Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association

医学 心理干预 疾病 肥胖 医疗保健 健康促进 物理疗法 身体素质 老年学 重症监护医学 公共卫生 内科学 护理部 经济增长 经济
作者
Felipe Lobelo,Deborah Rohm Young,Robert E. Sallis,Michael D. Garber,Sandra A. Billinger,John Duperly,Adrian Hutber,Russell R. Pate,Randal J. Thomas,Michael E. Widlansky,Michael V. McConnell,Elizabeth A. Joy
出处
期刊:Circulation [Ovid Technologies (Wolters Kluwer)]
卷期号:137 (18) 被引量:287
标识
DOI:10.1161/cir.0000000000000559
摘要

Physical inactivity is one of the most prevalent major health risk factors, with 8 in 10 US adults not meeting aerobic and muscle-strengthening guidelines, and is associated with a high burden of cardiovascular disease. Improving and maintaining recommended levels of physical activity leads to reductions in metabolic, hemodynamic, functional, body composition, and epigenetic risk factors for noncommunicable chronic diseases. Physical activity also has a significant role, in many cases comparable or superior to drug interventions, in the prevention and management of >40 conditions such as diabetes mellitus, cancer, cardiovascular disease, obesity, depression, Alzheimer disease, and arthritis. Whereas most of the modifiable cardiovascular disease risk factors included in the American Heart Association’s My Life Check - Life’s Simple 7 are evaluated routinely in clinical practice (glucose and lipid profiles, blood pressure, obesity, and smoking), physical activity is typically not assessed. The purpose of this statement is to provide a comprehensive review of the evidence on the feasibility, validity, and effectiveness of assessing and promoting physical activity in healthcare settings for adult patients. It also adds concrete recommendations for healthcare systems, clinical and community care providers, fitness professionals, the technology industry, and other stakeholders in order to catalyze increased adoption of physical activity assessment and promotion in healthcare settings and to contribute to meeting the American Heart Association’s 2020 Impact Goals.
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