CORE CURRICULUM  SPORT & HEALTH CITY MANAGER. Knowledge, skills and competencies serving urban health through sport

This is a preview and has not been published.

CORE CURRICULUM  SPORT & HEALTH CITY MANAGER. Knowledge, skills and competencies serving urban health through sport

Authors

  • Federico Serra Health City Institute
  • Annamaria Colao University of Naples Federico II
  • Stefano Capolongo Polytechnic University of Milan
  • Claudio Cricelli Italian Society of General Medicine and Primary Care; Health Ecosystem Institute
  • Stefano da Empoli Health City Institute; Roma Tre University
  • Francesco Dotta Health City Institute; National Research Council
  • Katherine Esposito University of Campania Luigi Vanvitelli
  • Daniele Gianfrilli Sapienza University of Rome
  • Giuseppe Novelli University of Rome Tor Vergata
  • Fabio Pagliara SportCity Foundation
  • Attilio Parisi Foro Italico University of Rome; SportCity Foundation
  • Massimo Sacchetti Foro Italico University of Rome
  • Carlo Signorelli Vita-Salute San Raffaele University
  • Roberta Siliquini University of Turin
  • Walter Ricciardi Catholic University of the Sacred Heart
  • Andrea Lenzi National Research Council; Sapienza University of Rome

Keywords:

urban health, sport, city manager, core curriculum, health governance, physical activity, urban planning

Abstract

Background and aim of the work: Urban health challenges, including demographic ageing, non-communicable chronic diseases, sedentary lifestyles, and growing social inequalities, require innovative professional figures capable of integrating public health, urban planning, sport, and governance. No standardized educational framework currently exists for professionals operating at this intersection. This paper presents the Core Curriculum for the Sport & Health City Manager, an evidence-based educational model designed to define knowledge, competencies, and skills for this emerging professional profile.

Research Design and Methods: the Core Curriculum was developed through a multidisciplinary, participatory, and interinstitutional process coordinated by the Health City Institute, involving Italian universities, scientific societies, public institutions, and sports organizations. Competencies were defined according to the European Qualification Framework (EQF) Level 7 standards, integrating medical, epidemiological, urban planning, sociological, and managerial expertise through structured expert consultation and evidence synthesis.

Results: the resulting curriculum comprises 11 training modules covering urban health policies, health literacy, active mobility, urban planning, chronic disease prevention, social inclusion, and data governance, delivered over 100 hours with a mixed methodology (40% theoretical, 30% laboratory/simulation, 20% project work, 10% internship). The professional profile is defined by six core competencies oriented toward intersectoral governance, equity, and evidence-based decision-making.

Conclusions: the Core Curriculum provides a replicable national standard for training Sport & Health City Managers, positioning this figure as a strategic facilitator of urban health governance. Implementation across Italian and European cities may contribute to more integrated, equitable, and health-promoting urban policies through sport.

References

1. World Health Organization. Hidden Cities: Unmasking and Overcoming Health Inequalities in Urban Settings. Geneva: World Health Organization; 2010.

2. United Nations Department of Economic and Social Affairs Population Division. World Urbanization Prospects: The 2009 Revision. New York: United Nations; 2010.

3. Lenzi A. Why urbanisation and health? Acta Biomed 2019;90(2):181-183.

4. Health City Institute. Manifesto Health in the Cities Common Good. Rome: Health City Institute; 2016.

5. European Committee of the Regions. Health in Cities: The Common Good. Brussels; 2017.

6. World Health Organization. Copenhagen Consensus of Mayors. Healthier and Happier Cities for All. Copenhagen: WHO; 2018.

7. G7 Side Event. Roma Urban Health Declaration. Rome; 2018.

8. Health City Institute. Creating the World of Tomorrow. Health City Manager: Core Competences in Urban Health Management. Rome; 2019.

9. Lenzi A, Capolongo S, Ricciardi G, et al. New competences to manage urban health: Health City Manager core curriculum. Acta Biomed 2020;91 Suppl 3:21-28.

10. Health City Institute. Health City Manager: un professionista al servizio della salute in tutte le politiche. Rome: Health City Institute; 2022.

11. UNESCO. Global Education Monitoring Report. Paris: UNESCO; 2022.

12. UNESCO. Reimagining Our Futures Together: A New Social Contract for Education. Paris: UNESCO; 2021.

13. ANCI. Avviso di selezione per il corso di alta formazione “Health City Manager”. Rome: ANCI; 2022.

14. D’Alessandro D, Rebecchi A, Appolloni L, et al. Re-thinking the environment, cities, and living spaces for public health purposes, according with the COVID-19 lesson: the LVII Erice Charter. Land 2023;12(10):1863. doi:10.3390/land12101863.

15. Capolongo S, Buffoli M, Brambilla A, Rebecchi A. Healthy urban planning and design strategies to improve urban quality and attractiveness of places. TECHNE 2020;19:271-279. doi:10.13128/techne-7837.

16. Capolongo S, Rebecchi A, Buffoli M, et al. COVID-19 and cities: from urban health strategies to the pandemic challenge. A decalogue of public health opportunities. Acta Biomed 2020;91(2):13-22. doi:10.23750/abm.v91i2.9515.

17. Capolongo S, Rebecchi A, Dettori M, et al. Healthy design and urban planning strategies, actions, and policy to achieve salutogenic cities. Int J Environ Res Public Health 2018.

18. Buffoli M, Rebecchi A. The proximity of urban green spaces as urban health strategy to promote active, inclusive and salutogenic cities. In: Arbizzani E, et al, editors. Technological Imagination in the Green and Digital Transition. Cham: Springer; 2023. p.1017-1027. doi:10.1007/978-3-031-29515-7_90.

19. Gianfredi V, Buffoli M, Rebecchi A, et al. Association between urban greenspace and health: a systematic review of literature. Int J Environ Res Public Health 2021;18:5137. doi:10.3390/ijerph18105137.

20. Buffoli M, Rebecchi A, Dell’Ovo M, Oppio A. Transforming the built environment through healthy-design strategies: a multidimensional framework for urban plans’ evaluation. Smart Innov Syst Technol 2020;177:187-196. doi:10.1007/978-3-030-52869-0_16.

21. D’Alessandro D, Gola M, Appolloni L, et al. COVID-19 and living spaces challenge: well-being and public health recommendations for a healthy, safe and sustainable housing. Acta Biomed 2020;91:61-75. doi:10.23750/abm.v91i9-S.10115.

22. Capolongo S, Buffoli M, Mosca EI, Galeone D. Public health aspects’ assessment tool for urban projects, according to the urban health approach. Res Dev 2020:325-335. doi:10.1007/978-3-030-33256-3_30.

23. Da Empoli S, Fadda M, Mazzoni E, Gaudosio A. Urban health in Italy: health outcomes and sustainable living. Eur J Public Health 2018;28 Suppl 4.

24. Bloch P, Toft U, Reinbach HC, et al. Revitalizing the setting approach - supersettings for sustainable impact in community health promotion. Int J Behav Nutr Phys Act 2014;11:118. doi:10.1186/s12966-014-0118-8.

25. C40 Cities Leadership Group. Climate Action Planning Framework. London: C40 Cities; 2020.

26. ChangeLab Solutions. From Start to Finish: How to Permanently Improve Government through Health in All Policies. Oakland: ChangeLab Solutions; 2015.

27. University of Kansas Center for Community Health and Development. Community Tool Box. Lawrence: University of Kansas; 2020.

28. University of Wisconsin Population Health Institute. County Health Rankings and Roadmaps. Madison: University of Wisconsin; 2019.

29. Centers for Disease Control and Prevention. Introduction to Program Evaluation for Public Health Programs: A Self-study Guide. Atlanta: CDC; 2011.

30. Araújo-Soares V, Hankonen N, Presseau J, Rodrigues A, Sniehotta FF. Developing behavior change interventions for self-management in chronic illness. Eur Psychol 2018.

31. Bartholomew Eldredge LK, Markham CM, Ruiter RAC, Fernandez ME, Gerjo K, Parcel GS. Planning Health Promotion Programs: An Intervention Mapping Approach. 4th ed. Hoboken: Wiley; 2016.

32. Michie S, Atkins L, West R. The Behaviour Change Wheel: A Guide to Designing Interventions. Great Britain: Silverback Publishing; 2014.

33. O’Cathain A, Croot L, Duncan E, et al. Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open 2019;9(8):e029954.

34. O’Cathain A, Croot L, Sworn K, et al. Taxonomy of approaches to developing interventions to improve health: a systematic methods overview. Pilot Feasibility Stud 2019;5(1):41.

35. Gehl Institute. A Mayor’s Guide to Public Life. New York: Gehl Institute; 2017.

36. Green L, Kreuter M. Health Program Planning: An Educational and Ecological Approach. New York: McGraw-Hill; 2005.

37. Lenzi FR, Vaccaro K. Il valore della multidimensionalità nell’approccio dell’urban health. Sicur Sci Soc 2019;1.

38. G20. Roma Leaders Declaration. G20 Summit; 2021.

39. Italian Urban Health Declaration. Health in the Cities: Key Priorities for the Italian G20 2021. Rome; 2021.

40. Matuschke I. Rapid Urbanization and Food Security: Using Food Density Maps to Identify Future Food Security Hotspots. Rome: FAO; 2009.

41. Lenzi FR, Lazzetta F. Sport, health in the city: promoting physical activity in urban areas. A case study of Rome. ESA Res Netw Soc Sport 2022.

42. D’Alessandro D, Capolongo S. Ambiente Costruito e Salute. Milano: Franco Angeli; 2015.

43. Capolongo S, Battistella A, Buffoli M, Oppio A. Healthy design for sustainable communities. Ann Ig 2011;23:43-53.

44. Signorelli C, Capolongo S, Buffoli M, Capasso L. Italian Society of Hygiene (SItI) recommendation for a healthy, safe and sustainable housing. Epidemiol Prev 2016;40(3-4):265-270. doi:10.19191/EP16.3-4.P265.094.

45. Nicolucci A, Rossi MC, Vaccaro K, et al. Urban diabetes: the case of the metropolitan area of Rome. Acta Biomed 2019;90(2):209-214.

46. Glaeser E. Cities: Engines of Innovation. Sci Am 2011.

47. Oxfam International. Can Cities Build Local Developmental Strategies? Some Surprising Good News from Colombia. Oxford: Oxfam International; 2012.

48. Lenzi A, Serra F, Spinato C. Health City Report 2022. Rome: Health City Institute; 2022.

49. Urban Health Project. Policy Brief. 2022.

50. Odone A, Privitera G, Signorelli C, Board of Directors of the Italian Postgraduate Schools of Hygiene and Public Health. Post-graduate medical education in public health: the case of Italy and a call for action. Public Health Rev 2017;38:24. doi:10.1186/s40985-017-0069-0.

How to Cite

1.
Serra F, Capolongo S, Cricelli C, et al. CORE CURRICULUM  SPORT & HEALTH CITY MANAGER. Knowledge, skills and competencies serving urban health through sport. Acta Biomed. 97(4):19193. doi:10.23750/abm.2026.19193

Issue

Section

FOCUS ON

How to Cite

1.
Serra F, Capolongo S, Cricelli C, et al. CORE CURRICULUM  SPORT & HEALTH CITY MANAGER. Knowledge, skills and competencies serving urban health through sport. Acta Biomed. 97(4):19193. doi:10.23750/abm.2026.19193