MMWR Recomm Rep. 2001 Oct 26;50(RR-18):1-14.
The Task Force on Community Preventive Services (the Task Force) has conducted systematic reviews of community interventions to increase physical activity. The Task Force either strongly recommends or recommends six interventions: two informational approaches (i.e., communitywide campaigns and point-of-decision prompts to encourage use of stairs); three behavioral and social approaches (i.e., school-based physical education, social support interventions in community settings [e.g., setting up a buddy system or contracting with another person to complete specified levels of physical activity], and individually adapted health behavior change programs); and one intervention to increase physical activity by using environmental and policy approaches (i.e., creation of or enhanced access to places for physical activity, combined with informational outreach activities). The Task Force found insufficient evidence on which to base recommendations for classroom-based health education focused on information provision, behavioral skills, and social support interventions in family settings because of inconsistent findings; mass media campaigns, college-age physical education, and health education because of an insufficient number of studies; and classroom-based health education focusing on reducing television viewing and video game playing because of the lack of a demonstrated link between reduced time spent watching television or playing video games and increased physical activity. This report provides additional information regarding the recommendations, briefly describes how the reviews were conducted, and provides information that can help in applying the interventions locally.
社区预防服务特别工作组(特别工作组)对增加身体活动的社区干预措施进行了系统评价。特别工作组强烈推荐或推荐了六种干预措施:两种信息方法(即全社区运动和鼓励使用楼梯的决策点提示);三种行为和社会方法(即学校体育教育、社区环境中的社会支持干预措施[例如,建立伙伴制度或与他人签约以完成特定水平的身体活动]以及个性化的健康行为改变计划);以及一种通过环境和政策方法增加身体活动的干预措施(即创建或增加对身体活动场所的访问,并结合信息推广活动)。由于研究结果不一致,特别工作组发现没有足够的证据为以课堂为基础的健康教育提供建议,这些教育侧重于信息提供、行为技能和家庭环境中的社会支持干预措施;由于研究数量不足,没有足够证据为大众媒体运动、大学体育教育和健康教育提供建议;由于缺乏看电视或玩电子游戏时间减少与身体活动增加之间的明确联系,没有足够证据为以课堂为基础的健康教育提供建议,这些教育侧重于减少看电视和玩电子游戏的时间。本报告提供了有关这些建议的更多信息,简要描述了评价的开展方式,并提供了有助于在当地应用这些干预措施的信息。