Your SlideShare is downloading. ×
0
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Sedentary is the new smoking | StreetGames National Conference 2013
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Sedentary is the new smoking | StreetGames National Conference 2013

3,398

Published on

Presentation by Dr William Bi

Presentation by Dr William Bi

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
3,398
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
7
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. StreetGamesNational Conference11th April 2013Dr William Bird MRCGP MBE© 2012 Intelligent Health/NHS London
  • 2. © 2012 Intelligent Health/NHS London
  • 3. Attributable fractions (%) for all-cause deaths in 40 842 (3333 deaths) men and 12 943 (491deaths) women in the Aerobics Center Longitudinal Study.Blair S N Br J Sports Med 2009;43:1-2Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved.
  • 4. Attributable fractions (%) for all-cause deaths in 40 842 (3333 deaths) men and 12 943 (491deaths) women in the Aerobics Center Longitudinal Study.Blair S N Br J Sports Med 2009;43:1-2Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved.
  • 5. 80 seconds agoMankind has evolved wellIf we take an hour to equal 1000years then four days is 100,000years; the time from the origin ofmankind to today.4 Days ago10 hours ago 4 hours ago 9 minutes ago4000 yrs civilisation10,000 yrs agoAgricultureTechnology100,000 yrs agoHunter gatherersindustrialisation
  • 6. PeopleWellbeingPurposePlacePeople
  • 7. Causes of Stress and Free RadicalsChronic StressPeople Place Purpose
  • 8. 1. Physical activityplays a key role inthe control of thebody’s response tophysical stress1 andprevents telomereshortening22. Chronic stressreduces levels ofphysical activity3.Physical activityand Stress1 Rimmele et al Level of PA affects adrenal andCardiovascular Reactivity to PsychosocialStress: Psychoneuroendocrinology (2009) 43190-1982 Puterman E, Lin J, Blackburn E, ODonovan A,Adler N, et al. (2010) The Power of Exercise:Buffering the Effect of Chronic Stress onTelomere Length. PLoS ONE 5(5): e10837.doi:10.1371/journal.pone.00108373Vitaliano P et al A Path Model of ChronicStress, The Metabolic Syndrome and CoronaryHeart Disease Pyschosomatic Medicine64:418-435 (2002)
  • 9. eChronic StressStressHormonesPhysicalInactivity
  • 10. eChronic StressPhysical Inactivity
  • 11. PeoplePurpose PlaceChronic StressStress HormonesMitochondrial damagePhysical InactivityAnd other poor healthbehavioursCancers Cardiovascular Diabetes DementiaDepressioneMitochondria as a key componentof the stress response.Manoli et al. Trends inEndocrinology and MetabolismVol 18 No 5 2007
  • 12. Health Benefits of Physical ActivityDisease Risk reduction Strength ofevidenceDeath 20-35% StrongCHD and Stroke 20-35% StrongType 2 Diabetes 35-50% StrongColon Cancer 30-50% StrongBreast Cancer 20% StrongHip Fracture 36-68% ModerateDepression 20-30% StrongAlzheimer’s Disease 60% ModerateREF: Department of Health, StartActive Stay Active 2011© 2012 Intelligent Health/NHS London
  • 13. Anti-ageing effect• Increases Reactive Oxidative Species (FreeRadicals)that stimulate the production ofantioxidants in the Mitochondria.• This is a powerful anti-ageing mechanismthat protects the cell from DNA damage.• In fact taking anti-oxidants orally interfereswith this mechanism.© 2012 Intelligent Health/NHS London• Increases Reactive Oxidative Species (FreeRadicals) that stimulate the production ofantioxidants in the Mitochondria.• This is a powerful anti-ageing mechanismthat protects the cell from DNA damage.• In fact taking anti-oxidants orally interfereswith this mechanism
  • 14. Anti-ageing effect• Increases Reactive Oxidative Species (FreeRadicals)that stimulate the production ofantioxidants in the Mitochondria.• This is a powerful anti-ageing mechanismthat protects the cell from DNA damage.• In fact taking anti-oxidants orally interfereswith this mechanism.© 2012 Intelligent Health/NHS London• Increases Reactive Oxidative Species (FreeRadicals) that stimulate the production ofantioxidants in the Mitochondria.• This is a powerful anti-ageing mechanismthat protects the cell from DNA damage.• In fact taking anti-oxidants orally interfereswith this mechanism
  • 15. SedentaryMitochondrial DNAReactive OxidativeSpeciesAnti-OxidantsMitochondriaOxidative Phosphorylation
  • 16. Physically ActiveMitochondrial DNAReactive OxidativeSpeciesOxidative PhosphorylationAnti-oxidantsMitochondria
  • 17. How Does Physical Activity Work?• All Conditions:– Anti-inflammatory.• Release Cytokines from muscle• Improves endothelial function– Enhances mitochondrial antioxidantproduction– lengthened telomeres• Cardiovascular:– Increases Stroke Volume– Reduces Blood Pressure– Improves Heamostatic function(reduced Fibrinogen etc)– Improves cholesterol ratio– Halts and can reverse plaque formation• Cancer– Reduces sex hormone formation– Increases Insulin sensitivity– Increases production of Natural KillerCells© 2012 Intelligent Health/NHS London
  • 18. Health Benefits of Physical ActivityDisease Risk reduction Strength ofevidenceDeath 20-35% StrongCHD and Stroke 20-35% StrongType 2 Diabetes 35-50% StrongColon Cancer 30-50% StrongBreast Cancer 20% StrongHip Fracture 36-68% ModerateDepression 20-30% StrongAlzheimer’s Disease 60% ModerateREF: Department of Health, StartActive Stay Active 2011© 2012 Intelligent Health/NHS London
  • 19. Anti-InflammatoryTwo possible mechanisms:• the reduction in visceral fat mass;– Visceral fat increases inflammatory agents andreduces anti-inflammatory ones creating apermanent state of Inflammation.• Increased production anti-inflammatorycytokines from contracting muscle.© 2012 Intelligent Health/NHS LondonTwo possible mechanisms:• the reduction in visceral fat mass;– Visceral fat increases inflammatory agents andreduces anti-inflammatory ones creating apermanent state of Inflammation.• Increased production anti-inflammatorycytokines from contracting muscle.
  • 20. © 2012 Intelligent Health/NHS London
  • 21. © 2012 Intelligent Health/NHS London
  • 22. © 2012 Intelligent Health/NHS London
  • 23. Muscles© 2012 Intelligent Health/NHS London
  • 24. © 2012 Intelligent Health/NHS London
  • 25. Natural Killer Cells© 2012 Intelligent Health/NHS London
  • 26. Fitness and Fat© 2012 Intelligent Health/NHS London
  • 27. Physical Activity and Weight Loss• To reduce or maintain weightloss between 120mins and250mins of moderate activityare required.• To achieve significant weightloss over 250 mins a week ofmoderate activity is required.American College of Sports Medicine PositionStand. Appropriate physical activity interventionstrategies for weight loss and prevention ofweight regain for adults. Medicine and Science inSports and Exercise [2009, 41(2):459-71© 2012 Intelligent Health/NHS London
  • 28. Risk of cardiovascular disease mortality by cardiorespiratory fitness and body mass indexcategories, 2316 men with type 2 diabetes at baseline, 179 deaths.Blair S N Br J Sports Med 2009;43:1-2Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved. © 2012 Intelligent Health/NHS London
  • 29. Risk of cardiovascular disease mortality by cardiorespiratory fitness and body mass indexcategories, 2316 men with type 2 diabetes at baseline, 179 deaths.Blair S N Br J Sports Med 2009;43:1-2Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved.Normal Weight andUnfit Fat and Fit© 2012 Intelligent Health/NHS London
  • 30. Cardiorespiratory Fitness and Body Mass Indexas Predictors of Cardiovascular Disease MortalityAmong Men With DiabetesTimothy S. Church, MD, MPH, PhD; Michael J. LaMonte, PhD; Carolyn E.Barlow, MS; Steven N. Blair, PED Arch Intern Med. 2005;165:2114-2120© 2012 Intelligent Health/NHS London179 CVD deaths during amean (SD) follow-up of 15.9(7.9) years and 36 710“manyears” of exposure.
  • 31. Cumulative all-cause mortality associated with randomization to dietary weight loss in theTrial of Nonpharmacologic Intervention in the Elderly (TONE). 1Based on Cox proportionalhazards regression.Shea M K et al. Am J Clin Nutr 2011;94:839-846©2011 by American Society for Nutrition
  • 32. CVD Mortality Risk Factors Modified byPhysical Activity
  • 33. In Summary© 2012 Intelligent Health/NHS London
  • 34. NEW WAY OF RECORDING ANDINCENTIVISING SPORT© 2012 Intelligent Health/NHS London
  • 35. 2012 London Reading Vancouver ShanghaiThe Global SchoolWalking Competition
  • 36. 2012 London Reading Vancouver ShanghaiThe Global SchoolWalking Competitionwww.beatthestreet.meThe Beat Boxes wereinstalled around theschool in threecircles. The BeatBoxes in the outercircle had threepoints, the middlecircle, two points andthe inner circle (theschool) one point.
  • 37. 2012 London Reading Vancouver ShanghaiThe Global SchoolWalking CompetitionEach Child has anonline consul to seetheir progress
  • 38. © Copyright 2012 Intelligent Health | Beat The StreetSCHOOL RANKINGS1st Laura Secord 58% Vancouver2nd Lord Kitchener 56% Vancouver3rd Zenchuan School 42% Shanghai4th Cleeve Park 35% London5th Reading Girls 34% Reading6th Lammas School 29% London6th George Mitchell 28% London7th Langley Park 27% London7th Highdown School 27% Reading10th Hugh Farringdon 18% Reading11th Bow School 17% London12th Bexleyheath Academy 12% London13th Ravensbourne School 7% London
  • 39. 2012 London Reading Vancouver ShanghaiThe Global SchoolWalking Competition2012 London Reading Vancouver ShanghaiHealth MinisterCongratulates thewinning Beat the Streetchildren.Houses of ParliamentOctober 26th 2012
  • 40. 2012 London Reading Vancouver ShanghaiThe Global SchoolWalking CompetitionLondon 2012 CanadianSilver MedallistAndrew Byrne supportsLaura Secord School
  • 41. Most incentivising components
  • 42. 2012 London Reading Vancouver ShanghaiThe Global SchoolWalking Competition• Sports providers holdNFC phones (e.g WestHam FC)• Children touch phonewith cards to registerattendanceGet Children into Sportafter Beat The Street
  • 43. © 2012 Intelligent Health/NHS London
  • 44. Mile End Park© 2012 Intelligent Health/NHS London
  • 45. Thank youWilliam.bird@intelligenthealth.co.ukNow GetMoving

×