Abstract：
The implementation of strategies to prevent mobility disability in seniors at-risk with a strong focus on exercise is a public health imperative. These strategies must follow a pragmatic, structured and personalized approach. In order to obtain short, medium and long-term benefits, it is essential to consider the coordination of adapted physical exercise programs and to harmonize good practices. In support of national policies for the prevention of loss of autonomy, it is important to define clear guidelines to conduct effective programs. These programs should have a strong emphasis on evidence-based literature and should be validated by a consensus of multi-professional experts. The aim of this consensus is to outline the steps implementing these programs, to present their constituent elements and their practical application. Conception and elaboration of these programs should include frequency, intensity, duration, type of work, volume and individual progressiveness. Programs should also be focused on a personalised approach to develop participant health education, self-efficacy and empowerment for physical activity to ensure long-term health related behaviours. Moreover, trained professionals must supervise these programs in order to assure participants safety and program effectiveness. These guidelines will support policies for the prevention of loss of autonomy and mobility, throughout their development over the national territory.
摘要：
实施预防高危老年人行动不便的战略，重点放在锻炼上，是公共卫生的当务之急。这些策略必须遵循务实，结构化和个性化的方法。为了获得短,中长期效益,必须考虑协调适应的体育锻炼计划并协调良好做法。为支持防止丧失自主权的国家政策，重要的是要制定明确的指导方针来实施有效的计划。这些计划应高度重视循证文献，并应得到多专业专家的共识。这一共识的目的是概述实施这些计划的步骤，介绍其构成要素及其实际应用。这些计划的构思和阐述应包括频率，强度,持续时间,工作类型,体积和个人进步。计划还应侧重于个性化的方法来发展参与者的健康教育，身体活动的自我效能和赋权，以确保长期的健康相关行为。此外，训练有素的专业人员必须监督这些计划，以确保参与者的安全和计划的有效性。这些准则将支持防止丧失自主性和机动性的政策，在整个国家领土上的发展。
