Motl Robert W
University of Illinois at Urbana-Champaign, USA
Mult Scler. 2014 Jul;20(8):1025-9. doi: 10.1177/1352458514525873. Epub 2014 Mar 6.
Supervised exercise training has substantial benefits for persons with multiple sclerosis (MS), yet 80% of those with MS do not meet recommended levels of moderate-to-vigorous physical activity (MVPA). This same problem persisted for decades in the general population of adults and prompted a paradigm shift away from "exercise training for fitness" toward "physical activity for health." The paradigm shift reflects a public health approach of promoting lifestyle physical activity through behavioral interventions that teach people the skills, techniques, and strategies based on established theories for modifying and self-regulating health behaviors. This paper describes: (a) the definitions of and difference between structured exercise training and lifestyle physical activity; (b) the importance and potential impact of the paradigm shift; (c) consequences of lifestyle physical activity in MS; and (d) behavioral interventions for changing lifestyle physical activity in MS. The paper introduces the "new kid on the MS block" with the hope that lifestyle physical activity might become an accepted partner alongside exercise training for inclusion in comprehensive MS care.
有监督的运动训练对多发性硬化症（MS）患者有诸多益处，但80%的MS患者未达到建议的中度至剧烈身体活动（MVPA）水平。同样的问题在成年普通人群中持续了数十年，并促使了从“为健康而进行运动训练”到“为健康而进行身体活动”的范式转变。这种范式转变反映了一种公共卫生方法，即通过行为干预来促进生活方式的身体活动，这些干预基于既定理论，教授人们改变和自我调节健康行为的技能、技巧和策略。本文描述了：（a）结构化运动训练和生活方式身体活动的定义及差异；（b）范式转变的重要性和潜在影响；（c）MS患者生活方式身体活动的后果；以及（d）改变MS患者生活方式身体活动的行为干预措施。本文介绍了“MS领域的新成员”，希望生活方式身体活动能成为运动训练的可接受伙伴，一同纳入MS综合护理中。
