"+10 min of Physical Activity per Day": Japan Is Looking for Efficient but Feasible Recommendations for Its Population

"+10 min of Physical Activity per Day": Japan Is Looking for Efficient but Feasible Recommendations for Its Population
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DOI:
10.3177/jnsv.61.s7
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发表时间:
2015-05-01
影响因子:
1.6
通讯作者:
Murakami, Haruka
Murakami, Haruka
中科院分区:
医学4区
文献类型:
--
作者:
Miyachi, Motohiko;Tripette, Julien;Murakami, Haruka

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前瞻性队列研究表明,体力活动(PA)和锻炼量较大的人患非传染性疾病(NCD)的风险较低。在日本,厚生劳动省于2013年3月发布了“积极指南”,即日本官方的PA健康促进指南。在这份文件中,最重要的信息是“+10”,代表“每天增加10分钟的MVPA”,“+10”建议的建立得到了强有力的科学证据的支持。首先,一项包括26项队列研究的荟萃分析表明,每天增加10分钟的中度至剧烈PA可以使NCD、痴呆、关节肌肉骨骼损伤和死亡率的平均相对风险降低3.2%。其次,国家健康和营养调查(日本,2010年)报告称,60.8%的日本人口倾向于在日常生活中添加相当于10分钟的PA。根据这些结果,“+10”建议被视为对日本人口可行和有效。据我们所知,在政府健康促进政策中实施额外的低剂量PA建议是世界首创。我们希望日本的公共卫生政策将激励其他国家和国际公共卫生机构。
Prospective cohort studies have shown that people with a larger amount of physical activity (PA) and exercise have lower risks of non-communicable diseases (NCDs). In Japan, the Ministry of Health, Labour and Welfare published in March 2013 the "Active-Guide," i.e. the Japanese official PA guidelines for health promotion. In this document, the most important message is "+10," standing for "add 10 min of MVPA per day" The establishment of the "+10" recommendation is supported by strong scientific evidence. Firstly, a meta-analysis including 26 cohort studies indicated that an increment of 10 min of moderate-to-vigorous PA per day can result in a 3.2% reduction of the average relative risk of NCDs, dementia, joint-musculoskeletal impairment, and mortality. Secondly, the National Health and Nutrition Survey (Japan, 2010) reported that 60.8% of the Japanese population is inclined to add the equivalent of 10 min of PA in their daily life. In line with these results, the "+10" recommendation is viewed as feasible and efficient for the Japanese population. To our knowledge, this implementation of an additional low-dose PA recommendation in a governmental health promotion policy is a world first. We hope that the Japanese PA policy will inspire other national and international public health agencies.