Beedie Chris, Mann Steven, Jimenez Alfonso
1Department of Sport and Exercise Sciences, Aberystwyth University, Wales, United Kingdom; 2Center for Sport Science and Human Performance, University of Greenwich,Chatham Maritime, United Kingdom; and 3Faculty of Health, Exercise and Sport Sciences, European University of Madrid, Spain.
Curr Sports Med Rep. 2014 Jul-Aug;13(4):267-74. doi: 10.1249/JSR.0000000000000070.
Sedentary lifestyle is associated with cardiovascular and metabolic diseases. A compelling body of evidence demonstrates the amelioration and prevention of such conditions with increased levels of physical activity (PA). Despite this evidence, many public health initiatives aimed at increasing PA have failed to demonstrate clinically relevant effects on public health. It has been hypothesized that the highly controlled environments in which PA and health research is conducted limits its replicability in real-world community settings. This review aimed to evaluate the effectiveness of community fitness center-based interventions on inactivity-related diseases in adults. Data from 11 investigations highlighted 3 factors: (1) a lack of community-based PA studies, (2) a lack of clinically relevant data, and 3) further reliance on self-report and rudimentary measurements. It is concluded that the current laboratory-based evidence for PA and health is to be replicated yet in real-world settings and that rigorous and clinically relevant naturalistic research is required.
久坐不动的生活方式与心血管疾病和代谢性疾病有关。大量令人信服的证据表明，增加身体活动（PA）水平可改善和预防此类疾病。尽管有这些证据，但许多旨在增加PA的公共卫生举措未能证明对公众健康有临床相关影响。据推测，进行PA与健康研究的高度受控环境限制了其在现实社区环境中的可重复性。本综述旨在评估基于社区健身中心的干预措施对成年人非活动相关疾病的有效性。11项调查的数据突出了3个因素：（1）缺乏基于社区的PA研究，（2）缺乏临床相关数据，以及（3）进一步依赖自我报告和基本测量方法。得出的结论是，目前基于实验室的PA与健康证据有待在现实环境中复制，并且需要进行严格且具有临床相关性的自然主义研究。
