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首页> 美国卫生研究院文献>BMC Public Health >A higher effort-based paradigm in physical activity and exercise for public health: making the case for a greater emphasis on resistance training
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A higher effort-based paradigm in physical activity and exercise for public health: making the case for a greater emphasis on resistance training

机译：在体育锻炼和锻炼中以努力为基础的范例以促进公共卫生：有理由更加强调抵抗训练

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It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and muscle mass) also to morbidity and mortality risk. Current guidelines about the performance of moderate/vigorous physical activity using aerobic exercise modes focuses upon the accumulation of a minimum volume of physical activity and/or exercise, and have thus far produced disappointing outcomes. As such there has been increased interest in the use of higher effort physical activity and exercise as being potentially more efficacious. Though there is currently debate as to the effectiveness of public health prescription based around higher effort physical activity and exercise, most discussion around this has focused upon modes considered to be traditionally ‘aerobic’ (e.g. running, cycling, rowing, swimming etc.). A mode customarily performed to a relatively high intensity of effort that we believe has been overlooked is resistance training. Current guidelines do include recommendations to engage in ‘muscle strengthening activities’ though there has been very little emphasis upon these modes in either research or public health effort. As such the purpose of this debate article is to discuss the emerging higher effort paradigm in physical activity and exercise for public health and to make a case for why there should be a greater emphasis placed upon resistance training as a mode in this paradigm shift.
机译：众所周知，体育锻炼和运动与一系列发病率和全因死亡率的较低风险有关。此外，当以较高的努力强度进行体育锻炼和/或运动时，风险降低程度更大。可能如此的原因可能是通过将身体健康和表现结果（例如心肺健康，力量和肌肉质量）与发病率和死亡风险联系起来的越来越多的证据来解释的。当前关于使用有氧运动模式进行中度/剧烈运动的指导原则集中于最小量的体育活动和/或运动的积累，并且迄今为止产生令人失望的结果。因此，人们对使用更努力的体育锻炼和锻炼越来越有兴趣，因为它们可能更有效。尽管目前围绕以较高强度的体育锻炼和锻炼为基础的公共卫生处方的有效性存在争论，但是围绕此的大多数讨论都集中在传统上被认为是“有氧运动”的模式（例如跑步，骑自行车，划船，游泳等）上。通常认为以相对较高的努力强度执行的一种模式是阻力训练，我们认为该模式被忽略了。尽管在研究或公共卫生工作中很少强调这些模式，但当前的指南确实包含有关开展“肌肉增强活动”的建议。因此，本辩论文章的目的是讨论体育锻炼和锻炼中为公共卫生而出现的更高努力范式，并为为什么在这种范式转换中应更加重视将阻力训练作为一种模式提供理由。

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