Das Gesundheitswesen
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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[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[Quality Criteria for the Conception, Implementation and Evaluation of Interventions for Physical Activity Promotion: A State-Of-The-Art Review].
The success of an intervention for physical activity promotion depends not only on the use of an evidence-based approach, but also on the quality of its implementation in practice. Based on current recommendations from scientists and public health institutions, this state-of-the-art review summarizes the quality criteria for the conception, implementation and evaluation of interventions. A systematic literature search was conducted in the electronic databases PubMed and Scopus. ⋯ From the selected documents, 18 quality criteria were defined (conception: 7, implementation: 7, evaluation: 4). This review provides evidence on the relevance of quality criteria within certain stages of an intervention. Future studies could compare the effect of quality criteria on the success of an intervention, or approach the topic from a health-economic perspective.
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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[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.