How many steps/day are enough? For older adults and special populations

Older adults and special populations (living with disability and/or chronic illness that may limit mobility and/or physical endurance) can benefit from practicing a more physically active lifestyle, typically by increasing ambulatory activity. Step counting device (accelerometers and pedometers) offer an opportunity to monitor daily ambulatory activity; however, an appropriate translation of public health guidelines in terms of steps/day is unknown. Therefore this review was conducted to translate public health recommendations in terms of steps/day.

How Many Steps/day are Enough? For Adults

Physical activity guidelines from around the world are typically expressed in terms of frequency, duration, and intensity parameters. Objective monitoring using pedometers and accelerometers offers a new opportunity to measure and communicate physical activity in terms of steps/day. Various step-based versions or translations of physical activity guidelines are emerging, reflecting public interest in such guidance. However, there appears to be a wide discrepancy in the exact values that are being communicated. It makes sense that step-based recommendations should be harmonious with existing evidence-based public health guidelines that recognize that “some physical activity is better than none” while maintaining a focus on time spent in moderate-to-vigorous physical activity (MVPA). Thus, the purpose of this review was to update our existing knowledge of “How many steps/day are enough?”, and to inform step-based recommendations consistent with current physical activity guidelines.

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Physical Activity Interventions in Latin America

Recommendations for physical activity in the Guide to Community Preventive Services (the Community Guide) have not been systematically examined or applied in developing countries such as those in Latin America. The aim of this systematic review was to assess the current evidence base concerning interventions to increase physical activity in Latin America using a modified Community Guide process and to develop evidence-based recommendations for physical activity interventions.

Intervenções em Atividades Físicas na América Latina

As recomendações referentes à atividade física existentes no Guide to Community Preventive Services (Guia para Serviços Preventivos em Comunidades), também designado Community Guide (Guia da Comunidade) não foram examinadas ou aplicadas sistematicamente em países em desenvolvimento, como os da América Latina. O objetivo desta revisão sistemática foi avaliar as bases das evidências atuais concernentes às intervenções para aumentar a atividade física na América Latina usando um processo modificado do Community Guide e desenvolver recomendações baseadas em evidências para as intervenções em atividade física.

Intervenciones en Actividad Física en América Latina

En los países en vía de desarrollo, como los de América Latina, no se han examinado o aplicado sistemáticamente las recomendaciones en materia de Actividad Física de la Guía de Servicios Preventivos para la Comunidad, en ingles Guide to Community Preventive Services (en adelante Community Guide). El objetivo de la presente revisión sistemática era evaluar la actual base de datos basada en la evidencia con respecto a las intervenciones para aumentar la actividad física en América Latina usando un proceso modificado de la Community Guide y formular recomendaciones basadas en la evidencia para las intervenciones en actividad física.

Evaluation of a physical activity promotion program: The example of Agita São Paulo

Considering all the scientific evidence available over the last few decades, the positive relationship between physical activity (PA) and health has been clearly established. Epidemiological data show that PA is related to the prevention, control, treatment and rehabilitation of the main non-communicable chronic diseases (NCCD).



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