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
Review[Identification of Good-Practice Projects in Promoting Physical Activity - Methods, Pitfalls and Sampled Outcomes].
The aim of this paper is to identify and show examples of good practice of public health promotion. For this, uniform quality criteria were worked out under consideration of national and international scientific literature. For the identification of examples of good practice, a comparison of different quality criteria was carried out and combined with each other in a first step. ⋯ The analysis reports a lack of "Good-Practice" examples. Deficits lie mainly in documentation and sustainability. Because of incomplete documentation, an assessment as a "Good-Practice" example is only possible to a limited extent; a lot of information, particularly in the evaluation, is missing.
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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.
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Das Gesundheitswesen · Mar 2017
Review[Recommendations for Physical Activity Promotion: Theory and Evidence].
This article defines a framework for the development of recommendations for physical activity promotion. It aims to provide a theoretical foundation and rationale for classifications of physical activity promotion and approaches for the evidence base of recommendations. Perspectives from contrasting scientific disciplines were compared regarding their theoretical approach for physical activity promotion and their influence on possible classifications. ⋯ From a public health perspective, the use of integrative multi-level-models is fundamental as they can be combined both with different classifications, and individual, social, environmental and policy-based approaches. The evidence base should include the efficacy, effectiveness and cost-effectiveness of an intervention. The scientific and political rationale for recommendations for physical activity promotion can be supported by an explicit theoretical framework and a differentiated concept of an evidence base.