Das Gesundheitswesen
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Das Gesundheitswesen · Mar 2017
Review[Physical Activity Recommendations for Adults with a Chronic Disease: Methods, Database and Rationale].
This paper describes the development of generic physical activity recommendations for adults (18-65 years) with a chronic disease. The physical activity recommendations were developed based on existing recommendations using a 3-phased process. Phase 1: Systematic literature searches for current physical activity recommendations for 7 chronic diseases. ⋯ But, people with chronic diseases who have enhanced physical activity levels may also be at increased risk. Nevertheless, adapted, individualized physical activity is safe and with little risk. The generic physical activity recommendations for adults with chronic conditions provide an evidence-based and quality-controlled basis for physical activity promotion of the target group.
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Das Gesundheitswesen · Mar 2017
Review[German National Physical Activity Recommendations for Adults and Older Adults: Methods, Database and Rationale].
National physical activity recommendations are regarded as crucial elements of comprehensive physical activity promotion strategies. To date, Germany has no such national physical activity recommendations. The aim of this study was to provide physical activity recommendations based on a comprehensive summary of scientific evidence on the relationships between physical activity and a range of health outcomes in adults and older adults. ⋯ Adults and older adults should avoid long periods of sitting and should break up sitting time by physical activity. Physical activity can lead to adverse events, such as musculoskeletal injuries, which can be mitigated through appropriate measures. All in all, the benefits of regular physical activity overweigh by far the risks in both adults and older adults.
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Das Gesundheitswesen · Mar 2017
Review[Background and Methodology of the Development of German Physical Activity Guidelines].
This paper describes the process used to develop the physical activity guidelines for German children and adolescents (0-17 years), adults (18-64 years), older adults ≥65 years and adults with chronic diseases. The German physical activity guidelines were developed by an interdisciplinary working group based on existing guidelines using a 3-phased process. Phase 1: Systematic literature searches for current physical activity guidelines; expert consultation-based development of quality criteria. ⋯ We identified 66 guidelines scoring ≥60% of the possible rating points in domain A and B as high-quality "source-guidelines" (children and adolescents n=4, adults=16, older adults n=9, 7 chronic diseases n=37). Source-guidelines constitute the database for the development of the German physical activity guidelines. The national physical activity guidelines for children and adolescents, adults, older adults and persons with chronic diseases serve as an evidence-based and quality-controlled basis for physical activity promotion in Germany.
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Das Gesundheitswesen · Mar 2017
Review Meta Analysis[A Systematic Review of Reviews of Interventions for the Promotion of Physical Activity: Methodology and First Results].
As part of the development of recommendations for physical activity promotion, a review of reviews was performed. This article presents both the utilised methodology and first results. A systematic review of reviews was performed in PubMed, Scopus, Sport Discus, PsycInfo and other electronic databases. ⋯ In contrast, only 14 reviews dealt with physical activity promotion among older people. This review of reviews allowed for an analysis of the effectiveness regarding different intervention types for physical activity promotion. Depending on the target group and type of intervention, differences in quality of available evidence could be identified.
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Das Gesundheitswesen · Mar 2017
Review Meta Analysis[Are Interventions Promoting Physical Activity Cost-Effective? A Systematic Review of Reviews].
On the basis of international published reviews, this systematic review aims to determine the health economic benefits of interventions promoting physical activity. This review of reviews is based on a systematic literature research in 10 databases (e. g. PubMed, Scopus, SPORTDiscus) supplemented by hand searches from January 2000 to October 2015. ⋯ Results show favourable cost-effectiveness for interventions promoting physical activity, though significant differences in the effectiveness between various interventions were noticed. The greatest potential for cost-effectiveness can be seen in population-based interventions. At the same time, there is a need to acknowledge the limitations of the economic evidence in this field which are attributable to methodological challenges and research deficits.