Physical inactivity was characterised as a global pandemic in the 2012 Lancet series on physical activity and health.1 The extent of the pandemic, causes and potential solutions were further explored in other papers in the 2012 and 2016 series, and recommendations derived from these papers and an associated workshop are summarised by Ding et al. 2 This paper builds on these syntheses of global knowledge and assesses progress or the lack thereof in addressing the global pandemic of physical inactivity. Ding et al noted the substantial growth of research on physical activity and public health, progress in integrating physical activity into public health policy and practice and make recommendations for closing still important gaps in knowledge. However, population level advances in public health programmes and policies lag behind those seen in equivalently important areas of public health such as HIV prevention, maternal mortality and tobacco control. Clearly, one of the reasons for lack of progress is that physical inactivity, much like diet, obesity and diabetes, is a complex problem requiring solutions across many sectors and at many levels. There is no silver bullet for physical activity promotion. In the current editorial, we examine whether we are failing to implement proven strategies or do not yet truly understand what works to increase population levels of physical activity and close with recommendations for researchers and policymakers. Physical activity is now widely accepted as a global public health issue with many countries including it within national public health plans. Unfortunately, physical activity is often treated as a secondary factor hidden in broad non-communicable disease planning efforts. The 2018 WHO Global Action Plan for Physical Activity (GAPPA) may be the best manifestation of physical activity joining the mainstream of public health.3 It is well elucidated, evidence-based and engages multiple sectors, strategies and …

中文翻译：

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应对缺乏身体活动的流行病：是什么阻碍了我们？

在 2012 年《柳叶刀》关于身体活动与健康的系列文章中，缺乏身体活动被定性为全球流行病。1 2012 年和 2016 年系列的其他论文进一步探讨了大流行的程度、原因和潜在的解决方案，并从这些论文和Ding 等人总结了一个相关的研讨会。2 本文以这些全球知识综合为基础，评估在解决全球缺乏身体活动流行病方面取得的进展或缺乏进展。Ding 等人注意到身体活动和公共卫生研究的大幅增长，将身体活动纳入公共卫生政策和实践的进展，并提出了弥合仍然重要的知识差距的建议。然而，公共卫生计划和政策的人口水平进展落后于同等重要的公共卫生领域，例如艾滋病毒预防、孕产妇死亡率和烟草控制。显然，缺乏进展的原因之一是缺乏身体活动，就像饮食、肥胖和糖尿病一样，是一个复杂的问题，需要在多个部门和多个层面上解决。体育活动推广没有灵丹妙药。在当前的社论中，我们检查了我们是否未能实施行之有效的策略，或者尚未真正了解提高人口体育活动水平的方法，并最终向研究人员和政策制定者提出建议。体育活动现在被广泛认为是一个全球公共卫生问题，许多国家将其纳入国家公共卫生计划。不幸的是，身体活动通常被视为隐藏在广泛的非传染性疾病规划工作中的次要因素。2018 年世卫组织身体活动全球行动计划 (GAPPA) 可能是身体活动加入公共卫生主流的最佳体现。3 它解释清楚、以证据为基础，涉及多个部门、战略和……