Key words
(German)
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Prävention
muskuloskeletale Gesundheit
Adoleszenz
Osteoporose
Osteoarthritis
Sportverletzungen
Rückenschmerzen
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Short description
(German)
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Erstellen eines Forschungskonzeptes für ein mögliches Interventionsprogramm in Bereich muskuloskeletale Gesundheit. Dabei sollen vor allem public-health-, gesundheitsfördernde Aspekte beleuchtet werden. Es soll aufgezeigt werden, welche Forschungslücken bestehen (Literaturanalyse), welche Risikofaktoren und Indikatoren zu berücksichtigen sind und wo es Möglichkeiten gibt, präventiv zu intervenieren.
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Project aims
(German)
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1. Entwicklung und Identifizierung von Strategien zur optimalen Skelett-, Gelenk- und Muskelentwicklung
2. Beschreibung der Bedeutung von musculoskeletalen Erkrankungen in der Schweiz für die öffentliche Gesundheit ("burden of disease")
3. Klärung der Begrifflichkeiten zu musculoskeletaler Gesundheit/Krankheit. Klärung der dazu gehörenden Bereiche
4. Situationsanalyse/ Lückenanalyse der Forschung
5. Identifikation von potentiellen Risikofaktoren und Indikatoren in den Bereichen Skelett, Gelenke, Muskeln mit spezieller Berücksichtigung von Kindern und Adoleszenten
6. Diese Risikofaktoren und Indikatoren werden im Minimum für folgende Gebiete analysiert:
körperliche Aktivität,
Ernährung, Lebensstil, Arbeitsplatz, Knochenqualität, Rauchen, Alkohol, sozioökonomische Situation, psychische Befindlichkeit und andere
7. Zusammenstellung eines gut vernetzten, interdisziplinären Projektteams und eines internationalen wissenschaftlichen Beirats
8. Erarbeitung eines Forschungskonzepts
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Abstract
(German)
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The Swiss Child and Adolescent Musculoskeletal Project (CHAMP) addresses the issue of prevention of musculoskeletal diseases by optimising musculoskeletal development in children and adolescents. This document present current knowledges in this field, in particular on osteoporosis, osteoarthritis, low back pain and childhood fractures, and known derminants. As the knowledge base on which to develop a national prevention strategy is incomplete, CHAMP has defined a research strategy.
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Abstract
(English)
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The Swiss Child and Adolescent Musculoskeletal Project (CHAMP) addresses the issue of prevention of musculoskeletal diseases by optimising musculoskeletal development in children and adolescents. This document present current knowledges in this field, in particular on osteoporosis, osteoarthritis, low back pain and childhood fractures, and known derminants. As the knowledge base on which to develop a national prevention strategy is incomplete, CHAMP has defined a research strategy.
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Transfer and application
(German)
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1. Erster Zwischenbericht (vgl. Ziel 1-5)
Executive summary
WHAT IS CHAMP ?
The Swiss Children and Adolescents Musculoskeletal Project (CHAMP) addresses the issue of prevention of musculoskeletal diseases with particular emphasis on improving musculoskeletal development in children and adolescents. This document presents current knowledge, in particular on osteoporosis, osteoarthritis, low back pain and childhood injuries, and the known determinants which contribute to these conditions. As the knowledge base on which to develop a national prevention strategy is incomplete, CHAMP has identified areas which require further research in order to define such a policy.
MUSCULOSKELETAL HEALTH IS AN IMPORTANT PUBLIC HEALTH PROBLEM
The number of people suffering from musculoskeletal diseases will increase dramatically with the ageing of the population in Europe. Osteoporosis, osteoarthritis, musculoskeletal injuries and chronic back pain are common musculoskeletal conditions which will represent a major health problem. The number of fractures will increase further, generating considerable health care costs. Injuries affect musculoskeletal health of children and adolescents in the short term and are also risk factors for later osteoarthritis. Primary prevention strategies for these conditions are urgently needed since current treatments for are expensive and cannot offer a cure.
A WINDOW OF OPPORTUNITY FOR PREVENTION
Childhood and adolescence are the critical periods for musculoskeletal construction. Musculoskeletal growth is at its most rapid during this period. For example, the bone mineral mass peaks around 20 years of age and declines after that. Therefore one target for primary prevention should be to promote optimal skeletal development in children and adolescents. For example, a 1 standard deviation (10-15%) increase in peak bone mineral mass at the end of adolescence could translate into a 25-50% reduction of risk of subsequent osteoporotic fractures at older ages.
DETERMINANTS THAT COULD BE CHANGED
Musculoskeletal development is determined by genetics, but also by lifestyle factors such as nutrition, physical activity, substance use/abuse, risk-taking or deviant behaviour, that can be modified through behavioural and environmental interventions. Some of these are also relevant to musculoskeletal injuries. Lifestyles constitutes important determinants of present and future health, but it is also important to take into account the impact of socio-economic, cultural and legal contexts when attempting to change health behaviour. Two areas which are amenable to modification and which will have an impact on musculoskeletal health, both in children and adults, are nutrition and physical activity.
2. Zweiter Zwischenbericht (vgl. Ziel 1-6)
3. Schlussbericht: Forschungskonzept als Grundlage für Entscheidungen über die Notwendigkeit von allfälligen präventiven Massnahmen (vgl. Ziel 1, 8)
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Transfer and application
(English)
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The Swiss Child and Adolescent Musculoskeletal Project (CHAMP) will:
- focus on lifestyle factors such as physical activity or nutrition, that are known determinants of musculoskeletal health, as well as other chronic conditions such as obesity, cardiovascular diseases, and diabetes;
- deal with intermediate outcomes such as childhood injuries, including fractures and joint trauma
- assess effectiveness and feasibility of specific interventions in groups at risk of poor musculoskeletal health and in the general population.
- provide normative data on bone and muscular development of Swiss children and adolescents, and validate non-invasive techniques.
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