Pratt Michael, Perez Lilian G, Goenka Shifalika, Brownson Ross C, Bauman Adrian, Sarmiento Olga Lucia, Hallal Pedro C
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta GA, USA; Universidad de los Andes Schools of Medicine and Government, Bogotá, Colombia.
San Diego State University, Graduate School of Public Health/University of California San Diego; Department of Family and Preventive Medicine, San Diego CA, USA.
Prog Cardiovasc Dis. 2015 Jan-Feb;57(4):356-67. doi: 10.1016/j.pcad.2014.09.002. Epub 2014 Sep 6.
Physical inactivity is one of the most important contributors to the global burden of disease and has become a global public health priority. We review the evidence on physical activity (PA) interventions, actions, and strategies that have the greatest potential to increase PA at the population level. Using the socio-ecological framework to conceptualize PA interventions, we show that PA can be targeted at multiple levels of influence and by multiple sectors outside the health system. Examples of promoting PA on a national scale are presented from Finland, Canada, Brazil, and Colombia. A strong policy framework, consistent investment in public health programs, multi-sectoral support and actions, and good surveillance characterize each of these success stories. Increasing PA globally will depend on successfully applying and adapting these lessons around the world taking into account country, culture, and context.
身体活动不足是全球疾病负担的最重要促成因素之一,已成为全球公共卫生的优先事项。我们回顾了有关身体活动(PA)干预措施、行动和策略的证据,这些措施、行动和策略在人群层面上最有潜力增加身体活动。利用社会生态框架来概念化身体活动干预措施,我们表明身体活动可以针对多个影响层面,并由卫生系统之外的多个部门来推动。文中介绍了芬兰、加拿大、巴西和哥伦比亚在全国范围内促进身体活动的实例。这些成功案例的特点是都有一个强有力的政策框架、对公共卫生项目的持续投资、多部门的支持与行动以及良好的监测。在全球范围内增加身体活动将取决于在考虑到国家、文化和背景的情况下,在世界各地成功应用和调整这些经验教训。