scholarly journals German Recommendations for Physical Activity and Physical Activity Promotion in Adults with Noncommunicable Diseases

Author(s):  
Wolfgang Geidl ◽  
Karim Abu-Omar ◽  
Mayra Weege ◽  
Sven Messing ◽  
Klaus Pfeifer

ABSTRACTBackgroundThe objective of this study was to develop evidence-based recommendations for physical activity (PA) and PA promotion for German adults (18–65 years) with noncommunicable diseases (NCDs).MethodsThe PA recommendations were developed based on existing PA recommendations and using a three-phased process. In phase 1, systematic literature searches were conducted for current PA recommendations for seven chronic conditions (osteoarthrosis of the hip and knee, chronic obstructive pulmonary disease, stable ischemic heart disease, stroke, clinical depression, and chronic non-specific back pain). In phase 2, the PA recommendations were evaluated on the basis of 28 quality criteria. High-quality recommendations were identified, and a content analysis was conducted on these recommendations. In phase 3, the findings of the content analysis were summarised, and PA recommendations for seven chronic conditions were deducted. The seven recommendations were then synthesised to generate generic German PA recommendations for adults with noncommunicable diseases (NCDs). In relation to the recommendations for PA promotion, a systematic literature review was conducted on papers that reviewed the efficacy/effectiveness of interventions for PA promotion in adults with NCDs.ResultsThe German Recommendations for Physical Activity state that adults with NCDs should, over the course of a week, should do at least 150 minutes of moderate-intensity aerobic PA, or 75 minutes of vigorous-intensity aerobic PA, or a combination of both. Furthermore, muscle-strengthening activities should be performed at least twice a week. The promotion of PA among adults with NCDs should be theory-based, specifically target PA behaviour, and be tailored to the respective target group. In this context, and as an intervention method, exercise referral schemes are one of the more promising methods of promoting PA in adults with NCDs.ConclusionThe development of evidence-based recommendations for PA and PA promotion is an important step in terms of the initiation and implementation of actions for PA-related health promotion in Germany. The German Recommendations for PA and PA promotion inform adults affected by NCDs and health professionals on how much PA would be optimal for adults with NCDs. Additionally, the recommendations provide professionals entrusted in PA promotion the best strategies and interventions to raise low PA levels in adults with NCDs. The formulation of specific PA recommendations for adults with NCDs and their combination with recommendations on PA promotion is a unique characteristic of the German recommendations.

Author(s):  
Guillermo F López-Sánchez ◽  
Rubén López-Bueno ◽  
Alejandro Gil-Salmerón ◽  
Roksana Zauder ◽  
Maria Skalska ◽  
...  

Abstract Background This is the first study analyzing levels of physical activity in a sample of quarantined adults with chronic conditions. The aim of this study was to compare moderate- and vigorous-intensity physical activity levels in Spanish adults with chronic conditions before and during coronavirus disease 2019 (COVID-19) quarantine. Methods A cross-sectional online survey was administered during the COVID-19 quarantine in Spain. A total of 163 participants with chronic conditions (113 females and 47 males; age range 18–64 years) completed the survey. A total of 26 chronic conditions were included. Participants self-reported average minutes/day of moderate and vigorous physical activity before and during quarantine. Differences in moderate- and vigorous-intensity physical activity levels before and during COVID-19 quarantine (overall, by gender, by age, by number of chronic conditions and by each chronic condition) were assessed by Wilcoxon-signed rank test. Results During COVID-19 quarantine, there was a significant decrease of moderate-intensity physical activity in Spanish people with chronic conditions (in both males and females, in those aged 18–24, 25–34, 35–44 and 55–64 years, in those with multimorbidity, in those with one/two chronic condition/s, and in those diagnosed with asthma/hypercholesterolaemia/chronic skin disease/haemorrhoids). Also, there was a significant decrease of vigorous-intensity physical activity in Spanish males with chronic conditions and in those with multimorbidity. Conclusions These results should be considered to develop effective strategies of physical activity promotion targeting these specific groups when new quarantine or restriction measures are implemented, in order to avoid new significant decreases of physical activity in these vulnerable populations.


2020 ◽  
Vol 12 (21) ◽  
pp. 8824
Author(s):  
Karel Fromel ◽  
Michal Kudlacek ◽  
Dorota Groffik

The theoretical foundation of tourism policy is based on an interdisciplinary approach, using evidence-based findings from related scientific fields. For this reason, trends in the health and physical activity of the population should be considered as part of the promotion of healthy lifestyles in the field of tourism. The aim of this study is to support the multidisciplinary development of evidence-based tourism by using the results of long-term monitoring of physical activity (PA) preferences among youth. Furthermore, this study aims to support the continuation of education regarding tourism, behavioral changes in lifestyle, health promotion (including physical activity promotion), physical conditioning, as well as related mental conditioning. An interdisciplinary approach should lead to the adoption of knowledge, habits, and interests that lead to a lifelong readiness to participate in active tourism. The research sample of this 10-year survey consisted of 17,032 Czech and Polish respondents, aged from 12 to 25 years. A questionnaire on physical activity preferences was employed to explore the current status and trends in physical activity preferences and realization. The results show the actual status and trends in preferred and realized types of physical activity and represent an important indicator of tourism service choices for these youths, as well as predict future interests for tourism clients in schools. The analysis of the results enabled the suggestion of a prognostic model of tourism strategy focused on the integration of physical activity with tourism activities.


2007 ◽  
Vol 32 (3) ◽  
pp. 549-556 ◽  
Author(s):  
Alison Kirk ◽  
Pierpaolo De Feo

The evidence that physical activity is an effective therapeutic tool in the management of insulin resistance and type 2 diabetes is well documented. Limited research has addressed how best to promote and maintain physical activity in these individuals. This paper explores strategies to enhance compliance to physical activity for patients with insulin resistance. Several evidence-based guidelines and reviews recommend that physical activity interventions are based on a valid theoretical framework. However, there is no evidence-based consensus on the best theory or the combination of theories to use. Motivational tools such as pedometers, wearable sensors measuring energy expenditure, and point of choice prompts appear to be effective at stimulating short-term substantial increases in physical activity, but further strategies to maintain physical activity behaviour change are required. Physical activity consultation has demonstrated effective physical activity promotion over periods of up to 2 years in people with type 2 diabetes. Future research should identify the longer term effects of this intervention and the effectiveness of different methods of delivery. Overall, there needs to be a lot more focus on this area of research. Without this, the abundance of research investigating the effects of physical activity on people with insulin resistance and type 2 diabetes is essentially redundant.


10.19082/5075 ◽  
2017 ◽  
Vol 9 (8) ◽  
pp. 5075-5082 ◽  
Author(s):  
Mahboobe Borhani ◽  
Roya Sadeghi ◽  
Davoud Shojaeizadeh ◽  
Tayebeh Fasihi Harandi ◽  
Mohammad Ali Vakili

2006 ◽  
Vol 14 (2) ◽  
pp. 53-57 ◽  
Author(s):  
Brian W. Martin ◽  
Sonja Kahlmeier ◽  
Francesca Racioppi ◽  
Finn Berggren ◽  
Mari Miettinen ◽  
...  

2012 ◽  
Vol 92 (4) ◽  
pp. 614-625 ◽  
Author(s):  
Patricia J. Manns ◽  
David W. Dunstan ◽  
Neville Owen ◽  
Genevieve N. Healy

Abstract Participation in physical activity is fundamental for the maintenance of metabolic health and the prevention of major chronic diseases, particularly type 2 diabetes and cardiovascular disease. A whole-of-day approach to physical activity promotion is increasingly advocated and includes not only increasing moderate-intensity physical activity but also reducing sedentary time and increasing light-intensity activity (the “nonexercise” part of the activity continuum). This whole-of-day approach to tackling the challenge of inactivity may be particularly relevant for adults with mobility disabilities, who are among the most inactive segment of the population. Focusing on nonexercise activity by striving to reduce sedentary time and increase light-intensity activity may be a more successful place to begin to change behavior in someone with mobility disability. This article discusses what is known about the metabolic health consequences of sedentary behavior and light-intensity activity in adults with and without mobility disability. The concept of inactivity physiology is presented, along with possible applications or evidence from studies with adults with mobility disability. Mobility disability discussions and examples focus on stroke and spinal cord injury. Finally, clinical implications and future research directions related to sedentary behavior in adults with mobility disability are discussed.


2021 ◽  
Vol 319 ◽  
pp. 01022
Author(s):  
Hamid El Oirdi ◽  
Amina Bouziani ◽  
Aziz El Oirdi ◽  
Jaouad Mostyafi ◽  
Abdeslam Hamrani ◽  
...  

In Morocco, noncommunicable diseases were responsible for 80% of all deaths in 2016. These risk factors are closely related to diet and physical activity. Therefore, this study aims to determine the prevalence of physical activity, sedentary behaviors and eating habits among a sample of Moroccan adolescents aged 14 to 19 years.This is a cross-sectional study involving a sample of 669 (285 boys and 384 girls) recruited during the year 2019 in the Province of Sidi Kacem-Morocco. Data on sedentary behaviors, physical activity and eating habits were collected using a validated questionnaire. Overall, 38% of Moroccan adolescents did not meet the recommended duration of one hour of moderate-intensity physical activity, boys are generally more active than girls (p<0.00), and 36% of adolescents reported watching TV for more than 2 hours/day and 42% used a computer for a similar period. Girls are more sedentary than boys (p=0.005). For eating habits, there were significantly more boys than girls who met the recommended scores for healthier foods, but there were significantly more girls than boys who exceeded the score of three days of intake per week for unhealthiest foods. The prevalence of sedentary behavior, physical inactivity and unhealthy eating habits appear to be moderately high, but physical and nutritional education programs are needed to promote an active living and a healthy eating.


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