National policies on physical activity from 64 countries with different economies: a scoping review with thematic analysis.

Autor:	Minatto G; Department of Physical Education, Federal University of Santa Catarina, Campus Universitario Reitor João David Ferreira Lima, Florianópolis, Santa Catarina, CEP: 88040-900, Brazil., Silva KS; Department of Physical Education, Federal University of Santa Catarina, Campus Universitario Reitor João David Ferreira Lima, Florianópolis, Santa Catarina, CEP: 88040-900, Brazil., Bandeira ADS; Department of Physical Education, Federal University of Santa Catarina, Campus Universitario Reitor João David Ferreira Lima, Florianópolis, Santa Catarina, CEP: 88040-900, Brazil., Dos Santos PC; Department of Physical Education, Federal University of Santa Catarina, Campus Universitario Reitor João David Ferreira Lima, Florianópolis, Santa Catarina, CEP: 88040-900, Brazil., Sandreschi PF; Department of Physical Education, Federal University of Santa Catarina, Campus Universitario Reitor João David Ferreira Lima, Florianópolis, Santa Catarina, CEP: 88040-900, Brazil., Manta SW; General Coordination of Physical Activity Promotion and Intersectoral Actions, Health Promotion Department, Secretariat of Primary Health Care, Ministry of Health of Brazil, Esplanada dos Ministérios, Bloco G, Brasília, Distrito Federal CEP: 70058-900, Brazil., da Silva JRM; Health Promotion Department, Secretariat of Primary Health Care, Ministry of Health of Brazil, Esplanada dos Ministérios, Bloco G, Brasília, Distrito Federal CEP: 70058-900, Brazil., Parente RCM; Secretariat of Primary Health Care, Ministry of Health of Brazil, Esplanada dos Ministérios, Bloco G, Brasília, Distrito Federal CEP: 70058-900, Brazil., Barbosa Filho VC; Education Department, Federal Institute of Ceara, Campus Aracati, Rodovia CE-040, Km 137, 1 s/n Aeroporto-Conj. Hab. Dr. Abelardo Filho, Ceará CEP: 62800-000, Brazil.; Postgraduate Program in Public Health, State University of Ceará, Avenida Dr. Silas Munguba, 1700, Campus do Itaperi, Fortaleza, Ceará CEP: 60714-903, Brazil.
Jazyk:	angličtina
Zdroj:	Health policy and planning [Health Policy Plan] 2023 Jun 16; Vol. 38 (6), pp. 737-765.
DOI:	10.1093/heapol/czad024
Abstrakt:	In 2018, the World Health Organization (WHO) launched a Global Action Plan on Physical Activity (PA), which included 20 policy actions for creating active societies, environments, people and systems. The objective of this scoping review was to summarize the themes/contents of national PA policies/plans conforming to the WHO's proposals and the country's economy. This review followed Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews. A systematic search of electronic databases (Web of Science, Medline/PubMed, LILACS, PsycINFO, Scopus and SPORTDiscus) and 441 government documents/websites from 215 countries/territories was conducted (February 2021). Documents on national-level policies, published in English, Spanish and Portuguese since 2000, were eligible. The information on content and structure was systematically extracted and summarized into dimensions proposed by the WHO: active societies, environments, people and systems. The search identified 888 article references and 586 potentially relevant documents. After the screening, 84 policy documents from 64 countries were eligible. Most documents (n = 46) provided detailed PA policies/plans amid other health topics (e.g. non-communicable diseases, named 'general documents'), and 38 were PA-specific. The content analysis merged 54 visions, 65 missions, 108 principles, 119 objectives, 53 priorities, 105 targets, 126 indicators and 1780 actions/strategies from 38 PA-specific and 46 general documents. Among the PA-specific documents, the active system's dimension was the most contemplated in the principles (n = 43), priorities (n = 51) and action/strategies (n = 530) elements. At the same time, the objectives (n = 39), targets (n = 52) and indicators (n = 58) presented contents more frequently related to the active people dimension. For the general documents, all principles (n = 4), objectives (n = 14) and priorities (n = 7) were related to the dimension of active people, while target (n = 51), indicator (n = 53) and actions/strategies (n = 292) elements presented content related to all dimensions. The increase in countries with national PA policies/plans should be followed by improving the current ones because important dimensions seem to be not considered in these documents. This will facilitate a global PA agenda that considers the complexity and multidimensionality of PA promotion. (© The Author(s) 2023. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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