Physical Activity Promotion: The Perspective of the Medicalisation Studies

Titolo Rivista SALUTE E SOCIETÀ
Autori/Curatori Enrico Michelini
Anno di pubblicazione 2021 Fascicolo 2021/3
Lingua Inglese Numero pagine 16 P. 206-221 Dimensione file 253 KB
DOI 10.3280/SES2021-003013
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Physical inactivity is one of the main concerns of the global health agenda. This article assess-es at both the theoretical and the empirical level the research question «(How) Does the health system medicalise the promotion of physical activity?» The promotion of physical activity is first theoretically considered against the background of the medicalisation studies. Afterwards, the article empirically analyses the characteristics of physical activity recommended in 25 health strategies issued by the ministries of health in Germany, France, Italy, Sweden, and the United States of America. The content of these documents medicalises physical activity, be-cause: it treats the problem of physical inactivity as a disease; it redefines the concept of "healthy physical activity" in medical terms and it creates key functions for health profession-als in this area. The conclusion critically discusses the description of the promotion of physical activity as a phenomenon of medicalisation.

Keywords:Physical activity; health; sport; health system; health promotion; medicalisation.

  1. Abbott, A. (2014). The System of Professions: An Essay on the Division of Expert Labor. Chicago: University of Chicago press.
  2. ACSM (1978). ACSM Position Statement: The Recommended Quantity and Quality of Exercise for Developing and Maintaining Fitness in Healthy Adults. Medicine & Science in Sports & Exercise, 10(3): vii-x. PMID: 723501.
  3. Antonovsky A. (1979). Health, Stress, and Coping. San Francisco: Jossey Bass.
  4. Armstrong D. (1995). The Rise of Surveillance Medicine. Sociology of health & illness, 17(3): 393-404.
  5. Bergman A., Norlander T. (2005). «Hay Sacks Anonymous»: Living in the Shadow of the Unidentified. Psychological Aspects of Physical Inactivity from a Phenomenological Perspective. The Qualitative Report, 10(4): 795-816. DOI: 10.46743/2160-3715/2005.183
  6. Bircher J., Kuruvilla S. (2014). Defining Health by Addressing Individual, Social, and Environmental Determinants: New Opportunities for Health Care and Public Health. Journal of Public Health Policy, 35(3): 363-386.
  7. Blair S. N., et al. (2004). The Evolution of Physical Activity Recommendations: How Much is Enough? The American Journal of Clinical Nutrition, 79(5): 913-920.
  8. Bouchard C. (2001). Physical Activity and Health: Introduction to the Dose-Response Symposium. Medicine & Science in Sports & Exercise, 33(6)(Supplement): 347-350. DOI: 10.1097/00005768-200106001-0000
  9. Bouchard C., Shephard R.J. (1994). Physical activity, Fitness, and Health: The Model and Key Concepts. In: Bouchard C., Shephard R. J. and Stephens T., editors, Physical Activity, Fitness, and Health. International Proceedings and Consensus Statement. Champaign: Human Kinetics.
  10. Busfield J. (2017). The Concept of Medicalisation Reassessed. Sociology of health & illness, 39(5): 759-774. DOI: 10.1111/1467-9566.1253
  11. Caspersen C.J., et al. (1985). Physical Activity, Exercise, and Physical Fitness: Definitions and Distinctions for Health-Related Research. Public health reports, 100(2): 126-131. PMID: 3920711
  12. Cavill N., et al. (2006). Physical Activity and Health in Europe: Evidence for Action. Copenhagen: WHO.
  13. Clark J. (2014). Medicalization of Global Health 3: The Medicalization of the Non-Communicable Diseases Agenda. Global Health Action, 7.
  14. Conrad P. (1992). Medicalization and Social Control. Annual Review of Sociology, 18: 209-232.
  15. Conrad P. (2005). The Shifting Engines of Medicalization. Journal of Health and Social Behavior, 46(1): 3-14. DOI: 10.1177/00221465050460010
  16. Conrad P. (2013). Medicalization: Changing Contours, Characteristics, and Contexts. In: Cockerham W. C., editor, Medical Sociology on the Move. New York: Springer.
  17. Davis J. E. (2010). Medicalization, Social Control, and the Relief of Suffering. In: Cockerham W. C., editor, The new Blackwell companion to medical sociology. Malden: Blackwell.
  18. Engel G. L. (1977). The Need for a New Medical Model: A Challenge for Biomedicine. Science, 196(4286): 129-136.
  19. Esping-Andersen G. (1990). The Three Worlds of Welfare Capitalism. Cambridge: Polity Press.
  20. Evetts J. (2011). A New Professionalism? Challenges and Opportunities. Current Sociology, 59(4): 406-422. DOI: 10.1177/001139211140258
  21. Florindo A.A. et al. (2013). Physical Activity Counseling in Primary Health Care in Brazil: A National Study on Prevalence and Associated Factors. BMC Public Health, 13: 794. DOI: 10.1186/1471-2458-13-79
  22. Freidson E. (1970). Professional Dominance: The Social Structure of Medical Care. New York: Atherton.
  23. Garber C.E. et al. (2011). ACSM Position Stand: Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy Adults: Guidance for Prescribing Exercise. Medicine and science in sports and exercise, 43(7): 1334-1359.
  24. Huber M., et al. (2011). How Should we Define Health? Bmj, 343: 4163.
  25. Illich I. (1974). Medical Nemesis. The Lancet, 7863(1): 918-921. DOI: 10.1016/S0140-6736(74)90361-
  26. Jutel A. (2006). The emergence of overweight as a disease entity: Measuring up normality. Social Science & Medicine, 63(9): 2268-2276.
  27. Krippendorff K. (2004). Content Analysis: An Introduction to its Methodology. London: Sage Publications.
  28. Lamnek S. (2010). Qualitative Sozialforschung. Weinheim: Beltz.
  29. Lee I.M. et al. (2012). Effect of Physical Inactivity on Major Non-Communicable Diseases Worldwide: An Analysis of Burden of Disease and Life Expectancy. The Lancet, 380(9838): 219-229. DOI: 10.1016/S0140-6736(12)61031-
  30. Leonardi F. (2018). The Definition of Health: Towards New Perspectives. International Journal of Health Services, 48(4): 735-748. DOI: 10.1177/0020731418782653
  31. Maturo A.F., Moretti V. (2018). Digital Health and the Gamification of Life: How Apps Can Promote a Positive Medicalization. Bingley: Emerald Publishing Limited.
  32. Mayring P. (2015). Qualitative Inhaltsanalyse: Grundlagen und Techniken. Weinheim: Beltz.
  33. McClelland C.E. (1990). Escape from Freedom? Reflections on German Professionalization 1870-1933. In: Torstendahl R. and Burrage M., editors, The formation of professions: Knowledge, state and strategy. London: Sage.
  34. McQueen D.V., Jones C.M. (2007). Global Perspectives on Health Promotion Effectiveness: An Introduction. In: McQueen D.V., Jones C.M., ediors, Global Perspectives on Health Promotion Effectiveness. New York: Springer.
  35. Merchant J. et al., eds. (2007). Sport and Physical Activity: The Role of Health Promotion. Basingstoke: Palgrave Macmillan.
  36. Michelini E. (2015). Disqualification of Sport in Health-Related Promotion of Physical Activity. A Global Social Phenomenon? European Journal for Sport and Society, 12(3): 257-280. DOI: 10.1007/978-3-658-08188-
  37. Michelini E. (2017). Communicative Validity of Health-Related Promotion of Physical Activity: A Critical Analysis of National Health Strategies. Social Theory & Health, 15(4): 448-464.
  38. Oja P. (2004). Frequency, Duration Intensity and Total Volume of Physical Activity as Determinants of Health Outcomes. In: P. Oja., editor, Health enhancing physical activity. Adelaide: Meyer & Meyer.
  39. Park R. J. (1995). History of Research on Physical Activity and Health: Selected Topics, 1867 to the 1950s. Quest, 47(3): 274-287. DOI: 10.1080/00336297.1995.1048415
  40. Rail G., Jette S. (2015). Reflections on Biopedagogies and/of Public Health On Bio-Others, Rescue Missions, and Social Justice. Cultural Studies↔Critical Methodologies, 15(5): 327-336.
  41. Rose N. (1994). Medicine, History and the Present. In: Jones C. and Porter R., editors, Reassessing Foucault: Power, medicine and the body. London and New York: Routledge.
  42. Seale C. et al. (2007). Media constructions of sleep and sleep disorders: A study of UK national newspapers. Social Science & Medicine, 65(3): 418-430.
  43. Stanford F.C., et al. (2014). Factors that Influence Physicians’ and Medical Students’ Confidence in Counseling Patients About Physical Activity. The Journal of Primary Prevention, 35(3): 193-201.
  44. Thiel A., et al. (2013). Sportsoziologie. Ein Lehrbuch in 13 Lektionen. Aachen: Meyer & Meyer.
  45. Waddington I. (1996). The Development of Sports Medicine. Sociology of Sport Journal, 13: 176-196.
  46. Wheatley E.E. (2005). Disciplining Bodies at Risk: Cardiac Rehabilitation and the Medicalization of Fitness. Journal of Sport & Social Issues, 29(2): 198-221. DOI: 10.1177/019372350427087
  47. Winslow C.E.A. (1920). The Untilled Fields of Public Health. Science, 51(1306): 23-33.
  48. World Health Organization - WHO (1948). Preamble to the Constitution of the World Health Organization. Retrieved from: http://apps.who.int/gb/bd/PDF/bd47/EN/constitution-en.pdf (01/07/2021).
  49. World Health Organization - WHO (2004). Global Strategy on Diet, Physical Activity and Health. -- Retrieved from: http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf (01/07/2021).
  50. Zola I.K. (1972). Medicine as an Institution of Social Control. The Sociological Review, 20(4): 487-504.

Enrico Michelini, Physical Activity Promotion: The Perspective of the Medicalisation Studies in "SALUTE E SOCIETÀ" 3/2021, pp 206-221, DOI: 10.3280/SES2021-003013