J Phys Act Health. 2021 Jan 1;18(1):86-93. doi: 10.1123/jpah.2020-0629.
The World Health Organization has released the first global public health guidelines on physical activity and sedentary behavior for people living with disability. This paper presents the guidelines, related processes, and evidence, and elaborates upon how the guidelines can support inclusive policy, practice, and research.
Methods were consistent with the World Health Organization protocols for developing guidelines. Systematic reviews of the evidence on physical activity for health for people living with disability were appraised, along with a consideration of the evidence used to inform the general 2020 World Health Organization guidelines.
Evidence supported the development of recommendations for people living with disability, stressing that there are no major risks to engaging in physical activity appropriate to an individual's current activity level, health status, and physical function, and that the health benefits accrued generally outweigh the risks. They also emphasize the benefits of limiting sedentary behavior.
The guidelines mark a positive step forward for disability inclusion, but considerable effort is needed to advance the agenda. This paper highlights key considerations for the implementation of the new recommendations for people living with disability, in line with the human rights agenda underpinning the Global Action Plan on Physical Activity 2018-2030 and allied policies.
世界卫生组织发布了首份全球关于残疾人士身体活动和久坐行为的公共卫生指南。本文介绍了这些指南及其相关制定过程和依据，并阐述了这些指南如何为包容性政策、实践和研究提供支持。
本指南的制定方法符合世界卫生组织制定指南的标准程序。对残疾人士身体活动与健康相关证据进行了系统评价，并考虑了为制定 2020 年世界卫生组织一般指南提供信息的证据。
证据支持为残疾人士制定建议，强调残疾人士适当参与与其当前活动水平、健康状况和身体功能相适应的身体活动不存在重大风险，而且获得的健康益处通常大于风险。这些建议还强调了限制久坐行为的益处。
这些指南标志着残疾包容方面向前迈出了积极的一步，但仍需要做出巨大努力来推进这一议程。本文突出强调了为实施针对残疾人士的新建议而需要考虑的关键问题，这些建议符合 2018-2030 年全球身体活动行动计划和相关政策所依据的残疾人权利议程。
