Armstrong Marni, Paternostro-Bayles Madeline, Conroy Molly B, Franklin Barry A, Richardson Caroline, Kriska Andrea
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Department of Kinesiology, Health and Sports Science, Indiana University of Pennsylvania, Indiana, PA.
Transl J Am Coll Sports Med. 2018 Nov 15;3(22):176-180. doi: 10.1249/TJX.0000000000000073.
Behavioral lifestyle interventions in the community setting are effective in reducing the risk and burden of chronic diseases. The promotion and implementation of physical activity plays a key role in these community-based lifestyle programs. New guidelines on preparticipation screening for cardiovascular disease prior to physical activity have been released which include substantive modifications. These updated recommendations represent a substantial paradigm shift toward a more liberal approach that results in fewer individuals needing to seek medical clearance before starting a physical activity program. This shift has significant implications for those promoting physical activity within the community setting. The objectives of this commentary are to review the updated recommendations within the context of community-based lifestyle intervention programs such as those currently being offered throughout the United States for the primary purpose of diabetes prevention and to discuss the implications for those providers developing and implementing such programs.
社区环境中的行为生活方式干预对于降低慢性病风险和负担是有效的。身体活动的推广与实施在这些基于社区的生活方式项目中起着关键作用。关于身体活动前心血管疾病预参与筛查的新指南已经发布，其中包括实质性修改。这些更新后的建议代表了一种重大的范式转变，转向一种更为宽松的方法，这使得在开始身体活动项目之前需要寻求医学许可的个体减少。这种转变对在社区环境中推广身体活动的人具有重大影响。本评论的目的是在基于社区的生活方式干预项目（如目前在美国各地为预防糖尿病主要目的而提供的项目）的背景下审查这些更新后的建议，并讨论对那些制定和实施此类项目的提供者的影响。
