Physical activity recommendations and guidelines based on a new paradigm

Kwang Wook Koh

doi:10.5124/jkma.2010.53.12.1139

J Korean Med Assoc > Volume 53(12); 2010 > Article

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

Original Article

Journal of the Korean Medical Association

Journal of the Korean Medical Association 2010; 53(12): 1139-1146.

Published online: December 07, 2010

DOI: http://dx.doi.org/10.5124/jkma.2010.53.12.1139

Physical activity recommendations and guidelines based on a new paradigm

Kwang Wook Koh, MD^1,²

¹Department of Preventive Medicine, Kosin University College of Medicine, Busan, Korea.

²Korean Exercise Instruction Association, Seoul, Korea.

Corresponding author: Kwang Wook Koh, kwkoh@kosin.ac.kr

Received July 23, 2010 Accepted October 01, 2010

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Physical activity; Public policy; Moderate intensity

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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]).

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]).

Table 1

Representative physical activity recommendation or guide for public health

Table 2

Examples of moderate amount of physical activity

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

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

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].