Das Gesundheitswesen
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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.
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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[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[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.