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physical activity

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In addition to the delivery of primary care services, recent changes to the NHS in the United Kingdom have placed increasing responsibility on GPs for the commissioning of the full range of health services from prevention through to clinical interventions and rehabilitation. Whilst historically there has always been an expectation that primary care professionals were ideally placed to provide support for prevention as well as treatment, their active engagement in the promotion of physical activity has remained largely superficial.
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The role of regular physical activity for population health has been clearly documented. Improvements in population levels of physical activity require long-term implementation of a combination of measures, including the evidence based approaches described in the “seven best investments for physical activity” (www.globalpa.org.uk): whole-of-school programmes, transport, urban planning, integration of physical activity promotion into primary health care systems, public education, community-wide programmes, sport for all. The health care setting has a particular role in this context, particularly in its access to physically inactive individuals.
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Objectives: Growing interest in physical activity has led to the development of a number of organizations, networks and associations, including grass-root, professional and academic institutions. To maximize relevance and effectiveness of work undertaken in this field, we aimed at developing a systematic overview of institutions active in health-enhancing physical activity (HEPA).
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HEPA Europe, the European network for the promotion of health-enhancing physical activity, will have its 10th annual meeting in 2014. Membership of the network has grown to 129 institutions from 32 countries. Collaborations have been established with the World Health Organization (WHO), the European Union (EU), Agita Mundo, the global network for physical activity promotion, other regional networks, and the International Society for Physical Activity and Health. Physical activity has moved up on the public agenda; in 2013 the EU Council adopted its first ever Council Recommendation in sport, notably on promoting health-enhancing physical activity, and in 2014 WHO has begun the development of a Physical Activity Strategy for the European region.
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There is a substantial lack of research comparing the effects of game console-based activities against conventional activities (aerobic, bicycle ergometer) within therapeutic and rehabilitative settings and the results are inconsistent. The aim of the study was to investigate if training with exergames (Nintendo Wii vs. Xbox 360) compared with conventional activities (bicycle ergometer) would have different effects on physiological and psychological parameters. Method: A quantitative three-armed, randomised, not-blinded study design was used. The test persons were randomly assigned to one of three activities: 1) Bicycle ergometer (n = 6); 2. Nintendo Wii game (n = 16); 3. Xbox 360 game (n = 17).
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