Montserrat Romaguera , Antonio Heras , Mercè Solà Gonfaus , Bernat de Pablo Màrquez , Mireia Guarner , Francesc Alòs
{"title":"从全球战略到地方咨询:身体活动在初级保健中的前景","authors":"Montserrat Romaguera , Antonio Heras , Mercè Solà Gonfaus , Bernat de Pablo Màrquez , Mireia Guarner , Francesc Alòs","doi":"10.1016/j.aprim.2025.103321","DOIUrl":null,"url":null,"abstract":"<div><div>This article reflects on the key role that primary care must play in promoting physical activity as a central tool for health. Despite decades of international strategies, levels of physical inactivity and sedentary behavior continue to rise. The primary care of the future must move beyond generic advice and advance toward effective, personalized, evidence-based prescription with clinical follow-up. A proactive, digitally integrated, community-connected, and equity-focused model is proposed. Furthermore, a forward-looking approach is outlined, involving technologies such as artificial intelligence, hybrid monitoring platforms, and the prescription of active urban spaces. Overcoming current barriers—such as healthcare workload, insufficient training, or the digital divide—is essential. Physical activity must no longer be an isolated recommendation but a structural, sustainable intervention. Because the future of health begins today, in every consultation, with every step.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103321"},"PeriodicalIF":1.8000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"De la estrategia mundial a la consulta local: una visión de futuro sobre la actividad física en atención primaria\",\"authors\":\"Montserrat Romaguera , Antonio Heras , Mercè Solà Gonfaus , Bernat de Pablo Màrquez , Mireia Guarner , Francesc Alòs\",\"doi\":\"10.1016/j.aprim.2025.103321\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>This article reflects on the key role that primary care must play in promoting physical activity as a central tool for health. Despite decades of international strategies, levels of physical inactivity and sedentary behavior continue to rise. The primary care of the future must move beyond generic advice and advance toward effective, personalized, evidence-based prescription with clinical follow-up. A proactive, digitally integrated, community-connected, and equity-focused model is proposed. Furthermore, a forward-looking approach is outlined, involving technologies such as artificial intelligence, hybrid monitoring platforms, and the prescription of active urban spaces. Overcoming current barriers—such as healthcare workload, insufficient training, or the digital divide—is essential. Physical activity must no longer be an isolated recommendation but a structural, sustainable intervention. Because the future of health begins today, in every consultation, with every step.</div></div>\",\"PeriodicalId\":55435,\"journal\":{\"name\":\"Atencion Primaria\",\"volume\":\"57 8\",\"pages\":\"Article 103321\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Atencion Primaria\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0212656725001076\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Atencion Primaria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0212656725001076","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
De la estrategia mundial a la consulta local: una visión de futuro sobre la actividad física en atención primaria
This article reflects on the key role that primary care must play in promoting physical activity as a central tool for health. Despite decades of international strategies, levels of physical inactivity and sedentary behavior continue to rise. The primary care of the future must move beyond generic advice and advance toward effective, personalized, evidence-based prescription with clinical follow-up. A proactive, digitally integrated, community-connected, and equity-focused model is proposed. Furthermore, a forward-looking approach is outlined, involving technologies such as artificial intelligence, hybrid monitoring platforms, and the prescription of active urban spaces. Overcoming current barriers—such as healthcare workload, insufficient training, or the digital divide—is essential. Physical activity must no longer be an isolated recommendation but a structural, sustainable intervention. Because the future of health begins today, in every consultation, with every step.
期刊介绍:
Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.