UKK Institute, Tampere, Finland.
BMC Public Health. 2010 Jan 11;10:10. doi: 10.1186/1471-2458-10-10.
Accumulating scientific evidence shows physical activity to have profound health benefits amenable to substantial public health gains. Accordingly, recommendations on how much and what kind of physical activity enhances health have been issued. The 1995 recommendation from the U.S. Centres for Disease Control and Prevention and the American College of Sports Medicine has been adapted worldwide, including Europe. Recently an extensive review of new evidence was undertaken and refined recommendations were issued by the U.S. Department of Health and Human Services. We summarise the development of physical activity recommendations and consider the need and possible ways to update the current European situation.
The new recommendations include several new elements when compared to the 1995 recommendation, the most notable being the greater emphasis on the contribution of vigorous-intensity activities, and the inclusion of activities for muscle strength and bone health. They also include specific recommendations for young people, middle-aged adults, older adults and some special groups. The existing Pan-European and national physical activity recommendations in Europe are mostly based on the 1995 recommendation and primarily target adults and young people. Thus the degree to which they are compatible with the new recommendations varies. In view of the growing public health importance of physical activity, we discuss the need to review the existing physical activity recommendations at the European level and assess their consistency with the new evidence and the new recommendations.
We argue that a review of the current physical activity recommendations in Europe should be undertaken in view of the most recent research evidence. We recommend that such a task should be taken on by WHO Europe in parallel with the ongoing work by WHO global Headquarters. Following this, each country should develop communication strategies and implementation guidelines that take into account their ethnic and cultural diversity.
越来越多的科学证据表明，身体活动对健康有深远的益处，可带来显著的公共卫生收益。因此，提出了关于身体活动量和种类的建议，以增进健康。美国疾病控制与预防中心和美国运动医学学院于 1995 年提出的建议已在全球范围内得到采用，包括在欧洲。最近，对新证据进行了广泛审查，并由美国卫生与公众服务部发布了经修订的建议。我们总结了身体活动建议的发展情况，并考虑了更新当前欧洲状况的必要性和可能途径。
与 1995 年的建议相比，新建议包括几个新要素，最值得注意的是更加强调高强度活动的贡献，以及纳入了肌肉力量和骨骼健康活动。它们还包括针对年轻人、中年成年人、老年人和一些特殊群体的具体建议。欧洲现有的泛欧和国家身体活动建议主要基于 1995 年的建议，主要针对成年人和年轻人。因此，它们与新建议的兼容性程度各不相同。鉴于身体活动对公共卫生的重要性日益增加，我们讨论了在欧洲层面上审查现有身体活动建议的必要性，并评估其与新证据和新建议的一致性。
我们认为，鉴于最近的研究证据，应该对欧洲目前的身体活动建议进行审查。我们建议，世界卫生组织欧洲办事处应与世界卫生组织全球总部正在进行的工作并行开展此项任务。在此之后，每个国家都应制定考虑到其民族和文化多样性的沟通策略和实施指南。
