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Plan of Physical Activity,
     Sport & Health
DEFINITION

Health-promotion programme for
  primary health-care services,
based on prescribing and advising
         phys...
WHO
• According to the World Health Organization (WHO),
  one of the major challenges in the prevention of
  noncommunicab...
Around 40% of the adult population is sedentary or
                                          minimally active
            ...
Around 40% of the adult population is sedentary or minimally
                                active
                      ...
Physical inactivity: a health risk
This is one of the 10 risk factors that contributes to the
  appearance of chronic illn...
The benefits of regular exercise
 Exercise and physical activity are important to health and prevention and
treatment of m...
The benefits of regular exercise

• Exercise can also be a powerful
  complement to traditional medical
  intervention and...
The benefits of regular exercise

• Sport and health care professionals can
  play an integral role in educating your
  cl...
Plan of Physical Activity,
Sport & Health (PAFES)

  A joint programme of the
   Department of Health
            and
Gene...
Physical Activity,
  Sport & Health Plan (PAFES)

• Designed to help improve the health
  and wellbeing of our population ...
Overall global framework
WORLD HEALTH ORGANISATION (2004)
Global Food, Physical Activity & Health Strategy
EUROPEAN ECONOM...
Global Strategies
on Physical Activity for Health
LOCAL INITIATIVES FOR PRESCRIBING
PHYSICAL EXERCISE IN CATALONIA

  1993         2001        2002        2004         2004...
CATALAN
 FRAMEWORK 1                             Community
                                          centres              ...
CATALAN FRAMEWORK 2


 Strategic direction:
 Strategic direction:
 Recognising sport’s role in society
 Recognising sport’...
OBJECTIVES OF PAFES
    To incorporate prescribing and advising exercise as a therapeutic
tool in primary healthcare.
    ...
Health                               Sport

 Connection:
Health - Sport                     PAFES
                        ...
General
    Health
                  Secretary of
  Department
                     Sport




               Sports facili...
PROFESSIONALS INVOLVED

 Primary healthcare Physician (MD)

 Nurse (RN)

 Sports Medicine Physician (SMD)

 Physical Activ...
PAFES CHARACTERISTICS
• Target population: Sedentary adults with
  cardiovascular risk (Hypertension, Dyslipemia,
  Obesit...
NON-SUPERVISED
Programme
   Advising on increasing progressive
exercise at low to moderate intensity.
   Aimed at those wi...
ADVISED
Programme

   Periodically advising on increasing
physical activity with progressive
objectives.

    Aimed at peo...
SUPERVISED
 Programme
    Advising on taking physical exercise with
initial and final evaluation by a SMD.

  Stage of cha...
ROLE OF LOCAL AUTHORITIES
Provide information, through the PAFES, on city council
sports services and also about healthy a...
FUNCTIONS OF THE PAFES
To provide the logistical support to act as the link between
the Primary Healthcare Centres and spo...
Documents de
Referència




       Metges de l’Esport     LCAFE:
   Professionals Sanitaris    - als Ajuntaments
Equips d’...
ROLE OF PRIMARY HEALTHCARE TEAMS
             ( MD, RN)
Integrate the following into care for patients with CV risk
   fac...
HOW WILL BE THE INFORMATION
                 RECORDED?
The physical activity will be recorded in the medical history

    ...
ROLE OF SPORTS MEDICINE DOCTORS

• To participate in training courses aimed at
  primary healthcare professionals

• To ac...
ROLE OF
    PHYSICAL ACTIVITY EDUCATOR (PE)
•   To be responsible for carrying out supervised physical
    activity progra...
PRIMARY HEALTHCARE TEAM
      RESOURCES
Support material
• Professionals
    – PEFS Guide
    – Course material

•   Patie...
Sport professional TEAM
            RESOURCES
Support material
• Professionals
    – PEFS Guide
    – Course material

•  ...
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
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Plan for Physical Activity, Sport and Health in Catalonia

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Transcript of "Plan for Physical Activity, Sport and Health in Catalonia"

  1. 1. Plan of Physical Activity, Sport & Health
  2. 2. DEFINITION Health-promotion programme for primary health-care services, based on prescribing and advising physical activity
  3. 3. WHO • According to the World Health Organization (WHO), one of the major challenges in the prevention of noncommunicable diseases and in the promotion of physical activity and other healthy lifestyle choices is communicating the importance of action now in return for future benefits. • Despite the fact that prevention has been the major contributor to health gains, including 30 added years of life expectancy, in the past century, most studies of health expenditures indicate that less than five percent of resources are devoted to prevention. • The WHO says that advocacy and policy are key • .
  4. 4. Around 40% of the adult population is sedentary or minimally active Percentages by age group and risk factors. Men 100 90 80 70 PERCENTAGE 60 50 40 30 20 10 0 18-34 YEARS 35-54 YEARS 55-74 YEARS GLOBAL HTA DM HCOL BMI>25 ESCA 2006. 18-74 years. Proportion of sedentary/minimally active men (normal Physical activity)
  5. 5. Around 40% of the adult population is sedentary or minimally active Percentages by age group and risk factors. Women 100 90 80 70 PERCENTAGE 60 50 40 30 20 10 0 18-34 YEARS 35-54 YEARS 55-74 YEARS GLOBAL HTA DM HCOL BMI > 25 ESCA 2006. 18-74 years. Proportion of sedentary/minimally active women (normal Physical activity)
  6. 6. Physical inactivity: a health risk This is one of the 10 risk factors that contributes to the appearance of chronic illnesses: » Cardiovascular diseases » Cancer » Obesity » Type 2 diabetes These are the cause of 60% of all deaths and 47% of the global burden from sickness World Health Organisation (2002). Report on world health 2002: reducing risks and promoting healthy lifestyles
  7. 7. The benefits of regular exercise Exercise and physical activity are important to health and prevention and treatment of many chronic diseases Prevention and control of: Cardiovascular disease Obesity / overweight Type 2 diabetes Cancer Osteomuscular disease Improved mental health ↓ Mortality
  8. 8. The benefits of regular exercise • Exercise can also be a powerful complement to traditional medical intervention and, in many instances, may alow physician to significantly reduce a patient’s drug dose or eliminate the need for medicine altogheter .
  9. 9. The benefits of regular exercise • Sport and health care professionals can play an integral role in educating your clients / patients about the medical benefits of exercise and how they can speak to MD, RN, PE about physical activity.
  10. 10. Plan of Physical Activity, Sport & Health (PAFES) A joint programme of the Department of Health and General Secretary for Sport in the fight against sedentary lifestyles
  11. 11. Physical Activity, Sport & Health Plan (PAFES) • Designed to help improve the health and wellbeing of our population through a regular physical activity prescription from doctors and other healthcare providers.
  12. 12. Overall global framework WORLD HEALTH ORGANISATION (2004) Global Food, Physical Activity & Health Strategy EUROPEAN ECONOMIC COMMUNITY (2005) Green book: “Promoting healthy eating and physical activity: a European approach for preventing overweight, obesity and chronic illnesses”. SPAIN (2005) Strategy for Nutrition, Physical Activity and the prevention of Obesity (NAOS) CATALONIA (2005) Integrated plan for the promotion of health, through physical activity and healthy eating (PAAS)
  13. 13. Global Strategies on Physical Activity for Health
  14. 14. LOCAL INITIATIVES FOR PRESCRIBING PHYSICAL EXERCISE IN CATALONIA 1993 2001 2002 2004 2004 2005 2006 GRANOLLERS TERRASSA REUS MARTORELL VILANOVA LLEIDA BARCELONA Different Chronic Different Different AFIS illness Caminem PPAF programmes programmes programmes (“Let’s walk”) workshop … Ajuntament de Barcelona UME Hospital Vilanova
  15. 15. CATALAN FRAMEWORK 1 Community centres City Council Training workshops: City Council Routes + labelling: 1 - Children Routes + labelling: 1 – Access to sports 2 - Adults 1 – Access to sports Schools equipment • Health education 2 equipment – Programmes • Schools menus 2 – Programmes among the • Promotion of physical among the disadvantaged activity disadvantaged population population Primary Primary Companies Healthcare Healthcare • Healthy menus Service Service • Promotion of physical activity PAFES PAFES Food Industry • Code of Good The Media Practices Businesses i and Restaurants • Menus • Foods
  16. 16. CATALAN FRAMEWORK 2 Strategic direction: Strategic direction: Recognising sport’s role in society Recognising sport’s role in society Programme: Programme: Medical Medical Sport & Sport & Services Services in the Health Health in the Objective: to integrate Sports Sports Objective: to integrate physical activity into physical activity into System System the health system PAFES PAFES the health system Sports Sports equipment equipment Doping Doping
  17. 17. OBJECTIVES OF PAFES To incorporate prescribing and advising exercise as a therapeutic tool in primary healthcare. To update knowledge and skills of professionals involved through training and retraining courses, in coordination with multidisciplinary training teams that can provide the necessary tools for developing their roles. To coordinate the health care resources (primary health care and specialist level) with regard to prescribing physical activity. sports medicine doctor as a consultants To strengthen the use of existing sports facilities in the community. To establish communication channels within multidisciplinary teams. To work together with professionals from sports facilities. To work together with the different public organisations and sectors involved
  18. 18. Health Sport Connection: Health - Sport PAFES Office Sports equipment + Health Centre Local authority sport offering Creating PAFES Office PAFES Programmes
  19. 19. General Health Secretary of Department Sport Sports facilities sports services Healthcare Centers City Council
  20. 20. PROFESSIONALS INVOLVED Primary healthcare Physician (MD) Nurse (RN) Sports Medicine Physician (SMD) Physical Activity Educator (PE)
  21. 21. PAFES CHARACTERISTICS • Target population: Sedentary adults with cardiovascular risk (Hypertension, Dyslipemia, Obesity and Diabetes type2 ). • Entry point into the programme: – Primary healthcare center • Recommendations of physical activity Advising on non-supervised physical activity Advising and prescribing advised physical activity Advising supervised physical activity (referrals to sports facility)
  22. 22. NON-SUPERVISED Programme Advising on increasing progressive exercise at low to moderate intensity. Aimed at those without impediments to doing physical activity Healthy physical activity offered within the city council area. General advice on increasing light/moderate physical activity without supervision Sedentary population with no contraindication for PA.
  23. 23. ADVISED Programme Periodically advising on increasing physical activity with progressive objectives. Aimed at people who need periodic follow-up for doing physical activity Stage of change: contemplation or determination Designing healthy walking routes for each community area. Sedentary population with risk factors and some stable chronic illnesses.
  24. 24. SUPERVISED Programme Advising on taking physical exercise with initial and final evaluation by a SMD. Stage of change: contemplation or determination male>45 yo , female > 55 yo 2 CV risk factors Groups led by a PE in sports facilities. 6 months’ duration • Sedentary population with chronic illness that may be controllable through exercise. Require supervision when starting the exercise.
  25. 25. ROLE OF LOCAL AUTHORITIES Provide information, through the PAFES, on city council sports services and also about healthy activities as ways of promoting health (cultural routes, walks, games and leisure activities, dances and others). Arrange for city council sports facilities to be made available as well as communicating with the facilities' specialists in exercising for health (PE). Promote the establishment of a “cheap” fee for participants (the option for subsidies).
  26. 26. FUNCTIONS OF THE PAFES To provide the logistical support to act as the link between the Primary Healthcare Centres and sports facilities and also with the local authorities’ healthy activities services. To provide the necessary training on promoting health for the sports facilities' physical exercise specialists as well as local authority sports specialists. To certify the training given as well as accrediting the professionals who receive it. To provide the professionals with knowledge in the area of health promotion and establish a communication channel with the primary healthcare centres at no cost to the local authorities and sports administrators. To create and drive a flow of users to the sports facilities, with major possibilities for generating frequent users, once the programme has ended.
  27. 27. Documents de Referència Metges de l’Esport LCAFE: Professionals Sanitaris - als Ajuntaments Equips d’Atenció Primària: - als Equipaments - Centres de Salut i Centres Esportius
  28. 28. ROLE OF PRIMARY HEALTHCARE TEAMS ( MD, RN) Integrate the following into care for patients with CV risk factors: • To coordinate the selection and overall management of the patient • To prescribe unsupervised and advised physical activity • Where necessary, refer patients for supervised physical activity to SMD
  29. 29. HOW WILL BE THE INFORMATION RECORDED? The physical activity will be recorded in the medical history START: Stage of change Type of advice and prescription of physical activity FOLLOW-UP: Physical activity or not, prescription IN A YEAR: Stage of change, Type of advice The remaining necessary information for the evaluation is extracted from what is already available in the “e-CAP” (patient characteristics and clinical data)
  30. 30. ROLE OF SPORTS MEDICINE DOCTORS • To participate in training courses aimed at primary healthcare professionals • To act as consultants for the professionals involved • To prescribe supervised physical activity for patients referred from primary healthcare center, with an initial evaluation and a further evaluation after 6 months
  31. 31. ROLE OF PHYSICAL ACTIVITY EDUCATOR (PE) • To be responsible for carrying out supervised physical activity programmes in designated centres (including initial and final evaluation of patients) • To coordinate with Primary Healthcare Centres and SMD • To participate in training courses aimed at primary healthcare professionals
  32. 32. PRIMARY HEALTHCARE TEAM RESOURCES Support material • Professionals – PEFS Guide – Course material • Patients Leaflets Training workshop (8 hours) • Train the trainers strategy at 3 levels: CENTRAL REGIONAL PRIMARY HEALTHCARE CENTRES as a CLINICAL SESSION • Ongoing training credits Periodic consultations with Sports medicine physician
  33. 33. Sport professional TEAM RESOURCES Support material • Professionals – PEFS Guide – Course material • Patients Leaflets Training workshop (20 hours) • Train the trainers strategy at 2 levels: CENTRAL REGIONAL • Ongoing training credits Periodic consultations with Sports medicine physician
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