The National Recommendations for Physical Activity and Physical Activity n Alfred Rütten & Klaus Pfeifer (Eds.) o Promotion target experts and stakeholders. The recommendations have been oti m developed for Germany, but may also apply to other countries. They were o r P created by a group of scientists and aim to offer a scientific orientation in the y t field of physical activity promotion. vi ti c A National Recommendations al Two characteristics of these recommendations are distinguishing: At national c si level, they provide the first scientifically proven and developed recommenda- y h P for Physical Activity and tions for the Federal Republic of Germany, and at an international level, they d n systematically link recommendations for physical activity and physical activity a y promotion for the first time. vit Physical Activity Promotion ti c A The book is structured on three levels: Firstly split up into recommendations al c for physical activity and then recommendations for physical activity promoti- ysi h on. Within these two sections are chapters for the target groups children and P r o adolescents, adults, older adults, adults with a chronic disease and – in the f s recommendations for physical activity promotion – the general population. on ti Furthermore, the recommendations for physical activity promotion differen- a d n tiate between settings, e.g. kindergarten, school, workplace or the home, to e m support the following process of dissemination. m o c e R al n o ti a N UNIVERSITY P R E S S s.) d E er ( eif Pf s u a Kl & n e ütt R d e Alfr UNIVERSITY P R E S S National Recommendations for Physical Activity and Physical Activity Promotion National Recommendations for Physical Activity and Physical Activity Promotion Editors Alfred Rütten & Klaus Pfeifer Authors Recommendations for physical activity Klaus Pfeifer, Winfried Banzer, Nina Ferrari, Eszter Füzéki, Wolfgang Geidl, Christine Graf, Verena Hartung, Sarah Klamroth, Klaus Völker, Lutz Vogt Recommendations for physical activity promotion Alfred Rütten, Karim Abu-Omar, Ionut Burlacu, Günther Gediga, Sven Messing, Klaus Pfeifer, Ulrike Ungerer-Röhrich This book, including each of its sections, is protected by copyright. The respective authors hold the rights to the full content of this work. The complete version of this book can be retrieved in PDF format from the Friedrich-Alexander University Erlangen-Nuremberg OPUS Server: https://opus4.kobv.de/opus4-fau/home. It may be used under the Creative Commons licence BY-NC-ND. Erlangen FAU University Press 2016 ISBN: 978-3-944057-96-5 eISBN: 978-3-944057-97-2 Supported by the Federal Ministry of Health on the basis of a decision by the German Bundestag The present scientifically based recommendations will give orientation for measures of physical activity promotion and their future implementation. The working group “Bewegungsförderung im Alltag” (physical activity promotion in daily living) appointed by the Federal Ministry of Health will support their dissemination. Members of the working group “Bewegungsförderung im Alltag” (physical activity promotion in daily living): German University Sports Federation BAG Umbrella Organization of Patient Organizations Association of the German Sporting Goods Industry Federal Association for Prevention and Health Promotion Federal Centre for Health Education German Federation of Sportsmedicine and Prevention German Society of Sport Science National Paralympic Committee Germany German Olympic Sports Confederation German Association for Health Related Fitness and Sport Therapy Hessian Ministry of the Interior and Sports University Sports Centre at Aachen University IN FORM office Platform Nutrition and Physical Activity Robert Koch Institute Senate Department for the Interior and Sports, Berlin Scientists of the following institutions: Friedrich-Alexander University Erlangen-Nürnberg German Sport University Cologne Goethe University Frankfurt am Main Karlsruhe Institute of Technology Martin Luther University Halle-Wittenberg SRH Fachhochschule für Gesundheit Gera University of Bayreuth University of Münster Table of contents Table of contents Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Recommendations for Physical Activity 19 Objectives of the recommendations . . . . . . . . . . . . . . . . . . . 21 Methodology used in developing the physical activity recommendations . . . . . . . . . . . . . . . . . . . . 25 Physical activity recommendations for children and adolescents. . . . 27 Physical activity recommendations for adults . . . . . . . . . . . . . . 34 Physical activity recommendations for older adults . . . . . . . . . . . 43 Physical activity recommendations for adults with a chronic disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Recommendations for Physical Activity Promotion 67 Concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Recommendations for children and adolescents. . . . . . . . . . . . . 74 Recommendations for adults . . . . . . . . . . . . . . . . . . . . . . . 87 Recommendations for older adults . . . . . . . . . . . . . . . . . . . . 94 Recommendations for adults with pre-existing diseases . . . . . . . . 101 Recommendations for the general population . . . . . . . . . . . . . . 108 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 6 Foreword Foreword Always and at any age, regular physical activity can act as a powerful elixir with a beneficial effect on health and well-being. The wide variety of health effects that physi- cal activity can have, for example on our cardiovascular system, back and joints, is scientifically well proven. At the same time, we spend most of our time sitting – at G/Jochen Zick swcahnoto tl,o a bt eth eo no ftfihcee moro ivne t!h Teh cisa r.f uOnudra mboedniteasl , ihnostwinecvt eirs, BM deeply rooted in human nature and this basic urge to mage source: mThoavte is d wohesy nito ist rimeaplloyr staunitt otou rk mnoowde wrnh aste kdienndt aorfy, alinfeds htyolew. I much, physical activity is most effective in improving the health of which sectors of the population. However, we also need to know the specific ways in which we can most effectively motivate people to become physically active. For the very first time, this publication sets out National Recommendations for Physical Activity and Physical Activity Promotion for the Federal Republic of Germany. The recommendations apply to children and adolescents, adults and older persons as well as to adults with chronic diseases. In their present form, they are geared particularly to experts in different areas and institutions. The recommendations are characterized by their solid scientific grounding. Highly res- pected scientists from the fields of sports science, sports medicine and public health were involved in drawing them up. As with their creation, the recommendations’ further development and implementation will be accompanied closely by the working group on physical activity promotion in everyday life (“Bewegungsförderung im All- tag”) at the Federal Ministry of Health. This platform provides a forum for numerous organizations involved in health promotion, physical activity and sport in Germany and is part of the National Action Plan “IN FORM – German national initiative to promote healthy diets and physical activity”. Foreword 7 These recommendations are also in line with current international projects by the Euro- pean Union and the World Health Organization, where they can likewise provide impe- tus for new ideas. What is important, however, is that the recommendations are not just discussed by groups of experts. Instead, the general public needs to be made aware of them. Conse- quently, the next step will be a project funded by the Federal Ministry of Health in which scientists will work together with representatives from different settings and ins- titutions to develop materials that are easily understood, are target group oriented and can serve to disseminate the recommendations more widely among the general public. I would like to thank all of those who contributed to this publication. I hope that it allows us to get moving on physical activity and enables us to anchor the latter as a cross-sec- tional topic in various different settings. This is one of the important aims also pursued by the German Act to Strengthen Health Promotion and Disease Prevention (“Präventi- onsgesetz”). Hermann Gröhe Federal Minister Member of the German Bundestag
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