Family Medicine, Michael G DeGroote School of Medicine, McMaster University, Waterloo, Ontario, Canada.
Bureau, FINA, Lausanne, Switzerland.
Br J Sports Med. 2019 Sep;53(17):1117-1125. doi: 10.1136/bjsports-2018-100202. Epub 2019 Mar 15.
To identify changes in International Federations' priorities and the barriers to implementing athlete and global health initiatives. Results should influence the work of the International Federation medical committees, the IOC and the Association of Summer Olympic International Federation.
The 28 Summer and 7 Winter International Federations participating in the most recent Olympic Games (2016; 2018) were surveyed to (i) identify the importance of 27 health topics, (ii) assess their progress on implementation health-related programmes and (iii) the barriers to implementation of these programmes. We compared International Federations' activities in 2016 and 2017.
The response rate was 83%. Health topics which most International Federations regarded as important and in which the International Federations felt insufficiently active were '', '', '', '' and ''. Compared with 2016, there was a decrease in International Federations' activities in '', '' and ''. The main barrier to implementing health-related programmes was '', followed by ''. '' and '' were more often reported than '', or ''.
If International Federations are going to promote health of athletes and global health promotion through physical activity (sport), International Federation leadership must change their focus and provide greater political support for related initiatives. Improving coach and athlete knowledge of the health issues could also facilitate health programme delivery. Time constraints could be mitigated by sharing experiences among the International Federations, Association of Summer Olympic International Federations and the IOC. International Federations should focus on those health-related topics that they identified as being important, yet rate as having insufficient activity.
确定国际联合会优先事项的变化以及实施运动员和全球健康计划的障碍。结果应影响国际联合会医学委员会、国际奥委会和夏季奥林匹克国际联合会协会的工作。
对参加最近两届奥运会（2016 年；2018 年）的 28 个夏季和 7 个冬季国际联合会进行了调查，以（i）确定 27 个健康主题的重要性，（ii）评估其实施与健康相关计划的进展情况，以及（iii）实施这些计划的障碍。我们比较了国际联合会在 2016 年和 2017 年的活动。
回应率为 83%。大多数国际联合会认为重要但认为活动不够活跃的健康主题是“”、“”、“”、“”和“”。与 2016 年相比，国际联合会在“”、“”和“”方面的活动有所减少。实施与健康相关计划的主要障碍是“”，其次是“”。“”和“”比“”或“”更常被报道。
如果国际联合会要通过体育活动促进运动员和全球健康，联合会领导层必须改变重点，为相关倡议提供更大的政治支持。提高教练和运动员对健康问题的认识也可以促进健康计划的实施。通过国际联合会、夏季奥林匹克国际联合会协会和国际奥委会之间共享经验，可以减轻时间限制。国际联合会应关注那些被认为重要但活动不足的与健康相关的主题。
