Objectives Physical activity guidelines inform policy and practice in promoting healthier lifestyles. The WHO advocates for distinct recommendations for each country to address variation in needs, resources and context. Specific regional recommendations for three underactive populations facing unique barriers to movement are lacking—people with chronic conditions, disability and advanced age. We review which countries/regions provide specific physical activity guidelines for these populations to identify deficiencies in meeting WHO recommendations and inform future directions for guideline development. Design Scoping review. Data sources OVID Medline, PubMed, Scopus, Embase, Web of Science, Google Scholar, ProQuest, CINAHL, Google searches, targeted websites. Eligibility criteria Data sources were searched from database inception to September 2023 to identify community-facing physical activity guidelines at the national/international level for these populations. We recorded, summarised and analysed physical activity guideline recommendations extracted from published guideline documents, organised by population and country/region. Results 66 articles were identified, addressing 28 distinct countries/regions, including four international guidelines, published from 2009 to 2023. The WHO guidelines were adopted by 19 countries and the European Union. Across all regions, a lack of specific advice was identified for individuals with chronic conditions (46%), disability (46%) and advanced age (11%). Advice for chronic conditions and disability commonly replicated general adult population advice. Conclusion Many countries/regions do not produce physical activity guidelines specific to populations with chronic conditions and disability. As such, a large proportion of countries/regions failed to meet WHO recommendations, highlighting a lack of customised advice to address unique barriers faced by vulnerable populations. No data are available. Not applicable.

中文翻译：

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关于慢性病、残疾和高龄患者身体活动和久坐行为的当代国家和国际指南：范围界定审查


目标 身体活动指南为促进更健康的生活方式的政策和实践提供信息。世界卫生组织主张为每个国家提出不同的建议，以应对不同的需求、资源和背景。对于面临独特流动障碍的三种活动不足人群（患有慢性病、残疾和高龄的人），缺乏具体的区域建议。我们审查哪些国家/地区为这些人群提供了具体的身体活动指南，以确定在满足世卫组织建议方面的缺陷，并为指南的未来制定方向提供信息。设计范围审查。数据来源 OVID Medline、PubMed、Scopus、Embase、Web of Science、Google Scholar、ProQuest、CINAHL、Google 搜索、目标网站。资格标准对从数据库建立到 2023 年 9 月期间的数据源进行了搜索，以确定针对这些人群的国家/国际层面面向社区的体育活动指南。我们记录、总结和分析了从已发布的指南文件中提取的身体活动指南建议，并按人口和国家/地区组织。结果 确定了 66 篇文章，涉及 28 个不同的国家/地区，其中包括 2009 年至 2023 年发布的四份国际指南。世界卫生组织指南被 19 个国家和欧盟采用。在所有地区，都发现缺乏针对慢性病 (46%)、残疾 (46%) 和高龄 (11%) 患者的具体建议。针对慢性病和残疾的建议通常与一般成年人的建议相同。结论 许多国家/地区没有制定针对慢性病和残疾人群的身体活动指南。 因此，很大一部分国家/地区未能达到世卫组织的建议，突显出缺乏定制建议来解决弱势群体面临的独特障碍。无可用数据。不适用。