TY - JOUR
T1 - Advancing the global physical activity agenda
T2 - recommendations for future research by the 2020 WHO physical activity and sedentary behavior guidelines development group
AU - DiPietro, Loretta
AU - Al-Ansari, Salih Saad
AU - Biddle, Stuart J.H.
AU - Borodulin, Katja
AU - Bull, Fiona C.
AU - Buman, Matthew P.
AU - Cardon, Greet
AU - Carty, Catherine
AU - Chaput, Jean Philippe
AU - Chastin, Sebastien
AU - Chou, Roger
AU - Dempsey, Paddy C.
AU - Ekelund, Ulf
AU - Firth, Joseph
AU - Friedenreich, Christine M.
AU - Garcia, Leandro
AU - Gichu, Muthoni
AU - Jago, Russell
AU - Katzmarzyk, Peter T.
AU - Lambert, Estelle
AU - Leitzmann, Michael
AU - Milton, Karen
AU - Ortega, Francisco B.
AU - Ranasinghe, Chathuranga
AU - Stamatakis, Emmanuel
AU - Tiedemann, Anne
AU - Troiano, Richard P.
AU - van der Ploeg, Hidde P.
AU - Willumsen, Juana F.
N1 - Funding Information:
Systematic reviews of evidence prepared for 2018 US Physical Activity 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 Institutes, National Institutes of Health, Maryland, USA). Summaries of evidence and GRADE tables were prepared by Carrie Patnode and Michelle Henninger (The Kaiser Foundation Hospitals, Center for Health Research, Portland, Oregon, USA). Additional reviews of evidence were led by C Sherrington (Institute for Musculoskeletal Health, School of Public Health, The University of Sydney, Sydney, Australia; S Mabweazara (Research Centre for Health through Physical Activity, Lifestyle and Sports Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa) and L Leach (Department of Sport, Recreation and Exercise Science, Faculty of Health Sciences, University of the Western Cape, Cape Town, South Africa); E Verhagen and P Coenen (Department of Public and Occupational Health at Amsterdam University Medical Centre, Amsterdam, Netherlands). Erin Dooley (Epidemiology and Genomics Research Program, National Cancer Institute) kindly provided support for the referencing and proof reading of the manuscript.
Funding Information:
The Public Health Agency of Canada and the Government of Norway provided financial support to update the WHO guidelines on physical activity and sedentary behavior. The funding body had no role in the design of the study and collection, analysis, and interpretation of data or in writing the manuscript.
Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12
Y1 - 2020/12
N2 - Background: In July, 2019, the World Health Organization (WHO) commenced work to update the 2010 Global Recommendations on Physical Activity for Health and established a Guideline Development Group (GDG) comprising expert public health scientists and practitioners to inform the drafting of the 2020 Guidelines on Physical Activity and Sedentary Behavior. The overall task of the GDG was to review the scientific evidence and provide expert advice to the WHO on the amount of physical activity and sedentary behavior associated with optimal health in children and adolescents, adults, older adults (> 64 years), and also specifically in pregnant and postpartum women and people living with chronic conditions or disabilities. Methods: The GDG reviewed the available evidence specific to each sub-population using systematic protocols and in doing so, identified a number of gaps in the existing literature. These proposed research gaps were discussed and verified by expert consensus among the entire GDG. Results: Evidence gaps across population sub-groups included a lack of information on: 1) the precise shape of the dose-response curve between physical activity and/or sedentary behavior and several of the health outcomes studied; 2) the health benefits of light-intensity physical activity and of breaking up sedentary time with light-intensity activity; 3) differences in the health effects of different types and domains of physical activity (leisure-time; occupational; transportation; household; education) and of sedentary behavior (occupational; screen time; television viewing); and 4) the joint association between physical activity and sedentary time with health outcomes across the life course. In addition, we acknowledge the need to conduct more population-based studies in low- and middle-income countries and in people living with disabilities and/or chronic disease, and to identify how various sociodemographic factors (age, sex, race/ethnicity, socioeconomic status) modify the health effects of physical activity, in order to address global health disparities. Conclusions: Although the 2020 WHO Guidelines for Physical Activity and Sedentary Behavior were informed by the most up-to-date research on the health effects of physical activity and sedentary time, there is still substantial work to be done in advancing the global physical activity agenda.
AB - Background: In July, 2019, the World Health Organization (WHO) commenced work to update the 2010 Global Recommendations on Physical Activity for Health and established a Guideline Development Group (GDG) comprising expert public health scientists and practitioners to inform the drafting of the 2020 Guidelines on Physical Activity and Sedentary Behavior. The overall task of the GDG was to review the scientific evidence and provide expert advice to the WHO on the amount of physical activity and sedentary behavior associated with optimal health in children and adolescents, adults, older adults (> 64 years), and also specifically in pregnant and postpartum women and people living with chronic conditions or disabilities. Methods: The GDG reviewed the available evidence specific to each sub-population using systematic protocols and in doing so, identified a number of gaps in the existing literature. These proposed research gaps were discussed and verified by expert consensus among the entire GDG. Results: Evidence gaps across population sub-groups included a lack of information on: 1) the precise shape of the dose-response curve between physical activity and/or sedentary behavior and several of the health outcomes studied; 2) the health benefits of light-intensity physical activity and of breaking up sedentary time with light-intensity activity; 3) differences in the health effects of different types and domains of physical activity (leisure-time; occupational; transportation; household; education) and of sedentary behavior (occupational; screen time; television viewing); and 4) the joint association between physical activity and sedentary time with health outcomes across the life course. In addition, we acknowledge the need to conduct more population-based studies in low- and middle-income countries and in people living with disabilities and/or chronic disease, and to identify how various sociodemographic factors (age, sex, race/ethnicity, socioeconomic status) modify the health effects of physical activity, in order to address global health disparities. Conclusions: Although the 2020 WHO Guidelines for Physical Activity and Sedentary Behavior were informed by the most up-to-date research on the health effects of physical activity and sedentary time, there is still substantial work to be done in advancing the global physical activity agenda.
KW - Physical activity
KW - Recommendations
KW - Research
KW - Sedentary behavior
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U2 - 10.1186/s12966-020-01042-2
DO - 10.1186/s12966-020-01042-2
M3 - Article
C2 - 33239105
AN - SCOPUS:85096555117
SN - 1479-5868
VL - 17
JO - International Journal of Behavioral Nutrition and Physical Activity
JF - International Journal of Behavioral Nutrition and Physical Activity
IS - 1
M1 - 143
ER -