Health Promotion in Sport Setting

1. Health Promotion in Sport
Settings
Mohammad Aslam Shaiekh
MPH, 3rd Semester
SHAS, P.U.
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2. Outline
• Background
• Assessment of health risks and health
promotion in sports, food and
entertainment centers.
• Sports, food and entertainment centers
health policy and rules
• Health education in sport and
entertainment spots.
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3. Outline Cont…
• Healthy work environment including lighting,
ventilation, space, sanitation and pollution
control
• Use of protective measures at sports, food
and entertainment centers related accidents,
injury and sexual harassment prevention
• Nutrition facilities
• Provision of safe sex measures
• Transmission of disease at sports, food and
entertainment centers: Control preparedness
and rapid response.
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4. “स्वास््यको लागि खेलकु द, रास्रको लागि खेलकु द”
(Sport for the Health,Sport for the Nation)
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5. Introduction
• Building on the Ottawa Charter (WHO,1986),
the World Health Organization (WHO) has
advocated the use of settings as the basis for
health promotion
• This settings-based approach started out with
a focus on settings such as cities, schools,
hospitals, industry and workplaces.
• Later it found in the rising interest in sports
clubs as a health promoting settings.
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6. Introduction Cont…
• Many chronic diseases (CVD, cancer,
diabetes, etc.), which are faced today are
associated with obesity, which is due to an
increasingly sedentary modern lifestyle and
an unhealthy diet.
• Sport and physical activity are essential for
improving health and well being. Appropriate
forms of sport and physical activity can play a
significant role to prevent as well as help cure
many of the world's leading non-
communicable diseases.
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7. Introduction Cont…
• Evidence shows that regular participation in sports
provides wide range of physical, social and mental
health benefits.
• Such active participation also interacts positively
with strategies to improve diet, discourage the use
of tobacco, alcohol and drugs and enhance
functional capacity.
• Sports and physical activity is an effective method
of disease prevention for the individual and, for
nations, a cost-effective way to improve public
health.
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8. Introduction Cont…
• A review of literature indicates that people
who participate in sports & organized
recreational activities enjoy better mental
health, are more alert, and more resilient
against stresses of modern living.
• Participation in recreational groups and
socially supported physical activity is show to
reduce stress, anxiety and depression.
Violent crime also decreases significantly
when participation in community activities
increases.
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9. Global Scenario
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10. Global Scenario
• The health burden from preventable non-
communicable diseases, such as CVDs,
cancer, diabetes and chronic respiratory
diseases, is increasing significantly
throughout the world.
• WHO estimates that mortality, morbidity
and disability resulting from these leading
diseases currently account for
approximately 60% of all deaths and 43%
of the global disease burden. 10Aslam Aman_MPH

11. Global Scenario Cont…
• Unhealthy diets, tobacco use and physical
inactivity are the dominant factors causing
these chronic diseases and are now
leading public health issues in most
countries.
• Physical inactivity is estimated to directly
cause 1.9 million deaths globally.
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12. Global Scenario Cont…
• Globally, over 60% of adults do not participate in a
sufficient amount of sport and physical activity,
largely due to changes in lifestyle such as
inactivity at work, sedentary forms of recreation,
like television and computers, and excessive use
of 'passive' modes of transport.
• Those most likely to be physically inactive are
women, older people, the disabled and people
from lower socio-economic groups.
• One-third of adolescents are insufficiently active,
with girls offered less opportunities to be active
than boys.
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13. Sports for Improving Health
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14. Sport as Instrument for Improving
Health
• Engaging in sport & Physical activity can reduce
the risk of dying prematurely from non-
communicable diseases as well as developing
illnesses from CVDs, cancer and diabetes to
stress, anxiety and depression.
• It also helps prevent and reduce hypertension,
control body weight, prevent and control
osteoporosis and manage chronic pain.
• Sport can further contribute to priority health
issues, including as a tool to mobilize societies in
support of immunization campaigns and in
HIV/AIDS programming 14Aslam Aman_MPH

15. Sport as Instrument for improving
Health Cont…
• Medical evidence shows that participation in
physical activity, as part of an overall healthy
lifestyle, is the most cost-effective and
sustainable way to tackle the rise in non-
communicable diseases.
• improving public health and reducing health
care costs, sport and physical activity also
provide significant economic benefits through
increased productivity.
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16. Assessment of Health Risks and
Health Promotion Needs in Sports,
Food and Entertainment Centers
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17. What is risk
• A risk is a chance that something
unpleasant or dangerous might happen.
• A hazard is something which could be
dangerous to you.
• All sporting activities carry some risk, but
in a role of a teacher, coach or instructor it
is their job to minimize the risk.
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18. In sport how can we reduce the
risk or hazards?
• Health/ Fitness
• Skill and technique
• Training Warm up/ Warm down
• Correct clothing and equipment
• Correct footwear
• No Jewelry
• Obeying of the rules
• Fair play, sportsmanship (Etiquette)
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19. Impact of Risks
• Injuries such as pulled muscles, broken
bones, head injuries, strain, sprain,
wound, spinal cord injuries, cramp etc
• Illnesses such as heart attack, shock,
asthma attack etc
• Violence such as fighting with the
opposition or referee
• Gamesmanship such as cheating.
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20. Risk Factors related to Sport Injury
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21. Assessment of and Health
Promotion Needs in Sports
1. Identifying the hazards (Physical, Chemical,
Biological, Ergonomics, Psychological)
2. Decide who might me harmed and how (Disabled,
Pregnant women, Children, young worker)
3. Identify what control measures already available in
spots.
4. Evaluate the risks and decide on the precautions.
5. Record your finding and put them in places
(Implementation)
6. Review your risk assessments and make
amendments if needed
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22. Major Health Issues in Sport Site
 Lack of access to safe-drinking water and
poor quality of drinking water
 Lack of basic sanitation
 No Adequate Health Check-up provision
 Poor air quality (airborne smog, indoor air
quality, high ozone concentration, etc.)
 Water sports in dirty water (pollutants,
bacteria, toxic chemicals, pesticides, etc.)
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23. Major Health Issues in Sport
 Sport in contaminated areas (e.g. through
toxic wastes, pesticide residues or heavy
metals)
 Sports facilities with poor maintenance
conditions
 Global change and contamination affecting
the entire ecosphere (ozone layer depletion,
climate change, habitat/biodiversity loss,
radioactive contamination, accumulation of
toxins, soil and water contamination, acid
rain)
 Noise pollution during sports events (can
cause stress to population) 23Aslam Aman_MPH

24. Health Promotion Needs in Sports
• Prepare, plan and check an activity.
• Safe spots and safety environment (Surroundings).
• Safety Security
• Pre Examination services
• Availability and use of PPE.
• Safe and wholesome foods and water and availability
of live saving drugs/medicines.
• Make sure equipment is safe.
• Supervise, taking safety precautions.
• Have first aid equipment and first aider at hand.
• Explain basic emergency procedures. If an accident
occurs an accident form must be filled in.
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25. Sports, Foods and Entertainment
Centers Health Policy and Rules
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26. Supporting Policies and Rules
• In the twenty-first century, sport -based
public health initiatives has been
reflected in the policies of key international
bodies.
• Sport is considered as tools for more
effective way to engage the public with
health issues, to build partnerships
across sectors and of sport’s potential as a
vehicle for development work
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27. Supporting Policies and Rules
 The MDGs in 2000 also recognized and supports
of broader role of sports in tackling social issues
including health and well being.
 Sport was recognized as a viable and practical
tool to assist in the achievement of each of the
MDGs as part of a broad holistic approach.
 In 2002 the UN Secretary-General convened the
first meeting of newly established UN Inter-Agency
Task Force on Sport for Development and Peace.
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28. Supporting Policies and Rules
The Task Force brought together UN funds,
programmes, and specialized agencies that use
sport in their activities in order to ensure
coordination and sharing of lessons facilitated in
school, home, work, and community setting, by
way of action through educational, professional,
commercial, and voluntary bodies and within
the institutions themselves through :-
 Reorienting health services
 Move in to the future.
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29. Supporting Policies and Rules
 In 2002 , the WHO and its partners lunched a
campaign to clean sports of all forms of tobacco-
tobacco consumptions and exposure to second –
hand smoke, and tobacco advertising , promotion
and marketing.
 “Tobacco free sport-play it clean” was made the
theme of the 2002 World NO Tobacco Day and
united state center for disease control and
prevention (CDC), IOC, Federation of International
de Football Association (FIFA).
 Olympic Aid and other regional and local sports
organizations joined the campaign.
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30. Supporting Policies and Rules
• In 2011 co financed by European commission, the
WHO Regional Office for Europe published an
analysis of recent national sports strategies in
member States of the European Union (EU) with
recommendations for policy- maker on enhancing
sports promotion,
• The report placed an emphasis on the role of sport
in the prevention of non-communicable diseases
and the need for intersectional partnership working
capitalizing on synergies with other public health
efforts, taking a life course approach and ensuring
robust evaluation.
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31. Supporting Policies and Roles.
 In 2007 the European commission (EC) issued a
white paper on sport which high lighted sport’s
societal role and its usefulness as a tool in
development. This paper also highlighted the
policy areas including public health, education,
vocational training, and youth policy, economic
and social cohesion.
 The EU agenda for sports include :
 health enhancing physical activities Social inclusion
 Sport for disabilities
 Reduction of overweight and obesity
 Prevention of non communicable diseases.
 Fight against doping
 Non profit organizations
 Voluntary activities
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32. Health Education in Sports and
Entertainment
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33. Health Education in Sport Should
Focus On
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34. Health education in Sport
• Personal and Social health behaviors
• Regular Health Check-up
• Human growth and development
• Disease Prevention
• Community health and promotions
• Healthy life skills and relationships
• Personal health and safety (use of PPE)
• Environmental sanitation and hygiene
maintenance
• Nutrition and diet Education
• Health counseling.
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35. Cont…
• Waste management with disposal of
hazardous products and recycling of
paper, glass, PET bottles, batteries,
aluminum, iron, electric cables and copper
wires, electronic devices, wood, other
conditioning material, ink, oils, household
rubbish.
• Paper use: encourage use of ecological
paper, reuse of paper for drafts.
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36. Healthy Work Environment
including Lighting, Ventilation,
Space, Sanitation and Pollution
Controls
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37. Lighting
• LED Strip Lights
• LED Flashlights
• LED Bulb Lights
• Prevention and control of radiation and
radiation hazards.
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38. Ventilation
• Good indoor air quality through adequate
ventilation with filtration and provide
thermal comfort.
• Use of Outdoor air intakes and exhausting
fan.
• Systems to provide outside air ventilation,
cooling and thermal comfort 9(e.g.,
temperature, humidity, outdoor air pollution
levels, precipitation)
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39. Ventilation
• Outdoor air contaminants to bypass filters.
• Use of natural ventilation and operable
windows to supplement mechanical
ventilation.
• Operable windows will be used to
supplement the Heating, Ventilation and
Air Conditioning (HVAC) system
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40. Key activities to maintain the
Proper Ventilation
• Air Filtration
• Air Cleaning for Gaseous Contaminants
• Air Distribution and Duct Insulation
• Exhaust Air
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41. Space
• Adequate and Sufficient space for parking
and audience
• Weather safety places in the site of Sports
• Facility for Storage of equipment.
• Separate men and women’s rest room
• Availability of Pantry services in the sport site
• Buffer zones between action spaces.
• Grading and slope for drainage
• Provide a scoreboard on competition sports
fields only.
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42. Sanitation and Pollution Control on
Sport Site
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43. Sanitation and Pollution in Sport
Sites
• Presence of hazardous gases, particles and solid
and/or liquid substances, or of excessive amounts
of normal constituents in the atmosphere, water
and land bodies. Pollution may impinge on
economic activities, degrade ecosystems including
their natural resources, harm human health (Air
Pollutions)
• Sport is a human activity which produces waste
(domestic and hazardous), uses substances, and
could be a potential polluter. Some sports facilities
may contain toxic substances like cooling agents
or chlorine (e.g. in swimming pools)_ Waste
Production
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44. Sanitation and Pollution….
• Emission of gas from transportation
(building facilities, Equipment, audience
and other machineries, traveling to sports
facilities)_Air Pollutions
• Pollution of soil due to agrochemicals used
to treat grassland for playing fields._ Soil
Pollutions
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45. Pollution Control Measures
• Proper Catering (food, drinks), and good water supply
and sanitation.
• Ensure that the water provided in sport site is of good
quality
• Well Drainage systems.
• prevent pollution
• Reduce waste
• Manage the use of natural resources
• Appropriately dispose of any hazardous products
• Recycle glass, cans, newspapers
• Contribute to environmental education and training
through sport promote practices, methods and
technologies that reduce negative impacts on the
environment
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46. Use of Protective Equipment at
Sports
• Protective Eyewear
• Helmets
• Mouth/Face guards
• Safety Pads/Guards, gloves
• Proper footwear and shoes
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47. Sexual Harassment Prevention in
Sports
• Develop policies and procedures for the prevention of
sexual harassment and abuse;
• Prepare and implement codes of ethics and conduct
for coaches, players, audience and others.
• Develop complaint procedures that ensure privacy;
• Pre-employment screening
• Foster a climate of open discussion about the issues
of sexual harassment and abuse so that athletes with
problems feel confident enough to speak out.
• No consumption of alcohol together with the players
• There should always be representatives of both
genders in the support network
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48. Sexual & Harassment Prevention
• Suspend membership or employment of alleged
offenders;
• Establish a Zero-Tolerance Policy Against Abuse.
• Communicate with players and parents about sexual
abuse
• Impose the “Rule of Two Adults” at all times.
• Look for the warning signs of abuse
• Education programmes which inform and advise about
the ethical and interpersonal issues of sexual
harassment and abuse and about the technical
aspects of physical touch in coaching the sport
• Adopt rigorous screening procedures for the
appointment of all personnel, whether coaching staff
or voluntary workers
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49. Food and Nutrition Facilities in
Sport Sites
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50. "Nutrition not just for optimal
performance in sport, but also for
optimal performance in life, business,
health and general well-being"
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51. Sports Nutrition
• Sports nutrition is evidence-based practice
on the role of fluids, diet, nutrients and
supplements as it relates to the
performance of recreational and
competitive athletes.
• A sports dietitian is a highly trained food
and nutrition expert that can help athletes,
fitness-minded individuals and teams meet
their nutrition and performance goals.
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52. Nutrition facilities in Sports
• Counseling individuals and groups on daily
nutrition for performance and health.
• Using the latest scientific evidence and
offering practical sports nutrition
recommendations.
• Tracking and documenting outcomes of
nutrition services.
• Serving as a food and nutrition resource for
coaches, trainers and the community.
• Providing sports nutrition education for
health/wellness programs, athletic teams and
community groups.
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53. Sport Performance Nutrition
Services
• Guiding players how to eat and hydrate with
strategic nutrition plans designed to improve
their sports performance.
• One-on-One Nutrition Counseling
 Assessing dietary habits, goals and nutritional
needs
 Developing an individualized meal builder, which
offers specific meal plan and serving size
recommendations
 Sports-specific nutrition education, including how
nutrition may affect sports injuries
 Body composition testing, for athletes ages 18 and
older
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54. Provision of Safe Sex Measures in
Sports
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55. Provision of Safe sex Measures in
Sports
• Provision of Safe sex policy (Safe sex
policy and punishment provision)
• Code of Conduct
• awareness and counseling on safe sex.
• Engineering measures (CC camera,
separate bathrooms, separate hostels,
• Use of PPE (Family planning services)
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56. Transmission of Diseases in
Sports: Control Preparedness and
Rapid Response
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57. Transmission of Diseases in
Sports…
• A variety of infectious diseases can be transmitted
during competitive sports like Blood born
diseases, infectious diseases…
• Modes of transmission in athletic settings include
person-to-person contact, common-source
exposures and airborne/droplet spread
• Measures to prevent transmission of infectious
diseases in athletic settings, including hygiene and
infection control practices, vaccination, and
education of officials, coaches, trainers and sports
participants.
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58. Transmission of Diseases in
Sports…
• Occasionally severe consequences can
occur and the potential exists for outbreaks
that can have a disruptive impact on players
and even on the community.
• Thus, team physicians, coaches, trainers and
others who are responsible for the health of
sports players need to be aware of the
clinical and epidemiological features of the
preventive measures to be taken against
infectious diseases commonly transmitted in
sports.
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59. Mode of Transmission of Diseases
in Sports
• Person-to-Person-Contact:
A variety of skin and mucous membrane
infections, including viral, bacterial and fungal
infections, can be transmitted among players
(Primarily with skin to skin contact).
Transmission of blood borne pathogens,
including HIV and HBV, in sports in which
sustained direct body contact and bleeding
may occur. 59Aslam Aman_MPH

60. Mode of Transmission and It’s
Preventive Measures
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61. Mode of Transmission and It’s
Preventive Measures
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62. Mode of Transmission and It’s
Preventive measures
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63. Bibliography
• https://www.epa.gov/iaq-schools/heating-
ventilation-and-air-conditioning-systems-part-
indoor-air-quality-design-tools.
• Sports Injury: Gan Quan Fu, Cert in Genomic
and Precision Medicine, Cert in University
Teaching
• Sports clubs as settings for health promotion:
Fundamentals and an overview to research,
SamI KOKKO, Department of Health
Sciences, University of Jyväskylä, Finland
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64.  Women Sport International, the global
voice of research based advocacy for
women and sports
 Infectious Diseases Associated With
Organized Sports and Outbreak control,
committee on infectious disease, council
on sports medicine and fitness
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65. • Health promotion activities of sports clubs
and coaches, and health and health
behaviors in youth participating in sports
clubs: the Health Promoting Sports Club
study, Sami Kokko,Harri Selänne,Lauri
• Preventing Sexual Abuse in Sport
globalsportsdevelopment.org/2014/04/2
9/sexual-abuse-sport-prevention/
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66. THANK YOU
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