Milton Karen, Varela Andrea Ramirez, Strain Tessa, Cavill Nick, Foster Charlie, Mutrie Nanette
Norwich Medical School, University of East Anglia, Norwich, UK.
Universidade Federal de Pelotas, Pelotas, Brazil.
J Frailty Sarcopenia Falls. 2018 Jun 1;3(2):114-124. doi: 10.22540/JFSF-03-114. eCollection 2018 Jun.
Despite the importance of muscle strengthening and balance activities for health, these elements of the physical activity recommendations are often omitted from communication campaigns and national surveillance systems. This paper reviews national physical activity surveillance systems to determine which tools assess muscle strengthening and balance activities.
We reviewed each tool that was used to inform the Global Observatory for Physical Activity (GoPA) country card prevalence estimates.
Of the 139 countries with GoPA country cards, 21 countries reported having no physical activity prevalence data. The prevalence estimates for 74 countries came from the World Health Organization 2014 Global Status Report on Non-Communicable Diseases. For the remaining 44 countries, a range of national and international surveys were used. A limited number of tools sought to assess muscle strengthening activities, and even fewer assessed balance and coordination activities.
Several issues arise from this review, including the need to: verify the strength of the evidence to inform whether muscle strength and balance should be given equal prominence to the aerobic recommendation; establish which activities count towards different aspects of the guidelines; and confirm whether the muscle strengthening and balance components of the guidelines are 'in addition' to the aerobic component.
尽管肌肉强化和平衡活动对健康很重要，但身体活动建议中的这些要素在宣传活动和国家监测系统中常常被忽视。本文回顾了国家身体活动监测系统，以确定哪些工具可评估肌肉强化和平衡活动。
我们回顾了用于为全球身体活动观测站（GoPA）国家卡片患病率估计提供信息的每一种工具。
在拥有GoPA国家卡片的139个国家中，21个国家报告没有身体活动患病率数据。74个国家的患病率估计来自世界卫生组织《2014年非传染性疾病全球状况报告》。对于其余44个国家，使用了一系列国家和国际调查。仅有少数工具试图评估肌肉强化活动，评估平衡和协调活动的工具更少。
本次回顾引发了几个问题，包括需要：核实证据的力度，以确定肌肉力量和平衡是否应与有氧运动建议给予同等重视；确定哪些活动符合指南不同方面的要求；以及确认指南中的肌肉强化和平衡部分是否是有氧运动部分的“补充”。
