{"id":3406,"date":"2025-02-21T12:02:48","date_gmt":"2025-02-21T12:02:48","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=3406"},"modified":"2025-11-04T09:10:34","modified_gmt":"2025-11-04T09:10:34","slug":"making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/bg\/2025\/02\/making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings\/","title":{"rendered":"\u0414\u0430 \u043d\u0430\u043f\u0440\u0430\u0432\u0438\u043c \u0432\u0441\u044f\u043a\u0430 \u0437\u0434\u0440\u0430\u0432\u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u044f \u0437\u043d\u0430\u0447\u0438\u043c\u0430: \u041d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430\u0442\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0432 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href=\"https:\/\/www.gov.uk\/government\/publications\/health-matters-physical-activity\/health-matters-physical-activity-prevention-and-management-of-long-term-conditions#physical-activity-initiatives-and-training-for-healthcare-professionals\">\u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0438 \u043d\u0435\u0430\u043a\u0442\u0438\u0432\u043d\u0438.<\/a><\/p>\n<p>\u041c\u0430\u043a\u0430\u0440 \u0447\u0435 \u0441\u043f\u043e\u0440\u0435\u0434 \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/physical-activity\">\u043f\u0440\u0435\u043f\u043e\u0440\u044a\u043a\u0438<\/a> \u0432\u044a\u0437\u0440\u0430\u0441\u0442\u043d\u0438\u0442\u0435 \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0438\u0437\u0432\u044a\u0440\u0448\u0432\u0430\u0442 \u043f\u043e\u043d\u0435 150 \u043c\u0438\u043d\u0443\u0442\u0438 \u0443\u043c\u0435\u0440\u0435\u043d\u043e \u0438\u043d\u0442\u0435\u043d\u0437\u0438\u0432\u043d\u0430 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href=\"https:\/\/www.gov.uk\/government\/publications\/physical-activity-guidelines-uk-chief-medical-officers-report\">\u043d\u0430\u0441\u043e\u043a\u0438\u0442\u0435<\/a> \u043f\u043e\u0434\u0447\u0435\u0440\u0442\u0430\u0432\u0430\u0442, \u0447\u0435 \u0432\u0441\u044f\u043a\u043e \u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0435 \u0432\u0430\u0436\u043d\u043e \u0437\u0430 \u0437\u0434\u0440\u0430\u0432\u0435\u0442\u043e, \u0438 \u0434\u043e\u0440\u0438 \u043c\u0438\u043d\u0438\u043c\u0430\u043b\u043d\u043e\u0442\u043e \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u0435 \u0435 \u043f\u043e-\u0434\u043e\u0431\u0440\u043e \u043e\u0442 \u043b\u0438\u043f\u0441\u0430\u0442\u0430 \u043d\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442. \u0420\u0443\u0442\u0438\u043d\u043d\u043e\u0442\u043e \u043f\u0440\u0435\u0434\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u0442\u0435\u0437\u0438 \u043f\u0440\u043e\u0441\u0442\u0438, \u043d\u043e \u0432\u0430\u0436\u043d\u0438 \u043f\u043e\u0441\u043b\u0430\u043d\u0438\u044f \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043f\u043e \u0432\u0440\u0435\u043c\u0435 \u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438 \u043c\u043e\u0436\u0435 \u0434\u0430 \u043e\u043a\u0430\u0436\u0435 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u043d\u043e \u0432\u044a\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0435 \u0432\u044a\u0440\u0445\u0443 \u043f\u043e\u0434\u043e\u0431\u0440\u044f\u0432\u0430\u043d\u0435 \u043d\u0430 \u043e\u0431\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043e\u0442\u043e \u0437\u0434\u0440\u0430\u0432\u0435 \u0432 <a href=\"https:\/\/www.gov.uk\/government\/publications\/health-matters-physical-activity\/health-matters-physical-activity-prevention-and-management-of-long-term-conditions#physical-activity-initiatives-and-training-for-healthcare-professionals\">\u0433\u043b\u043e\u0431\u0430\u043b\u0435\u043d \u043c\u0430\u0449\u0430\u0431<\/a>.<\/p>\n<p>\u041f\u0440\u0438\u043c\u0435\u0440 \u0437\u0430 \u043f\u0440\u0438\u043b\u0430\u0433\u0430\u043d\u0435 \u043d\u0430 \u0438\u043d\u0438\u0446\u0438\u0430\u0442\u0438\u0432\u0430\u0442\u0430 <a href=\"https:\/\/fundingawards.nihr.ac.uk\/award\/RP-PG-0618-20008\">\u201e\u0414\u0430 \u043d\u0430\u043f\u0440\u0430\u0432\u0438\u043c \u0432\u0441\u0435\u043a\u0438 \u043a\u043e\u043d\u0442\u0430\u043a\u0442 \u0437\u043d\u0430\u0447\u0438\u043c\u201c<\/a> \u0432\u044a\u0432 \u0412\u0435\u043b\u0438\u043a\u043e\u0431\u0440\u0438\u0442\u0430\u043d\u0438\u044f \u0435 \u0438\u0437\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u0435\u043b\u0441\u043a\u0430\u0442\u0430 \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u0430 <strong>Snacktivity\u2122<\/strong>. \u0422\u044f \u043d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430 \u0445\u043e\u0440\u0430\u0442\u0430 \u0434\u0430 \u0432\u043a\u043b\u044e\u0447\u0432\u0430\u0442 \u0432 \u0435\u0436\u0435\u0434\u043d\u0435\u0432\u0438\u0435\u0442\u043e \u0441\u0438 \u043a\u0440\u0430\u0442\u043a\u0438, \u043d\u043e \u0447\u0435\u0441\u0442\u0438 \u201e\u043f\u043e\u0440\u0446\u0438\u0438\u201c (\u0437\u0430\u043a\u0443\u0441\u043a\u0438) \u043e\u0442 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0441 \u0443\u043c\u0435\u0440\u0435\u043d\u0430 \u0434\u043e \u0432\u0438\u0441\u043e\u043a\u0430 \u0438\u043d\u0442\u0435\u043d\u0437\u0438\u0432\u043d\u043e\u0441\u0442, \u043a\u0430\u043a\u0442\u043e \u0438 \u0434\u0435\u0439\u043d\u043e\u0441\u0442\u0438 \u0437\u0430 \u0441\u0438\u043b\u0430 \u0438 \u043c\u0443\u0441\u043a\u0443\u043b\u043d\u0430 \u0438\u0437\u0434\u0440\u044a\u0436\u043b\u0438\u0432\u043e\u0441\u0442, \u043f\u0440\u0435\u0437 \u0446\u0435\u043b\u0438\u044f \u0434\u0435\u043d \u0438\u043b\u0438 \u0441\u0435\u0434\u043c\u0438\u0446\u0430. \u0422\u0430\u043a\u0430 \u043d\u0430\u0440\u0435\u0447\u0435\u043d\u0438\u0442\u0435 \u201e\u0437\u0430\u043a\u0443\u0441\u043a\u0438 \u043e\u0442 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438\u201c \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0430\u0432\u0430\u0442 \u043c\u0435\u0436\u0434\u0443 2 \u0438 5 \u043c\u0438\u043d\u0443\u0442\u0438. \u041e\u0441\u043d\u043e\u0432\u043d\u0430\u0442\u0430 \u0446\u0435\u043b \u043d\u0430 Snacktivity\u2122 \u0435 \u0435\u0441\u0442\u0435\u0441\u0442\u0432\u0435\u043d\u043e \u0434\u0430 \u043f\u0440\u0435\u043a\u044a\u0441\u0432\u0430 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u0438\u0442\u0435 \u043f\u0435\u0440\u0438\u043e\u0434\u0438 \u043d\u0430 \u0441\u0435\u0434\u0435\u043d\u0435 \u0447\u0440\u0435\u0437 \u043a\u0440\u0430\u0442\u043a\u0438, \u0440\u0435\u0434\u043e\u0432\u043d\u0438 \u0435\u043f\u0438\u0437\u043e\u0434\u0438 \u043d\u0430 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442. \u041f\u0440\u0438\u043c\u0435\u0440\u0438 \u0437\u0430 \u201e\u0437\u0430\u043a\u0443\u0441\u043a\u0438 \u043e\u0442 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438\u201c \u0441\u0430 \u0431\u044a\u0440\u0437\u043e \u0445\u043e\u0434\u0435\u043d\u0435 \u043f\u043e \u0432\u0440\u0435\u043c\u0435 \u043d\u0430 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440, \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u043d\u0435 \u043d\u0430 \u0441\u0442\u044a\u043b\u0431\u0438\u0442\u0435 \u0432\u043c\u0435\u0441\u0442\u043e \u0430\u0441\u0430\u043d\u0441\u044c\u043e\u0440, \u0434\u043e\u043f\u044a\u043b\u043d\u0438\u0442\u0435\u043b\u043d\u0430 \u0431\u044a\u0440\u0437\u0430 \u0440\u0430\u0437\u0445\u043e\u0434\u043a\u0430 \u043d\u0430 \u043a\u0443\u0447\u0435\u0442\u043e, \u043f\u043e\u0432\u0434\u0438\u0433\u0430\u043d\u0435 \u043d\u0430 \u043f\u0440\u0430\u0441\u0446\u0438\u0442\u0435 \u0434\u043e\u043a\u0430\u0442\u043e \u043c\u0438\u0435\u0442\u0435 \u0437\u044a\u0431\u0438\u0442\u0435 \u0441\u0438, \u0438\u043b\u0438 \u043a\u043b\u044f\u043a\u0430\u043d\u0438\u044f, \u0434\u043e\u043a\u0430\u0442\u043e \u0447\u0430\u043a\u0430\u0442\u0435 \u0447\u0430\u0439\u043d\u0438\u043a\u0430 \u0434\u0430 \u0437\u0430\u0432\u0440\u0438. Snacktivity\u2122 \u0435 \u0441\u044a\u0437\u0434\u0430\u0434\u0435\u043d\u0430 \u043a\u0430\u0442\u043e \u043b\u0435\u0441\u043d\u043e \u0437\u0430 \u0440\u0430\u0437\u0431\u0438\u0440\u0430\u043d\u0435 \u043f\u043e\u0441\u043b\u0430\u043d\u0438\u0435, \u043a\u043e\u0435\u0442\u043e \u0432\u0441\u0438\u0447\u043a\u0438 \u0437\u0434\u0440\u0430\u0432\u043d\u0438 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u043f\u043e\u0434\u043d\u0430\u0441\u044f\u0442 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043f\u043e \u0432\u0440\u0435\u043c\u0435 \u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438 \u0432 <a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/10\/e085233.long\">\u0440\u0430\u0437\u043b\u0438\u0447\u043d\u0438 \u0437\u0434\u0440\u0430\u0432\u043d\u0438 \u043a\u043e\u043d\u0442\u0435\u043a\u0441\u0442\u0438<\/a>. \u041f\u0440\u043e\u0433\u0440\u0430\u043c\u0430\u0442\u0430 \u0441\u0435 \u0444\u043e\u043a\u0443\u0441\u0438\u0440\u0430 \u0432\u044a\u0440\u0445\u0443 \u043d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430\u0442\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0432\u044a\u0432 \u0444\u043e\u0440\u043c\u0430\u0442, \u043a\u043e\u0439\u0442\u043e \u0435 \u043d\u043e\u0432 \u0438 \u043c\u043e\u0442\u0438\u0432\u0438\u0440\u0430\u0449 \u0437\u0430 \u0445\u043e\u0440\u0430\u0442\u0430, \u043d\u0435\u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e \u043e\u0442 \u0442\u0435\u0445\u043d\u0438\u0442\u0435 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0438 \u0441\u043f\u043e\u0441\u043e\u0431\u043d\u043e\u0441\u0442\u0438 \u0438 \u043f\u0440\u0435\u0434\u0438\u0441\u0442\u043e\u0440\u0438\u044f, \u0438 \u0431\u0435\u0437 \u043d\u0443\u0436\u0434\u0430 \u043e\u0442 \u043e\u0431\u043e\u0440\u0443\u0434\u0432\u0430\u043d\u0435. \u0423\u0434\u043e\u0431\u0441\u0442\u0432\u043e\u0442\u043e \u0434\u0430 \u0441\u0435 \u043d\u0430\u0442\u0440\u0443\u043f\u0432\u0430\u0442 \u201e\u0437\u0430\u043a\u0443\u0441\u043a\u0438 \u043e\u0442 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438\u201c \u0447\u0440\u0435\u0437 \u0435\u0436\u0435\u0434\u043d\u0435\u0432\u043d\u0438 \u0434\u0435\u0439\u043d\u043e\u0441\u0442\u0438 \u043f\u0440\u0430\u0432\u0438 \u0438\u043d\u0438\u0446\u0438\u0430\u0442\u0438\u0432\u0430\u0442\u0430 \u0434\u043e\u0441\u0442\u044a\u043f\u043d\u0430 \u0437\u0430 \u043f\u043e\u0447\u0442\u0438 \u0432\u0441\u0435\u043a\u0438. \u0421\u0435\u043c\u0435\u0439\u043d\u0438 \u043b\u0435\u043a\u0430\u0440\u0438, \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438 \u0441\u0435\u0441\u0442\u0440\u0438, \u0437\u044a\u0431\u043e\u043b\u0435\u043a\u0430\u0440\u0438, \u0444\u0438\u0437\u0438\u043e\u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438, \u0435\u0440\u0433\u043e\u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438 \u0438 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0438 \u0441\u0430 \u043e\u0431\u0443\u0447\u0435\u043d\u0438 \u0434\u0430 \u043f\u0440\u043e\u043c\u043e\u0442\u0438\u0440\u0430\u0442 Snacktivity\u2122 \u043f\u043e \u0432\u0440\u0435\u043c\u0435 \u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438 \u0438 \u0441\u044a\u043e\u0431\u0449\u0430\u0432\u0430\u0442, \u0447\u0435 <a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/10\/e085233.info\">\u043f\u0440\u043e\u0433\u0440\u0430\u043c\u0430\u0442\u0430 \u043c\u043e\u0436\u0435 \u0434\u0430 \u0431\u044a\u0434\u0435 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0430<\/a>, \u00a0\u0441 \u0438\u0437\u0432\u0435\u0441\u0442\u043d\u0430 \u0433\u044a\u0432\u043a\u0430\u0432\u043e\u0441\u0442 \u043f\u0440\u0438 \u043f\u043b\u0430\u043d\u0438\u0440\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438\u0442\u0435.<\/p>\n<p>\u0420\u0430\u0437\u0431\u0438\u0440\u0430 \u0441\u0435, \u043c\u043e\u0436\u0435 \u0434\u0430 \u0438\u043c\u0430 <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0738399111006008?via%3Dihub\">\u043f\u0440\u0435\u0447\u043a\u0438<\/a> \u043f\u0440\u0435\u0434 \u043f\u0440\u0438\u043b\u0430\u0433\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u201e\u0414\u0430 \u043d\u0430\u043f\u0440\u0430\u0432\u0438\u043c \u0432\u0441\u0435\u043a\u0438 \u043a\u043e\u043d\u0442\u0430\u043a\u0442 \u0437\u043d\u0430\u0447\u0438\u043c\u201c, \u0432\u043a\u043b\u044e\u0447\u0438\u0442\u0435\u043b\u043d\u043e \u043b\u0438\u043f\u0441\u0430\u0442\u0430 \u043d\u0430 \u0434\u043e\u0441\u0442\u0430\u0442\u044a\u0447\u043d\u043e <a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/08870446.2012.744008\">\u0432\u0440\u0435\u043c\u0435<\/a> \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438\u0442\u0435. \u0417\u043d\u0430\u0435\u043c, \u0447\u0435 \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438 \u043c\u043e\u0436\u0435 \u0434\u0430 \u0441\u0435 \u043a\u043e\u043b\u0435\u0431\u0430\u044f\u0442 \u0434\u0430 \u043f\u043e\u0432\u0434\u0438\u0433\u0430\u0442 \u0442\u0435\u043c\u0438, \u0441\u0432\u044a\u0440\u0437\u0430\u043d\u0438 \u0441 \u043f\u0440\u0435\u0432\u0430\u043d\u0442\u0438\u0432\u043d\u0430\u0442\u0430 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430 \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438\u0442\u0435 \u043e\u0442 \u0441\u0442\u0440\u0430\u0445, \u0447\u0435 \u043d\u044f\u043c\u0430 \u0434\u0430 \u0437\u043d\u0430\u044f\u0442 \u043a\u0430\u043a \u043d\u0430\u0439-\u0434\u043e\u0431\u0440\u0435 \u0434\u0430 \u043f\u043e\u0434\u043a\u0440\u0435\u043f\u044f\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0438\u043b\u0438 \u043e\u0442 \u043e\u043f\u0430\u0441\u0435\u043d\u0438\u044f, \u0447\u0435 <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0738399111006008?via%3Dihub\">\u043c\u043e\u0436\u0435 \u0434\u0430 \u0433\u043e \u043e\u0431\u0438\u0434\u044f\u0442<\/a>. \u0417\u0430\u0442\u043e\u0432\u0430 \u0435 \u043c\u043d\u043e\u0433\u043e \u0432\u0430\u0436\u043d\u043e \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438 \u0434\u0430 \u0438\u043c\u0430\u0442 \u043d\u0443\u0436\u043d\u0438\u0442\u0435 \u0443\u043c\u0435\u043d\u0438\u044f \u0438 <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.14926\">\u0443\u0432\u0435\u0440\u0435\u043d\u043e\u0441\u0442<\/a>, \u0437\u0430 \u0434\u0430 \u0432\u043e\u0434\u044f\u0442 \u0442\u0430\u043a\u0438\u0432\u0430 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440\u0438, \u043a\u0430\u0442\u043e \u0442\u0430\u043a\u0430 \u0432\u0437\u0430\u0438\u043c\u043e\u043e\u0442\u043d\u043e\u0448\u0435\u043d\u0438\u044f\u0442\u0430 \u0441 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0441\u044a\u0449\u043e \u0441\u0435 \u0437\u0430\u043f\u0430\u0437\u0432\u0430\u0442 \u0434\u043e\u0431\u0440\u0438. \u041d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u043f\u0440\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438, \u043a\u043e\u0438\u0442\u043e \u0431\u0438\u0432\u0430\u0442 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0438\u0440\u0430\u043d\u0438 \u043f\u043e \u043d\u0435\u0441\u0432\u044a\u0440\u0437\u0430\u043d\u0438 \u0441\u044a\u0441 \u0437\u0434\u0440\u0430\u0432\u043e\u0441\u043b\u043e\u0432\u043d\u043e\u0442\u043e \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u0438 \u043c\u043e\u0436\u0435 \u0434\u0430 \u0438\u0437\u0433\u043b\u0435\u0436\u0434\u0430 \u043d\u0435\u0443\u043c\u0435\u0441\u0442\u043d\u043e. \u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u0437\u044a\u0431\u043e\u043b\u0435\u043a\u0430\u0440\u044f\u0442 \u043f\u043e \u043f\u0440\u0438\u043d\u0446\u0438\u043f \u043d\u0435 \u0431\u0438 \u043e\u0431\u0441\u044a\u0436\u0434\u0430\u043b \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430\u0442\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0441 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435, \u0442\u044a\u0439 \u043a\u0430\u0442\u043e \u0442\u044f \u043d\u0435 \u0435 \u0441\u0432\u044a\u0440\u0437\u0430\u043d\u0430 \u0441 \u043e\u0440\u0430\u043b\u043d\u043e\u0442\u043e \u0437\u0434\u0440\u0430\u0432\u0435 \u2013 \u043d\u043e \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 Snacktivity\u2122 \u0442\u043e\u0432\u0430 \u0432\u0435\u0447\u0435 <a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/10\/e085233.long\">\u0441\u0435 \u0441\u043b\u0443\u0447\u0432\u0430<\/a>. \u0412\u0430\u0436\u043d\u043e \u0435 \u0434\u0430 \u0441\u0435 \u043e\u0442\u0447\u0435\u0442\u0435, \u0447\u0435 \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438 \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0441\u0435 \u0447\u0443\u0432\u0441\u0442\u0432\u0430\u0442 \u043a\u043e\u043c\u0444\u043e\u0440\u0442\u043d\u043e, \u043a\u043e\u0433\u0430\u0442\u043e \u043f\u0440\u0435\u0434\u043e\u0441\u0442\u0430\u0432\u044f\u0442 \u0442\u043e\u0437\u0438 \u0432\u0438\u0434 \u043a\u0440\u0430\u0442\u043a\u0438 \u0437\u0434\u0440\u0430\u0432\u043d\u0438 \u0438\u043d\u0442\u0435\u0440\u0432\u0435\u043d\u0446\u0438\u0438 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435, \u0430 \u0442\u043e\u0432\u0430 \u043c\u043e\u0436\u0435 \u0434\u0430 \u0441\u0435 \u043f\u043e\u0441\u0442\u0438\u0433\u043d\u0435 \u0447\u0440\u0435\u0437 \u043e\u0431\u0443\u0447\u0435\u043d\u0438\u0435 \u0438 \u043f\u0440\u0430\u043a\u0442\u0438\u043a\u0430.<\/p>\n<p>\u0415\u0442\u043e \u043f\u0435\u0442 \u043f\u0440\u0435\u043f\u043e\u0440\u044a\u043a\u0438 \u043f\u0440\u0438 \u043f\u0440\u0438\u043b\u0430\u0433\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u201e\u0414\u0430 \u043d\u0430\u043f\u0440\u0430\u0432\u0438\u043c \u0432\u0441\u0435\u043a\u0438 \u043a\u043e\u043d\u0442\u0430\u043a\u0442 \u0437\u043d\u0430\u0447\u0438\u043c\u201c (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440 \u0447\u0440\u0435\u0437 Snacktivity\u2122) \u043e\u0442 \u0441\u0442\u0440\u0430\u043d\u0430 \u043d\u0430 \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438:<\/p>\n<p><strong>\u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438 \u0441\u044a\u0432\u0435\u0442\u0438<\/strong><\/p>\n<ol>\n<li>\u041f\u043e\u043c\u0438\u0441\u043b\u0435\u0442\u0435 \u0434\u0430\u043b\u0438 \u0432\u044a\u0432 \u0432\u0430\u0448\u0438\u0442\u0435 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438 \u0438\u043c\u0430 \u043c\u043e\u043c\u0435\u043d\u0442\u0438, \u0432 \u043a\u043e\u0438\u0442\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u043f\u043e\u0432\u0434\u0438\u0433\u043d\u0435\u0442\u0435 \u0442\u0435\u043c\u0430\u0442\u0430 \u0437\u0430 \u043f\u0440\u043e\u043c\u044f\u043d\u0430 \u0432 \u043d\u0430\u0447\u0438\u043d\u0430 \u043d\u0430 \u0436\u0438\u0432\u043e\u0442. \u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043f\u043e\u043f\u0438\u0442\u0430\u0439\u0442\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043a\u043e\u043b\u043a\u043e \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0438\u0437\u0432\u044a\u0440\u0448\u0432\u0430\u0442 \u0432\u0441\u044f\u043a\u0430 \u0441\u0435\u0434\u043c\u0438\u0446\u0430 \u0438 \u0434\u0430\u043b\u0438 \u0438\u043c\u0430 \u043c\u043e\u043c\u0435\u043d\u0442\u0438 \u043f\u0440\u0435\u0437 \u0434\u0435\u043d\u044f, \u0432 \u043a\u043e\u0438\u0442\u043e \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0432\u043a\u043b\u044e\u0447\u0432\u0430\u0442 \u201e\u0437\u0430\u043a\u0443\u0441\u043a\u0438 \u043e\u0442 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438\u201c.<\/li>\n<li>\u041f\u0440\u043e\u0443\u0447\u0435\u0442\u0435 \u0432\u044a\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0438\u0442\u0435 \u0432\u044a\u0432 \u0432\u0430\u0448\u0435\u0442\u043e \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u043e \u043c\u044f\u0441\u0442\u043e \u0438\u043b\u0438 \u0440\u0430\u0439\u043e\u043d, \u043a\u044a\u0434\u0435\u0442\u043e \u043c\u043e\u0436\u0435\u0442\u0435 \u0434\u0430 \u043d\u0430\u0441\u043e\u0447\u0432\u0430\u0442\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0437\u0430 \u0434\u043e\u043f\u044a\u043b\u043d\u0438\u0442\u0435\u043b\u043d\u0430 \u043f\u043e\u0434\u043a\u0440\u0435\u043f\u0430 \u0438 \u0440\u0435\u0441\u0443\u0440\u0441\u0438, \u0437\u0430 \u0434\u0430 \u0431\u044a\u0434\u0430\u0442 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0438 \u0430\u043a\u0442\u0438\u0432\u043d\u0438 \u0432 \u0441\u0432\u043e\u0438\u0442\u0435 \u043e\u0431\u0449\u043d\u043e\u0441\u0442\u0438.<\/li>\n<li>\u041f\u043e\u0442\u044a\u0440\u0441\u0435\u0442\u0435 \u0432\u044a\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0438 \u0437\u0430 \u043e\u0431\u0443\u0447\u0435\u043d\u0438\u0435 \u0432\u044a\u0432 \u0432\u0430\u0448\u0430\u0442\u0430 \u0441\u0442\u0440\u0430\u043d\u0430 \u0438\u043b\u0438 \u043e\u043d\u043b\u0430\u0439\u043d, \u0437\u0430 \u0434\u0430 \u0440\u0430\u0437\u0432\u0438\u0435\u0442\u0435 \u0443\u043c\u0435\u043d\u0438\u044f\u0442\u0430 \u0441\u0438 \u0437\u0430 \u043f\u0440\u0435\u0434\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0438 \u043f\u043e\u0441\u043b\u0430\u043d\u0438\u044f \u0437\u0430 \u0437\u0434\u0440\u0430\u0432\u043e\u0441\u043b\u043e\u0432\u043d\u0430 \u043f\u0440\u043e\u043c\u044f\u043d\u0430 \u0432 \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435\u0442\u043e \u043d\u0430 \u0432\u0430\u0448\u0438\u0442\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438. \u0415\u0442\u043e \u0434\u0432\u0430 \u043f\u0440\u0438\u043c\u0435\u0440\u0430 \u043e\u0442 \u0412\u0435\u043b\u0438\u043a\u043e\u0431\u0440\u0438\u0442\u0430\u043d\u0438\u044f, \u043a\u043e\u0438\u0442\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u0441\u0430 \u043f\u043e\u043b\u0435\u0437\u043d\u0438: <a href=\"https:\/\/www.e-lfh.org.uk\/programmes\/making-every-contact-count\/\">Making Every Contact Count (MECC)<\/a> \u0438 <a href=\"https:\/\/activeconversations.co.uk\/\">Active Conversations<\/a>.<\/li>\n<li>\u0410\u043a\u043e \u0438\u043c\u0430\u0442\u0435 \u043e\u043f\u0438\u0442 \u0432 \u043d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u043f\u0440\u0438 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u0438 \u0441 \u0432\u0430\u0448\u0438\u0442\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438, \u0431\u0438\u0445\u0442\u0435 \u043c\u043e\u0433\u043b\u0438 \u0434\u0430 \u043f\u043e\u043c\u043e\u0433\u043d\u0435\u0442\u0435 \u0438 \u0434\u0430 \u043f\u043e\u0434\u043a\u0440\u0435\u043f\u0438\u0442\u0435 \u043a\u043e\u043b\u0435\u0433\u0438, \u043a\u043e\u0438\u0442\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u0441\u0435 \u0447\u0443\u0432\u0441\u0442\u0432\u0430\u0442 \u043f\u043e-\u043c\u0430\u043b\u043a\u043e \u0443\u0432\u0435\u0440\u0435\u043d\u0438 \u0432 \u0442\u043e\u0432\u0430.<\/li>\n<li>\u0411\u044a\u0434\u0435\u0442\u0435 \u043f\u043e\u0441\u043b\u0430\u043d\u0438\u043a \u043d\u0430 \u201e\u0414\u0430 \u043d\u0430\u043f\u0440\u0430\u0432\u0438\u043c \u0432\u0441\u0435\u043a\u0438 \u043a\u043e\u043d\u0442\u0430\u043a\u0442 \u0437\u043d\u0430\u0447\u0438\u043c\u201c \u043d\u0430 \u0440\u0430\u0431\u043e\u0442\u043d\u043e\u0442\u043e \u0441\u0438 \u043c\u044f\u0441\u0442\u043e. \u0410\u043a\u043e \u0441\u0442\u0435 \u0440\u044a\u043a\u043e\u0432\u043e\u0434\u0438\u0442\u0435\u043b \u0438\u043b\u0438 \u0437\u0434\u0440\u0430\u0432\u0435\u043d \u043c\u0435\u043d\u0438\u0434\u0436\u044a\u0440, \u043f\u0440\u0435\u0433\u043b\u0435\u0434\u0430\u0439\u0442\u0435 \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 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