The First Global Physical Activity and Sedentary Behavior Guidelines for People Living With Disability

Background: The World Health Organization has released the first global public health guidelines on physical activity and sedentary behavior for people living with disability. This paper presents the guidelines, related processes, and evidence, and elaborates upon how the guidelines can support inclusive policy, practice, and research. Methods: Methods were consistent with the World Health Organization protocols for developing guidelines. Systematic reviews of the evidence on physical activity for health for people living with disability were appraised, along with a consideration of the evidence used to inform the general 2020 World Health Organization guidelines. Results: Evidence supported the development of recommendations for people living with disability, stressing that there are no major risks to engaging in physical activity appropriate to an individual’s current activity level, health status, and physical function, and that the health benefits accrued generally outweigh the risks. They also emphasize the benefits of limiting sedentary behavior. Conclusions: The guidelines mark a positive step forward for disability inclusion, but considerable effort is needed to advance the agenda. This paper highlights key considerations for the implementation of the new recommendations for people living with disability, in line with the human rights agenda underpinning the Global Action Plan on Physical Activity 2018–2030 and allied policies.

Download Full-text

Global Public Health Guidelines on Physical Activity and Sedentary Behavior for People Living With Chronic Conditions: A Call to Action

Journal of Physical Activity and Health ◽

10.1123/jpah.2020-0525 ◽

2020 ◽

pp. 1-10 ◽

Cited By ~ 2

Author(s):

Paddy C. Dempsey ◽

Christine M. Friedenreich ◽

Michael F. Leitzmann ◽

Matthew P. Buman ◽

Estelle Lambert ◽

...

Keyword(s):

Public Health ◽

Physical Activity ◽

World Health Organization ◽

Sedentary Behavior ◽

Chronic Conditions ◽

Premature Mortality ◽

World Health ◽

Global Public Health ◽

The World ◽

Health Organization

Background: In 2020, the World Health Organization (WHO) released global guidelines on physical activity (PA) and sedentary behavior, for the first time providing population-based recommendations for people living with selected chronic conditions. This article briefly presents the guidelines, related processes and evidence, and, importantly, considers how they may be used to support research, practice, and policy. Methods: A brief overview of the scope, agreed methods, selected chronic conditions (adults living with cancer, hypertension, type 2 diabetes, and human immunodeficiency virus), and appraisal of systematic review evidence on PA/sedentary behavior is provided. Methods were consistent with World Health Organization protocols for developing guidelines. Results: Moderate to high certainty evidence (varying by chronic condition and outcome examined) supported that PA can reduce the risk of disease progression or premature mortality and improve physical function and quality of life in adults living with chronic conditions. Direct evidence on sedentary behavior was lacking; however, evidence extrapolated from adult populations was considered applicable, safe, and likely beneficial (low certainty due to indirectness). Conclusions: Clinical and public health professionals and policy makers should promote the World Health Organization 2020 global guidelines and develop and implement services and programs to increase PA and limit sedentary behavior in adults living with chronic conditions.

Download Full-text

Indonesian Community Active Lifestyle: Between Expectations and Reality

MAENPO ◽

10.35194/jm.v11i1.1277 ◽

2021 ◽

Vol 11 (1) ◽

pp. 25

Author(s):

Taupik Rochman ◽

Adang Suherman ◽

Amung Ma’mun ◽

Bambang Abduljabar

Keyword(s):

Physical Activity ◽

Action Plan ◽

Activity Level ◽

World Health ◽

Large Area ◽

Active Lifestyle ◽

Real Thing ◽

The World ◽

The Government ◽

Health Organization

The active lifestyle of the community becomes a healthy picture of the nation's life because it is one of the keys to maintaining and improving public health. An active lifestyle is defined as a physical activity that is integrated into everyday life, which can be compiled by oneself and the social environment. Indonesia has a society with a physical activity level of 66.5% in the moderate category and a low position. Such conditions occur all over the world so that intervention to improve people's lifestyles has become one of the focuses of world attention in the 2013-2020 action plan called the World Health Organization's best buys. This article aims to describe the efforts made in Indonesia in improving people's lifestyles. The method used is a literature review. However, even though the lifestyle of the Indonesian people is still categorized, the efforts made are by recommendations from the World Health Organization. So that the active lifestyle of the Indonesian people is not only hoping or just a desire to care but is a real thing, really exists and is proven. However, with a high population and a very large area, such a strategy is needed to be well integrated between all levels of society and the government so that it can make an active lifestyle as the strength of the nation in maintaining and improving the quality of life.Keywords: Physical activity, active style, life

Download Full-text

COVID-19 pandemic-induced physical inactivity: the necessity of updating the Global Action Plan on Physical Activity 2018-2030

Environmental Health and Preventive Medicine ◽

10.1186/s12199-021-00955-z ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

H. Amini ◽

S. Habibi ◽

A. H. Islamoglu ◽

E. Isanejad ◽

C. Uz ◽

...

Keyword(s):

Physical Activity ◽

World Health Organization ◽

Physical Inactivity ◽

Action Plan ◽

The State ◽

World Health ◽

The World ◽

Global Action ◽

Health Organization ◽

Global Action Plan

AbstractTo prevent and reduce inactivity, the World Health Organization (WHO) designed a global plan called Global Action Plan on Physical Activity 2018–2030 (GAPPA) in 2017. In this plan and according to the state of physical activity in 2016, actions and goals were set. However, the world is facing a COVID-19 pandemic, which has affected various aspects of lifestyle, including physical activity. Some studies have shown that physical activity reduced during the pandemic. For this reason, the WHO should review the GAPPA and update goals and actions according to the state of physical activity in 2020.

Download Full-text

Physical Activity Patterns in India Stratified by Zones, Age, Region, BMI and Implications for COVID-19: A Nationwide Study

Annals of Neurosciences ◽

10.1177/0972753121998507 ◽

2021 ◽

pp. 097275312199850

Author(s):

Vivek Podder ◽

Raghuram Nagarathna ◽

Akshay Anand ◽

Patil S. Suchitra ◽

Amit Kumar Singh ◽

...

Keyword(s):

Physical Activity ◽

World Health Organization ◽

Rural Areas ◽

World Health ◽

Noncommunicable Diseases ◽

Home Work ◽

The World ◽

Health Organization ◽

Physically Inactive ◽

At Home

Rationale: India has a high prevalence of noncommunicable diseases (NCDs), which can be lowered by regular physical activity. To understand this association, recent population data is required which is representative of all the states and union territories of the country. Objective: We aimed to investigate the patterns of physical activity in India, stratified by zones, body mass index (BMI), urban, rural areas, and gender. Method: We present the analysis of physical activity status from the data collected during the phase 1 of a pan-India study. This ( Niyantrita Madhumeha Bharata 2017) was a multicenter pan-India cluster sampled trial with dual objectives. A survey to identify all individuals at a high risk for diabetes, using a validated instrument called the Indian Diabetes Risk Score (IDRS), was followed by a two-armed randomized yoga-based lifestyle intervention for the primary prevention of diabetes. The physical activity was scored as per IDRS (vigorous exercise or strenuous at work = 0, moderate exercise at home/work = 10, mild exercise at home/work = 20, no exercise = 30). This was done in a selected cluster using a mobile application. A weighted prevalence was calculated based on the nonresponse rate and design weight. Results: We analyzed the data from 2,33,805 individuals; the mean age was 41.4 years (SD 13.4). Of these, 50.6% were females and 49.4% were males; 45.8% were from rural areas and 54% from urban areas. The BMI was 24.7 ± 4.6 kg/m 2 . Briefly, 20% were physically inactive and 57% of the people were either inactive or mildly active. 21.2% of females were found physically inactive, whereas 19.2% of males were inactive. Individuals living in urban localities were proportionately more inactive (21.7% vs. 18.8%) or mildly active (38.9% vs. 34.8%) than the rural people. Individuals from the central (29.6%) and south zones (28.6%) of the country were also relatively inactive, in contrast to those from the northwest zone (14.2%). The known diabetics were found to be physically inactive (28.3% vs. 19.8%) when compared with those unaware of their diabetic status. Conclusion: 20% and 37% of the population in India are not active or mildly active, respectively, and thus 57% of the surveyed population do not meet the physical activity regimen recommended by the World Health Organization. This puts a large Indian population at risk of developing various NCDs, which are being increasingly reported to be vulnerable to COVID-19 infections. India needs to adopt the four strategic objectives recommended by the World Health Organization for reducing the prevalence of physical inactivity.

Download Full-text

Prevalence of and factors associated with insufficient physical activity among adolescents: evidence from a nationwide survey in Bangladesh

Journal of Biosocial Science ◽

10.1017/s0021932021000316 ◽

2021 ◽

pp. 1-14

Author(s):

Md Mokbul Hossain ◽

Fahmida Akter ◽

Abu Abdullah Mohammad Hanif ◽

Md Showkat Ali Khan ◽

Abu Ahmed Shamim ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

World Health Organization ◽

Adolescent Girls ◽

World Health ◽

Factors Associated ◽

Adolescent Girls And Boys ◽

The World ◽

Insufficient Physical Activity ◽

Health Organization

Abstract The World Health Organization set a target of a 15% relative reduction in the prevalence of insufficient physical activity (IPA) by 2025 among adolescents and adults globally. In Bangladesh, there are no national estimates of the prevalence of IPA among adolescents. The aim of this study was to estimate the prevalence of and risk factors associated with IPA among adolescent girls and boys. Data for 4865 adolescent girls and 4907 adolescent boys, collected as a part of a National Nutrition Surveillance in 2018–19, were analysed for this study. A modified version of the Global Physical Activity Questionnaire (GPAQ) was used to collect physical activity data. The World Health Organization recommended cut-off points were used to estimate the prevalence of IPA. Bivariate and multivariable logistic regression was performed to identify factors associated with IPA. Prevalences of IPA among adolescent girls and boys were 50.3% and 29.0%, respectively, and the prevalence was significantly higher among early adolescents (10–14 years) than late adolescents (15–19 years) among both boys and girls. The IPA prevalence was highest among adolescents living in non-slum urban areas (girls: 77.7%; boys: 64.1%). For both boys and girls, younger age, non-slum urban residence, higher paternal education and increased television viewing time were significantly associated with IPA. Additionally, residing in slums was significantly associated with IPA only among the boys. Higher maternal education was associated with IPA only among the girls. This study identified several modifiable risk factors associated with IPA among adolescent boys and girls in Bangladesh. These factors should be addressed through comprehensive public health interventions to promote physical activity among adolescent girls and boys.

Download Full-text

Developing Medicines in Line with Global Public Health Needs: The Role of the World Health Organization

Cambridge Quarterly of Healthcare Ethics ◽

10.1017/s0963180110000940 ◽

2011 ◽

Vol 20 (2) ◽

pp. 290-297 ◽

Cited By ~ 1

Author(s):

TIKKI PANG

Keyword(s):

World Health Organization ◽

Gender Violence ◽

Sub Saharan Africa ◽

World Health ◽

Director General ◽

Global Public Health ◽

Absolute Poverty ◽

The World ◽

Health Organization ◽

The Impact

“I want my leadership to be judged by the impact of our work on the health of two populations: women and the people of Africa.” This is how Dr. Margaret Chan, the current Director-General of the World Health Organization (WHO), described her leadership mission. The reason behind this mission is evident. Women and girls constitute 70% of the world’s poor and 80% of the world’s refugees. Gender violence against women aged 15–44 is responsible for more deaths and disability than cancer, malaria, traffic accidents, and war. An estimated 350,000 to 500,000 women still die in childbirth every year. The negative health implications of absolute poverty are worst in Sub-Saharan Africa and South Asia. Hence, Chan aims to have the biggest impact on the world’s poorest people.

Download Full-text

Participation in the World Health Organization

International Organizations Law Review ◽

10.1163/15723747-01602003 ◽

2020 ◽

Vol 17 (1) ◽

pp. 261-290 ◽

Cited By ~ 1

Author(s):

Steven A. Solomon ◽

Claudia Nannini

Keyword(s):

Public Health ◽

Global Health ◽

World Health Organization ◽

Regional Level ◽

World Health ◽

Global Public Health ◽

The World ◽

Health Organization ◽

Collaborative Efforts

Participation in the World Health Organization (WHO) is a multifaceted matter and should be understood as not only referring to the governance of WHO, but also to its scientific and technical work as well as its collaborative efforts towards advancing global public health more generally. The article is concerned, in particular, with the legal and political framework surrounding attendance and participation of states and various entities in the governing bodies of the Organization, at the global and regional level. It shows that participation in the governance of WHO is still today a domain reserved to the determination of its Member States. At the same time, solutions have been found and continued efforts are necessary to take into account geopolitical considerations and to ensure a meaningful and inclusive participation of all relevant actors in global health discussions.

Download Full-text

Questionnaire-Based Prevalence of Physical Activity Level on Adults According to Different International Guidelines: Impact on Surveillance and Policies

Journal of Physical Activity and Health ◽

10.1123/jpah.2018-0601 ◽

2019 ◽

Vol 16 (11) ◽

pp. 1014-1021

Author(s):

Edgard Melo Keene von Koenig Soares ◽

Guilherme E. Molina ◽

Daniel Saint Martin ◽

João Luís A. E. Sadat P. Leitão ◽

Keila E. Fontana ◽

...

Keyword(s):

Physical Activity ◽

World Health Organization ◽

Vigorous Physical Activity ◽

Demographic Data ◽

Activity Level ◽

World Health ◽

Prevalence Estimates ◽

Health Organization ◽

State 1 ◽

Weekly Frequency

Background: The World Health Organization recommends 150 minutes of moderate to vigorous physical activity (PA) throughout the week. However, the weekly frequency of PA and how to combine moderate and vigorous PA to define who reaches the recommended PA are controversial. PA level might be highly different based on the recommendation and/or the criteria employed. Methods: Demographic data and PA level evaluated by International Physical Activity Questionnaire from 3 random and representative samples from 1 state, 1 city, and 1 local organization in Brazil were analyzed (n = 2961). Nine criteria from different recommendations were used to define PA level. Prevalence estimates and 95% confidence intervals of sufficient PA were calculated for each criterion and compared with the referent (World Health Organization guideline). Total agreement, sensitivity, and specificity were also calculated with 95% confidence interval. Results: When a weekly frequency of PA was required, the prevalence of sufficient PA decreased by 11% (P < .05). For all criteria, doubling the vigorous PA minutes was similar to simply adding them to moderate PA. These findings are consistent regardless of sex, age, and educational level. Conclusion: Prevalence estimates and agreement between different PA recommendations were significantly affected when a minimum frequency was required but did not change when vigorous PA minutes were doubled.

Download Full-text