Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving.

Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving.
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DOI:
10.1016/s0140-6736(16)30728-0
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发表时间:
2016-09-24
期刊:
影响因子:
168.9
通讯作者:
Brownson, Ross C.
Brownson, Ross C.
中科院分区:
医学1区
文献类型:
--
作者:
Reis, Rodrigo S.;Salvo, Deborah;Ogilvie, David;Lambert, Estelle V.;Goenka, Shifalika;Brownson, Ross C.

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缺乏身体活动这一全球流行病需要多部门、多学科的公共卫生对策。扩大能够提高全球不同文化、地理、社会和经济背景下人群身体活动水平的干预措施具有挑战性,但可行。在本文中,我们回顾了可能有助于实现这一目标的因素。我们使用混合方法的方法来全面检查这些因素,从证据到实践和实践到证据的方法中汲取最好的证据。正如本文件所确定的一些成功的推广实例所表明的那样,需要制定政策,支持整个社会的积极生活,特别是在保健部门之外。文化、教育、卫生、休闲、规划和交通领域的研究人员、研究资助者、从业者和决策者以及整个民间社会都可以发挥作用。我们应该迎接挑战,采取更高层次的行动,将身体活动和健康目标与更广泛的社会,环境和可持续发展目标相结合。
The global pandemic of physical inactivity requires a multisectoral, multidisciplinary public-health response. Scaling up interventions that are capable of increasing levels of physical activity in populations across the varying cultural, geographic, social, and economic contexts worldwide is challenging, but feasible. In this paper, we review the factors that could help to achieve this. We use a mixed-methods approach to comprehensively examine these factors, drawing on the best available evidence from both evidence-to-practice and practice-to-evidence methods. Policies to support active living across society are needed, particularly outside the health-care sector, as demonstrated by some of the successful examples of scale up identified in this paper. Researchers, research funders, and practitioners and policymakers in culture, education, health, leisure, planning, and transport, and civil society as a whole, all have a role. We should embrace the challenge of taking action to a higher level, aligning physical activity and health objectives with broader social, environmental, and sustainable development goals.