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국민건강증진종합계획의 신체활동분야 계획 변천과 발전방향: 1~4차 계획을 중심으로

The physical activity sector of Korean National Health Plan: Changes in four previous health plans and future direction

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Objectives: Although the Korean Ministry of Health and Welfare has formulated the National Health Plan(HP) that includes promotional plans for physical activity(PA) and such has been done four times over, the PA promotion strategies have still not been harmonized enough with those of developed countries. Methods: Changes in the PA section of the previous four National HPs were presented and three PA promotion plans from the United States, Australia and the European Union were investigated in the light of recent PA paradigm. And then, future directions were identified for the next Korean National HP of 2030. Results: The paradigm of ‘Exercise for Fitness’ has moved to that of ‘PA for Health’ since the third Korean National HP. The U.S. has presented a strong multi-sectoral collaboration for a National PA Plan and guidelines. Australia has developed the inter-sectoral ‘Blueprints for an Active Australia’ by the Australian Heart Foundation. The European Union has applied socio-ecological multilevel approaches to PA promotion with a solid tradition of networking, such as the Healthy Cities and the Health-Enhancing PA Europe. Conclusion: Although inter-sectoral collaboration has been undertaken, systematic and rigorous efforts of benchmarking with developed countries are necessary. Socio-ecological multilevel approach may contribute to Korean PA promotion.

Abstract

Objectives: Although the Korean Ministry of Health and Welfare has formulated the National Health Plan(HP) that includes promotional plans for physical activity(PA) and such has been done four times over, the PA promotion strategies have still not been harmonized enough with those of developed countries. Methods: Changes in the PA section of the previous four National HPs were presented and three PA promotion plans from the United States, Australia and the European Union were investigated in the light of recent PA paradigm. And then, future directions were identified for the next Korean National HP of 2030. Results: The paradigm of ‘Exercise for Fitness’ has moved to that of ‘PA for Health’ since the third Korean National HP. The U.S. has presented a strong multi-sectoral collaboration for a National PA Plan and guidelines. Australia has developed the inter-sectoral ‘Blueprints for an Active Australia’ by the Australian Heart Foundation. The European Union has applied socio-ecological multilevel approaches to PA promotion with a solid tradition of networking, such as the Healthy Cities and the Health-Enhancing PA Europe. Conclusion: Although inter-sectoral collaboration has been undertaken, systematic and rigorous efforts of benchmarking with developed countries are necessary. Socio-ecological multilevel approach may contribute to Korean PA promotion.

참고문헌 (51)

  1. American College of Sports Medicine, "American College of Sports Medicine position statement on the recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults", Medicine and Science in Sports, 10(3), pp.7~10 (1978)
  2. Bellew, B., "The rise and fall of Australian physical activity policy 1996-2006 : A national review framed in an international context", Australia and New Zealand Health Policy, 5(1), pp.18~ (2008)[DOI]
  3. Breda, J., "Promoting health-enhancing physical activity in Europe : Current state of surveillance, policy development and implementation", Health Policy, 122(5), pp.519~527 (2018)[DOI]
  4. Bull, F. C., "Developments in National Physical Activity Policy: an international review and recommendations towards better practice", Journal of Science and Medicine in Sport, 7(1 Suppl 1), pp.93~104 (2004)[DOI]
  5. Bull, F. C., "National policy on physical activity : the development of a policy audit tool", Journal of Physical Activity and Health, 11(2), pp.233~240 (2014)[DOI]
  6. Bull, F., "Health-enhancing physical activity (HEPA) policy audit tool (PAT)" (2015), World Health Organization
  7. Caspersen, C. J., "Physical activity, exercise, and physical fitness : Definitions and distinctions for health-related research", Public Health Reports, 100(2), pp.126~131 (1985)
  8. Council of the European Union, "Council recommendation of 26 November 2013 on promoting health-enhancing physical activity across sectors", Official Journal of the European Union, 4(12) (2013)
  9. EU Working Group, "EU Physical activity guidelines:Recommended policy actions in support of healthenhancing physical activity", EU Working Group “Sport and Health”, ~ (2008)
  10. Ezzati, M., "Comparative quantification of health risks:Global and regional burden of disease attributable to selected major risk factors" (2004), World Health Organization
  11. "Blueprint for an active Australia" (2009)[URL]
  12. "Blueprint for an active Australia" (2014)[URL]
  13. "Blueprint for an active Australia" (2019)[URL]
  14. "Blueprint for an Active Australia" (2020)[URL]
  15. "Health economic assessment tools (HEAT) for walking and for cycling" (2011)[URL]
  16. Kahlmeier, S., "National physical activity recommendations : systematic overview and analysis of the situation in European countries", BMC Public Health, 15(1), pp.133~ (2015)[DOI]
  17. Kelly, P., "Systematic review and meta-analysis of reduction in all-cause mortality from walking and cycling and shape of dose response relationship", International Journal of Behavioral Nutrition and Physical Activity, 11(1), pp.132~ (2014)[DOI]
  18. Kim, D. J., "Health Plan 2020 : Promotion of health behaviors and prevention of chronic diseases", Health and Social Welfare Review, 4(246), pp.6~21 (2017)
  19. 김종헌, "Premature Deaths Attributable to Long-term Exposure to Ambient Fine Particulate Matter in the Republic of Korea", Journal of Korean Medical Science, 33(37), pp.1~10 (2018), 대한의학회
  20. 김정민, "한국형 건강증진 신체활동 정책방향 제언", 대한의사협회지, 55(7), pp.685~691 (2012), 대한의사협회[DOI]
  21. Koh, K. W., "Health enhancing physical activity", Korean Medical Association Research Institute for Health Policy, ~ (2011)
  22. 고광욱, "새 신체활동기준의 동향과 함의", 보건교육건강증진학회지, 35(5), pp.17~24 (2018), 한국보건교육건강증진학회[DOI]
  23. 고광욱, "활동적 생활환경 조성을 통한 신체활동증진", 보건교육건강증진학회지, 33(4), pp.55~65 (2016), 한국보건교육건강증진학회[DOI]
  24. Kohl, H. W., "Foundations of physical activity and public health" (2019), Human Kinetics
  25. Korea Health Promotion Institute, "Plans for national health promotion in South Korea·Japan·American countries", Health Promotion Series, 6(9), pp.8~17 (2012)
  26. Health Plan 2010(2002~2005), "Korean Ministry of Health and Welfare", Korean Ministry of Health and Welfare, ~ (2002)
  27. New Health Plan 2010(2006~2010), "Korean Ministry of Health and Welfare", Korean Institute for Health and Social Affairs, ~ (2005)
  28. Health Plan 2020(2011~2015), "Korean Ministry of Health and Welfare", Korean Institute for Health and Social Affairs, ~ (2011)
  29. Health Plan 2020(2016~2020), "Korean Ministry of Health and Welfare", Korean Health Promotion Institute, ~ (2016)
  30. Evaluative Report of the 3rd Health Plan(2011-2020), "Korean Ministry of Health and Welfare", Korean Health Promotion Foundation, ~ (2018)
  31. Martin-Diener, E., "10 years of HEPA Europe : What made it possible and what is the way into the future", Schweizerische Zeitschrift für Sportmedizin und Sporttraumatologie, 62(2), pp.6~12 (2014)[DOI]
  32. U.S. National Physical Activity Plan, "National Physical Activity Plan Alliance", US National Physical Activity Plan Coordinating Committee, ~ (2010)
  33. U.S. National Physical Activity Plan, "National Physical Activity Plan Alliance", US National Physical Activity Plan Coordinating Committee, ~ (2016)
  34. "Physical activity objectives" (2020)[URL]
  35. Pate, R. R., "Physical activity and public health : A recommendation from the centers for disease control and prevention and the American College of Sports Medicine", JAMA, 273(5), pp.402~407 (1995)[DOI]
  36. Rutter, H., "Systems approaches to global and national physical activity plans", Bulletin of the World Health Organization, 97(2), pp.162~165 (2019)
  37. Schoppe S., "International Review of National Physical Activity Policy A literature review" (2004), Center for Physical Activity and Health
  38. 송정국, "제주도 성인의 신체활동 수준", 보건교육건강증진학회지, 36(4), pp.55~66 (2019), 한국보건교육건강증진학회[DOI]
  39. Tainio, M., "Can air pollution negate the health benefits of cycling and walking?", Preventive Medicine, 87, pp.233~236 (2016)[DOI]
  40. "National Physical Activity Plan" (2016)[URL]
  41. National Physical Activity Plan – 10 Year Report, "US National Physical Activity Plan Coordinating Committee", ~ (2019)
  42. Walt, G., "Health Policy: An introduction to process and power", pp.174~ (2001), Zed Books
  43. Waxman, A., "WHO global strategy on diet, physical activity and health", Food and nutrition bulletin, 25(3), pp.292~302 (2004)[DOI]
  44. Steps to health: A European framework to promote physical activity for health, "World Health Organization", WHO Regional Office for Europe, ~, pp.No. EUR (2007), 06[DOI]
  45. Review of physical activity promotion policy development and legislation in European Union Member States, "World Health Organization", WHO Regional Office for Europe, ~ (2010)
  46. Review of physical activity promotion policy development and legislation in European Union Member States, "World Health Organization", WHO Regional Office for Europe, ~, pp.No. EUR (2011), 10[DOI]
  47. Factsheets on health enhancing physical activity in the 28 European Union member states of the WHO European region, "World Health Organization", WHO Regional Office for Europe, ~ (2015)
  48. Exposure to ambient air pollution from particulate matter for 2016, "World Health Organization", WHO Headquarters, ~ (2018)
  49. Global action plan on physical activity 2018–2030: More active people for a healthier world, "World Health Organization", WHO Headquarters, ~ (2018)
  50. "The Transport, Health and Environment Pan-European Programme" (2020)[URL]

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