中国全科医学 ›› 2026, Vol. 29 ›› Issue (13): 1645-1648.DOI: 10.12114/j.issn.1007-9572.2025.0468

• 指南·共识·规范 • 上一篇    下一篇

澳大利亚全科医生学会《全科医学的预防活动指南》解读与讨论:工作人群身体活动健康促进与全科实践

陈章1, 邱珊娇2, 李安春3, 何智光4, 黄文静5,*()   

  1. 1.518003 广东省深圳市,罗湖医院集团南湖街道社区健康服务中心
    2.518003 广东省深圳市,罗湖医院集团黄贝岭社区健康服务中心
    3.518003 广东省深圳市,罗湖医院集团笋岗社区健康服务中心
    4.518003 广东省深圳市,罗湖医院集团金岭社区健康服务中心
    5.518003 广东省深圳市,罗湖医院集团居民健康管理中心(社管中心)
  • 收稿日期:2025-06-15 修回日期:2026-01-29 出版日期:2026-05-05 发布日期:2026-04-14
  • 通讯作者: 黄文静

  • 作者贡献:

    陈章负责研究的整体构思与设计,提出研究命题与核心观点,完成文献检索与资料整理,负责论文初稿的撰写与修订,并对论文的学术内容与最终版本负责;邱珊娇、李安春、何智光参与研究思路讨论,协助文献检索与资料整理,并对论文的重要学术内容提出修改意见;黄文静负责内容把关,对文章的学术内容、核心思想和整体质量负责。全体作者共同审阅并确认论文终稿,对研究内容的真实性和完整性负责。

Interpretation and Discussion of the RACGP Guidelines for Preventive Activities: Promoting Physical Activity among the Working Population in General Practice

CHEN Zhang1, QIU Shanjiao2, LI Anchun3, HE Zhiguang4, HUANG Wenjing5,*()   

  1. 1. Nanhu Sub-district Community Health Service Center, Luohu Hospital Group, Shenzhen 518003, China
    2. Huangbeiling Community Health Service Center, Luohu Hospital Group, Shenzhen 518003, China
    3. Sungang Community Health Service Center, Luohu Hospital Group, Shenzhen 518003, China
    4. Jinling Community Health Service Center, Luohu Hospital Group, Shenzhen 518003, China
    5. Resident Health Management Center (Community Health Management Center), Luohu Hospital Group, Shenzhen 518003, China
  • Received:2025-06-15 Revised:2026-01-29 Published:2026-05-05 Online:2026-04-14
  • Contact: HUANG Wenjing

摘要: 在慢性非传染性疾病发病呈现年轻化趋势的背景下,身体活动不足成为影响工作人群健康的重要且可干预危险因素。尽管我国相关政策持续强调运动促进健康,但在全科医学实践中,如何将运动处方系统地嵌入日常诊疗服务,仍有待进一步梳理其可操作的实施路径。本文围绕澳大利亚皇家全科医生学会(RACGP)第10版《全科医学预防活动指南》中"将身体活动嵌入日常生活"的核心理念,结合WHO身体活动与久坐行为指南及国内外循证研究,对全科医生在身体活动促进中的角色定位、实践要点与实施路径进行解读与讨论,并结合深圳社区全科实践,分析该理念在工作人群健康管理中的应用情境与现实意义,为全科医学场景下开展身体活动健康促进提供可参考的实践思路。

关键词: 身体活动, 运动处方, 预防性医疗服务, 健康促进, 工作人群, 全科医学

Abstract:

Against the background of the increasingly younger onset of non-communicable diseases, physical inactivity has become an important and modifiable risk factor affecting the health of the working population. Although physical activity promotion has been consistently emphasized in national health policies in China, clearer and more operational pathways are still needed to systematically embed physical activity advice into routine general practice. This article focuses on the core concept of "embedding physical activity into daily life" proposed in the 10th edition of the Guidelines for Preventive Activities in General Practice issued by the Royal Australian College of General Practitioners (RACGP). Drawing on the World Health Organization guidelines on physical activity and sedentary behavior, as well as evidence from domestic and international literature, the paper interprets and discusses the role of general practitioners in physical activity promotion, key practice considerations, and potential implementation pathways. Experiences from community-based general practice in Shenzhen are also discussed to examine the contextual application and practical relevance of this concept in health management among the working population. This article aims to provide practical reference for promoting physical activity within general practice settings.

Key words: Physical activity, Exercise prescription, Preventive health care, Health promotion, Working population, General practice