Sport activities for children and adolescents: the Position of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians 2023-Part 1. Pre-participation physical evaluation in young athletes

Anna Turska-Kmieć^{1

2

3}, Daniel Neunhaeuserer^{4

5}, Artur Mazur^{2

6

7}, Łukasz Dembiński^{2

6

8}, Stefano Del Torso^{6

9}, Zachi Grossman^{6

10

11}, Shimon Barak^{12

13}, Adamos Hadjipanayis^{6

14

15}, Jarosław Peregud-Pogorzelski^{2

16}, Tomasz Kostka^{17

18}, Andrzej Bugajski^{18

19}, Gottfried Huss^{12

20}, Monika Kowalczyk-Domagała^{1

21}, Justyna Wyszyńska²²

Affiliations

¹ Department of Cardiology, Children's Memorial Health Institute, Warsaw, Poland.
² Polish Paediatric Society, Warsaw, Poland.
³ Working Group on Sports Cardiology, Polish Cardiac Society, Warsaw, Poland.
⁴ Sports and Exercise Medicine Division, University of Padova Department of Medicine, Padova, Italy.
⁵ Clinical Network of Sports and Exercise Medicine of the Veneto Region, Padova, Italy.
⁶ The European Academy of Paediatrics, EAP, Brussels, Belgium.
⁷ Institute of Medical Sciences, Medical College of Rzeszów University, Rzeszów, Poland.
⁸ Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland.
⁹ Childcare Worldwide, Padova, Italy.
¹⁰ Adelson School of Medicine, Ariel University, Ariel, Israel.
¹¹ Maccabi Health Services, Pediatric Clinic, Tel Aviv, Israel.
¹² The European Confederation of Primary Care Paediatricians (ECPCP), Lyon, France.
¹³ Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
¹⁴ School of Medicine, European University Cyprus, Nicosia, Cyprus.
¹⁵ Paediatric Department, Larnaca General Hospital, Larnaca, Cyprus.
¹⁶ Department of Paediatrics, Paediatric Oncology and Immunology, Pomeranian Medical University, Szczecin, Poland.
¹⁷ Department of Geriatrics, Medical University of Lodz, Lodz, Poland.
¹⁸ The Polish Society of Sports Medicine, Wroclaw, Poland.
¹⁹ Department of Physiotherapy, College of Physiotherapy, Wroclaw, Poland.
²⁰ Kinder-Permanence Hospital Zollikerberg, Zollikerberg, Switzerland.
²¹ Working Group on Paediatric Cardiology, Polish Cardiac Society, Warsaw, Poland.
²² Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland.

PMID: 37425260
PMCID: PMC10323832
DOI: 10.3389/fped.2023.1125958

Review

Sport activities for children and adolescents: the Position of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians 2023-Part 1. Pre-participation physical evaluation in young athletes

Anna Turska-Kmieć et al. Front Pediatr. 2023.

. 2023 Jun 22:11:1125958.

doi: 10.3389/fped.2023.1125958. eCollection 2023.

Authors

Affiliations

¹ Department of Cardiology, Children's Memorial Health Institute, Warsaw, Poland.
² Polish Paediatric Society, Warsaw, Poland.
³ Working Group on Sports Cardiology, Polish Cardiac Society, Warsaw, Poland.
⁴ Sports and Exercise Medicine Division, University of Padova Department of Medicine, Padova, Italy.
⁵ Clinical Network of Sports and Exercise Medicine of the Veneto Region, Padova, Italy.
⁶ The European Academy of Paediatrics, EAP, Brussels, Belgium.
⁷ Institute of Medical Sciences, Medical College of Rzeszów University, Rzeszów, Poland.
⁸ Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland.
⁹ Childcare Worldwide, Padova, Italy.
¹⁰ Adelson School of Medicine, Ariel University, Ariel, Israel.
¹¹ Maccabi Health Services, Pediatric Clinic, Tel Aviv, Israel.
¹² The European Confederation of Primary Care Paediatricians (ECPCP), Lyon, France.
¹³ Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
¹⁴ School of Medicine, European University Cyprus, Nicosia, Cyprus.
¹⁵ Paediatric Department, Larnaca General Hospital, Larnaca, Cyprus.
¹⁶ Department of Paediatrics, Paediatric Oncology and Immunology, Pomeranian Medical University, Szczecin, Poland.
¹⁷ Department of Geriatrics, Medical University of Lodz, Lodz, Poland.
¹⁸ The Polish Society of Sports Medicine, Wroclaw, Poland.
¹⁹ Department of Physiotherapy, College of Physiotherapy, Wroclaw, Poland.
²⁰ Kinder-Permanence Hospital Zollikerberg, Zollikerberg, Switzerland.
²¹ Working Group on Paediatric Cardiology, Polish Cardiac Society, Warsaw, Poland.
²² Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland.

PMID: 37425260
PMCID: PMC10323832
DOI: 10.3389/fped.2023.1125958

Abstract

The European Academy of Paediatrics (EAP) and the European Confederation of Primary Care Paediatricians (ECPCP) emphasize the importance of promoting healthy lifestyles within the pediatric population. Many health professionals have questions concerning adequate levels of physical activity for both the healthy pediatric population and for those who may have specific complications. Unfortunately, the academic literature that provides recommendations for participation in sport activities within the pediatric population that have been published during the last decade in Europe is limited and is mainly dedicated to specific illnesses or advanced athletes and not toward the general population. The aim of part 1 of the EAP and ECPCP position statement is to assist healthcare professionals in implementing the best management strategies for a pre-participation evaluation (PPE) for participation in sports for individual children and adolescents. In the absence of a uniform protocol, it is necessary to respect physician autonomy for choosing and implementing the most appropriate and familiar PPE screening strategy and to discuss the decisions made with young athletes and their families. This first part of the Position Statement concerning Sport Activities for Children and Adolescents is dedicated to healthy young athletes.

Keywords: adolescents; children; physical evaluation; pre-participation; sport; young athlete.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Sport activities for children and adolescents: the Position of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians 2023-Part 1. Pre-participation physical evaluation in young athletes

Affiliations

Sport activities for children and adolescents: the Position of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians 2023-Part 1. Pre-participation physical evaluation in young athletes

Authors

Affiliations

Abstract

Conflict of interest statement

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