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HEALTH

Danish kids among the fittest in the world: study

In a study comparing the fitness levels of children in 50 different nations, Danish kids came near the very top.

Danish kids among the fittest in the world: study
The study compared kids' 20m shuttle run times. Photo: Mikkel Zibrandtsen/Flickr
Denmark ranked sixth in a study conducted by the University of North Dakota (UND) and the Children’s Hospital of Eastern Ontario that examined the aerobic fitness levels of children and youth. The study focused on the so-called beep test, a 20-metre shuttle run that is among the most commonly used international fitness indicators. 
 
Some 1.1 million kids between the ages of nine and 17 had their beep test results analyzed to draw conclusions about children’s fitness levels in the 50 countries examined. 
 
“If all the kids in the world were to line up for a race, the average Danish child would finish at the front of the pack, placed sixth out of 50,” Grant Tomkinson, the senior author of the study, told The Local. 
 
Tomkinson, an associate professor of kinesiology at the UND College of Education and Human Development, said that the children’s aerobic fitness results are “very insightful to overall population health” but acknowledged that the results don’t necessarily paint a complete picture. 
 
“We didn’t have good international data on diet,” he said. “Because we examined between-country differences in fitness we were interested in broad socio-economic correlates. Obesity was a weak negative correlate with fitness in developed countries (fatter countries fared worse), climate was a strong positive correlate in developed countries (hotter countries fared better), and income inequality was a strong negative correlate in developed countries (more equal countries fared better).”
 
Denmark was topped in the list by Tanzania, Iceland, Estonia, Norway and Japan. The United States placed near the very bottom at number 47 out of 50.
 
Tomkinson said that the strong overall performance of Nordic countries was interesting from an American point of view “because we can always learn from countries with fit kids”. 
 
“We know that Scandinavian countries have very good physical activity infrastructure and government strategies and investments, as does the US, but poor overall physical activity levels, also like the US, despite having better participation rates in organized sport and active transportation like cycling or walking to and from school than the US,” he told The Local. 
 
“They are also leaner that US kids which means it is easier for them to move their body through space and run over long distances,” he added. 
 
The results of the study, which Tomkinson said is the largest of its kind, were recently published in the British Journal of Sports Medicine.

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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