Abstract
Abstract. Physical activity provides huge opportunities for the health of nations. Understanding this, the World Health Organization has published a Global Action Plan which aims to provide member states with a framework for action, namely to create active societies, people, environments and systems. The target is set at a 15 % reduction in physical inactivity levels by 2030. We explore in this paper some of the challenges and opportunities that come with it, and give the practitioner some real-world opportunities for relevant action at the local level, as well as for their patients, staying true to the Physician’s Pledge (Declaration of Geneva): “I will attend to my own health, well-being, and abilities in order to provide care of the highest standard.”
Zusammenfassung. Körperliche Aktivität bietet grosse Chancen für die nationale Gesundheit. In diesem Sinn hat die Weltgesundheitsorganisation einen globalen Aktionsplan veröffentlicht, der den Mitgliedstaaten einen Handlungsrahmen bieten soll, aktive Gesellschaften, Menschen, Umwelt und Systeme zu schaffen. Das Ziel ist eine Reduzierung der körperlichen Inaktivität um 15 % bis 2030. Wir untersuchen einige der damit verbundenen Herausforderungen und Möglichkeiten und machen dem Praktiker einige Vorschläge für relevantes Handeln auf lokaler Ebene sowie für seine Patienten, indem wir dem Versprechen des Arztes treu bleiben: «Ich werde mich um meine eigene Gesundheit, mein Wohlbefinden und meine Fähigkeiten kümmern, um eine Versorgung auf höchstem Niveau zu gewährleisten.»
Résumé. L’activité physique constitue une opportunité pour la santé des nations. L’Organisation Mondiale de la Santé vient de publier le Plan d’Action Global visant à donner aux Etats membres un cadre de référence pour agir, créer des sociétés, des assemblements de personnes, des environnements et des systèmes actifs. La cible est une réduction de l’inactivité de 15 % pour 2030. Nous en présentons les défis et les chances, tout en donnant au praticien quelques pistes réelles pour développer des actions locales, et aussi pour leurs patients. Le tout en gardant à l’esprit le Serment du Médecin de la Déclaration de Genève : «Je veillerai à ma propre santé, à mon bien-être et au maintien de ma formation afin de prodiguer des soins irréprochables.»
References
: Coronary heart-disease and physical activity of work. Lancet 1953; 265: 1053–1057.
: Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med1986; 314: 605–613.
: Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA 1989; 262: 2395–2401.
: All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Intern Med 2000; 160: 1621–1628.
: Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports 2015; 3: 1–72.
: Patterns and trends of beverage consumption among children and adults in Great Britain 1986–2009. Br J Nutr 2012; 108: 536–551.
: Sedentary behavior: emerging evidence for a new health risk. Mayo Clin Proc 2010; 85: 1138–1141.
: Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med 2015; 162: 123–132.
, . Sport and exercise as contributors to the health of nations. Lancet 2012; 380: 59–64
. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 1985; 100: 126–131.
, : Long-term effects of changes in cardiorespiratory fitness and body mass index on all-cause and cardiovascular disease mortality in men: the Aerobics Center Longitudinal Study. Circulation 2011; 124: 2483–2490.
: Mortality trends in the general population: the importance of cardiorespiratory fitness. J Psychopharmacol 2010; 24: 27–35.
The Sustainable Development Goals [June 24th, 2018]. Available from: https://www.un.org/sustainabledevelopment/; letzter Zugriff: 08.07.2018.World Health Organization . Global action plan for the prevention and control of noncommunicable diseases. WHO; Geneva: 2013.: World Health Organisation to develop global action plan to promote physical activity: time for action. Br J Sports Med 2018; 52: 484–485.
The Declaration of Bangkok on Physical Acitivity for Global Health and Sustainable Development Bangkok, Thailand : ISAPH; [June 24th, 2018]. Available from:https://ispah-org-draft.squarespace.com/resources, letzter Zugriff: 08.07.2018.World Health Organization . Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva; WHO: 2018.: Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ 2012; 344: e1389.
: Promotion de l’activité physique au cabinet médical. Manuel de référence à l’intention des médecins. Policlinique Médicale Universitaire, Office fédéral du sport, Collège de Médecine de Premier Recours, Ligue vaudoise contre les maladies cardiovasculaires:2012.
: Walk with your doc. JAMA 1988; 259: 2743–2744.
: The Revised Declaration of Geneva: A Modern-Day Physician’s Pledge. JAMA 2017; 318: 1971–1972.
Leadership in physical activity: is this the currency of change in the student healthcare curriculum?Br J Sports Med. 2018; doi: 10.1136/bjs ports-2018-099587. [Epub ahead of print]
