Arumugam Ashokan, Shalash Reime Jamal, Qadah Raneen Mohammad, Alsaafin Nour, Mohammad Zadeh Shima A, Chaput Jean-Philippe, Pesola Arto J, Kumaran D Senthil, Moss Sarah J, Veldsman Tamrin, Ramakrishnan Sivapriya, Regan Raja, Arora Esha, A Sulfikar Ali, Raghunathan Monica Raja Kumari, Al Tunaiji Hashel, Baltatu Ovidiu Constantin, Nassis George P, McDonough Suzanne, Dempsey Paddy C, Häger Charlotte
Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Neuromusculoskeletal Rehabilitation Research Group, RIMHS - Research Institute of Medical and Health Sciences, University of Sharjah, Sharjah, UAE.
BMJ Open Sport Exerc Med. 2024 Dec 22;10(4):e002362. doi: 10.1136/bmjsem-2024-002362. eCollection 2024.
Physical activity guidelines targeting different populations with and without chronic diseases or disabilities are required to meet the diverse functional and physiological needs experienced by different subgroups of people to achieve optimal health benefits. As the importance of physical activity guidelines in promoting optimal health and well-being becomes increasingly recognised, there is a critical need for their systematic evaluation to ensure they remain effective, applicable and aligned with evolving health needs and scientific insights. This study aims to systematically review, critically evaluate, and compare global physical activity and sedentary behaviour guidelines on frequency, intensity, time, and type of exercise for adults, pregnant and postpartum women, and people living with chronic conditions and/or disabilities. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols checklist. We will search the Allied and Complementary Medicine Database, APA PsycInfo, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, Education Resources Information Center, Google Scholar, MEDLINE, PubMed, Scopus, SPORTDiscus, Web of Science and grey literature databases from 2010 to October 2024. Two reviewers will independently select guidelines, extract data and assess methodological quality using the Appraisal of Guidelines for Research and Evaluation II Instrument . Key recommendations will be summarised and classified as 'strong' and 'conditional' based on established criteria. A comprehensive evaluation of current guidelines will identify their differences and similarities and reveal their relevance in practical settings. The findings will guide healthcare professionals, researchers and policymakers in implementing evidence-based recommendations for managing physical activity and sedentary behaviour in targeted populations. Additionally, we will highlight current knowledge gaps and potential shortcomings in existing guidelines. PROSPERO registration number: CRD42023491339.
为满足不同人群亚组的多样化功能和生理需求，以实现最佳健康效益，需要针对患有和未患有慢性疾病或残疾的不同人群制定身体活动指南。随着身体活动指南在促进最佳健康和福祉方面的重要性日益得到认可，迫切需要对其进行系统评估，以确保它们仍然有效、适用，并与不断变化的健康需求和科学见解保持一致。本研究旨在系统回顾、批判性评价和比较全球身体活动和久坐行为指南，内容涉及成年人、孕妇和产后妇女以及患有慢性疾病和/或残疾的人群的运动频率、强度、时间和类型。我们遵循系统评价和Meta分析方案的首选报告项目清单。我们将检索2010年至2024年10月的联合与补充医学数据库、美国心理学会心理学文摘数据库、护理及相关健康文献累积索引、考科蓝图书馆、教育资源信息中心、谷歌学术、医学索引、医学期刊数据库、Scopus数据库、体育文献数据库、科学引文索引和灰色文献数据库。两名评审员将独立选择指南、提取数据，并使用《研究与评价指南II工具》评估方法学质量。关键建议将根据既定标准进行总结，并分为“强烈”和“有条件”两类。对当前指南的全面评估将确定它们的异同，并揭示它们在实际环境中的相关性。研究结果将指导医疗保健专业人员、研究人员和政策制定者为目标人群实施基于证据的身体活动和久坐行为管理建议。此外，我们将突出当前现有指南中的知识空白和潜在缺陷。国际前瞻性系统评价注册编号：CRD42023491339。
