physical activity ncd
TRANSCRIPT
Physical Activity
Professor Fiona BullDirector, Centre for Built Environment and Health,
School of Population Health, The University of Western Australia
Chair, Global Advocacy for Physical Activity, International Society for Physical Activity and Health
Key Messages
1. There is strong evidence on health benefits of PA
2. Our focus is on “how” to address PA not “if”
3. Public education is a ‘best buy’ – however it is ‘necessary but not sufficient’ on its own
4. Must look for, evaluate and implement upstream policy actions in multiple settings
5. Building an evidence base, capacity within different sectors and cultural adaptation to meet the needs of Arab region are important short term priorities
Dose response relationship
Source: Vouri I. Terveysliikunta. UKK Institute for Health Promotion Research, Tampere, Finland, 1995.
Prevalence of physical inactivity in adults by WHO Region and World Bank income group. 2008
Benefits of PA extend beyond just the big 3
• CVD
• Cance
• Diabetes
• Improvement in mental health
• Positive social health
• Community ‘connectedness’ and social capital
• Child development
• Education performance
Not “if”, not “why”, but “How”
HLM Political StatementSept 2011
Preventing NCD’s: addressing the causes
PROXIMALBEHAVIORAL RISK FACTORS
PHYSIOLOGICAL RISK FACTORS
UNDERLYING CAUSES
Death
and
& D
isability
Social Economic EmploymentEducationalCultural PoliticalBuilt environment
Tobacco use
Alcohol abuse
Unhealthy diet
Physical inactivity
Overweight/obesity
High blood pressure
High blood glucose
Abnormal blood lipids
CHRONICDISEASES
DiabetesHeart diseaseStrokeCancerRespiratory dis.
the causes of the causes of chronic disease
Not “if”, not “why”, but “How”
• Use available policy instruments
– Global recommendations on physical activity
– Global strategy (DPAS)
– Supporting DPAS implementation tools / guides
– Global target and indicator (forthcoming)
• Focus regional and national efforts in one or more of 7 identified areas of best investment
Tailor to the Arab Region
Not “if”, not “why”, but “How”
• Use available policy instruments
– Global recommendations on physical activity
– Global strategy (DPAS)
– Supporting DPAS implementation tools / guides
– Global target and indicator (forthcoming)
• Focus regional and national efforts in one or more of 7 identified areas of best investment
7 Investments that work for physical activity
1. Whole-of-school’ programs
2. Transport policies and systems that prioritise walking, cycling and public transport
3. Urban design regulations and infrastructure that provides for equitable and safe access for recreational physical activity, and recreational and transport-related walking and cycling across the life course
4. Physical activity and NCD prevention integrated into primary health care systems
5. Public education, including mass media to raise awareness and change social norms on physical activity
6. Community-wide programs involving multiple settings and sectors & that mobilize and integrate community engagement and resources
7. Sports systems and programs that promote ‘sport for all’ and encourage participation across the life span
Physical Activity Guidelines
PA Guidelines
Surveillance & Monitoring
Targets & Goals
Political Commitment
Intersectorial buy in
Building blocks of successful national action on physical activity
Mass media campaigns
Communication Strategy
Guidelines: inform communication campaigns and a catalyst to partnerships
New Zealand
WesternAustralia
‘Agita’ Brazil
7 Investments that work for physical activity
1. Whole-of-school’ programs
2. Transport policies and systems that prioritise walking, cycling and public transport
3. Urban design regulations and infrastructure that provides for equitable and safe access for recreational physical activity, and recreational and transport-related walking and cycling across the life course
4. Physical activity and NCD prevention integrated into primary health care systems
5. Public education, including mass media to raise awareness and change social norms on physical activity
6. Community-wide programs involving multiple settings and sectors & that mobilize and integrate community engagement and resources
7. Sports systems and programs that promote ‘sport for all’ and encourage participation across the life span
Schools – a best buy
Across the school setting
• Regular good quality PE curricula for all students
• Play / recess time
• Before and after school
• Across the curricula
• Involve parents
• Link to community sports
• Travel to school (walk /cycle)
• Includes Policy AND Programs
7 Investments that work for physical activity
1. Whole-of-school’ programs
2. Transport policies and systems that prioritise walking, cycling and public transport
3. Urban design regulations and infrastructure that provides for equitable and safe access for recreational physical activity, and recreational and transport-related walking and cycling across the life course
4. Physical activity and NCD prevention integrated into primary health care systems
5. Public education, including mass media to raise awareness and change social norms on physical activity
6. Community-wide programs involving multiple settings and sectors & that mobilize and integrate community engagement and resources
7. Sports systems and programs that promote ‘sport for all’ and encourage participation across the life span
Primary health care
Workplace Health
7 Investments that work for physical activity
1. Whole-of-school’ programs
2. Transport policies and systems that prioritise walking, cycling and public transport
3. Urban design regulations and infrastructure that provides for equitable and safe access for recreational physical activity, and recreational and transport-related walking and cycling across the life course
4. Physical activity and NCD prevention integrated into primary health care systems
5. Public education, including mass media to raise awareness and change social norms on physical activity
6. Community-wide programs involving multiple settings and sectors & that mobilize and integrate community engagement and resources
7. Sports systems and programs that promote ‘sport for all’ and encourage participation across the life span
Create supportive environments
The solutions will be context specific
Example: Ciclovia
Create supportive environments
7 Investments that work for physical activity
1. Whole-of-school’ programs
2. Transport policies and systems that prioritise walking, cycling and public transport
3. Urban design regulations and infrastructure that provides for equitable and safe access for recreational physical activity, and recreational and transport-related walking and cycling across the life course
4. Physical activity and NCD prevention integrated into primary health care systems
5. Public education, including mass media to raise awareness and change social norms on physical activity
6. Community-wide programs involving multiple settings and sectors & that mobilize and integrate community engagement and resources
7. Sports systems and programs that promote ‘sport for all’ and encourage participation across the life span
PA Guidelines
Surveillance & Monitoring
Targets & Goals
Mass media campaigns
Political Commitment
Intersectorial buy in
Building blocks of successful national action on physical activity
Communication Strategy
Multiple Strategies
Multiple Strategies
Multiple Strategies
Multiple Strategies
Multiple Strategies
Kuwait National Action Plan for Physical Activity
Challenges
• Leadership
• Research evidence from Arab region
• Stronger workforce with knowledge and skills to address PA
1950 1980 1990 2000
SG ReportSmoke free workplaces National
campaigns
Turning round the risk factors:Tobacco success
PH action groups
National Examples of increasing population levels of physical activity
ParticipACTION – national action underpinned by sustained social marketing campaign
THANK YOU