Research Initiative for Cities Health and Equity (RICHE), Division of Public Health Medicine, School of Public Health and Family Medicine, University of Cape Town, Cape Town 7925, South Africa.
Global Diet and Physical Activity Research, MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0QQ, UK.
Int J Environ Res Public Health. 2022 Mar 23;19(7):3819. doi: 10.3390/ijerph19073819.
Non-communicable diseases (NCDs) contribute significantly to global mortality and are of particular concern in growing urban populations of low- and-middle income countries (LMICs). Physical inactivity is a key NCD determinant and requires urgent addressing. Laudable global and regional efforts to promote physical activity are being made, but the links between physical activity (PA), NCD reduction, and integrated intersectoral approaches to reducing obesogenic environments are not consistently made. This study applied a document analysis approach to global PA and NCD policies to better understand the current global policy environment and how this may facilitate integrated PA promotion. A total of 34 global policies related to PA, from different sectors, were analyzed. PA policy in mitigation of NCDs has evolved exponentially, with a progression towards addressing structural determinants alongside individual behavior change. The global PA agenda is primarily driven by the World Health Organization. Intersectoral collaboration is importantly regarded, but the contributions of other sectors, outside of health, education, transport, and urban planning, are less clear. Improving PA among key sub-populations-women, girls, and adolescents-requires greater policy consideration. It is imperative for PA-relevant sectors at all levels to recognize the links with NCDs and work towards integrated policy and practice in mitigation of the rising NCD pandemic.
非传染性疾病（NCDs）对全球死亡率有重大影响，在中低收入国家（LMICs）不断增长的城市人口中尤为令人关注。身体活动不足是非传染性疾病的一个主要决定因素，需要紧急解决。全球和区域正在做出值得称赞的努力来促进身体活动，但身体活动（PA）、NCD 减少以及减少肥胖环境的综合部门间方法之间的联系并没有得到一致的建立。本研究采用文件分析方法对全球 PA 和 NCD 政策进行了分析，以更好地了解当前的全球政策环境，以及这如何促进综合的 PA 推广。共分析了来自不同部门的 34 项与 PA 相关的全球政策。PA 政策在缓解 NCD 方面呈指数级发展，逐渐将结构性决定因素与个人行为改变一并纳入考虑。全球 PA 议程主要由世界卫生组织推动。部门间合作受到高度重视，但卫生、教育、交通和城市规划等其他部门的贡献则不太明确。要改善妇女、女孩和青少年等关键亚人群的 PA 状况，需要更多的政策考虑。各级与 PA 相关的部门都必须认识到与 NCD 的联系，并努力实现综合政策和实践，以减轻日益严重的 NCD 流行。
