Preparticipation Screening Prior to Physical Activity in Community Lifestyle Interventions.
Preparticipation Screening Prior to Physical Activity in Community Lifestyle Interventions.
复制标题
DOI：
10.1249/tjx.0000000000000073
复制
发表时间：
2018-11-15
影响因子：
0.9
通讯作者：
Kriska, Andrea
中科院分区：
文献类型：
--
作者：
Armstrong, Marni;Paternostro-Bayles, Madeline;Kriska, Andrea
在社区环境中采取行为生活方式干预措施可有效降低慢性病的风险和负担。促进和实施体育活动在这些以社区为基础的生活方式方案中发挥着关键作用。关于在体力活动前进行心血管疾病筛查的新指南已经发布，其中包括实质性修改。这些更新的建议代表了一个实质性的范式转变，朝着一个更自由的方法，导致更少的人需要寻求医疗许可，然后才开始身体活动计划。这一转变对那些在社区环境中促进体育活动的人有着重要的影响。本评论的目的是在以社区为基础的生活方式干预计划的背景下审查更新的建议，例如目前在美国各地提供的主要目的是预防糖尿病，并讨论这些供应商开发和实施此类计划的影响。
Behavioral lifestyle interventions in the community setting are effective in reducing the risk and burden of chronic diseases. The promotion and implementation of physical activity plays a key role in these community-based lifestyle programs. New guidelines on preparticipation screening for cardiovascular disease prior to physical activity have been released which include substantive modifications. These updated recommendations represent a substantial paradigm shift toward a more liberal approach that results in fewer individuals needing to seek medical clearance before starting a physical activity program. This shift has significant implications for those promoting physical activity within the community setting. The objectives of this commentary are to review the updated recommendations within the context of community-based lifestyle intervention programs such as those currently being offered throughout the United States for the primary purpose of diabetes prevention and to discuss the implications for those providers developing and implementing such programs.