Achieving recommended levels of physical activity is important for optimal cardiovascular health and can help reduce cardiovascular disease risk. Emerging evidence suggests that physical activity fluctuates throughout the life course. Some life events and transitions are associated with reductions in physical activity and, potentially, increases in sedentary behavior. The aim of this scientific statement is to first provide an overview of the evidence suggesting changes in physical activity and sedentary behavior across life events and transitions. A second aim is to provide guidance for health care professionals or public health workers to identify changes and promote physical activity during life events and transitions. We offer a novel synthesis of existing data, including evidence suggesting that some subgroups are more likely to change physical activity behaviors in response to life events and transitions. We also review the evidence that sedentary behavior changes across life events and transitions. Tools for health care professionals to assess physical activity using simple questions or wearable devices are described. We provide strategies for health care professionals to express compassion as they ask about life transitions and initiate conversations about physical activity. Last, resources for life phase–specific, tailored physical activity support are included. Future research needs include a better characterization of physical activity and sedentary behavior across life events and transitions in higher-risk subgroups. Development and testing of interventions designed specifically to combat declines in physical activity or increases in sedentary behavior during life events and transitions is needed to establish or maintain healthy levels of these cardiovascular health–promoting behaviors.

中文翻译：

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在生活事件和过渡期间支持患者和人群的身体活动：美国心脏协会的科学声明

达到推荐的体育活动水平对于最佳心血管健康很重要，并且有助于降低心血管疾病的风险。新出现的证据表明，身体活动在整个生命过程中都会波动。一些生活事件和转变与身体活动的减少有关，并且可能与久坐行为的增加有关。本科学声明的目的是首先概述表明身体活动和久坐行为在生活事件和过渡期间发生变化的证据。第二个目标是为医疗保健专业人员或公共卫生工作者提供指导，以识别生活事件和过渡期间的变化并促进身体活动。我们提供对现有数据的新颖综合，包括证据表明某些亚组更有可能改变身体活动行为以应对生活事件和转变。我们还回顾了久坐行为在生活事件和过渡期间发生变化的证据。描述了医疗保健专业人员使用简单问题或可穿戴设备评估身体活动的工具。我们为医疗保健专业人员提供策略，让他们在询问生活转变和发起有关体育活动的对话时表达同情心。最后，包括针对特定生命阶段、量身定制的身体活动支持的资源。未来的研究需要包括更好地描述生活事件中的身体活动和久坐行为以及高风险亚组的转变。