CJRTP

《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (12): 1402-1411.doi: 10.3969/j.issn.1006-9771.2021.12.005

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Framework and Core Content of World Health Organization Policy and Guidelines of Physical Activity

LIU Jing1,2,3,4,QIU Fen1,2,3(),QIU Zhuo-ying2,3,5,6(),QIU Fu-bing2,3,4,WANG Guo-xiang2,3,7,CAI Geng2,3,7,YANG Jian2,3,8,HAO Chuan-ping9,LI An-qiao2,3,ZHU Ting3,10,WANG Shao-pu3,11,TANG Xiu-qi1,2,3,4,ZHOU Sheng2,3,7,ZHANG Meng2,3,7,YANG Bao-yi2,3,7,HAN Xiao12   

  1. 1. Institute for Sport Science, Department of Physical Education of Wuhan University of Technology, Wuhan, Hubei 430070, China
    2. WHO-FIC Collaborating Center in China, Beijing 100068, China
    3. China Academy of ICF, Weifang, Shandong 261000, China
    4. Center of Physical Education, Sport and Health Sciences, Department of Physical Education, Shenzhen University, Shenzhen, Guangdong 518060, China
    5. China Rehabilitation Research Centre/China Rehabilitation Science Institute, Beijing 100068, China
    6. University of Health and Rehabilitation Sciences, Qingdao, Shandong 266071, China
    7 School of Physical Education and Sport Sciences/Exercise Rehabilitation Research Center, Soochow University, Suzhou, Jiangsu 215021, China
    8. College of Physical Education and Health, East China Normal University, Shanghai 200241, China
    9. College of Special Education, Beijing Union University, Beijing 100075, China
    10. Longgang Special Education School, Shenzhen, Guangdong 518000 China
    11. Guangdong Vocational Institute of Sports, Guangzhou, Guangdong 510000, China
    12. Beijing Haidian District Angchen Adaptive Sports Training Center, Beijing 100084, China
  • Received:2021-11-05 Revised:2021-11-23 Published:2021-12-25 Online:2021-12-29
  • Contact: QIU Fen,QIU Zhuo-ying E-mail:qfen0813@126.com;qiutiger@hotmail.com
  • Supported by:
    Ministry of Education Humanities and Social Science Project(19YJC890033)

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Abstract:

Objective To study and analyze the theory, policy framework, and core content of physical activity policies and physical activity guidelines.Methods Using a policy research and content analysis approach and the theory of the six components of World Health Organization (WHO) health service system, we specifically analyze the theory, framework, and core content of WHO Global Action Plan on Physical Activity and WHO Physical Activity Guidelines.Results The Global Plan of Action for Physical Activity 2018-2030 (Action Plan) is an international policy document on physical activity issued by WHO that incorporates physical activity within the context of the seven principles of human rights, the life span, evidence-based practice, proportional universality, policy coherence and integration of health into all policies, participation and empowerment, and multisectoral partnerships into health services and social development. The Action Plan consists of four strategic objectives and 20 policy actions, covering six areas of WHO health service system, and the integration of physical activity policies into health services is of great importance in promoting the achievement of the United Nations Sustainable Development Goal 3 of universal health coverage. As a technical document for the implementation of the Action Plan, 2020 WHO Guidelines on Physical Activity and Sedentary Behavior (Guidelines) adopted the PI/ECO approach to analyze the physical activity needs of various groups of people, and provide guidelines to increase physical activity and reduce sedentary behavior for children and adolescents, adults, older adults, pregnant and postpartum women, people with chronic diseases and people with disabilities. The guidelines cover duration, frequency, and intensity of physical activity, types of physical activity, critical and important health outcomes of physical activity, and health risk prevention and related considerations. The Guidelines implement the relevant guiding principles of the Action Plan and aim to improve overall population participation in physical activity at the micro level and improve critical and important health outcomes for the overall population.Conclusion As a health and development strategy, the Action Plan promotes the integration of physical activity into the health delivery system to facilitate the achievement of the United Nations 2030 Sustainable Development Goal 3 of universal health coverage.The four strategic objectives and 20 policy actions of the Action Plan can be integrated into these six areas based on the six components of WHO Health Service Delivery System: leadership and governance, financing, human resources, service delivery, medical technology, and health information. As a technical document to implement the Action Plan, the Guidelines are based on the PI/ECO approach framework and provide guidance on increasing physical activity and reducing sedentary behavior for children and adolescents, adults, older adults, pregnant and postpartum women, chronic patients, and persons with disabilities. The core content addresses the target populations, duration, frequency, and intensity of physical activity, types of physical activity, critical and important health outcomes of physical activity, and health risk prevention and related considerations.

Key words: health service system, physical activity, policy of physical activity, physical activity guidelines

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