{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:50:50Z","timestamp":1769014250977,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The study aim was to develop an age\u2010appropriate definition of sport and exercise in children and adolescents for use in concussion research and management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A modified Delphi methodology, with three rounds and consensus defined a priori as \u2265\u200980% agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one participants (13 male, 18 female) from 13 countries, including clinical psychologists, epidemiologists, implementation scientists, neurologists, neuropsychologists, neurosurgeons, paediatric emergency physicians, paediatricians, physiotherapists, rehabilitation physicians, speech\u2010language pathologists, and sports medicine physicians came to a consensus that sport\u2010related paediatric concussion extends beyond the sporting arena, and includes the school yard, playground, park, street, recreational site, and home; excludes non\u2010accidental violence, assault, and passenger vehicle road trauma; may include falls; and age\u2010group terminology includes Toddlers and Young Children (1\u20134\u2009years), Children (5\u201312\u2009years), and Adolescents (13 to &lt;\u200918\u2009years). Sport and exercise categories and individual examples are provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This consensus definition of sport and exercise in paediatrics for concussion research and management will enable researchers and guideline development groups to expand paediatric concussion research and management guidelines to encompass the broad range of activities commonly associated with sport\u2010 and exercise\u2010related concussion in children and adolescents and thus limit exclusion of relevant studies from systematic reviews and guideline development.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.70013","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T02:25:37Z","timestamp":1739845537000},"page":"1653-1659","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["International Consensus Definition of \u2018Sport &amp; Exercise\u2019 in Toddlers and Young Children, Children, and Adolescents"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8293-4496","authenticated-orcid":false,"given":"Gavin A.","family":"Davis","sequence":"first","affiliation":[{"name":"Brain and Mind, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Anderson","sequence":"additional","affiliation":[{"name":"Brain and Mind, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-2187","authenticated-orcid":false,"given":"Franz E.","family":"Babl","sequence":"additional","affiliation":[{"name":"Brain and Mind, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Departments of Paediatrics and Critical Care University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dustin W.","family":"Ballard","sequence":"additional","affiliation":[{"name":"Emergency Department Kaiser Permanente (KP) Northern California  San Rafael California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen M.","family":"Barlow","sequence":"additional","affiliation":[{"name":"Child Health Research Centre University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1775-8347","authenticated-orcid":false,"given":"Michael J.","family":"Barrett","sequence":"additional","affiliation":[{"name":"Department of Paediatric Emergency Medicine Children's Health Ireland  Dublin Ireland"},{"name":"Women's and Children's Health, School of Medicine University College Dublin  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam H.","family":"Beauchamp","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Montreal &amp; CHU Sainte\u2010Justine Azrieli Research Center  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5326-5008","authenticated-orcid":false,"given":"Meredith L.","family":"Borland","sequence":"additional","affiliation":[{"name":"Emergency Department Perth Children's Hospital and University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Bressan","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Department University of Padova  Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Crowe","sequence":"additional","affiliation":[{"name":"Brain and Mind, Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4647-0019","authenticated-orcid":false,"given":"Shu\u2010Ling","family":"Chong","sequence":"additional","affiliation":[{"name":"Emergency Department KK Women's and Children's Hospital  Singapore City Singapore"},{"name":"Duke\u2010NUS Medical School  Singapore City Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Corwin","sequence":"additional","affiliation":[{"name":"Emergency Department Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart R.","family":"Dalziel","sequence":"additional","affiliation":[{"name":"Emergency Department University of Auckland  Auckland New Zealand"},{"name":"Department of Surgery and Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn A.","family":"Emery","sequence":"additional","affiliation":[{"name":"Sport Injury Prevention Research Centre, Faculty of Kinesiology University of Calgary  Calgary Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuelle","family":"Fauteux\u2010Lamarre","sequence":"additional","affiliation":[{"name":"Emergency Department Cork University Hospital  Cork Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard A.","family":"Gioia","sequence":"additional","affiliation":[{"name":"Division of Neuropsychology Children's National Hospital &amp; 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