Das Gesundheitswesen
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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.
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Das Gesundheitswesen · Mar 2017
Review[Recommendations for Physical Activity During and After Pregnancy].
Regular physical activity during and after pregnancy has beneficial effects for mother and child. German recommendations for physical activity during pregnancy are still missing. We searched PubMed (MedLine) for guidelines published between January 2010 and September 2015 on physical activity during and after pregnancy. ⋯ Only 2 articles met the criteria. 2 separate articles summarizing all international recommendations for physical activity during and after pregnancy were included. In order for mother and child to benefit from physical activity, pregnant women without contraindications should be encouraged to participate in regular physical activity or to remain active. Healthy pregnant and postpartum women should exercise for at least 150 min per week (analogically 20-30 min per day on most or all days of the week) in moderate to vigorous aerobic intensity.
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Das Gesundheitswesen · Mar 2017
[Preferred Medical Specialties of Medical Students in Contrast to the Need for General Practitioners in Saxony].
Aim of the study: Especially in the rural areas of Germany, there are not enough general practitioners (GPs) for primary care. Preferred medical specialties of medical students can help get an estimate of the number of future GPs. This study compares this estimate to the current need for GPs in Saxony. ⋯ The model calculations show that approximately 29% to 111% of the open positions for GPs could be filled by the potential new GPs from Dresden. Conclusion: Currently, medical students planning to become GPs cannot meet the corresponding need for GPs. Future studies should include the points of view of students, continuing education assistants, GPs and patients.
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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[Recommendations for Physical Activity and Sedentary Behaviour for Children and Adolescents: Methods, Database and Rationale].
The benefits of physical activity and a reduction of sedentary behaviour in childhood and adolescence are well established. Based on a quality-assured literature review, the German recommendations were updated. ⋯ Preschool age children should have 180 min of physical activity daily, and from primary school age on, at least 90 min daily are recommended. Sedentary behaviour, especially time in front of screens, is to be reduced to a minimum.