Journal List > J Korean Med Assoc > v.53(12) > 1042236

Koh: Physical activity recommendations and guidelines based on a new paradigm

Abstract

As new physical activity recommendations and guidelines have spread globally since 1996, scrutiny of the evolution of national physical activity recommendations and guidelines for application to the Korean medical field iare needed. Retrieving literatures and electric database confined to aerobic activity of adult. Most findings were based on the results of epidemiological and behavioral studies of physical activity and health. Most national physical activity recommendations and guidelines have a 'physical activity for health' paradigm instead of an 'exercise for fitness' paradigm. Most stressed the health benefits of accumulation of moderate intensity of a wide variety of physical activity and the importance of the total amount rather than the specific frequency, intensity, time, or type of physical activity. Some used scientific health behavior theories. Research-based applications of evidence based physical activity policy to Korean medical practice are suggested. Korean medical field could have initiatives in comprehensive physical activity policy in Korean health promotion if actively adopting the new physical activity for health paradigm.

Figures and Tables

Figure 1
Dose-response concept between physical activity time needed and effort (From Public Health Agency of Canada. Canadian physical activity guide to health active living [Internet]. Ottawa: Public Health Agency of Canada; [cited 2010 Jan 2]. Available from: http://www.phac-aspc.gc.ca/pau-uap/paguide/back1e.html [23]).
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Figure 2
Classification of exercise and physical activity, and their intensity from recommended physical activity and exercise of Japan (From National Institute of Health and Nutrition. Exercise and Physical Activity Reference for Health Promotion 2006 (EPAR 2006): physical activity, exercise, and physical fitness. Tokyo: Ministry of Health, Labour and Welfare of Japan; 2006 [19]).
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Table 1
Representative physical activity recommendation or guide for public health
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Table 2
Examples of moderate amount of physical activity
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From U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, President's Council on Physical Fitness. Physical activity and health: a report of the surgeon general. Sudbury, MA: Jones and Bartlett Publishers; 1996 [6].

Table 3
National physical activity guidelines for Australian adults
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From Department of Health and Ageing of Australian Government. National physical activity guidelines for Australians. Canberra: Department of Health and Ageing of Australian Government; 1999 [8].

Table 4
Classification of total weekly amounts of aerobic physical activity into four categories
jkma-53-1139-i004

From U.S. Department of Health and Hu-man Services. Physical Activity Guidelines Advisory Committee report. Washington, DC: US Department of Health and Human Services; 2008 [16].

References

1. Fletcher GF, Blair SN, Blumenthal J, Caspersen C, Chaitman B, Epstein S, Falls H, Froelicher ES, Froelicher VF, Pina IL. Statement on exercise: benefits and recommendations for physical activity programs for all Americans: a statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart association. Circulation. 1992. 86:340–344.
crossref
2. Jeong YH, Seo MK, Lee JT, Jeong HS, Koh SJ, Chae SM, Kim MH. Analysis of health determinants of Korean. 2006. Seoul: Korea Institute for Health and Social Affairs, Management Center for Health Promotion.
3. Korea Centers for Disease Control and Prevention. In-depth analyses of the Third National Health and Nutrition Examination Survey: the health interview and health behavior survey part. 2007. Seoul: Korea Centers for Disease Control and Prevention.
4. Medical Law of Republic of Korea. No. 9386. Article 2. [modified 2009 Jan 30].
5. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 2010. 8th ed. Philadelphia: Lippincott Williams&Wilkins/Woltes Kluwer Health Inc..
6. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion. President's Council on Physical Fitness. Physical activity and health: a report of the surgeon general. 1996. Sudbury, MA: Jones and Bartlett Publishers.
7. Public Health Agency of Canada. Canada's physical activity guide to healthy active living. 1998. Ottawa: Public Health Agency of Canada.
8. Department of Health and Ageing of Australian Government. National physical activity guidelines for Australians. 1999. Canberra: Department of Health and Ageing of Australian Government.
9. Western Pacific Regional Office of World Health Organization. Pacific physical activity guidelines for adults. 2008. Manila: Western Pacific Regional Office of World Health Organization.
10. Ministry of Health of New Zealand. DHB toolkit: physical activity. 2003. Wellington: Ministry of Health of New Zealand.
11. Koh KW, Lee MS, Kim DK, Park EJ, Jo EJ, Kim HS, Song SE, Kim YJ, Kim JM. Korean strategies for promotion of health enhancing physical activity. 2007. Busan: Kosin University, Management Center for Health Promotion.
12. Koh KW, Park JB, Kim Y, Bae SK, Yee YH, Yoo BC, Jeon MJ, Jo EJ, Song SE, Kim YJ, Kim JM. Developement of active living strategy through lifestyle approach. 2006. Busan: Kosin University, Management Center for Health Promotion.
13. Koh KW, Yee MW, Kim YJ, Park JS, Song SE. Construction of physical activity information system for community health initiatives. 2003. Busan: Kosin University, Management Center for Health Promotion.
14. Koh KW, Park JS, Kim MA, Kim JH, Jo EJ, Song SE. Developement of physical activity promotion program through capacity building by leadership and participation. 2005. Busan: Kosin University, Management Center for Health Promotion.
15. American College of Sports Medicine. The recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults. Med Sci Sports Exerc. 1978. 10:7–10.
16. U.S. Department of Health and Human Services. Physical Activity Guidelines Advisory Committee report. 2008. Washington, DC: US Department of Health and Human Services.
17. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC, Kriska A, Leon AS, Marcus BH, Morris J, Paffenbarger RS Jr, Patrick K, Pollock ML, Rippe JM, Sallis J, Wilmore JH. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995. 273:402–407.
crossref
18. Department of Health. At least five a week: evidence on the impact of physical activity and its relationship to health. 2004. London: Department of Health, Physical Activity.
19. National Institute of Health and Nutrition. Exercise and Physical Activity Reference for Health Promotion 2006 (EPAR 2006): physical activity, exercise, and physical fitness. 2006. Tokyo: Ministry of Health, Labour and Welfare of Japan.
20. World Health Organization Western Pacific region. Pacific physical Activity Guidelines for adults. 2008. Manila:
21. U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. 2008. Washington, DC: U.S. Department of Health and Human Services.
22. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition and Physical Activity. Promoting physical activity: a guide for community action. 1999. Champaign: Human Kinetics.
23. Canadian physical activity guide to health active living [Internet]. Public Health Agency of Canada. cited 2010 Jan 2. Ottawa: Public Health Agency of Canada;Available from: http://www.phac-aspc.gc.ca/pau-uap/paguide/back1e.html.
24. Yang YJ, Jin YS, Cho SI, Kim YS, Park RH. Development of physical activity questionnaire and guideline for Korean adults. 2007. Management Center for Health Promotion.
25. Paffenbarger RS Jr, Hyde RT, Wing AL, Hsieh CC. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986. 314:605–613.
crossref
26. Blair SN, Kohl HW 3rd, Paffenbarger RS Jr, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality: a prospective study of healthy men and women. JAMA. 1989. 262:2395–2401.
crossref
27. DeBusk RF, Stenestrand U, Sheehan M, Haskell WL. Training effects of long versus short bouts of exercise in healthy subjects. Am J Cardiol. 1990. 65:1010–1013.
crossref
28. Ebisu T. Splitting the distance of endurance running: on cardiovascular endurance and blood lipids. Jpn J Phys Educ. 1985. 30:37–43.
crossref
29. Physical activity and fitness. U.S. Department of Health and Human Services. 2009. cited 2010 Jan 6. Washington, DC: U.S. Department of Health and Human Services;Available from: http://www.healthypeople.gov/hp2020/Objectives/TopicArea.aspx?id=39&TopicArea=Physical+Activity+and+Fitness.
30. U.S. Department of Health and Human Services. Be active your way: a guide for adults based on the 2008 physical activity guidelines for Americans 2008. 2008. Washington, DC: U.S. Department of Health and Human Services.
31. Ministry of Health, Labour and Welfare of Japan. Exercise and physical activity guide for health promotion 2006. 2006. Tokyo: Ministry of Health, Labour and Welfare of Japan.
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