| 青少年运动缺乏症研究的10大问题 |
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| 作者姓名： | Avery D. Faigenbaum Thomas M. Best James MacDonal Gregory D. Myer Andrea Stracciolini |
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| 作者单位： | 新泽西州大学，Ewing, NJ 08628, USA,俄亥俄州立大学, Columbus, OH 43210, USA,俄亥俄州立大学, Columbus, OH 43210, USA；美国全国儿童医院, Columbus, OH 43025, USA,俄亥俄州立大学, Columbus, OH 43210, USA；辛辛那提儿童医院医学中心, Cincinnati, OH 45229, USA；辛辛那提大学, Cincinnati, OH 45221, USA；运动损伤预防Micheli中心, Waltham, MA 02453, USA；,运动损伤预防Micheli中心, Waltham, MA 02453, USA；波士顿儿童医院, Boston, MA 02115, USA；哈佛医学院, Boston, MA 02138, USA |
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| 摘 要： | 摘要：运动缺乏症（EDD）是一种儿科疾病，特点是中高强度体力活动（MVPA）下降，低于目前的推荐量，也与积极的健康结果（health outcomes）不一致。目前，大多数儿童和青少年符合EDD的诊断标准，因为他们没有达到日常MVPA的最低要求。本文的目的是强调10个与青少年EDD有关的重要研究问题。需要进行重要的研究来更好的定义EDD的临床表现，包括评估体力活动行以确定开始出现EDD的年龄或发育阶段；包括运动技巧和体能的运动起源（kinesiogenesis）的检测；以及对影响青少年MVPA的生活方式因素的评估。关于治疗EDD的干预措施和政策的研究问题，包括评估对卫生保健从业者进行运动医学重要性的教育和训练；确定在临床上识别和治疗EDD青少年的方法的有效性；开发敏感的、特效的、经济的方法以诊断青少年EDD；以及定制方法以促进本病诊疗的医疗保险赔付。如果未来研究不能优化EDD青少年的识别、治疗和管理方案，具有重大影响的生物医学、心理、经济和政治的新的卫生保健问题将会不断出现。
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| 关 键 词： | 关键词：小儿运动（pediatric exercise） 体力活动 公共卫生 改革 |
| 收稿时间： | 2015/10/14 0:00:00 |
Top 10 Research Questions Related to Exercise Deficit Disorder (EDD) in Youth |
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| Avery D. Faigenbaum,Thomas M. Best,James MacDonal,Gregory D. Myer,Andrea Stracciolini.Top 10 Research Questions Related to Exercise Deficit Disorder (EDD) in Youth[J].Journal of Beijing Sport University,2015,38(11):50-58. |
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| Authors: | Avery D Faigenbaum Thomas M Best James MacDonal Gregory D Myer and Andrea Stracciolini |
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| Institution: | The College of New Jersey, Ewing, NJ 08628, USA,The Ohio State University, Columbus, OH 43210, USA,The Ohio State University, Columbus, OH 43210, USA; Nationwide Children's Hospital, Columbus, OH 43025, USA,The Ohio State University, Columbus, OH 43210, USA; Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA; University of Cincinnati, Cincinnati, OH 45221, USA; The Micheli Center for Sports Injury Prevention, Waltham, MA 02453, USA and The Micheli Center for Sports Injury Prevention, Waltham, MA 02453, USA; Boston Children's Hospital, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02138, USA |
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| Abstract: | Abstract: Exercise deficit disorder (EDD) is a pediatric medical condition characterized by reduced levels of moderate-to-vigorous physical activity (MVPA) that are below current recommendations and inconsistent with positive health outcomes. At present, a majority of children and adolescents meet the diagnostic criteria for EDD because they are not accumulating minimum thresholds of daily MVPA. The purpose of this article is to highlight 10 important research questions related to EDD in youth. The critical research needs to better define the clinical spectrum of EDD to include an assessment of physical activity behaviors to determine the age or stage of maturation at which EDD first emerges; an examination of the kinesiogenesis of movement skills and physical abilities; and an evaluation of lifestyle factors that can influence the MVPA trajectory in youth. Research questions about interventions and policies to treat EDD include evaluating the education and training of health care providers on the importance of exercise medicine; determining the effectiveness of strategies to identify and treat youth with EDD in clinical practice; developing sensitive, specific, and cost-effective methods to diagnose youth with EDD; and assessing methods to promote health care reimbursement for the treatment of this condition. Without future research to optimize identification, treatment, and management strategies for youth with EDD, new health care concerns with significant biomedical, psychosocial, economic, and political ramifications will continue to emerge. |
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| Keywords: | Keywords: pediatric exercise physical activity public health reform |
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