Ranasinghe Mark P, Andersen Harrison, Dempsey Ruby K, Wexler Noah, Davis Rochelle, Francois Monique, Gilbert Stephen, Okely Anthony David, Sherrington Catherine, Dempsey Paddy C
Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Br J Sports Med. 2025 Mar 3;59(6):385-408. doi: 10.1136/bjsports-2024-108247.
Physical activity guidelines inform policy and practice in promoting healthier lifestyles. The WHO advocates for distinct recommendations for each country to address variation in needs, resources and context. Specific regional recommendations for three underactive populations facing unique barriers to movement are lacking-people with chronic conditions, disability and advanced age. We review which countries/regions provide specific physical activity guidelines for these populations to identify deficiencies in meeting WHO recommendations and inform future directions for guideline development.
Scoping review.
OVID Medline, PubMed, Scopus, Embase, Web of Science, Google Scholar, ProQuest, CINAHL, Google searches, targeted websites.
Data sources were searched from database inception to September 2023 to identify community-facing physical activity guidelines at the national/international level for these populations. We recorded, summarised and analysed physical activity guideline recommendations extracted from published guideline documents, organised by population and country/region.
66 articles were identified, addressing 28 distinct countries/regions, including four international guidelines, published from 2009 to 2023. The WHO guidelines were adopted by 19 countries and the European Union. Across all regions, a lack of specific advice was identified for individuals with chronic conditions (46%), disability (46%) and advanced age (11%). Advice for chronic conditions and disability commonly replicated general adult population advice.
Many countries/regions do not produce physical activity guidelines specific to populations with chronic conditions and disability. As such, a large proportion of countries/regions failed to meet WHO recommendations, highlighting a lack of customised advice to address unique barriers faced by vulnerable populations.
体育活动指南为促进更健康的生活方式的政策和实践提供依据。世界卫生组织倡导为每个国家制定不同的建议，以应对需求、资源和背景的差异。目前缺乏针对面临独特行动障碍的三类缺乏运动人群的具体区域建议，这三类人群分别是慢性病患者、残疾人和老年人。我们回顾哪些国家/地区为这些人群提供了具体的体育活动指南，以确定在满足世界卫生组织建议方面的不足，并为指南制定的未来方向提供参考。
范围综述。
OVID医学数据库、PubMed、Scopus、Embase、科学网、谷歌学术、ProQuest、护理学与健康领域数据库、谷歌搜索、目标网站。
从数据库建立到2023年9月对数据来源进行检索，以确定国家/国际层面针对这些人群的面向社区的体育活动指南。我们记录、总结并分析了从已发表的指南文件中提取的体育活动指南建议，按人群和国家/地区进行整理。
共确定66篇文章，涉及28个不同的国家/地区，包括2009年至2023年发布的四项国际指南。19个国家和欧盟采用了世界卫生组织的指南。在所有地区，均发现针对慢性病患者（46%）、残疾人（46%）和老年人（11%）缺乏具体建议。针对慢性病和残疾的建议通常重复一般成年人群的建议。
许多国家/地区没有制定针对慢性病患者和残疾人的体育活动指南。因此，很大一部分国家/地区未能达到世界卫生组织的建议，这凸显了缺乏针对弱势群体面临的独特障碍的定制建议。
