Das Gesundheitswesen
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Background: Health promotion and prevention are key elements of Bavarian health policy and are currently being re-oriented along the framework of the "Bavarian Prevention Plan". In this context, a stock taking of prevention and health promotion in Bavaria was conducted with the aim to contribute to the continued strategic and quality-orientated development of this field. Methods: The investigation was restricted to activities of primary prevention and health promotion with a focus on the action areas of the Bavarian Prevention Plan. ⋯ There is a lack of well-tried instruments and approaches for such cross-agency surveys. Nevertheless, the study allows trend statements on the spectrum, structure and quality of prevention in Bavaria. Thus, a starting line for the implementation of the Bavarian Prevention Plan as well as the basis of prevention reporting as intended by the new national prevention law could be established.
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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.
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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.