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3Youth with chronic diseases or physical disabilities (CDPD) often show reduced fitness and physical activity (PA) levels and participate less in organized sports compared with healthy peers. The purpose of this study was to examine the associations between participation in sports and health-related fitness and PA in youth with CDPD. A total of 163 subjects (mean age 14 years; range 8-19 years) with CDPD were included in this cross-sectional study, with 81 participating in organized sports and 82 not. Subjects were recruited between October 2014 and November 2016. Aerobic and anaerobic fitness, agility, and muscle strength were assessed in the laboratory, whereas PA was monitored in daily life using accelerometry during 1 week. Linear regression analyses were used to assess the associations of sports participation (independent variable) with health-related fitness and PA (dependent variables). Results show that youth with CDPD participating in organized sports 2 times a week performed better on all outcome measures. They reached a higher peak oxygen uptake (difference of 4.9 ml O2·kg-1·min-1, P = 0.001) compared with their peers not participating in sports. Also, anaerobic fitness, agility, muscle strength, and PA were all positively associated with sports participation. Moreover, the association between sports participation and aerobic fitness was mediated by PA for 31% (P = 0.045). In conclusion, participation in sports is associated with both higher levels of PA and health-related fitness in youth with CDPD. Promotion and stimulation of participation in sports seems a good way to promote health-related fitness as well as a healthy active lifestyle in youth with CDPD.
ARTIKEL
Introduction: Sports participation in children with hemophilia is generally considered to be associated with increased injury risk, which is generally considered highest in severe hemophilia. Aim: To assess sports participation according to age and severity in children with hemophilia and its association with sports injuries. Methods: In a retrospective single-center study, sports participation, injuries, and bleeding data from three consecutive annual clinic visits were collected for young patients with hemophilia (PWH, aged 6-18). Sports in categories 2.5 and 3 of 3 ac cording to the National Hemophilia Foundation classification were considered high risk. Groups were compared using chi-square testing. Results: 105 PWH (median age: 13(IQR 10-14); 53% severe; bleeding rate: 1/y) were identified; three were unable to perform sports and were excluded. The ma jority of PWH (77%) played sports weekly, of which 80% high-risk sports. Sports participation (median 3.0x/wk), and the proportion of injured PWH was similar in severe (42%) and non-severe (33%) PWH. Sports injuries were rare (65% no injuries in 3 years, median 0/y (IQR 0-1)). Annually, PWH did not report more injuries (15%) than age-matched boys (28%). Sports injuries were not associated with frequency and type of sports. Discussion: This retrospective study showed high sports participation (including high-risk sports) and low injury rates. Sports participation was similar across severi ties and injury rates were not higher than among the general population. Injuries were not associated with frequency or type of sports. A prospective study with objective assessment of sports participation and injuries is warranted to confirm these findings and avoid recall bias
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This article addresses the resource dependencies of voluntary sports club in two Rhineland welfare states with differences in their organizational arrangements of sports (e.g. the centralization of the Sport for All policy). On the basis of the VOCASPORT typology of sports policy systems and the resource dependence theory the composition of the revenues of non-profit sports clubs in Flanders (Belgium) and Germany is analysed and related to organizational contingency factors as well as similarities and differences in the sports policy systems. Data are used from the Flemish and the German panel survey of non-profit sports clubs. The results show that Flemish and German sports clubs differ regarding size, year of foundation and offered sports, but are very similar with regard to their financial structure. Both Flemish and German sports clubs strongly depend on third sector income, regardless of organizational factors. No remarkable differences were found with regard to the dependency on state income. The results suggest that sports clubs in the selected Rhineland welfare states, regardless of the organizational arrangement of the sports system they operate in, depend on third sector resources and have considerable decision-making autonomy.
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Given the recent economic crisis and the risen poverty rates, sports managers need to get insight in the effect of income and other socio-economic determinants on the household time and money that is spent on sports participation. By means of a Tobit regression, this study analyses the magnitude of the income effect for the thirteen most practiced sports by households in Flanders (the Dutch speaking part of Belgium), which are soccer, swimming, dance, cycling, running, fitness, tennis, horse riding, winter sports, martial arts, volleyball, walking and basketball. The results demonstrate that income has a positive effect on both time and money expenditure on sports participation, although differences are found between the 13 sports activities. For example, the effect of income on time and money expenditure is relatively high for sports activities like running and winter sports, while it is lower for other sports such as fitness, horse riding, walking and swimming. Commercial enterprises can use the results of this study to identify which sports to focus on, and how they will organise their segmentation process. For government, the results demonstrate which barriers prevent people from taking part in specific sports activities, based upon which they should evaluate their policy decisions.
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Despite several decades of Sport for All policies, opportunities for sports participation are still unequally divided, with certain socially disadvantaged groups having less access to sports. To reduce this gap, structural efforts are needed. A question that arises is what role nonprofit sports clubs can fulfill in this matter. In this study, first, it is explored how nonprofit sports clubs perceive their role and responsibility towards socially disadvantaged groups and how they act on it. Second, it is investigated which factors predict the presence or absence of efforts from nonprofit sports clubs for lowering barriers. For this second question, we focus on people living in poverty. Data are based on a survey among 580 nonprofit sports clubs throughout Flanders (Belgium). The findings indicate that the human resources capacity of the club is not the main barrier. It is argued that local sports authorities and sports federations have an important part to play in supporting and encouraging sports clubs in terms of social inclusionary policies, for example by instilling awareness.
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Introduction: Predicting the risk of sports injuries and sports-induced bleeds (SIBs) in people with haemophilia (PWH) may support clinical counselling. Aim: To assess the association between motor proficiency testing and sports injuries and SIB sand to identify a specific set of tests for predicting injury risk in PWH. Methods: In a single centre, prospective study male PWH aged 6–49 playing sports ≥1x/week were tested for running speed and agility, balance, strength and endurance. Test results below −2Z were considered poor. Sports injuries and SIBs were collected for12 months while 7 days of physical activity(PA) for each season was registered with accelerometers. Injury risk was analysed according to test results and type of physical activity (%time walking, cycling, running). Predictive values for sports injuries and SIBs were determined.
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Background: Improved treatment options for people with haemophilia (PWH) have increased the possibilities for sports participation, but the risk of sports-induced bleeding (SIB) is still considered considerable by many. Aim: To assess sports associated injury-and bleeding risk in PW Hand to assess clotting levels associated with safe sports participation. Methods: Sports injuries and SIBs were prospectively collected for12 months in PWH aged 6–49 without inhibitors playing sports at least once weekly. Injuries were com pared according to factor levels, severity, joint health, sports risk category and sports intensity. Factor activity at the time of injury was estimated using a pharmacokinetic model
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During the last twenty years, a remarkable new type of service has been developed in the world of sports, which can be described as the indoorisation of outdoor sports. Typical outdoor sports like climbing, skiing, surfing, rowing, and skydiving, which used to be exclusively practiced in a natural environment of mountains, oceans, rivers and the air, are now being offered for consumption in safe, predictable and controlled indoor centers. The present article emphasizes the rise of indoor lifestyle sports, such as rafting, snowboarding, skydiving and surfing. It discusses the conditions under and ways in which commercial entrepreneurs in the Netherlands have created this market, the meanings that they have ascribed to their centers and the dilemmas with which they have been confronted. It is argued that the rise of this economic market cannot be understood if it is solely interpreted as the result of economic, technological or natural developments. These economic activities were also embedded in and influenced by shared understandings and their representations in structured fields of outdoor sports, mainstream sports and leisure experience activities. A better understanding of the indoorisation of outdoor lifestyle sports can be achieved by recognizing how these structures and cultures pervaded the rise of this new market.
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Paralympic wheelchair athletes solely depend on the power of their upper-body for their on-court wheeled mobility as well as for performing sport-specific actions in ball sports, like a basketball shot or a tennis serve. The objective of WheelPower is to improve the power output of athletes in their sport-specific wheelchair to perform better in competition. To achieve this objective the current project systematically combines the three Dutch measurement innovations (WMPM, Esseda wheelchair ergometer, PitchPerfect system) to monitor a large population of athletes from different wheelchair sports resulting in optimal power production by wheelchair athletes during competition. The data will be directly implemented in feedback tools accessible to athletes, trainers and coaches which gives them the unique opportunity to adapt their training and wheelchair settings for optimal performance. Hence, the current consortium facilitates mass and focus by uniting scientists and all major Paralympic wheelchair sports to monitor the power output of many wheelchair athletes under field and lab conditions, which will be assisted by the best data science approach to this challenge.
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