Global Public Health Guidelines on Physical Activity and Sedentary Behavior for People Living With Chronic Conditions: A Call to Action

Dempsey, Paddy C.; Friedenreich, Christine M.; Leitzmann, Michael F.; Buman, Matthew P.; Lambert, Estelle V.; Willumsen, Juana; Bull, Fiona

doi:10.1123/jpah.2020-0525

Cited by 64 publications

(54 citation statements)

References 54 publications

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“…Chronic conditions are addressed separately in both the guidelines and associated publications. 16,22 In many instances, the impairment rather than the health condition per se can impact the exercise response. People living with Parkinson's or a history of stroke (evidence for which was reviewed) can experience difficulties with mobility, motor control, tremors, and paralysis in limbs, which could also be experienced by people living with muscular dystrophy or cerebral palsy.…”

Section: Resultsmentioning

confidence: 99%

The First Global Physical Activity and Sedentary Behavior Guidelines for People Living With Disability

Carty¹,

Ploeg²,

Biddle³

et al. 2021

Journal of Physical Activity and Health

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120

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Background: The World Health Organization has released the first global public health guidelines on physical activity and sedentary behavior for people living with disability. This paper presents the guidelines, related processes, and evidence, and elaborates upon how the guidelines can support inclusive policy, practice, and research. Methods: Methods were consistent with the World Health Organization protocols for developing guidelines. Systematic reviews of the evidence on physical activity for health for people living with disability were appraised, along with a consideration of the evidence used to inform the general 2020 World Health Organization guidelines. Results: Evidence supported the development of recommendations for people living with disability, stressing that there are no major risks to engaging in physical activity appropriate to an individual’s current activity level, health status, and physical function, and that the health benefits accrued generally outweigh the risks. They also emphasize the benefits of limiting sedentary behavior. Conclusions: The guidelines mark a positive step forward for disability inclusion, but considerable effort is needed to advance the agenda. This paper highlights key considerations for the implementation of the new recommendations for people living with disability, in line with the human rights agenda underpinning the Global Action Plan on Physical Activity 2018–2030 and allied policies.

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Section: Resultsmentioning

confidence: 99%

The First Global Physical Activity and Sedentary Behavior Guidelines for People Living With Disability

Carty¹,

Ploeg²,

Biddle³

et al. 2021

Journal of Physical Activity and Health

Self Cite

120

View full text Add to dashboard Cite

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“…In these systematic reviews, physical activity is most frequently reported as steps per day (steps.day -1 ) and no meta-analysis has been conducted on minutes of moderate-to-vigorous intensity physical activity (MVPA) in participants with CVD. Global public health guidelines recommend adults with chronic conditions to do at least 150–300 minutes of moderate-intensity aerobic physical activity (MPA), or at least 75–150 minutes of MVPA per week, or an equivalent combination of both [ 9 ]. Furthermore, adults with chronic conditions should limit the amount of time spent in sedentary behaviour [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Global public health guidelines recommend adults with chronic conditions to do at least 150–300 minutes of moderate-intensity aerobic physical activity (MPA), or at least 75–150 minutes of MVPA per week, or an equivalent combination of both [ 9 ]. Furthermore, adults with chronic conditions should limit the amount of time spent in sedentary behaviour [ 9 ]. Patients with CVD should seek to accumulate 6,500 to 8,500 steps.day -1 in order to achieve a physical activity energy expenditure high enough to limit vascular disease progression [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Smartphone applications for physical activity and sedentary behaviour change in people with cardiovascular disease: A systematic review and meta-analysis

et al. 2021

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Background Smartphone applications provide new opportunities for secondary prevention healthcare. This systematic review and meta-analysis aimed to determine if smartphone applications are effective at changing physical activity and sedentary behaviour in people with cardiovascular disease. Methods Six electronic databases (Medline, CINAHL Plus, Cochrane Library, SCOPUS, Sports Discus and EMBASE) were searched from 2007 to October 2020. Cardiovascular disease secondary prevention physical activity or sedentary behaviour interventions were included where the primary element was a smartphone or tablet computer application (excluding SMS-only text-messaging). Study quality was assessed using validated tools appropriate for each study design. Random effects model was used and the pooled mean difference between post scores were calculated. Subgroup analyses were conducted to examine differences based on diagnosis, sample size, age, intervention duration, activity tracker use, target behaviour, and self-report versus device-measured outcome. Results Nineteen studies with a total of 1,543 participants were included (coronary heart disease, n = 10; hypertension, n = 4; stroke, n = 3; heart failure, n = 1; peripheral artery disease, n = 1). Risk of bias was rated as high. Thirteen studies were included in the meta-analysis. Only two controlled studies reported on sedentary behaviour. Smartphone applications produced a significant increase of 40.35 minutes of moderate-to-vigorous intensity physical activity per week (7 studies; p = 0.04; 95% CI 1.03 to 79.67) and 2,390 steps per day (3 studies; p = 0.0007; 95% CI 1,006.9 to 3,791.2). Subgroup analyses found no difference when comparing diagnoses, sample size, activity tracker use, target behaviour and self-report versus device-measured outcome. Larger improvements in physical activity were noted in intervention durations of ≤3-months and participants ≥60yrs (95.35 mins.week-1; p = 0.05). Conclusions Smartphone applications were effective in increasing physical activity in people with cardiovascular disease. Caution is warranted for the low-quality evidence, small sample and larger coronary heart disease representation. More rigorous research is needed to investigate the effect of smartphone applications across diagnoses and in sedentary behaviour.

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“…Regular physical activity is a recognized cost-effective intervention for public health and is associated with an ever-widening constellation of health, economic, and other benefits, playing an important role in the prevention and management of many major chronic conditions. Thus, the implementation of programs, practices, and policies to facilitate more physical activity and limit sedentary behavior could result in significant health improvements and other benefits, as well as reducing the burden and cost of chronic disease to healthcare systems [1]. In this respect, sedentary behavior is associated with negative changes in the neuromuscular systems of healthy older adults, resulting in a decrease in physical functioning [2].…”

Section: Introductionmentioning

confidence: 99%

Impact of Different Aquatic Exercise Programs on Body Composition, Functional Fitness and Cognitive Function of Non-Institutionalized Elderly Adults: A Randomized Controlled Trial

Farinha

Teixeira

Serrano

et al. 2021

IJERPH

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Aquatic physical exercise programs have become progressively more popular among elderly people. Some of the major physical exercise program disadvantages on land are minimized due to the specific properties of the aquatic environment. The purpose of the present randomized controlled study is to verify the effects of different aquatic physical exercise programs on body composition, functional fitness and cognitive function in non-institutionalized elderly people. For this study, 102 elderly individuals were randomly allocated into four different groups: AerG (n = 25, 71.44 ± 4.84 years); IntG (n = 28, 72.64 ± 5.22 years); ComG (n = 29, 71.90 ± 5.67 years) and CG (n = 20, 73.60 ± 5.25 years). Individuals from the groups AerG, IntG and ComG participated in three different aquatic physical exercise programs for a period of 28 weeks. The CG participants kept to their usual routines. All participants were evaluated for body composition, functional fitness and cognitive function at two time moments, i.e., pre- (M1) and post-intervention (M2). Significant differences for body composition were found between M1 and M2 for FM (p < 0.001), LBM (p < 0.001) and WCir (p < 0.01) in the AerG, for BMI (p < 0.05), FM (p < 0.05), LBM (p < 0.001) and LCir-R (p < 0.05) in the IntG, and for WGT (p < 0.01), FM (p < 0.05), LBM (p < 0.01), LCir-R (p < 0.05) and LCir-L (p < 0.01) in the ComG groups. For functional fitness, differences were found between M1 and M2 for 2m-ST (p < 0.000), 30s-CS (p < 0.000), 30s-AC (p < 0.05), HG-T-R (p < 0.000) and HG-T-L (p < 0.000) in the AerG, for 2m-ST (p < 0.05), BS-R (p < 0.05), 30s-CS (p < 0.000), 30s-AC(p < 0.01), HG-T-R (p < 0.000) and HG-T-L (p < 0.000) in the IntG, and for 30s-CS (p < 0.000), HG-T-R (p < 0.000) and HG-T-L (p < 0.000) in the ComG groups. The present study evidenced the beneficial effects of physical exercise in an aquatic environment on body composition, functional fitness and cognitive function in non-institutionalized elderly adults. The ComG water-based exercise program showed more beneficial effects in the improvement of body composition and cognitive function variables, while the IntG and AerG programs were more effective in the improvement of functional fitness.

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Global Public Health Guidelines on Physical Activity and Sedentary Behavior for People Living With Chronic Conditions: A Call to Action

Cited by 64 publications

References 54 publications

The First Global Physical Activity and Sedentary Behavior Guidelines for People Living With Disability

The First Global Physical Activity and Sedentary Behavior Guidelines for People Living With Disability

Smartphone applications for physical activity and sedentary behaviour change in people with cardiovascular disease: A systematic review and meta-analysis

Impact of Different Aquatic Exercise Programs on Body Composition, Functional Fitness and Cognitive Function of Non-Institutionalized Elderly Adults: A Randomized Controlled Trial

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