새 신체활동기준의 동향과 함의

다국어 초록 (Multilingual Abstract)

Objectives: After many national physical activity guidelines have established, recent changes are deep and rapid. So the major features and implication to reverse worsening Korean physical activity indicator is desprate but related knowledge and informations are few. So review of recent features and implications of new physical activity guidelines have made. Methods: National physical activity guidelines of advanced countries were searched through snowballing methods. Major features were described according to the nation. Implication were drew through discussion for Korean realitiy. Results: New Australian physical activity and sedentary behaviour guideline explicitly included sedentary behaviour. The age in the guideline expanded to early years. Canada also presented 24-hour movement guidelines to early years. The second generation of the physical activity guidelines reflects the extensive amount of new knowledge. New aspects include discussions of additional health benefits related to brain health, additional cancer sites, and fall-related injuries; immediate and longer term benefits for how people feel, function, and sleep; further benefits among older adults and people with additional chronic conditions; risks of sedentary behavior and their relationship with physical activity; elimination of the requirement for physical activity benefits to occur in bouts of at least 10 minutes; and tested strategies that can be used to get the population more active. Conclusions: The most important message from the new guidelines is that the greatest health benefits accrue by moving from no, to even small amounts of, physical activity. Multiple studies demonstrate that the steepest reduction in disease risk occurs at the lowest levels of physical activity. People need to understand that even small amounts of physical activity are beneficial and that reductions in the risk of disease and disability occur by simply getting moving. So various evidence based proven strstegies are needed in Korea including workforce training.

참고문헌 (Reference)

1 김정민, "한국형 건강증진 신체활동 정책방향 제언" 대한의사협회 55 (55): 685-691, 2012

2 김영복, "신체활동사업에서의 보건교육사의 역할과 능력 개발" 한국보건교육건강증진학회 29 (29): 49-59, 2012

3 Hayward, K., "The tides of change addressing inequity and chronic disease in atlantic Canada a discussion paper" Population and Public Health Branch Atlantic Regional Office Health Canada 2003

4 Piercy, K. L., "The physical activity guidelines for Americans" 320 (320): 2020-2028, 2018

5 Korean Ministry of Health and Welfare, "The physical activity guide for Koreans" Korean Ministry of Health and Welfare 2013

6 USA Government, "The community guide"

7 Sundin, J., "Social change and health in Sweden 250 years of politics and practice" Swedish National Institute of Public Health 2007

8 McKeown, T., "Role of medicine: Dream, mirage, or nemesis?" Princeton Univ Press 2016

9 João, B., "Promoting health-enhancing physical activity in Europe: Current state of surveillance, policy development and implementation" 122 (122): 519-527, 2018

10 Koh, K. W., "Physical activity status and task" 198 : 38-47, 2013

11 U.S. Department of Health & Human Services, "Physial activity guidelines"

12 World Health Organization, "Global health risks: mortality and burden of disease attributable to selected major risks" WHO Press 2009

13 Kohl, H. W., "Foundations of physical activity and public health" Human Kinetics 2018

14 Brown, W. J., "Development of evidence-based physical activity recommendations for adults (18-64 years)" Australian Government Department of Health 2012

15 Jeong, Y. H., "Determinants of Health in Korea" Korean Institute of Health and Social Affairs 2006

16 Canadian Society of Exercise Physiology, "Canadian 24-hour movement guidelines"

17 National Heart Foundation of Australia, "Blueprint for an active Australia" National Heart Foundation of Australia 2009

18 Australian Government Department of Health, "Australia's physical activity and sedentary behaviour guidelines"

19 American College of Sprots Medicine, "ACSM/NPAS physical activity in public health specialist"

20 Okely, A. D., "A systematic review to update the Australian physical activity guidelines for children and young people" Australian Government Department of Health 2012

21 Okely, A. D., "A systematic review to inform the Australian sedentary behaviour guidelines for children and young people" Australian Government Department of Health 2012

22 Physical Activity Guidelines Advisory Committee, "2018physical activity guidelines advisory committee scientific report" U.S. Department of Health and Human Services 2018