Lewis Beth A, Napolitano Melissa A, Buman Matthew P, Williams David M, Nigg Claudio R
School of Kinesiology, University of Minnesota, 1900 University Avenue SE, Cooke Hall, Minneapolis, MN, 55455, USA.
Departments of Prevention and Community Health/Exercise and Nutrition Sciences, Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Ave, 3rd Floor, Washington, DC, 20052, USA.
J Behav Med. 2017 Feb;40(1):112-126. doi: 10.1007/s10865-016-9797-8. Epub 2016 Oct 8.
Despite the increased health risks of a sedentary lifestyle, only 49 % of American adults participate in physical activity (PA) at the recommended levels. In an effort to move the PA field forward, we briefly review three emerging areas of PA intervention research. First, new intervention research has focused on not only increasing PA but also on decreasing sedentary behavior. Researchers should utilize randomized controlled trials, common terminology, investigate which behaviors should replace sedentary behaviors, evaluate long-term outcomes, and focus across the lifespan. Second, technology has contributed to an increase in sedentary behavior but has also led to innovative PA interventions. PA technology research should focus on large randomized trials with evidence-based components, explore social networking and innovative apps, improve PA monitoring, consider the lifespan, and be grounded in theory. Finally, in an effort to maximize public health impact, dissemination efforts should address the RE-AIM model, health disparities, and intervention costs.
尽管久坐不动的生活方式会增加健康风险，但只有49%的美国成年人达到了推荐水平的身体活动（PA）。为推动身体活动领域的发展，我们简要回顾身体活动干预研究的三个新兴领域。首先，新的干预研究不仅关注增加身体活动，还关注减少久坐行为。研究人员应采用随机对照试验、通用术语，研究哪些行为应取代久坐行为，评估长期结果，并关注整个生命周期。其次，技术导致了久坐行为的增加，但也带来了创新的身体活动干预措施。身体活动技术研究应专注于具有循证成分的大型随机试验，探索社交网络和创新应用程序，改善身体活动监测，考虑整个生命周期，并以理论为基础。最后，为了最大限度地提高对公众健康的影响，传播工作应关注RE-AIM模型、健康差异和干预成本。
