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DOI: 10.1055/a-2152-4192
Der Einsatz von Short Bouts als Paradigmenwechsel bei der Ausgestaltung von Bewegungsinterventionen
The Use of Short Bouts as a Paradigm Shift in The Design of Physical Activity Interventions
Zusammenfassung
Die positiven Gesundheitswirkungen von körperlicher Aktivität sind weitreichend belegt. Gängige Bewegungsempfehlungen legen den Menschen 150 Minuten moderate bzw. 75 Minuten intensive körperliche Aktivität pro Woche zuzüglich zweimaligem Krafttraining nahe. Die Forschung der jüngeren Vergangenheit und Gegenwart beschäftigt sich intensiv damit, welche Rolle die Dauer der einzelnen Abschnitte (Bouts) für die Gesundheit hat. Die vorliegende Arbeit liefert einen Überblick über den aktuellen Stand der wissenschaftlichen Arbeiten zu sogenannten Short Bouts (Abb. 1) in der Bewegungsförderung und verwandten Konzepten.
Es werden Befunde bei präklinischen und klinischen Populationen, bei Gesunden bzw. speziell bei Älteren dargelegt. Dabei werden einzelne Schwerpunkte gelegt, die wissenschaftlich jüngst häufiger bearbeitet wurden (z. B. Endpunkte des Glukosestoffwechsels).
Abstract
The positive health effects of physical activity have been widely demonstrated. Common exercise recommendations suggest that people should do 150 minutes of moderate or 75 minutes of vigorous physical activity per week, plus strength training twice weekly. Most recent and present research has focused on the role of the duration of the individual physical activities (bouts) in health. This article provides an overview of the current state of scientific work on so-called short bouts in the promotion of physical activity and related concepts. The article presents the findings from preclinical and clinical populations in healthy individuals and specifically the elderly. Individual focal points are given that have recently been more frequently addressed scientifically (e. g., endpoints of glucose metabolism).
Publikationsverlauf
Artikel online veröffentlicht:
12. Oktober 2023
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Literatur
- 1 Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Comprehensive physiology 2012; 2: 1143
- 2 Pedersen BK, Saltin B. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian journal of medicine & science in sports 2015; 25: 1-72
- 3 WHO. Global recommendations on physical activity for health. World Health Organization; 2010
- 4 Bull FC, Al-Ansari SS, Biddle S. et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine 2020; 54: 1451-1462
- 5 Murphy MH, Lahart I, Carlin A, Murtagh E. The effects of continuous compared to accumulated exercise on health: a meta-analytic review. Sports Medicine 2019; 49: 1585-1607
- 6 Stamatakis E, Huang B-H, Maher C. et al. Untapping the health enhancing potential of vigorous intermittent lifestyle physical activity (VILPA): rationale, scoping review, and a 4-pillar research framework. Sports Medicine 2021; 51: 1-10
- 7 Islam H, Gibala MJ, Little JP. Exercise snacks: A novel strategy to improve cardiometabolic health. Exercise and sport sciences reviews 2022; 50: 31-37
- 8 Welch N, McNaughton SA, Hunter W, Hume C, Crawford D. Is the perception of time pressure a barrier to healthy eating and physical activity among women?. Public health nutrition 2009; 12: 888-895
- 9 Ekkekakis P, Vallance J, Wilson PM, Garber CE. Extraordinary claims in the literature on high-intensity interval training (HIIT): III. Critical analysis of four foundational arguments from an interdisciplinary lens. Psychology of Sport and Exercise 2023; 102399
- 10 Schachter CL, Busch AJ, Peloso PM, Sheppard MS. Effects of short versus long bouts of aerobic exercise in sedentary women with fibromyalgia: a randomized controlled trial. Physical therapy 2003; 83: 340-358
- 11 Allison MK, Baglole JH, Martin BJ. et al. Brief intense stair climbing improves cardiorespiratory fitness. Medicine and science in sports and exercise 2017; 49: 298-307
- 12 Jenkins EM, Nairn LN, Skelly LE, Little JP, Gibala MJ. Do stair climbing exercise “snacks” improve cardiorespiratory fitness?. Applied Physiology, Nutrition, and Metabolism 2019; 44: 681-684
- 13 Jansons P, Dalla Via J, Daly R. et al. Delivery of home-based exercise interventions in older adults facilitated by Amazon Alexa: a 12-week feasibility trial. The journal of nutrition, health & aging 2022; 1-7
- 14 Perkin OJ, McGuigan PM, Stokes KA. Exercise snacking to improve muscle function in healthy older adults: a pilot study. Journal of aging research 2019; 2019
- 15 Greeley B, Chau B, Jones CB. et al. Multiple bouts of high-intensity interval exercise reverse age-related functional connectivity disruptions without affecting motor learning in older adults. Scientific Reports 2021; 11: 17108
- 16 Kim H, Reece J, Kang M. Effects of accumulated short bouts of exercise on weight and obesity indices in adults: a meta-analysis. American Journal of Health Promotion 2020; 34: 96-104
- 17 Francois ME, Baldi JC, Manning PJ. et al. ‘Exercise snacks’ before meals: a novel strategy to improve glycaemic control in individuals with insulin resistance. Diabetologia 2014; 57: 1437-1445
- 18 Rafiei H, Omidian K, Myette-Cote E, Little JP. Metabolic effect of breaking up prolonged sitting with stair climbing exercise snacks. Medicine & Science in Sports & Exercise 2021; 53: 150-158
- 19 Holmstrup M, Fairchild T, Keslacy S, Weinstock R, Kanaley J. Multiple short bouts of exercise over 12-h period reduce glucose excursions more than an energy-matched single bout of exercise. Metabolism 2014; 63: 510-519
- 20 Zhang X, Zheng C, Ho RS, Miyashita M, Wong SHS. The effects of accumulated versus continuous exercise on postprandial glycemia, insulin, and triglycerides in adults with or without diabetes: A systematic review and meta-analysis. Sports Medicine-Open 2022; 8: 14
- 21 Elley R, Bagrie E, Arroll B. Do snacks of exercise lower blood pressure? A randomised crossover trial. Special Series. 2006
- 22 Magutah K, Thairu K, Patel N. Effect of short moderate intensity exercise bouts on cardiovascular function and maximal oxygen consumption in sedentary older adults. BMJ Open Sport & Exercise Medicine 2020; 6: e000672
- 23 Kunkel D, Fitton C, Burnett M, Ashburn A. Physical inactivity post-stroke: a 3-year longitudinal study. Disability and rehabilitation 2015; 37: 304-310
- 24 English C, Janssen H, Crowfoot G. et al. Frequent, short bouts of light-intensity exercises while standing decreases systolic blood pressure: Breaking Up Sitting Time after Stroke (BUST-Stroke) trial. International journal of stroke 2018; 13: 932-940
- 25 English C, Janssen H, Crowfoot G. et al. Breaking up sitting time after stroke (BUST-stroke). International journal of stroke 2018; 13: 921-931
- 26 Andersen LL, Skovlund SV, Vinstrup J. et al. Potential of micro-exercise to prevent long-term sickness absence in the general working population: prospective cohort study with register follow-up. Scientific Reports 2022; 12: 2280
- 27 Barr-Anderson DJ, AuYoung M, Whitt-Glover MC, Glenn BA, Yancey AK. Integration of short bouts of physical activity into organizational routine: A systematic review of the literature. American journal of preventive medicine 2011; 40: 76-93
- 28 Saint-Maurice PF, Graubard BI, Troiano RP. et al. Estimated number of deaths prevented through increased physical activity among US adults. JAMA Internal Medicine 2022; 182: 349-352
- 29 Loprinzi PD. Accumulated short bouts of physical activity are associated with reduced premature all-cause mortality: implications for physician promotion of physical activity and revision of current US government physical activity guidelines. In, Mayo Clinic Proceedings. Elsevier; 2015: 1168-1169
- 30 Fan JX, Brown BB, Hanson H. et al. Moderate to vigorous physical activity and weight outcomes: does every minute count?. American Journal of Health Promotion 2013; 28: 41-49
- 31 Stamatakis E, Ahmadi MN, Gill JM. et al. Association of wearable device-measured vigorous intermittent lifestyle physical activity with mortality. Nature Medicine 2022; 1-9