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K\u00f6rperliche Aktivit\u00e4t ist daher eine zentrale S\u00e4ule der Pr\u00e4vention und Therapie. Neben dem Energieverbrauch beeinflusst sie Muskelmasse, Insulinsensitivit\u00e4t, Fettstoffwechsel, Entz\u00fcndungsprozesse, psychische Gesundheit, Schlaf und funktionelle Kapazit\u00e4t. Dieser narrative \u00dcbersichtsbeitrag fasst aktuelle Leitlinien, Metaanalysen und repr\u00e4sentative Monitoringdaten zur Rolle der k\u00f6rperlichen Aktivit\u00e4t \u00fcber die Lebensspanne unter Ber\u00fccksichtigung von Pr\u00e4vention und Therapie zusammen.<\/jats:p>\n                  <jats:p>In der Pr\u00e4vention gelten zun\u00e4chst die allgemeinen, altersspezifischen Empfehlungen f\u00fcr moderate bzw. intensive Bewegung sowie die Reduktion langer Sitzzeiten. In der Therapie ist der allein durch Bewegung erzielbare Gewichtsverlust bei Erwachsenen meist moderat; k\u00f6rperliche Aktivit\u00e4t ist jedoch unabh\u00e4ngig davon mit relevanten Verbesserungen von K\u00f6rperzusammensetzung, Fitness, metabolischer Gesundheit, Mobilit\u00e4t und Lebensqualit\u00e4t assoziiert.<\/jats:p>\n                  <jats:p>Aus Public-Health-Perspektive erfordert Bewegungsf\u00f6rderung zugleich verh\u00e4ltnisorientierte Ans\u00e4tze, etwa durch sichere Fu\u00df- und Radwege, attraktive und zug\u00e4ngliche Bewegungsr\u00e4ume, bewegungsfreundliche Bildungs- und Arbeitswelten sowie eine stigmavermeidende Versorgung. Physical Literacy als kompetenzbasiertes Konstrukt aus Motivation, Selbstvertrauen, k\u00f6rperlicher Kompetenz, Wissen und Verst\u00e4ndnis kann dazu beitragen, k\u00f6rperliche Aktivit\u00e4t als langfristige Ressource f\u00fcr Gesundheit und Wohlbefinden und nicht allein als Mittel zur Pr\u00e4vention einer Gewichtszunahme oder zur Gewichtsreduktion zu verankern.<\/jats:p>","DOI":"10.1007\/s00103-026-04310-x","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:17:38Z","timestamp":1792102658000},"page":"1260-1268","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Die Rolle der k\u00f6rperlichen Aktivit\u00e4t in der Adipositaspr\u00e4vention","The role of physical activity in obesity prevention"],"prefix":"10.1007","volume":"69","author":[{"given":"Christine","family":"Joisten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Ferrari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"4310_CR1","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","volume":"54","author":"FC Bull","year":"2020","unstructured":"Bull\u00a0FC, Al-Ansari\u00a0SS, Biddle\u00a0S et\u00a0al (2020) World Health Organization 2020 guidelines on physical activity and sedentary behaviour. 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