Zusammenfassung
Die gesundheitsfördernde Wirkung körperlicher Aktivität ist inzwischen zweifelsfrei belegt. Sie spielt eine zentrale Rolle bei der Prävention, Behandlung und Rehabilitation körperlicher und psychischer Erkrankungen. Internet- und mobilbasierte Interventionen haben das Potenzial, eine große Anzahl von Menschen mit kostengünstigen Verhaltensveränderungsprogrammen beim Aufbau eines aktiveren Lebensstils zu unterstützen. Mehrere Übersichtsarbeiten belegen inzwischen die Effektivität solcher Interventionen bei der Steigerung körperlicher Aktivität bei gesunden und chronisch kranken Stichproben. Hinsichtlich der differenziellen Wirksamkeit, Wirkmechanismen, Kosteneffektivität und Nebenwirkungen besteht hingegen weiterer Forschungsbedarf. Dieser Beitrag gibt einen Überblick über die Themenbereiche körperliche Aktivität und Internet- und mobilbasierte Interventionen, die Evidenzlage sowie offene Forschungsfragen.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Literatur
Abraham C, Michie S (2008) A taxonomy of behavior change techniques used in interventions. Health Psychol Off J Div Health Psychol Am Psychol Assoc 27(3):379–387. https://doi.org/10.1037/0278-6133.27.3.379
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS (2011) 2011 Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 43(8):1575–1581. https://doi.org/10.1249/MSS.0B013E31821ECE12
Baumeister H, Krämer L, Brockhaus B (2008) Grundlagen psychologischer Interventionen zur Änderung des Gesundheitsverhaltens. Klinische Verhaltensmed Rehabil 82(1):254–264
Baumeister H, Reichler L, Munzinger M, Lin J (2014) The impact of guidance on internet-based mental health interventions – a systematic review. Internet Interv 1(4):205–215. https://doi.org/10.1016/J.INVENT.2014.08.003
Baumeister H, Grässle C, Ebert DD, Krämer L. (2018) Blended Psychotherapy – verzahnte Psychotherapie: Das Beste aus zwei Welten? PiD Psychother Dialog 19(4):33–38. https://doi.org/10.1055/A-0592-0264
Baumeister H, Kraft R, Baumel A, Pryss R, Messner E-M (2019) Persuasive E-health design for behavior change. In: Baumeister H, Montag C (Hrsg) Digital phenotyping and mobile sensing. Studies in neuroscience, psychology and behavioral economics. Springer, Cham, S 261–276. https://doi.org/10.1007/978-3-030-31620-4_17
Baumeister H, Montag C (2019) Digital phenotyping and mobile sensing. In: Baumeister H, Montag C (Hrsg) Studies in Neuroscience, Psychology and Behavioral Economics (SNPBE). Springer, Cham. https://doi.org/10.1007/978-3-030-31620-4
Beishuizen CRL, Stephan BCM, van Gool WA, Brayne C, Peters RJG, Andrieu S, Kivipelto M, Soininen H, Busschers WB, van Charante EPM, Richard E (2016) Web-based interventions targeting cardiovascular risk factors in middle-aged and older people: a systematic review and meta-analysis. J Med Internet Res 18(3):e55. https://doi.org/10.2196/JMIR.5218
Bendig E, Bauereiß N, Ebert DD, Snoek F, Andersson G, Baumeister H (2018) Übersichtsarbeit: Internetbasierte Interventionen bei chronischen körperlichen Erkrankungen. Deutsches Arztebl Int 115(40):659–665. https://doi.org/10.3238/ARZTEBL.2018.0659
Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, Alter DA (2015) Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med 162(2):123–132. https://doi.org/10.7326/M14-1651
Cotie LM, Prince SA, Elliott CG, Ziss MC, McDonnell LA, Mullen KA, Hiremath S, Pipe AL, Reid RD, Reed JL (2018) The effectiveness of eHealth interventions on physical activity and measures of obesity among working-age women: a systematic review and meta-analysis. Obes Rev Off J Int Assoc Study Obes 19(10):1340–1358. https://doi.org/10.1111/OBR.12700
Davies CA, Spence JC, Vandelanotte C, Caperchione CM, Mummery WK (2012) Meta-analysis of internet-delivered interventions to increase physical activity levels. Int J Behav Nutr Phys Act 9(1):52. https://doi.org/10.1186/1479-5868-9-52
Dennett R, Gunn H, Freeman JA (2018) Effectiveness of and user experience with web-based interventions in increasing physical activity levels in people with multiple sclerosis: a systematic review. Phys Ther 98(8):679–690. https://doi.org/10.1093/PTJ/PZY060
Domhardt M, Ebert DD, Baumeister H (2018) Internet- und mobile-basierte Interventionen im Kindes- und Jugendalter. In: Salewski C, Wirtz MA (Hrsg) Psychologie in der Gesundheitsförderung. Springer, Berlin, S 397–410. https://doi.org/10.1007/978-3-662-49289-5_70-1
Donker T, Blankers M, Hedman E, Ljotsson B, Petrie K, Christensen H (2015) Economic evaluations of internet interventions for mental health: a systematic review. Psychol Med 45(16):3357–3376. https://doi.org/10.1017/S0033291715001427
Durstine JL, Gordon B, Wang Z, Luo X (2013) Chronic disease and the link to physical activity. J Sport Health Sci 2(1):3–11. https://doi.org/10.1016/J.JSHS.2012.07.009
Ebert DD, Cuijpers P, Muñoz RF, Baumeister H (2017) Prevention of mental health disorders using internet- and mobile-based interventions: a narrative review and recommendations for future research. Front Psychiatry 8(1). https://doi.org/10.3389/FPSYT.2017.00116
Ebert DD, van Daele T, Nordgreen T, Karekla M, Compare A, Zarbo C, Brugnera A, Øverland S, Trebbi G, Jensen KL, Kaehlke F, Baumeister H, Taylor J (2018) Internet and mobile-based psychological interventions: applications, efficacy and potential for improving mental health. Eur Psychol 23(3):167–187. https://doi.org/10.1027/1016-9040/A000346
Elavsky S, Knapova L, Klocek A, Smahel D (2019) Mobile health interventions for physical activity, sedentary behavior, and sleep in adults aged 50 years and older: a systematic literature review. J Aging Phys Act 27(4):565–593. https://doi.org/10.1123/JAPA.2017-0410
Estabrooks PA, Gyurcsik NC (2003) Evaluating the impact of behavioral interventions that target physical activity: issues of generalizability and public health. Psychol Sport Exerc 4(1):41–55. https://doi.org/10.1016/S1469-0292(02)00016-X
Fanning J, Roberts S, Hillman CH, Mullen SP, Ritterband L, McAuley E (2017) A smartphone “app”-delivered randomized factorial trial targeting physical activity in adults. J Behav Med 40(5):712–729. https://doi.org/10.1007/S10865-017-9838-Y
Foster C, Richards J, Thorogood M, Hillsdon M (2013) Remote and web 2.0 interventions for promoting physical activity. Cochrane Database Syst Rev 2. https://doi.org/10.1002/14651858.CD010395
Gal R, May AM, van Overmeeren EJ, Simons M, Monninkhof EM (2018) The effect of physical activity interventions comprising wearables and smartphone applications on physical activity: a systematic review and meta-analysis. Sports Med Open 4(1):42. https://doi.org/10.1186/S40798-018-0157-9
Garcia-Aymerich J, Lange P, Benet M, Schnohr P, Antó JM (2007) Regular physical activity modifies smoking-related lung function decline and reduces risk of chronic obstructive pulmonary disease a population-based cohort study at a Glance commentry. Am J Respir Crit Care Med 175(1):458–463. https://doi.org/10.1164/rccm.200607-896OC
Golsteijn RHJ, Peels DA, Evers SMAA, Bolman C, Mudde AN, de Vries H, Lechner L (2014) Cost-effectiveness and cost-utility of a Web-based or print-delivered tailored intervention to promote physical activity among adults aged over fifty: an economic evaluation of the active plus intervention. Int J Behav Nutr Phys Act 11(1):1–17. https://doi.org/10.1186/S12966-014-0122-Z
Hardeman W, Houghton J, Lane K, Jones A, Naughton F (2019) A systematic review of just-in-time adaptive interventions (JITAIs) to promote physical activity. Int J Behav Nutr Phys Act 16(1):31. https://doi.org/10.1186/S12966-019-0792-7
Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS (1991). Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med 325(3):147–152. https://doi.org/10.1056/NEJM199107183250302
Hutchesson MJ, Gough C, Müller AM, Short CE, Whatnall MC, Ahmed M, Pearson N, Yin Z, Ashton LM, Maher C, Staiano AE, Mauch CE, DeSmet A, Vandelanotte C (2021) eHealth interventions targeting nutrition, physical activity, sedentary behavior, or obesity in adults: a scoping review of systematic reviews. Obes Rev 22(10):e13295. https://doi.org/10.1111/OBR.13295
Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, Stone EJ, Rajab MW, Corso P (2002) The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med 22(4), 73–107. https://doi.org/10.1016/S0749-3797(02)00434-8
Kelders SM, Kok RN, Ossebaard HC, van Gemert-Pijnen JEWC (2012) Persuasive system design does matter: a systematic review of adherence to web-based interventions. J Med Internet Res 14(6):e152. https://doi.org/10.2196/JMIR.2104
Kloek CJ, Bossen D, Veenhof C, van Dongen JM, Dekker J, de Bakker DH (2018) Effectiveness and cost-effectiveness of a blended exercise intervention for patients with hip and/or knee osteoarthritis: study protocol of a randomized controlled trial. BMC Musculoskelet Disord 15(1):269. https://doi.org/10.1186/1471-2474-15-269
Krug S, Jordan S, Mensink GBM, Müters S, Finger J, Lampert T (2013) Körperliche Aktivität: Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 56(5–6):765–771. https://doi.org/10.1007/S00103-012-1661-6
LaCroix AZ, Bellettiere J, Rillamas-Sun E, Di C, Evenson KR, Lewis CE, Buchner DM, Stefanick ML, Lee IM, Rosenberg DE, LaMonte MJ (2019) Association of light physical activity measured by accelerometry and incidence of coronary heart disease and cardiovascular disease in older women. JAMA Netw Open 2(3):e190419. https://doi.org/10.1001/JAMANETWORKOPEN.2019.0419
Lee IM (2003) Physical activity and cancer prevention. Data from epidemiologic studies. Med Sci Sports Exerc 35(11):1823–1827. https://doi.org/10.1249/01.MSS.0000093620.27893.23
Leon AS, Franklin BA, Costa F, Balady GJ, Berra KA, Stewart KJ, Thompson PD, Williams MA, Lauer MS (2005). Cardiac rehabilitation and secondary prevention of coronary heart disease: An American Heart Association Scientific Statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in Collaboration with the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation 111(3), 369–376. https://doi.org/10.1161/01.CIR.0000151788.08740.5C
Lewis BA, Williams DM, Neighbors CJ, Jakicic JM, Marcus BH (2010) Cost analysis of internet vs. print interventions for physical activity promotion. Psychol Sport Exerc 11(3), 246–249. https://doi.org/10.1016/J.PSYCHSPORT.2009.10.002
Mammen G, Faulkner G (2013) Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med 45(5):649–657. https://doi.org/10.1016/J.AMEPRE.2013.08.001
Miller WR, Rollnick S (1991) Motivational interviewing: preparing people to change addictive behavior. The Guilford Press, New York
Mönninghoff A, Kramer JN, Hess AJ, Ismailova K, Teepe GW, Car LT, Müller-Riemenschneider F, Kowatsch T (2021) Long-term effectiveness of mHealth physical activity interventions: systematic review and meta-analysis of randomized controlled trials. J Med Internet Res 23(4):e26699. https://doi.org/10.2196/26699
Orbell S, Sheeran P (1998) “Inclined abstainers”: a problem for predicting health-related behaviour. Br J Soc Psychol 37(2):151–165. https://doi.org/10.1111/J.2044-8309.1998.TB01162.X
Paganini S, Lin J, Kählke F, Buntrock C, Leiding D, Ebert DD, Baumeister H (2019) A guided and unguided internet-and mobile-based intervention for chronic pain: health economic evaluation alongside a randomised controlled trial. BMJ Open 9(1):e023390. https://doi.org/10.1136/bmjopen-2018-023390
Paganini S, Terhorst Y, Sander LB, Catic S, Balci S, Küchler AM, Schultchen D, Plaumann K, Sturmbauer S, Krämer LV, Lin J, Wurst R, Pryss R, Baumeister H, Messner EM (2020) Quality of physical activity apps: systematic search in app stores and content analysis. JMIR Mhealth Uhealth 9(6):e22587. https://doi.org/10.2196/22587
Papa A, Follette WC (2015) Dismantling studies of psychotherapy. In: Cautin RL, Lilienfeld SO (Hrsg) The encyclopedia of clinical psychology. Wiley, Hoboken, NJ, S 1–6. https://doi.org/10.1002/9781118625392.WBECP523
Prochaska JO, DiClemente CC (1984) The transtheoretical approach: crossing traditional boundaries of therapy. Dow Jones-Irwin, Homewood, IL
Roberts AL, Fisher A, Smith L, Heinrich M, Potts HWW (2017) Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv Res Pract 11(6):704–719. https://doi.org/10.1007/S11764-017-0632-1
Romeo A, Edney S, Plotnikoff R, Curtis R, Ryan J, Sanders I, Crozier A, Maher C (2019) Can smartphone apps increase physical activity? Systematic Review and Meta-Analysis. J Med Internet Res 21(3):e12053. https://doi.org/10.2196/12053
Sallis JF, Haskell WL, Fortmann SP, Vranizan KM, Taylor CB, Solomon DS (1986) Predictors of adoption and maintenance of physical activity in a community sample. Prev Med 15(4):331–341. https://doi.org/10.1016/0091-7435(86)90001-0
Schwarzer R (2004) Psychologie des Gesundheitsverhaltens. Einführung in die Gesundheitspsychologie. In: Psychologie des Gesundheitsverhaltens (3. Aufl.). Hogrefe, Göttingen
Sofi F, Capalbo A, Cesari F, Abbate R, Gensini GF (2008) Physical activity during leisure time and primary prevention of coronary heart disease: an updated meta-analysis of cohort studies. Eur J Cardiovasc Prev Rehabil Off J Eur Soc Cardiol Working Groups Epidemiol Prev Card Rehabil Exerc Physiol 15(3):247–257. https://doi.org/10.1097/HJR.0B013E3282F232AC
Statista (10. August 2015) Nutzung von Digital Health-Applikationen und -Services im Bereich Fitness-Training/Tracking/Monitoring in Deutschland nach Alter und Geschlecht 2017 [Graph]. Statista. https://de.statista.com/statistik/daten/studie/454386/umfrage/nutzung-digitaler-apps-und-services-im-bereich-fitness-training-tracking-monitoring/
Statistisches Bundesamt (Destatis) (2021) Private Haushalte in der Informationsgesellschaft (IKT) – Fachserie 15 Reihe 4 – 2020. https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Einkommen-Konsum-Lebensbedingungen/IT-Nutzung/Publikationen/Downloads-IT-Nutzung/private-haushalte-ikt-2150400207004.html
Swedish National Institute of Public Health (2010) Physical actitivty in the prevention of treatment and desease, Bd 2. Professional Associations For Physical Activity (Sweden). http://www.fyss.se/wp-content/uploads/2018/01/fyss_2010_english.pdf
U.S. Department of Health and Human Services (2008) 2008 physical activity guidelines for Americans. www.health.gov/paguidelines
Vandelanotte C, Spathonis KM, Eakin EG, Owen N (2007) Website-delivered physical activity interventions a review of the literature. Am J Prev Med 33(1):54–64. https://doi.org/10.1016/J.AMEPRE.2007.02.041
VuMA (Arbeitsgemeinschaft Verbrauchs- und Medienanalyse) (17. November 2021) Anteil der Smartphone-Nutzer in Deutschland nach Altersgruppe im Jahr 2021 [Graph]. Statista. https://de.statista.com/statistik/daten/studie/459963/umfrage/anteil-der-smartphone-nutzer-in-deutschland-nach-altersgruppe/
Wangberg SC, Bergmo TS, Johnsen JAK (2008) Adherence in internet-based interventions. Patient Prefer Adherence 2(1):57–65
Warburton DER, Nicol CW, Bredin SSD (2006) Health benefits of physical activity: the evidence. CMAJ Can Med Assoc J J Assoc Med Can 174(6):801–809. https://doi.org/10.1503/CMAJ.051351
Webb TL, Joseph J, Yardley L, Michie S (2010) Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res 12(1):e4. https://doi.org/10.2196/JMIR.1376
World Health Organization (2009) Global health risks mortality and burden of disease attributable to selected major risks. World Health Organization. https://apps.who.int/iris/handle/10665/44203
World Health Organization (2010) Global recommendations on physical activity for health. World Health Organization. https://www.who.int/publications/i/item/9789241599979
Wu S, Cohen D, Shi Y, Pearson M, Sturm R (2011) Economic analysis of physical activity interventions. Am J Prev Med 40(2):149–158. https://doi.org/10.1016/J.AMEPRE.2010.10.029
Zschucke E, Gaudlitz K, Ströhle A (2013) Exercise and physical activity in mental disorders: clinical and experimental evidence. J Prev Med Public Health 46(1):12–21. https://doi.org/10.3961/JPMPH.2013.46.S.S12
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Ethics declarations
Ann-Marie Küchler berichtet, an der Entwicklung und Evaluation der internet- und mobilbasierten Intervention StudiCare Körperliche Aktivität beteiligt gewesen zu sein und Honorare für Vorträge/Workshops von Psychotherapeutenkammern und Krankenkassen erhalten zu haben.
David Daniel Ebert berichtet, Beratungshonorare von mehreren Unternehmen wie Novartis, Sanofi, Lantern, Schön Kliniken, Minddistrict und deutschen Krankenkassen (BARMER, Techniker Krankenkasse) erhalten zu haben und in wissenschaftlichen Beiräten dieser Einrichtungen tätig gewesen zu sein. Er ist beteiligt an einem Institut für Onlinegesundheitstrainings (HelloBetter/Get.On), das sich zum Ziel gesetzt hat, wissenschaftliche Erkenntnisse im Zusammenhang mit digitalen Gesundheitsinterventionen in die Routineversorgung zu implementieren.
Harald Baumeister berichtet, Beratungshonorare und Honorare für Vorträge oder Workshops von Psychotherapeutenkammern und Ausbildungsinstituten für Psychotherapeuten sowie Lizenzgebühren für eine Internetintervention erhalten zu haben.
Rights and permissions
Copyright information
© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Küchler, AM., Ebert, D.D., Baumeister, H. (2023). Körperliche Aktivität. In: Ebert, D.D., Baumeister, H. (eds) Digitale Gesundheitsinterventionen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65816-1_12
Download citation
DOI: https://doi.org/10.1007/978-3-662-65816-1_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-65815-4
Online ISBN: 978-3-662-65816-1
eBook Packages: Medicine (German Language)