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The evidence for the impact of policy on physical activity outcomes within the school setting: A systematic review

Journal of Sport and Health Science 2021年第3期10卷 263-276,F0003页

作者： Catherine B.Woods Kevin Volf Liam Kelly Blathın Casey Peter Gelius sven messing Sarah Forberger Jeroen Lakerveld Joanna Zukowska Enrique Garcıa Bengoechea Department of Physical Education and Sport Sciences Health Research InstituteUniversity of LimerickLimerick V94 T9PXIreland Friedrich-Alexander-Universit€at Erlangen-N€urnberg Erlangen 91058Germany Leibniz Institute for Prevention Research and EpidemiologyBIPS Bremen 28359Germany Department of Epidemiology and Data Science Amsterdam Public Health Research instituteAmsterdam UMCVU University AmsterdamAmsterdam 1081 HVthe Netherlands Upstream Team Amsterdam UMCVU University AmsterdamAmsterdam 1081 HVthe Netherlands Faculty of Civil and Environmental Engineering Gdansk University of TechnologyGdansk 80-213Poland

Background:Despite the well-established health benefits of physical activity(PA)for young people(aged 419 years),most do not meet PA guidelines.Policies that support PA in schools may be promising,but their impact on PA behavior is poorly understood.The aim of this systematic review was to ascertain the level and type of evidence reported in the international scientific literature for policies within the school setting that contribute directly or indirectly to increasing PA.Methods:This systematic review is compliant with Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines.Six databases were searched using key concepts of policy,school,evaluation,and PA.Following title and abstract screening of 2323 studies,25 progressed to data synthesis.Methodological quality was assessed using standardized tools,and the strength of the evidence of policy impact was described based on pre-determined codes:positive,negative,inconclusive,or untested statistically.Results:Evidence emerged for 9 policy areas that had a direct or indirect effect on PA within the school setting.These were whole school PA policy,physical education,sport/extracurricular PA,classroom-based PA,active breaks/recess,physical environment,shared use agreements,active school transport,and surveillance.The bulk of the evidence was significantly positive(54%),27%was inconclusive,9%was significantly negative,and 11%was untested(due to rounding,some numbers add to 99%or 101%).Frequency of evidence was highest in the primary setting(41%),34%in the secondary setting,and 24%in primary/secondary combined school settings.By policy area,frequency of evidence was highest for sport/extracurricular PA(35%),17%for physical education,and 12%for whole school PA policy,with evidence for shared use agreements between schools and local communities rarely reported(2%).Comparing relative strength of evidence,the evidence for shared use agreements,though sparse,was 100%positive,while 60%of the evidence for whole school PA policy,59%of the evidence for spo

关键词： Evaluation Physical activity Policy School Systematic review

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Psychological and physiological impacts of a fast-track diagnostic workup for men with suspected prostate cancer:Preliminary report from a randomized clinical trial

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Cancer Communications 2020年第5期40卷 239-242页

作者： Jianwei Zhu Ruoqing Chen Sabina Davidsson Jessica Carlsson Anna messing-Eriksson Jonna Fridfeldt Ove Andrén sven-Olof Andersson Unnur Valdimarsdóttir Fang Fang Katja Fall Department of Orthopedic Surgery West China HospitalWest China Medical SchoolSichuan UniversityChengduSichuan 610000P.R.China Department of Medical Epidemiology and Biostatistics Karolinska InstitutetStockholm 17177Sweden Clinical Epidemiology and Biostatistics School of Medical SciencesÖrebro UniversityÖrebro 70185Sweden Department of Urology Faculty of Medicine and HealthÖrebro UniversityÖrebro 70185Sweden Department of Epidemiology Harvard T.H.Chan School of Public HealthBostonMassachusetts 02115SA Institute of Environmental Medicine Karolinska InstitutetStockholm 17177Sweden

Dear Editor,The increasing number of men who undergo workup for suspected prostate cancer are subject to severe emotional stress[1].Stress levels seem to be elevated as soon as a suspicion of cancer is raised and the waiting time before a final diagnosis may be equally stressful as the post-diagnostic period[1,2].We recently demonstrated a marked increase in risk for different psychiatric disorders during the six months before prostate cancer diagnosis,highlighting the potential impact of emotional stress experienced while waiting for the diagnosis[3].

关键词： diagnosis elevated emotional

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