Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-27T16:42:01.669Z Has data issue: false hasContentIssue false
  • English
  • Français

Evidence and theory based promotion of health-enhancing physical activity

Published online by Cambridge University Press:  01 April 2001

Seppo Miilunpalo
Seppo Miilunpalo*
Affiliation:
UKK Institute for Health Promotion Research, FIN-33500 Tampere, Finland
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Physical activity appears to improve health-related quality of life by enhancing psychological well being and by improving physical functioning, particularly in persons compromised by poor health. Health enhancing physical activity (HEPA) can in addition to, and instead of, structured and planned exercise and sports comprise other forms of physical activity, such as occupational activities, lifestyle activities and recreational activities. However, wide-range and long-term population strategies are needed for the promotion of physical activity in each of the categories of HEPA. It is necessary to create realistic opportunities for different population groups and individuals. The theoretical knowledge of the determinants of the target behaviour has to be translated to a practical form. On the basis of available empirical studies, the Predisposing, Enabling and Reinforcing factors in the PRECEDE –PROCEED model for health promotion, are all relevant and important for the adoption and maintenance of physical activity. In the end, promotional activities are needed where people live and work, i.e. at local level.

Keywords

HealthHealth promotionLifestyleExerciseOccupationLeisure timePopulation
Type
Research Article
Information
Public Health Nutrition , Volume 4 , Issue 2b , April 2001 , pp. 725 - 728
Copyright
Copyright © CABI Publishing 2001

References

1Bouchard, C, Shephard, RJ, Stephens, T, eds. Physical activity, fitness, and health. International proceedings and consensus statement. Champaign, IL: Human Kinetics, 1994.Google Scholar
2U.S. Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Centerv for Chronic Disease Prevention and Health Promotion, 1996.Google Scholar
3Vuori, I. Does physical activity enhance health? Patient Educ. Couns. 1998; 33: S95–S103.Google Scholar
4Pate, RR, Pratt, M, Blair, SN, et al. 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: 402–7.Google Scholar
5NIH Consensus Development Panel on Cardiovascular Health. Physical Activity and Cardiovascular Health. JAMA 1996; 276: 241–6.CrossRefGoogle Scholar
6American College of Sports Medicine. The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratotory and Muscular Fitness, and Flexibility in Healthy Adults. Med. Sci. Sports Exerc. 1998; 39: 975–91.Google Scholar
7Bauman, A, Owen, N, Rushworth, R. Recent trends and sociodemographic determinants of exercise participation in Australia. Community Health Studies 1990; 14: 19–26.CrossRefGoogle ScholarPubMed
8Caspersen, C, Merritt, R, Stephens, R. International Physical activity Patterns: a methodological perspective. In: Dishman, RK, ed. Advances in Exercise Adherence. Champaign, IL: Human Kinetics Press, 1994: 73–110.Google Scholar
9Oja, P. Descriptive Epidemiology of Health-Related Physical Activity and Fitness. Res. Quarterly Exercise Sport 1995; 66:303–12.CrossRefGoogle ScholarPubMed
10Institute of European Food Studies. A pan-EU survey on consumer attitudes to physical activity, body-weight and health. Luxembourg: Office for Official Publications of the European Communities, 1999.Google Scholar
11Laitakari, J, Vuori, I, Oja, P. Is long-term maintenance of healthrelated physical activity possible? Health. Educ. Res. 1996; 11: 463–77.CrossRefGoogle Scholar
12Marttila, J, Laitakari, J, Nupponen, R, Miilunpalo, S, Paronen, O. The versatile nature of physical activity – on the psychological, behavioural and contextual characteristics of healthrelated physical activity. Patient Educ. Couns. 1998; 33: S29–S38.CrossRefGoogle ScholarPubMed
13Blair, S, Morrow, J (ed.) Theme Issue: Physical Activity interventions. Am. J. Prev. Med. 1998; 15: 255–440.Google Scholar
14World Health Organization. Health Promotion Evaluation: Recommendations to Policymakers. Copenhagen: WHO, 1988.Google Scholar
15Epstein, L. Integrating theoretical approaches to promote physical activity. In Blair, S, Morrow, J. (ed.) Theme Issue: Physical Activity Interventions. Am. J. Prev. Med. 1998; 15: 257–65.Google Scholar
16Godin, G, Shephard, RJ. Use of attitude-behaviour models in exercise promotion. Sports Medicine 1990; 10: 103–21.Google Scholar
17Godin, G. Social-cognitive models. In: Dishman, RK, ed. Advances in exercise adherence. Champaign, IL: Human Kinetics, 1994: 113–136.Google Scholar
18Dishman, RK, Sallis, JF. Determinants and interventions of physical activity and exercise. In: Bouchard, C, Shepard, RJ, Stephens, T, eds. Physical activity, fitness, and health International proceedings and consensus statement. Champaign, IL: Human Kinetics Publishers, 1994: 214–238.Google Scholar
19Godin, G, Kok, G. The theory of planned behavior: a review of its applications to health-related behaviors. Am. J. Health Prom. 1996; 11: 87–98.Google Scholar
20Biddle, SJH. Exercise psychology. Sport Science Review 1992; 1: 79–92.Google Scholar
21Sallis, JF, Hovell, MF. Determinants of exercise behaviour Exercise and Sport Sciences Reviews, 18. Baltimore, MD: Williams and Wilkins, 1990: 307–330.Google Scholar
22Prochaska, JO, DiClemente, CC. Stages and processes of selfchangein smoking: toward an integrative model of change. J. Consulting Clin. Psychol. 1983; 51: 390–5.Google Scholar
23Prochaska, JO, Velicer, WF, Rossi, JS. Stages of change and anddecisional balance for 12 problem behaviors. Health Psychol. 1994; 13: 39–46.Google Scholar
24Prochaska, JO, Velicer, WF. The transtheoretical model of health behavior change. Am. J. Health Prom. 1997; 12: 38–48.CrossRefGoogle ScholarPubMed
25Miilunpalo, S, Nupponen, R, Laitakari, J, Marttila, J, Paronen, O. Stages of change in two modes of health-enhancing physical activity: methodological aspects and promotional implications. Health Education Research 2000; 15: 435–48.CrossRefGoogle ScholarPubMed
26Green, LW, Kreuter, MW. Health Promotion Planning. An Educational and Environmental Approach. Mountain View, CA: Mayfield Publishing Company, 1991.Google Scholar
27Laitakari, J, Miilunpalo, S. How can physical activity be changed – Basic concepts and general principles in the promotion of health-related physical activity. Patient Educ. Couns. 1998; 33: S47–S59.Google Scholar
28Oja, P, Vuori, I, Paronen, O. Daily walking and cycling to work:their utility as health-enhancing physical activity. Patient Educ. Couns. 1998; 33: S87–S94.CrossRefGoogle Scholar
29Blamey, A, Mutrie, N, Aitchison, T. Health promotion by encouraged use of stairs. BMJ 1995; 311: 289–90.CrossRefGoogle ScholarPubMed
30U.S. Department of Health and Human Services. Promoting Physical Activity. A Guide for Community Action. Champaign, IL: Human Kinetics, 1999.Google Scholar
31Vuori, I, Paronen, O, Oja, P. How to develop local physicalactivity program with national support: the Finnish experience. Patient Educ. Couns. 1998; 33: S111–20.Google Scholar
32Foster, C. Guidelines for health-enhancing physical activity promotion programmes. The European Network for the Promotion of Health-Enhancing Physical Activity. UKK Institute for Health Promotion Research, Tampere, Finland 2000.Google Scholar