ENCOURAGING PHYSICAL
ACTIVITY – A KEY HEALTH
PROMOTION STRATEGY FOR
THE PREVENTION AND
CONTROL OF NCDs
Dr. Monika Arora
Di...
GBD 2010

Risk Factors
(Top Contributors to DALYs)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10

High Blood Pressure
Smoking (excluding ...
NCD Risk Factors in India:
Physical Inactivity - I
 Study conducted among adolescents across 5 districts of India
showed ...
NCD Risk Factors in India:
Physical Inactivity - II
 A hospital-based case control study with 1050 participants (350
AMI ...
(WHO SEARO, 2013)
Targets for NCD Prevention and Control in
India
Effectiveness of Interventions to
Promote Physical Activity
 A social marketing focused intervention to promote physical ...
An Evaluation of School Environments: Physical
Activity Audit tool
 Surrounding area
 Less than 15% had cycle lanes sepa...
Innovative Health
Promotion Campaigns
Walk for Health: Counting every
mile you walk!
Mobilizing the Ground Miles
App Download

www.groundmiles.bupa.com
Total global downloads: 21,372
Clicks from India: 3,13,...
Walk for Health – Delhi (Oct 20, 2013)
Nearly 10000 participants
Walk for Health – Mumbai (Oct 20, 2013)
Nearly 6000 participants
Walk for Health-Vizag (Nov 30, 2013)
Nearly 5000 participants
Inter-school Poster Competition- Delhi

1,200 students from nearly 40 schools in
Delhi
Inter-school Poster Competition-Vizag

Nearly 1000 students participated in the Poster making competition
Optimising Social Media
Twitter
Engaging celebrities to spread the word
Engaging like minded organisations
Promotion on Y4H
www.facebook.com/youthforhealth
The DADA Campaign
Promoting Physical Activity in Colleges
Partnering at festival of Youth
Sport, Delhi University

Organising mini-marathons...
Eat for Goals!
Eat For Goals! is a recipe book for children
13 players
13 dishes
1 cause
1 book
Rationale:
Footballers are...
Respect Your Health
An increase in health literacy levels
• A positive change in lifestyles
• An increase in community
inv...
The European Healthy Stadia Network
 “Healthy Stadia are those which promote
the health of visitors, fans, players,
emplo...
Make a healthy heart your goal

www.worldheart.org/womenseuro
Make a healthy heart your goal
UEFA Multi-European City Initiative
THANK YOU!
monika.arora@phfi.org
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Next Step 2014 presentation by Dr. Monika Arora from Public Health Foundation of India (PHFI)

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Next Step 2014 presentation by Dr. Monika Arora from Public Health Foundation of India (PHFI)

  1. 1. ENCOURAGING PHYSICAL ACTIVITY – A KEY HEALTH PROMOTION STRATEGY FOR THE PREVENTION AND CONTROL OF NCDs Dr. Monika Arora Director: Health Promotion & Adjunct Associate Professor Public Health Foundation of India
  2. 2. GBD 2010 Risk Factors (Top Contributors to DALYs) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 High Blood Pressure Smoking (excluding SHS) Alcohol Use Household Air Pollution Low Fruit High Body Mass Index High Fasting Plasma Glucose Childhood Underweight Ambient PM Pollution Physical Inactivity Diet & Physical Inactivity Cluster Responsible For Largest Global Disease Burden Lancet 2012
  3. 3. NCD Risk Factors in India: Physical Inactivity - I  Study conducted among adolescents across 5 districts of India showed 25.2% boys and 24.7% girls had poor physical activity index Bachani et al., 2013  Among adolescents (> 11 yrs) duration of Sedentary activity (223 min) was more than moderate- vigorous physical activity (60.7 min) Swaminathan et al., 2012  Walking and bicycling to work is associated with reduced cardiovascular risk in the Indian population. A dose-response relationship was observed between duration of bicycling to work and being overweight, having hypertension or diabetes. Millett et al., 2013)
  4. 4. NCD Risk Factors in India: Physical Inactivity - II  A hospital-based case control study with 1050 participants (350 AMI cases and 700 controls) conducted in New Delhi and Bangalore suggested that:  Participants with the highest level of physical activity (>145 MET minutes per day) had a RR of 0.45 (95% CI: 0.31, 0.66) for CHD compared with non-exercisers.  Participants with >3.6 hours of sedentary activity per day had an increased risk (RR 1.88; 95% CI: 1.09, 3.20) of CHD compared with participants doing <70 minutes of sedentary activity per day. Rastogi et al., 2004
  5. 5. (WHO SEARO, 2013)
  6. 6. Targets for NCD Prevention and Control in India
  7. 7. Effectiveness of Interventions to Promote Physical Activity  A social marketing focused intervention to promote physical activity in rural Tamil Nadu (India) mobilised nearly 55% of the subjects in brisk walking > 4 days a week Subitha et al., 2013  An intervention with 11 year olds in Norway effect on overall physical activity at the level of p = 0.05 with a net effect of 50 cpm increase from baseline to post intervention in favour of the intervention group (95% CI −0.4, 100) Grydeland et al., 2013 Source: Cecchini M, Sassi F, Lauer J et al. Tackling unhealthy diets, physical inactivity and obesity: health effects and costeffectiveness. Lancet 2010
  8. 8. An Evaluation of School Environments: Physical Activity Audit tool  Surrounding area  Less than 15% had cycle lanes separated from road  Less than 15% had pavements on both sides of road  Less than 10% had pavements on one side of the road  Less than 10% had marked pedestrian crossing  Less than 30% had traffic calming measures  No signs  School grounds  Generally, modal quality ‘Adequate’  Over 90% had playground equipment  Over 50% had courts  Over 50% had quadrangles  Over 50% had uncovered cycle parking while less than 10% had covered cycle parking
  9. 9. Innovative Health Promotion Campaigns
  10. 10. Walk for Health: Counting every mile you walk!
  11. 11. Mobilizing the Ground Miles App Download www.groundmiles.bupa.com Total global downloads: 21,372 Clicks from India: 3,13,884
  12. 12. Walk for Health – Delhi (Oct 20, 2013) Nearly 10000 participants
  13. 13. Walk for Health – Mumbai (Oct 20, 2013) Nearly 6000 participants
  14. 14. Walk for Health-Vizag (Nov 30, 2013) Nearly 5000 participants
  15. 15. Inter-school Poster Competition- Delhi 1,200 students from nearly 40 schools in Delhi
  16. 16. Inter-school Poster Competition-Vizag Nearly 1000 students participated in the Poster making competition
  17. 17. Optimising Social Media
  18. 18. Twitter Engaging celebrities to spread the word
  19. 19. Engaging like minded organisations
  20. 20. Promotion on Y4H www.facebook.com/youthforhealth
  21. 21. The DADA Campaign
  22. 22. Promoting Physical Activity in Colleges Partnering at festival of Youth Sport, Delhi University Organising mini-marathons and walkathons with college students
  23. 23. Eat for Goals! Eat For Goals! is a recipe book for children 13 players 13 dishes 1 cause 1 book Rationale: Footballers are role models for boys and girls. A multicultural group of 13 internationally renowned male and female star players present their food choices. The recipe book highlights the interdependency between a balanced healthy diet and performance.
  24. 24. Respect Your Health An increase in health literacy levels • A positive change in lifestyles • An increase in community involvement in social activities • A wider range of citizens playing sport and using local sports facilities, thanks to a greater sense of community ownership http://respectyourhealth.eu
  25. 25. The European Healthy Stadia Network  “Healthy Stadia are those which promote the health of visitors, fans, players, employees and the surrounding community... Places where people can go to have a positive, healthy experience playing or watching sport.” A holistic approach to developing stadia as ‘health promoting settings’ http://www.healthystadia.eu
  26. 26. Make a healthy heart your goal www.worldheart.org/womenseuro
  27. 27. Make a healthy heart your goal
  28. 28. UEFA Multi-European City Initiative
  29. 29. THANK YOU! monika.arora@phfi.org

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