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Addressing the nonexercise part of the activity continuum : a more realistic and achievable approach to activity programming for adults with mobility disability ?

MANNS PJ; DUNSTAN DW; OWEN N; HEALY GN
PHYS THER , 2012, vol. 92, n° 4, p. 614-625
Doc n°: 157549
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2522/ptj.20110284
Descripteurs : KA - KINESITHERAPIE, J - HANDICAP

Participation in physical activity is fundamental for the maintenance of
metabolic health and the prevention of major chronic diseases, particularly type
2 diabetes and cardiovascular disease. A whole-of-day approach to physical
activity promotion is increasingly advocated and includes not only increasing
moderate-intensity physical activity but also reducing sedentary time and
increasing light-intensity activity (the "nonexercise" part of the activity
continuum). This whole-of-day approach to tackling the challenge of inactivity
may be particularly relevant for adults with mobility disabilities, who are among
the most inactive segment of the population. Focusing on nonexercise activity by
striving to reduce sedentary time and increase light-intensity activity may be a
more successful place to begin to change behavior in someone with mobility
disability. This article discusses what is known about the metabolic health
consequences of sedentary behavior and light-intensity activity in adults with
and without mobility disability. The concept of inactivity physiology is
presented, along with possible applications or evidence from studies with adults
with mobility disability. Mobility disability discussions and examples focus on
stroke and spinal cord injury. Finally, clinical implications and future research
directions related to sedentary behavior in adults with mobility disability are
discussed.

Langue : ANGLAIS

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