Department of Respiratory Sciences, University of Leicester, Leicester LE1 7RH, UK.
Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre-Respiratory, University Hospitals of Leicester NHS Trust, Leicester LE3 9QP, UK.
Int J Environ Res Public Health. 2022 Dec 17;19(24):16986. doi: 10.3390/ijerph192416986.
Global policy documents for the promotion of physical activity (PA) play an important role in the measurement, evaluation, and monitoring of population PA levels. The World Health Organisation (WHO) guidelines include, for the first time, recommendations for specific populations, including individuals living with a range of non-communicable diseases. Of note, is the absence of any chronic respiratory diseases (CRDs) within the recommendations. Globally, CRDs are highly prevalent, are attributable to significant individual and societal burdens, and are characterised by low PA. As a community, there is a need to come together to understand how to increase CRD representation within global PA policy documents, including where the evidence gaps are and how we can align with PA research in other contexts. In this commentary, the potential for synergy between evidence into the relationships between PA in CRDs globally and the relevance to current policies, guidelines and action plans on population levels of PA are discussed. Furthermore, actions and considerations for future research, including the need to harmonize and promote PA assessment (particularly in low- and middle-income countries) and encompass the synergistic influences of PA, sedentary behaviour and sleep on health outcomes in CRD populations are presented.
全球促进身体活动(PA)的政策文件在衡量、评估和监测人群 PA 水平方面发挥着重要作用。世界卫生组织(WHO)的指南首次包括了针对特定人群的建议,包括患有一系列非传染性疾病的人群。值得注意的是,这些建议中没有任何关于慢性呼吸系统疾病(CRD)的内容。在全球范围内,CRD 发病率很高,给个人和社会带来了巨大负担,其特点是身体活动水平低。作为一个社区,我们需要共同努力,了解如何在全球 PA 政策文件中增加 CRD 的代表性,包括了解证据差距在哪里,以及我们如何在其他方面与 PA 研究保持一致。在这篇评论中,讨论了全球 CRD 中 PA 之间关系的证据与当前关于人群 PA 水平的政策、指南和行动计划的相关性之间的协同作用的潜力。此外,还提出了未来研究的行动和考虑因素,包括需要协调和促进 PA 评估(特别是在低收入和中等收入国家),并包含 PA、久坐行为和睡眠对 CRD 人群健康结果的协同影响。