基于2010—2022年成年人24 h活动行为指南的范围综述

Scoping review of guidelines on 24-hour activity and behavior for adults from 2010 to 2022

目的对国内外针对成年人中高强度身体活动、低强度身体活动、久坐行为和睡眠的相关指南进行范围综述,以了解促进成年人健康发展的最佳24 h活动行为的时间组合,为该领域的研究提供指导。方法以澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)范围综述指南为方法学框架,检索PubMed、Embase、Ovid、CINAHL、ClinicalKey、中国知网、万方、医脉通临床指南网、UpToDate、BMJ Best Practice、国际指南协作网、美国国立指南库、英国国家临床优化研究所和苏格兰院际指南网。纳入对成年人24 h不同强度身体活动、久坐行为以及睡眠进行推荐的指南。检索时限为2010年1月1日—2022年8月31日,并对纳入文献进行汇总和分析。结果共纳入11篇指南,只有加拿大和沙特阿拉伯的2篇指南对成年人24 h的身体活动(频率、强度、类型和时间)、久坐时间和睡眠进行了明确的时间推荐,其余9篇指南仅对成年人的身体活动和久坐行为,或者只对身体活动进行了推荐。结论未来应综合衡量身体活动、久坐行为、睡眠的最佳时间分配对人体身心健康的影响,制定符合我国国情的个性化的成年人24 h活动行为指南。

Objective To conduct a scoping review of domestic and international guidelines on high-intensity physical activity,low-intensity physical activity,sedentary behavior,and sleep in adults,in order to understand the best combination of 24-hour activity and behavior for promoting adult health development,and to provide guidance for research in this field.Methods Based on the scoping review guidelines of the Joanna Briggs Institute(JBI)of Australia as a methodological framework,we searched PubMed,Embase,Ovid,CINAHL,ClinicalKey,CNKI,Wanfang,MEDLINK Clinical Guidelines Network,UpToDate,BMJ Best Practice,International Guidelines Network,US National Guidelines Library,UK National Clinical Optimization Research Institute and Scotland Intercollegiate Guidelines Network.Guidelines that made recommendations for different intensity physical activities,sedentary behavior,and sleep in adults over a 24-hour period were included.The search time limit was from January 1,2010,to August 31,2022,and included literature was summarized and analyzed.Results A total of 11 guidelines were included,of which only 2 guidelines from Canada and Saudi Arabia made specific time recommendations for 24-hour physical activity(frequency,intensity,type,and time),sedentary time,and sleep in adults.The remaining 9 guidelines only made recommendations for adult physical activity and sedentary behavior,or only for physical activity.Conclusions Future research should comprehensively measure the impact of the best time distribution of physical activity,sedentary behavior,and sleep on physical and mental health,and develop personalized guidelines on 24-hour activity suitable for the national conditions of China.