Dalbo Vincent J, Carron Michael A
Health, Education, Lifestyle, and Performance (HELP) Laboratory, St. Brendan's College, Yeppoon, QLD 4703, Australia.
Sports (Basel). 2024 Dec 4;12(12):335. doi: 10.3390/sports12120335.
We examined the similarities and differences between government-supported public health activity recommendations from the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), the National Health Service (NHS), the Department of Health and Aged Care (DHAC), and one of the most renowned public health activity recommendations, the 10,000 Steps Program. The findings derived from our evaluation suggest a lack of consistency in public health activity recommendations, including the nomenclature used to describe aerobic activity, the amount of time required per week to meet the minimum recommendation for moderate and vigorous activity, and variations in the intensities required to meet aerobic activity recommendations. We also found that moderate-intensity activity (3.0 to less than 6.0 METS) is achieved across the lifespan with normal (i.e., mean), rather than vigorous, walking speeds; this suggests the MET level for moderate-intensity activity may need to be re-examined. The suggested strength activities must also be considered to ensure that the activities maintain or improve strength in the general public. Among the reviewed recommendations, none distinguished between physical activity and exercise, which may contribute to the low levels of exercise participation among the general public. Since exercise is medicine, the most recognized government-supported public health activity recommendations should place a greater emphasis on exercise over physical activity. Moreover, given the low levels of activity in the general public, more care should be given to provide a consistent, clear, and direct message regarding activity recommendations.
我们研究了世界卫生组织（WHO）、疾病控制与预防中心（CDC）、国家医疗服务体系（NHS）、卫生与老年护理部（DHAC）所支持的公共卫生活动建议，以及最著名的公共卫生活动建议之一——万步计划之间的异同。我们评估得出的结果表明，公共卫生活动建议缺乏一致性，包括用于描述有氧运动的术语、达到适度和剧烈活动最低建议每周所需的时间，以及达到有氧运动建议所需强度的差异。我们还发现，在整个生命周期中，以正常（即平均）步行速度而非剧烈步行速度即可实现中等强度活动（3.0至小于6.0梅脱）；这表明中等强度活动的梅脱水平可能需要重新审视。还必须考虑建议的力量训练活动，以确保这些活动能维持或提高普通大众的力量。在审查的建议中，没有一项对身体活动和锻炼进行区分，这可能是导致普通大众锻炼参与率较低的原因之一。由于运动是良药，最受认可的政府支持的公共卫生活动建议应更加强调锻炼而非身体活动。此外，鉴于普通大众的活动水平较低，应更加注意提供关于活动建议的一致、清晰和直接的信息。
