TY - JOUR
T1 - Global public health guidelines on physical activity and sedentary behavior for people living with chronic conditions
T2 - A call to action
AU - Dempsey, Paddy C.
AU - Friedenreich, Christine M.
AU - Leitzmann, Michael F.
AU - Buman, Matthew P.
AU - Lambert, Estelle
AU - Willumsen, Juana
AU - Bull, Fiona
N1 - Funding Information:
Systematic reviews of evidence prepared for 2018 US PA Guidelines Advisory Committee Scientific Report to the Secretary of Health and Human Services were updated thanks to additional literature searches conducted by Kyle Sprow (National Cancer Institute, National Institutes of Health, Maryland, USA). Summaries of evidence and Grading of Recommendations Assessment, Development and Evaluation tables were prepared by Carrie Patnode and Michelle Henninger (The Kaiser Foundation Hospitals, Center for Health Research, Portland, Oregon, USA). The Public Health Agency of Canada and the Government of Norway provided financial support to update the WHO guidelines on PA and sedentary behavior. P.C.D. was supported by a National Health and Medical Research Council (NHMRC) of Australia Fellowship (number 1142685) and the UK Medical Research Council (MC_UU_12015/3). The authors declare that they have no competing interests.
Publisher Copyright:
© 2021 Human Kinetics, Inc.
PY - 2021/1
Y1 - 2021/1
N2 - 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.
AB - 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.
KW - AIDS
KW - Cancer
KW - Cardiovascular
KW - Chronic disease
KW - Clinical medicine
KW - Exercise
KW - Global health
KW - HIV
KW - Health promotion
KW - Hypertension
KW - Noncommunicable disease
KW - Type 2 diabetes
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U2 - 10.1123/JPAH.2020-0525
DO - 10.1123/JPAH.2020-0525
M3 - Article
C2 - 33276323
AN - SCOPUS:85100103669
SN - 1543-3080
VL - 18
SP - 76
EP - 85
JO - Journal of Physical Activity and Health
JF - Journal of Physical Activity and Health
IS - 1
ER -