10 September From The Roots to
From the Roots to the Shoots
Dr Charlie Foster - Kids, Adults,
Cycling and Health
charlie.foster@dphpc.ox.ac.uk
IMBA UK Conference 2010
Kids, Adults, Cycling and Health
Dr. Charlie Foster
University Resea...
Presentation Objectives
To briefly describe the
relationship between physical
activity and health
To examine how best to
p...
Presentation Objectives
To briefly describe the
relationship between physical
activity and health
To examine how best to p...
Physical
activity
Physical
activity
Physical
activity
Physical
activity
Physical
activity
Work
Leisure & Play
Exercise & Sport
Household
Active Travel
% active
Age
61% of men and 71% of women do not meet the Chief Medical
Officer’s minimum recommendations for physical acti...
% active
Age
% active
Age
% active
Age
% active
Age
% active
Age
% active
Age
International consensus on health
benefits of physical activity
Physical activity
can reduce the
risk of:
» Cardiovascular...
Activity
for health
Exercise
for fitnessActive
living
Light,
moderate
Daily
Tens of
minutes,
even hours
Moderate
About dai...
Activity
for health
Exercise
for fitnessActive
living
Light,
moderate
Daily
Tens of
minutes,
even hours
Moderate
About dai...
Risk reduction
all cause mortality
28% risk reduction
all cause mortality
(Anderson et al, 2000)
Pressure on transport
sys...
Presentation Objectives
To briefly describe the
relationship between physical
activity and health
To examine how best to
p...
Bruno Taylor's Playful Spaces
The effectiveness of environmental
change interventions to promote
physical activity
NICE review – physical activity and e...
Active travel interventions must
contain environmental supports to
sustain individual choice (i.e. public
transport)
Policies
Places
People
Right-hand turn lanes
Right of way over motorists
Linked traffic light system
Priority of bicycle lanes
The Cycling Demonstration
Towns programme
First phase: October 2005 –
October 2008
All towns funded at approx £5
per head ...
City
Annual
increase in
cycling flows
Darlington +14.2%
Exeter +9.9%
Brighton & Hove +9.0%
Strasbourg +7.0%
Lanc w Morecam...
» Continue to encourage physically active
modes of travel (such as walking or
cycling)
» Continue working with schools on ...
Presentation Objectives
To briefly describe the
relationship between physical
activity and health
To examine how best to
p...
Economic value
•Burden of
disease
•Cost benefit
•Cost utility
Burden of disease
£14.85
£14.01
£17.20
£12.95
£14.85
£14.63
£13.94
£15.96
£18.71
£15.27
Cost of physical inactivity (£/population) related d...
£14.85
£14.01
£17.20
£12.95
£14.85
£14.63
£13.94
£15.96
£18.71
£15.27
Cost of physical inactivity (£/population) related d...
Scotland has a higher mortality of CHD compared to England
Cost of physical inactivity related disease
in Scotland - Method
Attribute the proportion of morbidity
and mortality to di...
Burden of physical inactivity related
mortality in Scotland in 2007-2008
There were just under 18,000 deaths
per year in p...
The direct costs of physical inactivity
related disease to the NHSS is…..
£141 million per year
Health costs for alcohol £...
What’s still to be added?
Other disease areas direct health
service costs
» Mental health, obesity, falls
Indirect costs
»...
The direct costs of physical inactivity
related disease to the NHSS is…..
£141 million per year
This is an underestimate o...
It’s fantastic value…
NICE established that brief interventions
for physical activity cost between £20 and
£440 per QALY (...
NICE: comparing
interventions
Presentation Objectives
To briefly describe the
relationship between physical
activity and health
To examine how best to p...
High level strategic commitment
Targeted investment
Consistent implementation of best
practice
Cycling is related to
health and saves £
We can change our
environments and
promote cycling
successfully
Capture and promo...
Thanks
Nick Cavill – Cycle
England
IMBA UK Conference 2010
Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
From the roots to the shoots 2010   Dr Charlie Foster - Kids, Adults, Cycling and Health
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From the roots to the shoots 2010 Dr Charlie Foster - Kids, Adults, Cycling and Health

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Dr Charlie Foster's presentation at the 2010 IMBA-UK Conference underlines the benefits of cycling and the cost saving to the econmy.

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  • To briefly describe why physical activity is important for health
    Describe the evidence for three types of physical activity interventions
    Face to face
    Environment
    Community
    Offer a view on what to practice
  • To briefly describe why physical activity is important for health
    Describe the evidence for three types of physical activity interventions
    Face to face
    Environment
    Community
    Offer a view on what to practice
  • Some 50 years since Morris’ first study there is now international consensus on the health benefits of physical activity. The US Surgeon General in 1996 and now in March of this year the Chief Medical Officer published major public health reports on the health benefits of physical activity.
  • This slide shows the type of physical activity you could do, it’s risk and benefits for fitness and health. The greatest gains in benefits lie at the less active left side of the scale.
    The least active have the most to gain
    Physical Activity Task Force (1995) to encourage more people to take 30 minutes of moderate intensive activity on a daily basis (at least 5 days a week) walking, cycling
    So how active do you need to be? In 1995 this recommendation was recognised as the basis of message for the public.
    It was not intended to replace the more 3 times 20 minutes of vigorous types of physical activity so dominant previously.
  • This slide shows the type of physical activity you could do, it’s risk and benefits for fitness and health. The greatest gains in benefits lie at the less active left side of the scale.
    The least active have the most to gain
    Physical Activity Task Force (1995) to encourage more people to take 30 minutes of moderate intensive activity on a daily basis (at least 5 days a week) walking, cycling
    So how active do you need to be? In 1995 this recommendation was recognised as the basis of message for the public.
    It was not intended to replace the more 3 times 20 minutes of vigorous types of physical activity so dominant previously.
  • To briefly describe why physical activity is important for health
    Describe the evidence for three types of physical activity interventions
    Face to face
    Environment
    Community
    Offer a view on what to practice
  • NOTES FOR PRESENTERS:
    Key points to raise (drawn from the recommendations):
    Bullet 1
    Encourage children and young people, especially those who live within a 2-mile radius of school, to walk, cycle or use another mode of physically active travel to get there (recommendation 12).
    Bullet 2
    Implementing school travel plans may include: mapping safe routes to school and to local play and leisure facilities; organising walk and bike-to-school days and walking buses; organising cycle and road safety training; and helping children to be ‘streetwise’ (recommendations 5, 12).
    Organise training courses for school travel plan advisers (recommendation 5).
    Bullet 3
    Identify any aspect of transport policies which discourages children and young people from using modes of travel involving physical activity (such as walking or cycling) (recommendation 5).
    Ensure local transport and school travel plans continue to be fully aligned with other local authority plans which may impact on children and young people’s physical activity. This includes local area agreements, local area play strategies and healthy school plans. Local transport authorities, school travel advisers and transport planners should liaise with LSPs to achieve this (recommendation 5).
    Ensure local transport plans continue to be developed in conjunction with local authority departments and other agencies that provide spaces and facilities for children and young people to be physically active (recommendation 5).
  • To briefly describe why physical activity is important for health
    Describe the evidence for three types of physical activity interventions
    Face to face
    Environment
    Community
    Offer a view on what to practice
  • Methods
    Alcohol costs to Scotland
    Allender et al, 2007
  • Methods
    Alcohol costs to Scotland
    Allender et al, 2007
  • To briefly describe why physical activity is important for health
    Describe the evidence for three types of physical activity interventions
    Face to face
    Environment
    Community
    Offer a view on what to practice
  • From the roots to the shoots 2010 Dr Charlie Foster - Kids, Adults, Cycling and Health

    1. 1. 10 September From The Roots to From the Roots to the Shoots Dr Charlie Foster - Kids, Adults, Cycling and Health
    2. 2. charlie.foster@dphpc.ox.ac.uk IMBA UK Conference 2010 Kids, Adults, Cycling and Health Dr. Charlie Foster University Research Lecturer BHF Health Promotion Research Group University of Oxford
    3. 3. Presentation Objectives To briefly describe the relationship between physical activity and health To examine how best to promote cycling for kids and adults To examine the economic case for promoting cycling and physical activity
    4. 4. Presentation Objectives To briefly describe the relationship between physical activity and health To examine how best to promote cycling for kids and adults To examine the economic case for promoting cycling and physical activity
    5. 5. Physical activity
    6. 6. Physical activity
    7. 7. Physical activity
    8. 8. Physical activity
    9. 9. Physical activity Work Leisure & Play Exercise & Sport Household Active Travel
    10. 10. % active Age 61% of men and 71% of women do not meet the Chief Medical Officer’s minimum recommendations for physical activity in adults Men Women
    11. 11. % active Age
    12. 12. % active Age
    13. 13. % active Age
    14. 14. % active Age
    15. 15. % active Age
    16. 16. % active Age
    17. 17. International consensus on health benefits of physical activity Physical activity can reduce the risk of: » Cardiovascular disease » Hypertension » Obesity » Some forms of cancers » Non insulin-dependent diabetes mellitus » Strokes » Osteoarthritis, by maintaining normal muscle strength, joint structure and joint function » Osteoporosis » Cognitive function » Crime reduction and community safety » Economic impact and regeneration of communities » Education and lifelong learning » Psychological well-being » Self esteem » Management of anxiety and depression » Social capital and community cohesion » Drug misuse » Carbon use (US Dept Health & Human Sciences, 1996; CMO, 2004; Sport England, 2009)
    18. 18. Activity for health Exercise for fitnessActive living Light, moderate Daily Tens of minutes, even hours Moderate About daily At least 30 min Moderate, vigorous 3 times a week At least 20 min Strenuous Several times a week Variable Training for sport Type and amount of activity Health, fitness benefits Risks and harms BenefitsBenefits Risks and harms Vuori / UKK Institute 1997
    19. 19. Activity for health Exercise for fitnessActive living Light, moderate Daily Tens of minutes, even hours Moderate About daily At least 30 min Moderate, vigorous 3 times a week At least 20 min Strenuous Several times a week Variable Training for sport Type and amount of activity Health, fitness benefits Risks and harms BenefitsBenefits Risks and harms Vuori / UKK Institute 1997
    20. 20. Risk reduction all cause mortality 28% risk reduction all cause mortality (Anderson et al, 2000) Pressure on transport systems Sedentary behaviour Carbon emissions
    21. 21. Presentation Objectives To briefly describe the relationship between physical activity and health To examine how best to promote cycling for kids and adults To examine the economic case for promoting cycling and physical activity
    22. 22. Bruno Taylor's Playful Spaces
    23. 23. The effectiveness of environmental change interventions to promote physical activity NICE review – physical activity and environment Systematic reviews have also found some evidence to support the impact of large scale environmental changes on physical activity A combination of changes to working practices, policies and the physical environment encouraged adults to maintain their vigorous physical activity and fitness Active travel interventions must contain environmental supports to sustain individual choice (i.e. public transport)
    24. 24. Active travel interventions must contain environmental supports to sustain individual choice (i.e. public transport)
    25. 25. Policies Places People
    26. 26. Right-hand turn lanes
    27. 27. Right of way over motorists
    28. 28. Linked traffic light system
    29. 29. Priority of bicycle lanes
    30. 30. The Cycling Demonstration Towns programme First phase: October 2005 – October 2008 All towns funded at approx £5 per head per year, matched by the local authority Comprehensive evaluation
    31. 31. City Annual increase in cycling flows Darlington +14.2% Exeter +9.9% Brighton & Hove +9.0% Strasbourg +7.0% Lanc w Morecambe +6.2% Vienna +6.4% Graz +5.9% Munich +5.5% Hanover +5.4% Annual growth rates: European cities and CDTs Adapted from: Transport for London (2004) ‘Creating a chain reaction. The London Cycling Action Plan. February 2004. ( http://www.croydon-lcc.org.uk/downloads/2004_TfL_LondonCyclingActionPlan.pdf) City Annual increase in cycling flows Nottingham +4.8% Freiburg +4.4% Munster +3.6% Aylesbury +3.6% Berlin +3.2% Derby +2.5% Zurich +2.3% Delft +1.2%
    32. 32. » Continue to encourage physically active modes of travel (such as walking or cycling) » Continue working with schools on travel plans, focusing on physical activity » Ensure local transport plans take account of children and young people’s need to be physically active Physically active travel
    33. 33. Presentation Objectives To briefly describe the relationship between physical activity and health To examine how best to promote cycling for kids and adults To examine the economic case for promoting cycling and physical activity
    34. 34. Economic value •Burden of disease •Cost benefit •Cost utility
    35. 35. Burden of disease
    36. 36. £14.85 £14.01 £17.20 £12.95 £14.85 £14.63 £13.94 £15.96 £18.71 £15.27 Cost of physical inactivity (£/population) related disease by SHA Foster et al, 2009
    37. 37. £14.85 £14.01 £17.20 £12.95 £14.85 £14.63 £13.94 £15.96 £18.71 £15.27 Cost of physical inactivity (£/population) related disease by SHA Spend in London is 85p per head Foster et al, 2009
    38. 38. Scotland has a higher mortality of CHD compared to England
    39. 39. Cost of physical inactivity related disease in Scotland - Method Attribute the proportion of morbidity and mortality to diseases related to physical inactivity » Cardiovascular disease » Cancer (Lower GI & breast) » Diabetes mellitus Spend within disease areas Allender et al, 2007; DH, 2009; Foster et al, 2009
    40. 40. Burden of physical inactivity related mortality in Scotland in 2007-2008 There were just under 18,000 deaths per year in physical inactivity disease categories Physical inactivity contributes to 2,640 deaths Source http://www.isdscotland.org/isd/
    41. 41. The direct costs of physical inactivity related disease to the NHSS is….. £141 million per year Health costs for alcohol £400 million per year Cost of physical inactivity related disease in Scotland - Results
    42. 42. What’s still to be added? Other disease areas direct health service costs » Mental health, obesity, falls Indirect costs » Lost productivity » Premature mortality Others?
    43. 43. The direct costs of physical inactivity related disease to the NHSS is….. £141 million per year This is an underestimate of the real costs Cost of physical inactivity related disease in Scotland - Results
    44. 44. It’s fantastic value… NICE established that brief interventions for physical activity cost between £20 and £440 per QALY (when compared with no intervention), which is significantly below the £30,000 threshold and represents exceptional value for money
    45. 45. NICE: comparing interventions
    46. 46. Presentation Objectives To briefly describe the relationship between physical activity and health To examine how best to promote cycling for kids and adults To examine the economic case for promoting cycling and physical activity Conclusion
    47. 47. High level strategic commitment Targeted investment Consistent implementation of best practice
    48. 48. Cycling is related to health and saves £ We can change our environments and promote cycling successfully Capture and promote the broadest sense of value Things to think about…
    49. 49. Thanks Nick Cavill – Cycle England IMBA UK Conference 2010 Kids, Adults, Cycling and Health

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