![]() In 2018, the World Health Organization (WHO) was requested to update the 2010 recommendations based on the latest available evidence as part of global efforts to support countries to implement recommendations set out in the WHO Global Action Plan on Physical Activity 2018–2030 (GAPPA) and achieve a 15% reduction in inactivity by 2030. Thus, information from both clinical practice guidance and public health recommendations is complementary, and can provide patients, health care professionals, and policymakers with clearer advice on the role of PA and sedentary behavior based on considerations around potential efficacy, feasibility as well as risks/safety, and cost-effectiveness and support for broader community and health care services and programs. Public health recommendations aim to provide safe and effective guidelines at the population level, focusing on disease prevention/management and health promotion over longer term timescales. To date, most PA recommendations for adults living with chronic conditions have been limited to clinical practice guidelines, 19– 22 which are typically more focused on immediate clinical care and therapeutic services and are used in consultation with individual patients. 5, 14– 16 However, people living with chronic conditions are generally less physically active and more sedentary 17, 18 and may, along with health care professionals, be more wary about the potential benefits, risks, or adverse health impacts of these behaviors. Regular physical activity (PA), or moderate-to vigorous-intensity PA (MVPA), is a recognized cost-effective intervention for public health and is associated with an ever-widening constellation of health, 11 economic, 10, 12 and other co-benefits, 13 playing an important role in the prevention and management of many major chronic conditions. 8, 9 Aside from already contributing significantly to increases in functional decline, disability, and health care costs, these factors combined represent a formidable set of clinical, economic, and public health challenges. 3– 5 Furthermore, with population aging and the high prevalence of physical inactivity and obesity, 6, 7 the number of people with 2 or more chronic conditions (ie, multimorbidity) is predicted to rise rapidly. Indeed, chronic conditions in these settings contribute to large financial and social burdens through lost productivity and health care costs, posing substantial barriers to sustainable development. 1, 2 The growing burden of chronic disease is affecting all countries, but disproportionately impacts the poorest and most vulnerable, including low- and middle-income countries undergoing demographic, epidemiological, economic, social, and technological transitions. ![]() Chronic conditions are leading causes of morbidity and mortality globally, contributing substantially toward total public health burden, including some 73.4% (41 million) of all deaths in 2017. Conclusions: Clinical and public health professionals and policy makers should promote the World Health Organization 2020 global guidelines and develop and implement services and programs to increase PA and limit sedentary behavior in adults living with chronic conditions.Ĭhronic conditions-including noncommunicable diseases such as cardiovascular disease (CVD), hypertension, cancer, and type 2 diabetes (T2D) and some communicable diseases such as human immunodeficiency virus (HIV)-are diseases of long duration, slow progression, and generally requiring ongoing management over periods of years to decades. Direct evidence on sedentary behavior was lacking however, evidence extrapolated from adult populations was considered applicable, safe, and likely beneficial (low certainty due to indirectness). Results: Moderate to high certainty evidence (varying by chronic condition and outcome examined) supported that PA can reduce the risk of disease progression or premature mortality and improve physical function and quality of life in adults living with chronic conditions. ![]() Methods were consistent with World Health Organization protocols for developing guidelines. ![]() Methods: A brief overview of the scope, agreed methods, selected chronic conditions (adults living with cancer, hypertension, type 2 diabetes, and human immunodeficiency virus), and appraisal of systematic review evidence on PA/sedentary behavior is provided. This article briefly presents the guidelines, related processes and evidence, and, importantly, considers how they may be used to support research, practice, and policy. Background: In 2020, the World Health Organization (WHO) released global guidelines on physical activity (PA) and sedentary behavior, for the first time providing population-based recommendations for people living with selected chronic conditions.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |