Reis Rodrigo S, Salvo Deborah, Ogilvie David, Lambert Estelle V, Goenka Shifalika, Brownson Ross C
Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO, USA; Physical Education Graduate Program, Federal University of Paraná, Curitiba, Brazil.
Michael and Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston, School of Public Health-Austin Regional Campus, Austin, TX, USA; Center for Nutrition and Health Research, National Institute of Public Health of Mexico, Cuernavaca, Mexico.
Lancet. 2016 Sep 24;388(10051):1337-48. doi: 10.1016/S0140-6736(16)30728-0. Epub 2016 Jul 28.
The global pandemic of physical inactivity requires a multisectoral, multidisciplinary public-health response. Scaling up interventions that are capable of increasing levels of physical activity in populations across the varying cultural, geographic, social, and economic contexts worldwide is challenging, but feasible. In this paper, we review the factors that could help to achieve this. We use a mixed-methods approach to comprehensively examine these factors, drawing on the best available evidence from both evidence-to-practice and practice-to-evidence methods. Policies to support active living across society are needed, particularly outside the health-care sector, as demonstrated by some of the successful examples of scale up identified in this paper. Researchers, research funders, and practitioners and policymakers in culture, education, health, leisure, planning, and transport, and civil society as a whole, all have a role. We should embrace the challenge of taking action to a higher level, aligning physical activity and health objectives with broader social, environmental, and sustainable development goals.
全球身体活动不足的流行需要多部门、多学科的公共卫生应对措施。扩大能够在全球不同文化、地理、社会和经济背景下提高人群身体活动水平的干预措施具有挑战性，但切实可行。在本文中，我们回顾了有助于实现这一目标的因素。我们采用混合方法全面审视这些因素，借鉴从循证实践和实践到证据方法中获得的最佳现有证据。正如本文中确定的一些成功扩大规模的例子所示，需要制定支持全社会积极生活的政策，尤其是在医疗保健部门之外。研究人员、研究资助者、文化、教育、卫生、休闲、规划和交通领域的从业者和政策制定者，以及整个民间社会，都发挥着作用。我们应该迎接将行动提升到更高水平的挑战，使身体活动和健康目标与更广泛的社会、环境和可持续发展目标保持一致。
