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Professor Gareth Stratton Chair, NICE Physical activity and Children PDG Research Institute for Sports and Exercise Sciences Liverpool John Moores University Producing Public Health Guidance the “NICE” Way Process to Product and Product to Process
NICE is an independent organisation responsible for standards to promote good health and prevent or treat ill health, based on best value for money
NICE recommendations can help organisations
meet public health targets (NIs, PSAs etc)
NICE offers advice to organisations who have a role in promoting health and wellbeing
How can NICE help? Public Health Problem Low Physical Activity Where is the problem? Young People Can PA be changed? Evidence Effectiveness:Cost Use Evidence Recommendations Use Recommendations Policy, Strategy, Practice Monitor Evaluate Product
Physical inactivity in England is estimated to cost £8.2 billion a year and is predicted to rise
Physical activity is important for children’s healthy growth and development
Physical activity contributes to general health and wellbeing and can reduce the risk of several chronic conditions
Assessing Cost Effectiveness Probability of rejection Cost per QALY (£K) x XX XX 10 20 30 40 50 0 1
Promoting physical activity for children and young people Schools and colleges Implementing NICE guidance 2009 NICE public health guidance 17
Decrease in Physical Activity in School Age Children Physical activity Overestimated
EYHS Physical Activity and Metabolic Risk Increased risk SD>1 Andersen LB , Lancet. 2006 Jul 22;368(9532):299-304 >2000 cpm 116 min 9y olds 88 min 15y olds
Mapping the obesity epidemic in Liverpool 9-10 year olds Taylor, Stratton, and Hackett, Health Educ Res (2004). Dummer, Hackett, Stratton, Taylor PHN (2004). Stratton, Hackett, Boddy, Taylor, Buchan and Canoy IJO (2007) 30000 children 1998-2004 Fitness, fatness, parents activity, diet, sports preference .
Data from G Stratton, Liverpool Sportlinx Rise in BMI and fall in cardio-respiratory endurance of Liverpool 10 year olds from 1998 to 2004
Product Children’s Physical Activity Guidelines (draft) Positive + Marks et al. (2006) RNCT No change Positive No change Positive - - - - Baxter et al. (1997) Metzker (1999) Moon et al. (1999) Winett et al. (1999) CNRT Positive Positive No change Positive No change + + + + + Simon et al. (2004) Schofield et al. (2005) Haerens et al. (2006) Murphy et al. (2006) Robbins et al. (2006) CRCT No change No change ++ ++ Prochaska & Sallis (2004) Patrick et al. (2006) RCT Physical activity change? Study Quality Authors Study Type
There is evidence from one controlled non-randomised trial in the USA [-], that a counselling intervention can lead to an increase in physical activity in adolescent girls. A characteristic of this intervention is that it is was short (8 weeks) and included older girls (>14 y) only.
Practitioners who lead physical activities, including youth leaders, teachers, coaches and volunteers.
What action should they take?
Ensure all physical activity opportunities emphasise participation, enjoyment and personal development. Support participants of all abilities in a non-judgemental way which is sensitive to cultural and religious issues. Encourage those who initially choose not to participate in physical activity to observe. Help them move gradually from observation to full participation.