Physical Activity NCD

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  • Physical Activity NCD

    1. 1. Physical ActivityProfessor Fiona BullDirector, Centre for Built Environment and Health,School of Population Health, The University of Western AustraliaChair, Global Advocacy for Physical Activity, International Society for Physical Activity and Health
    2. 2. Key Messages 1. There is strong evidence on health benefits of PA 2. Our focus is on “how” to address PA not “if” 3. Public education is a „best buy‟ – however it is „necessary but not sufficient‟ on its own 4. Must look for, evaluate and implement upstream policy actions in multiple settings 5. Building an evidence base, capacity within different sectors and cultural adaptation to meet the needs of Arab region are important short term priorities
    3. 3. Dose response relationship Source: Vouri I. Terveysliikunta. UKK Institute for Health Promotion Research, Tampere, Finland, 1995.
    4. 4. Prevalence of physical inactivity inadults by WHO Region and WorldBank income group. 2008
    5. 5. Benefits of PA extendbeyond just the big 3• CVD• Cance• Diabetes• Improvement in mental health• Positive social health• Community „connectedness‟ and social capital• Child development• Education performance
    6. 6. Not “if”, not “why”, but “How”
    7. 7. HLM Political StatementSept 2011
    8. 8. Preventing NCD’s: addressing the causes the causes of the causes of chronic diseaseUNDERLYING PROXIMAL PHYSIOLOGICAL Death and & DisabilityCAUSES BEHAVIORAL RISK FACTORS RISK FACTORS CHRONICSocial DISEASESEconomic Tobacco use Overweight/obesity DiabetesEmployment Heart disease Alcohol abuse High blood pressureEducational StrokeCultural High blood glucose Cancer Unhealthy diet RespiratoryPolitical dis. Abnormal bloodBuilt Physical lipidsenvironment inactivity
    9. 9. Not “if”, not “why”, but“How” • Use available policy instruments – Global recommendations on physical activity – Global strategy (DPAS) – Supporting DPAS implementation tools / guides – Global target and indicator (forthcoming) • Focus regional and national efforts in one or more of 7 identified areas of best investment
    10. 10. Tailor to the Arab Region
    11. 11. Not “if”, not “why”, but“How” • Use available policy instruments – Global recommendations on physical activity – Global strategy (DPAS) – Supporting DPAS implementation tools / guides – Global target and indicator (forthcoming) • Focus regional and national efforts in one or more of 7 identified areas of best investment
    12. 12. 7 Investments that work for physical activity 5. Public education, including1. Whole-of-school’ programs mass media to raise awareness and change social2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs3. Urban design regulations and involving multiple settings and infrastructure that provides for sectors & that mobilize and equitable and safe access for integrate community recreational physical activity, engagement and resources and recreational and transport- related walking and cycling across the life course 7. Sports systems and programs that promote ‘sport for all’4. Physical activity and NCD and encourage participation prevention integrated into across the life span primary health care systems
    13. 13. Physical Activity Guidelines
    14. 14. Building blocks of successfulnational action on physical activity Mass media campaigns Communication Strategy Targets & Goals Intersectorial buy in PA Guidelines Surveillance & Political Monitoring Commitment
    15. 15. Guidelines: inform communicationcampaigns and a catalyst to partnerships New Zealand „Agita‟ Brazil Western Australia
    16. 16. 7 Investments that work for physical activity 5. Public education, including1. Whole-of-school’ programs mass media to raise awareness and change social2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs3. Urban design regulations and involving multiple settings and infrastructure that provides for sectors & that mobilize and equitable and safe access for integrate community recreational physical activity, engagement and resources and recreational and transport- related walking and cycling across the life course 7. Sports systems and programs that promote ‘sport for all’4. Physical activity and NCD and encourage participation prevention integrated into across the life span primary health care systems
    17. 17. Schools – a best buy
    18. 18. Across the school setting • Regular good quality PE curricula for all students • Play / recess time • Before and after school • Across the curricula • Involve parents • Link to community sports • Travel to school (walk /cycle) • Includes Policy AND Programs
    19. 19. 7 Investments that work for physical activity 5. Public education, including1. Whole-of-school’ programs mass media to raise awareness and change social2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs3. Urban design regulations and involving multiple settings and infrastructure that provides for sectors & that mobilize and equitable and safe access for integrate community recreational physical activity, engagement and resources and recreational and transport- related walking and cycling across the life course 7. Sports systems and programs that promote ‘sport for all’4. Physical activity and NCD and encourage participation prevention integrated into across the life span primary health care systems
    20. 20. Primary health care
    21. 21. Workplace Health
    22. 22. 7 Investments that work for physical activity 5. Public education, including1. Whole-of-school’ programs mass media to raise awareness and change social2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs3. Urban design regulations and involving multiple settings and infrastructure that provides for sectors & that mobilize and equitable and safe access for integrate community recreational physical activity, engagement and resources and recreational and transport- related walking and cycling across the life course 7. Sports systems and programs that promote ‘sport for all’4. Physical activity and NCD and encourage participation prevention integrated into across the life span primary health care systems
    23. 23. Create supportive environments
    24. 24. Create supportive environments The solutions will be context specificExample: Ciclovia
    25. 25. 7 Investments that work for physical activity 5. Public education, including1. Whole-of-school’ programs mass media to raise awareness and change social2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs3. Urban design regulations and involving multiple settings and infrastructure that provides for sectors & that mobilize and equitable and safe access for integrate community recreational physical activity, engagement and resources and recreational and transport- related walking and cycling across the life course 7. Sports systems and programs that promote ‘sport for all’4. Physical activity and NCD and encourage participation prevention integrated into across the life span primary health care systems
    26. 26. Building blocks of successful national action on physical activity Multiple Mass media Multiple Strategies campaigns Strategies Communication Strategy Multiple IntersectorialStrategies Targets & Goals buy in PA Guidelines Surveillance & Political Multiple Monitoring Commitment Strategies Multiple Strategies
    27. 27. Kuwait National ActionPlan for Physical Activity
    28. 28. Challenges • Leadership • Research evidence from Arab region • Stronger workforce with knowledge and skills to address PA
    29. 29. Turning round the risk factors:Tobacco success Smoke free SG Report workplaces National campaigns PH action groups 1950 1980 1990 2000
    30. 30. National Examples of increasingpopulation levels of physical activity ParticipACTION – national action underpinned by sustained social marketing campaign
    31. 31. THANK YOU

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