Global public health guidelines on physical activity and sedentary behavior for people living with chronic conditions: A call to action

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

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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. This article briefly presents the guidelines, related processes and evidence, and, importantly, considers how they may be used to support research, practice, and policy. 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. Methods were consistent with World Health Organization protocols for developing guidelines. 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. 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). 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.

Original languageEnglish (US)
Pages (from-to)76-85
Number of pages10
JournalJournal of Physical Activity and Health
Volume18
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • AIDS
  • Cancer
  • Cardiovascular
  • Chronic disease
  • Clinical medicine
  • Exercise
  • Global health
  • HIV
  • Health promotion
  • Hypertension
  • Noncommunicable disease
  • Type 2 diabetes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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