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2018 | OriginalPaper | Buchkapitel

2. Bewegung: Gesundheit erhalten – Krankheit vermeiden

verfasst von : Christine Graf

Erschienen in: Ernährung und Bewegung - Wissenswertes aus Ernährungs- und Sportmedizin

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Jeder Mensch – ob gesund oder krank – sollte und kann sich sportlich betätigen. Körperliche Aktivität erhöht Leistungsfähigkeit, Lebensqualität und -zufriedenheit sowie Lebenszeit – bei Gesunden wie bei Patienten. Sport und Bewegung haben einen hohen Stellenwert sowohl in der Prävention als auch in der Behandlung von Krankheiten. Sport unterstützt die Erhaltung eines normalen Körpergewichts. Mindestens 150 Minuten Bewegungszeit pro Woche lautet die einheitliche Empfehlung. Als Ziel gilt, moderater, wenn möglich intensiver Sport an 5 Tagen pro Woche mit einer Dauer von 30, besser 45 Minuten. Trainiert werden sollen Ausdauer, Kraft, Koordination und Flexibilität. Die Sportarten können nach Neigung und Fähigkeiten ausgesucht werden. Patienten sollten zumindest am Anfang zur Unterstützung und Anleitung spezielle Sportgruppen in Anspruch nehmen. Sportmedizinische Untersuchungen sind zur Vermeidung möglicher Risiken sinnvoll.

Die Borgskala stellt ein einfaches Hilfsmittel zur Beurteilung der subjektiv empfundenen Trainingsintensität dar (nach Borg 2004); eine „6/7“ entspricht der Einschätzung von „sehr, sehr gering oder leicht“, eine „19/20“ dagegen „sehr, sehr stark oder anstrengend“. Die „12“ entspricht am ehesten moderater Intensität.

Das One-Repetition-Maximum gilt als das maximale Gewicht, mit dem genau nur eine einzige Wiederholung einer Übung möglich ist.

Balakumar P, Rose M, Ganti SS, Krishan P, Singh M (2007) PPAR dual agonists: are they opening Pandora's Box? Pharmacol Res; 56: 91–98CrossRef

Barry VW, Baruth M, Beets MW, Durstine JL, Liu J, Blair S (2014) Fitness vs. fatness on all-cause mortality: a meta-analysis. Prog Cardiovasc Dis; 56: 382–390CrossRef

Basterra-Gortari FJ, Bes-Rastrollo M, Gea A, Núñez-Córdoba JM et al. (2014) Television viewing, computer use, time driving and all-cause mortality: the SUN cohort. J Am Heart Assoc; 3(3): e000864CrossRef

Beckett MW, Ardern CI, Rotondi MA. (2015) A meta-analysis of prospective studies on the role of physical activity and the prevention of Alzheimer's disease in older adults. BMC Geriatr.; 15: 9CrossRef

Borg G (2004) Anstrengungsempfinden und körperliche Aktivität. Dtsch Ärzteblatt; 101: A1016–1021

Bouillet T, Bigard X, Brami C et al. (2015) Role of physical activity and sport in oncology: scientific commission of the National Federation Sport and Cancer CAMI. Crit Rev Oncol Hematol; 94(1): 74–86CrossRef

Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL et al. (2007) pedometers to increase physical activity and improve health: a systematic review. JAMA; 298: 2296–2304CrossRef

Bygren LO, Kaati G, Edvinsson S (2001) Longevity determined by paternal ancestors' nutrition during their slow growth period. Acta Biotheor; 49: 53–59CrossRef

Campos C, Rocha NB, Lattari E, Paes F, Nardi AE, Machado S (2016) Exercise-induced neuroprotective effects on neurodegenerative diseases: the key role of trophic factors. Expert Rev Neurother.; 16(6): 723–734CrossRef

Caspersen CJ, Powell KE, Christenson GM. Physical activity (1985), exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep; 100: 126–131

Chau JY, Grunseit AC, Chey T, Stamatakis E et al. (2013) Daily sitting time and all-cause mortality: a meta-analysis. PLoS One.; 8(11): e80000CrossRef

Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc. 2013 Feb 1;2(1):e004473.CrossRef

Corrado D, Pelliccia A, Bjørnstad HH et al. (2005) Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J; 26: 516–524CrossRef

Daviglus ML, Bell CC, Berrettini W, Bowen PE et al. (2010) NIH state-of-the-science conference statement: Preventing Alzheimer's disease and cognitive decline. NIH Consens State Sci Statements; 27(4): 1–30

Després JP (2016) Physical Activity, Sedentary Behaviours, and Cardiovascular Health: When Will Cardiorespiratory Fitness Become a Vital Sign? Can J Cardiol.; 32(4): 505–513CrossRef

Dunn AL, Andersen RE, Jakicic JM (1998) Lifestyle physical activity interventions. History, short- and long-term effects, and recommendations. Am J Prev Med; 15: 398–412CrossRef

Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N et al. (2014); American College of Cardiology/American Heart Association Task Force on Practice Guidelines. AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63: 2960–2984CrossRef

Ennour-Idrissi K, Maunsell E, Diorio C (2015) Effect of physical activity on sex hormones in women: a systematic review and meta-analysis of randomized controlled trials. Breast Cancer Res.; 17(1): 139CrossRef

Farren L, Belza B, Allen P, Brolliar S et al. (2015) Mall Walking Program Environments, Features, and Participants: A Scoping Review. Prev Chronic Dis; 12: E129CrossRef

Febbraio MA, Pedersen BK (2002) Muscle-derived interleukin-6: mech- anisms for activation and possible biological roles. FASEB J; 16: 1335–1347CrossRef

Finger JD, Mensink GBM, Lange C, Manz K (2017) Gesundheitsfördernde körperliche Aktivität in der Freizeit bei Erwachsenen in Deutschland. Journal of Health Monitoring; 2(2) DOI 10.17886/RKI-GBE-2017-027

Fletcher G, Trejo JF (2005) Why and how to prescribe exercise: overcoming the barriers. Cleveland Clinical Journal of Medicine; 72: 645–656CrossRef

Fletcher GF, Ades PA, Kligfield P (2013) American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation; 128: 873–934CrossRef

Gerritsen JK, Vincent AJ (2016) Exercise improves quality of life in patients with cancer: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med; 50(13): 796–803CrossRef

Gibbs BB, Hergenroeder AL, Katzmarzyk PT, Lee IM, Jakicic JM (2015) Definition, measurement, and health risks associated with sedentary behavior. Med Sci Sports Exerc; 47: 1295–1300CrossRef

Graf C (2014) Sport und Bewegungstherapie bei Inneren Erkrankungen. Köln: Deutscher Ärzteverlag 4. Auflage

Graf C, Ferrari N (2015) Körperliche Aktivität, Sport und Bewegungstherapie bei (morbider) Adipositas. Der Diabetologe; 11: 457–463CrossRef

Graf C, Halle M (2015) Aktuelle Aspekte im Herzsport. Der Kardiologe; 9: 67–80CrossRef

Hamilton MT, Healy GN, Dunstan DW, Zderic TW, Owen N (2008) Too Little Exercise and Too Much Sitting: Inactivity Physiology and the Need for New Recommendations on Sedentary Behavior. Curr Cardiovasc Risk Rep; 2: 292–298CrossRef

Harrison SL, Goldstein R, Desveaux L, Tulloch V, Brooks D (2014) Optimizing nonpharmacological management following an acute exacerbation of chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis; 9: 1197–1205CrossRef

Hayashino Y, Jackson JL, Hirata T, Fukumori N, Nakamura F, Fukuhara S, Tsujii S, Ishii H (2014) Effects of exercise on C-reactive protein, inflammatory cytokine and adipokine in patients with type 2 diabetes: a meta-analysis of randomized controlled trials. Metabolism; 63: 431–440CrossRef

Je Y, Jeon JY, Giovannucci EL, Meyerhardt JA (2013) Association between physical activity and mortality in colorectal cancer: a meta-analysis of prospective cohort studies. Int J Cancer.; 133(8): 1905–1913CrossRef

Jenkins S, Hill K, Cecins NM (2010) State of the art: how to set up a pulmonary rehabilitation program. Respirology; 15(8): 1157–1173CrossRef

Johannsen NM, Swift DL, Lavie CJ, Earnest CP, Blair SN, Church TS (2016) Combined Aerobic and Resistance Training Effects on Glucose Homeostasis, Fitness, and Other Major Health Indices: A Review of Current Guidelines. Sports Med. May 3. [Epub ahead of print]

Kaati G, Bygren LO, Edvinsson S (2002) Cardiovascular and diabetes mortality determined by nutrition during parents’ and grandparents’ slow growth period. European Journal of Human Genetics; 10: 682 – 688CrossRef

Kelly P, Kahlmeier S, Götschi T, Orsini N, et al. (2014) Systematic review and meta-analysis of reduction in all-cause mortality from walking and cycling and shape of dose response relationship. Int J Behav Nutr Phys Act; 11: 132CrossRef

Kruijsen-Jaarsma M, Révész D, Bierings MB, Buffart LM, Takken T (2013) Effects of exercise on immune function in patients with cancer: a systematic review. Exerc Immunol Rev.; 19: 120–143

Kushi LH, Doyle C, McCullough M, Rock CL et al. (2012) American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin; 62(1): 30–67CrossRef

Lahart IM, Metsios GS, Nevill AM, Carmichael AR (2015) Physical activity, risk of death and recurrence in breast cancer survivors: A systematic review and meta-analysis of epidemiological studies. Acta Oncol; 54(5): 635–654CrossRef

Lehr S, Hartwig S, Sell H (2012) Adipokines: a treasure trove for the discovery of biomarkers for metabolic disorders. Proteomics Clin Appl; 6: 91–101CrossRef

Li Y, Gu M, Jing F, Cai S, Bao C, Wang J, Jin M, Chen K (2016) Association between physical activity and all cancer mortality: Dose-response meta-analysis of cohort studies. Int J Cancer; 138(4): 818–832CrossRef

Liu L, Shi Y, Li T, Qin Q, Yin J, Pang S, Nie S, Wei S (2016) Leisure time physical activity and cancer risk: evaluation of the WHO's recommendation based on 126 high-quality epidemiological studies. Br J Sports Med; 50(6): 372–378CrossRef

Loprinzi PD, Sng E, Walker JF (2016) Muscle strengthening activity associates with reduced all-cause mortality in COPD. Chronic Illn. Jun 29

Madsen NL, Drezner JA, Salerno JC (2014) The preparticipation physical evaluation: an analysis of clinical practice. Clin J Sport Med; 24: 142–149CrossRef

Mantoani LC, Rubio N, McKinstry B, MacNee W, Rabinovich RA (2016) Interventions to modify physical activity in patients with COPD: a systematic review. Eur Respir J; 48(1): 69–81CrossRef

Matheson GO, Klügl M, Engebretsen L, Bendiksen F et al. (2013) Prevention and management of non-communicable disease: the IOC consensus statement, Lausanne. Br J Sports Med; 47: 1003–1011CrossRef

Maud P, Ebbeling C, Alquist L (1995) Physiological Assessment of Human Kinetics. Human Kinetics

Mendoza L, Horta P, Espinoza J, Aguilera M et al. (2015) Pedometers to enhance physical activity in COPD: a randomised controlled trial. Eur Respir J; 45(2): 347–354CrossRef

Moy ML, Danilack VA, Weston NA, Garshick E (2012) Daily step counts in a US cohort with COPD. Respir Med; 106(7): 962–969CrossRef

Mulhall P, Criner G (2016) Non-pharmacological treatments for COPD. Respirology.; 21(5): 791–809CrossRef

Murtagh EM, Nichols L, Mohammed MA, Holder R, Nevill AM, Murphy MH (2015) The effect of walking on risk factors for cardiovascular disease: an updated systematic review and meta-analysis of randomised control trials. Prev Med; 72: 34–43CrossRef

Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE (2002) Exercise capacity and mortality among men referred for exercise testing. N Engl J Med; 346(11): 793–801CrossRef

Myers J, Kaykha A, George S, Abella J et al. (2004) Fitness versus physical activity patterns in predicting mortality in men. Am J Med;; 117(12): 912–918CrossRef

Ngai SP, Jones AY, Tam WW (2016) Tai Chi for chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev; 6: CD009953

Nielsen HG, Øktedalen O, Opstad PK, Lyberg T (2016) Plasma Cytokine Profiles in Long-Term Strenuous Exercise. J Sports Med (Hindawi Publ Corp); 2016: 7186137

Nyssen SM, Santos JG, Barusso MS, Oliveira Jr AD, Lorenzo VA, Jamami M (2013) Levels of physical activity and predictors of mortality in COPD. J Bras Pneumol; 39(6): 659–666CrossRef

Ortega FB, Cadenas-Sánchez C, Sui X, Blair SN, Lavie CJ (2015) Role of Fitness in the Metabolically Healthy But Obese Phenotype: A Review and Update. Prog Cardiovasc Dis, 58(1): 76–86CrossRef

Pate R, Pratt M, Blair SN, Haskell WL et al. (1995) Physical activity and public health. A recommendation from the centers for disease control and prevention and the American College of Sports Medicine. JAMA; 273: 402–407CrossRef

Pedersen BK, Hoffman-Goetz L (2000) Exercise and the immune system: regulation, integration and adaptation. Physiol Rev; 80: 1055–1081

Pedersen BK, Steensberg A, Schjerling P (2001) Muscle-derived interleukin-6: possible biological effects. J Physiol; 536: 329–337CrossRef

Pembrey M, Saffery R, Bygren LO (2014) Network in Epigenetiv Epidemiology. Human transgenerational responses to early-life experience: potential impact on development, health and biomedical research Med Genet; 51: 563–572

Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA (2004) American College of Sports Medicine. American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc; 36(3): 533–553CrossRef

Piepoli MF, Hoes AW, Agewall S et al. (2016) European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts): Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur J Prev Cardiol. 2016. pii: 2047487316653709

Rao AK, Chou A, Bursley B, Smulofsky J, Jezequel J (2014) Systematic review of the effects of exercise on activities of daily living in people with Alzheimer's disease. Am J Occup Ther.; 68(1): 50–56CrossRef

Redberg RF, Benjamin EJ, Bittner V et al. (2009) American Academy of Family Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation; Preventive Cardiovascular Nurses Association. AHA/ACCF 2009 performance measures for primary prevention of cardiovascular disease in adults: a report of the American College of Cardiology Foundation/American Heart Association task force on performance measures (writing committee to develop performance measures for primary prevention of cardiovascular disease): developed in collaboration with the American Academy of Family Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation; and Preventive Cardiovascular Nurses Association: endorsed by the American College of Preventive Medicine, American College of Sports Medicine, and Society for Women's Health Research. Circulation; 120: 1296–1336

Rock CL, Doyle C, Demark-Wahnefried W (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin; 62(4): 243–274CrossRef

Sá-Caputo D, Gonçalves CR, Morel DS (2016) Benefits of Whole-Body Vibration, as a Component of the Pulmonary Rehabilitation, in Patients with Chronic Obstructive Pulmonary Disease: A Narrative Review with a Suitable Approach. Evid Based Complement Alternat Med; 2016: 2560710

Samitz G, Egger M, Zwahlen M (2011) Domains of physical activity and all-cause mortality: systematic review and dose-response meta analysis of cohort studies. Int J Epidemiol; 40: 1382–1400CrossRef

Santos JM, Tewari S, Benite-Ribeiro SA (2014) The effect of exercise on epigenetic modifications of PGC1: The impact on type 2 diabetes. Med Hypotheses; 82: 748–753CrossRef

Schuler G, Adams V, Goto Y. Role of exercise in the prevention of cardiovascular disease: results, mechanisms, and new perspectives. Eur Heart J 1013; 34: 1790–1799

Sedentary Behaviour Research Network to the editor: standardized use of the terms „sedentary“ and „sedentary behaviours“. Appl Physiol Nutr Metab 2012; 37: 540 – 542CrossRef

Soares FH, de Sousa MB (2013) Different types of physical activity on inflammatory biomarkers in women with or without metabolic disorders: a systematic review. Women Health; 53: 298–316CrossRef

Spielmanns M, Goehl O, Schultz K, Worth H (2015) Lungensport: Ambulantes Sportprogramm hilft langfristig bei COPD; Dtsch med Wochenschr; 140(13): 1001–1005CrossRef

Stern C, Konno R (2009) Physical leisure activities and their role in preventing dementia: a systematic review. Int J Evid Based Healthc; 7: 270–282CrossRef

Suzuki K, Nakaji S, Yamada M, Totsuka M, Sato K, Sugawara K (2002) Systemic inflammatory response to exhaustive exercise. Cytokine kinetics. Exerc Immunol Rev; 8: 6–48

Swift DL, Lavie CJ, Johannsen NM, Arena R et al. (2013) Physical activity, cardiorespiratory fitness, and exercise training in primary and secondary coronary prevention. Circ J; 77: 281–92CrossRef

Tremblay MS, Colley RC, Saunders TJ, Healy GN, Owen N (2010) Physiological and health implications of a sedentary lifestyle. Appl Physiol Nutr Metab; 35: 725–740CrossRef

Tremblay MS, Warburton DE, Janssen I (2011) New Canadian physical activity guidelines. Appl Physiol Nutr Metab; 36: 36–46CrossRef

Van Blarigan EL, Meyerhardt JA (2015) Role of physical activity and diet after colorectal cancer diagnosis. J Clin Oncol; 33(16): 1825–1834CrossRef

Veerman JL, Healy GN, Cobiac LJ, Vos T, Winkler EA, Owen N, Dunstan DW (2012) Television viewing time and reduced life expectancy: a life table analysis. Br J Sports Med; 46: 927–930CrossRef

Weinheimer EM, Sands LP, Campbell WW (2010) A systematic review of the separate and combined effects of energy restriction and exercise on fat-free mass in middle-aged and older adults: implications for sarcopenic obesity. Nutr Rev; 68(7): 375–388CrossRef

WHO (2015) Zimmer P, Bloch W. Sport und epigenetische Anpassungen des Herz-Kreislaufsystems Herz; 40: 353–360

Titel: Bewegung: Gesundheit erhalten – Krankheit vermeiden
verfasst von: Christine Graf
Verlag: Springer Berlin Heidelberg
Buch: Ernährung und Bewegung - Wissenswertes aus Ernährungs- und Sportmedizin
Print ISBN: 978-3-662-54026-8

Electronic ISBN: 978-3-662-54027-5

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-54027-5_2

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