- Department of Sports Medicine, University Grenoble Alpes, Grenoble, Auvergne-Rhône-Alpes, France
- Thomas Fischbach
- German Association of Paediatric and Adolescent Care Specialists, BVKJ - Berufsverband der Kinder- und Jugendärzte, Cologne, Germany
- Anastasia N Fischer
- Sports Medicine and Pediatrics, Nationwide Children`s Hospital and The Ohio State University, Columbus, Ohio, USA
- Jeorge Franchella
- Hospital de Clínicas José San Martin, University of Buenos Aires, Buenos Aires, Argentina
- Jan C Galle
- German Society of Nephrology (Deutsche Gesellschaft für Nephrologie (DGfN)), Berlin, Germany
- Evelina Georgiades
- Cyprus Olympic Commitee, Nicosia, Cyprus
- Marcela González Gross
- Exercise is Medicine Spain, University of Zaragoza, Zaragoza, Spain
- Andy Grote
- Senat, Freie und Hansestadt Hamburg, Hamburg, Germany
- Mikio Hiura
- Center for Brain and Health Sciences, Aomori University, Aomori, Japan
- Kerstin Holze
- German Olympic Sports Confederation, Deutscher Olympischer Sportbund, Frankfurt am Main, Germany
- Gerhard Huber
- Institute of Sports and Sport Science, University Heidelberg, Heidelberg, Germany
- Mark R. Hutchinson
- American College of Sports Medicine, Indianapolis, Indiana, USA
- Kirsten Kappert-Gonther
- Bundesvereinigung Prävention und Gesundheitsförderung e.V. (BVBG), Bonn, Germany
- Monika Kellerer
- German Diabetes Foundation, Deutsche Diabetes Stiftung, Düsseldorf, Germany
- Yutaka Kimura
- Health Science Center, Kansai Medical University, Osaka, Japan
- Agrita Kiopa
- Rīga Stradiņš University, Riga, Latvia
- Bernd Kladny
- 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
- Gerhard Koch
- Platform on Nutrition and Physical Activity, Plattform Ernährung und Bewegung e.V. (peb), Berlin, Germany
- Greg Kolt
- School of Science and Health, University of Western Sydney, Sydney, New South Wales, Australia
- Stephan Kress
- German Diabetes Association (Deutsche Diabetes Gesellschaft (DDG)), Berlin, Germany
- Jens Kröger
- German Diabetes Support (diabetesDE - Deutsche Diabetes-Hilfe), Charlottenburg, Germany
- Roman Laszlo
- German Cardiac Society (Deutsche Gesellschaft für Kardiologie – Herz- und Kreislaufforschung (DGK)), Düsseldorf, Nordrhein-Westfalen, Germany
- Ralph Lehnert
- Hamburg Sport Association (Hamburger Sportbund e.V.), Hamburg, Germany
- François J Lhuissier
- French Society of Exercise and Sports Medicine, Société Française de Médecine de l`Exercice et du Sport, Paris, France
- Kerstin Lüdtke
- German Society for Physiotherapy Science (Deutsche Gesellschaft für Physiotherapiewissenschaft (DGPTW)), Hamburg, Germany
- Shigeru Makita
- Exercise is Medicine Japan, Japanese Society of Physical Fitness and Sports Medicine, Osaka, Japan
- Kirill Micallef-Stafrace
- European Federation of Sports Medicine Associations (EFSMA), Lausanne, Switzerland
- I. Renay Onur
- Istanbul Spor Etkinlikleri ve Isletmeciligi A S, City of Istanbul, Istanbul, Turkey
- Vahur Ööpik
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
- Malgorzata Perl
- Exercise is Medicine Poland, Legionowo, Poland
- Anastassios Philippou
- Exercise is Medicine Greece, National and Kapodistrian University of Athens, Athens, Greece
- Algirdas Raslanas
- Department of Educational Assistance, Physical and Health Education, Vytautas Magnus University, Vilnius, Lithuania
- Ruediger Reer
- European Initiative for Exercise in Medicine (EIEIM), Ulm, Germany
- Klaus Reinhardt
- German Medical Association (Bundesaerztekammer), Berlin, Germany
- Nils Schumacher
- Department of Movement Science, University of Hamburg, Hamburg, Germany
- Bernhard Schwaab
- German Society for the Prevention and Rehabilitation of Cardiovascular Diseases (Deutsche Gesellschaft für Prävention und Rehabilitation von Herz-Kreislauferkrankungen (DGPR)), Koblenz, Germany
- Ansgar Schwirtz
- German Society of Sports Science, Deutsche Vereinigung für Sportwissenschaft (DVS), Frankfurt, Germany
- Masato Suzuki
- Exercise is Medicine Japan, Japanese Society of Physical Fitness and Sports Medicine, Osaka, Japan
- Ralph Tiesler
- Federal Institute for Sports Science (Bundesinstitut für Sportwissenschaft (BISp)), Bonn, Nordrhein-Westfalen, Germany
- Ulf Tippelt
- Institute for Applied Training Science Leipzig, Leipzig, Sachsen, Germany
- Eve Unt
- Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
- Thomas Weikert
- German Olympic Sports Confederation, Deutscher Olympischer Sportbund, Frankfurt am Main, Germany
- DOI
- https://doi.org/10.1136/bmjsem-2023-001626
- Journal volume & issue
-
Vol. 9,
no. 3
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.