Unit II Osborne Centre, Cardiovascular Physiology and Rehabilitation Laboratory, 6108 Thunderbird Blvd, University of British Columbia, Vancouver, BC, Canada.
Appl Physiol Nutr Metab. 2011 Jul;36 Suppl 1:S1-2. doi: 10.1139/h11-060.
The Physical Activity Readiness Questionnaire (PAR-Q) and the Physical Activity Readiness Medical Evaluation (PARmed-X) are internationally renowned and extensively used preparticipation screening tools. However, recent feedback from end-users has identified limitations to the existing PAR-Q and PARmed-X screening process. As such, a systematic evaluation of the PAR-Q and PARmed-X forms was conducted, adhering to the Appraisal of Guidelines for Research and Evaluation (AGREE) criteria. Recognized experts in physical activity (PA) and prominent health conditions worked with an expert consensus panel to increase the effectiveness of the PAR-Q and PARmed-X PA participation clearance process. The systematic review process established that the health benefits of PA participation far outweigh the risks in the vast majority of asymptomatic and symptomatic individuals. A new risk continuum and decision tree process was created to allow for the effective risk stratification of prominent health conditions, reducing greatly the barriers to PA participation for the majority of individuals. The new PA participation clearance process is available in new paper and online versions (PAR-Q+) and the PARmed-X was replaced with an online interactive computer programme (ePARmed-X+). It is anticipated that this new risk stratification and PA clearance process will reduce markedly the barriers for PA participation for both asymptomatic and symptomatic individuals.
《体力活动准备问卷 (PAR-Q)》和《体力活动医学评估问卷 (PARmed-X)》是国际知名且广泛使用的赛前筛查工具。然而，最近来自终端用户的反馈指出了现行的 PAR-Q 和 PARmed-X 筛查流程存在局限性。因此，我们按照《评估、制定和评价指南 (AGREE)》标准，对 PAR-Q 和 PARmed-X 表格进行了系统评估。具有丰富体力活动 (PA)经验和主要健康状况的专家与专家共识小组合作，以提高 PAR-Q 和 PARmed-X 参与 PA 活动的资格审查流程的有效性。系统审查过程确定，在绝大多数无症状和有症状个体中，PA 参与带来的健康益处远远超过风险。我们创建了一个新的风险连续体和决策树流程，以有效地对主要健康状况进行风险分层，从而大大降低了大多数个体参与 PA 的障碍。新的 PA 参与资格审查流程可通过纸质和在线版（PAR-Q+）获取，而 PARmed-X 则被一个在线互动式计算机程序（ePARmed-X+）所取代。预计这种新的风险分层和 PA 资格审查流程将显著降低无症状和有症状个体参与 PA 的障碍。
