Authors: Simovska V., Rocha P., Bidiugan R., Lea Samanta Nash Castro: Implementation of a standardized "EU Monitoring system for Sport and Physical Activity” as a base for the HEPA strategy and program in the Republic of North Macedonia, EUPASMOS Plus, Programme of the Symposium: Oral presentation. 23 International Scientific Symposium on Sport and Physical Education of Youth of the Republic of North Macedonia, 2-3 October 2020, Ohrid (on-line). Methods for the assessment of PA and sport are numerous, but given the complex nature, none of the currently available methods can assess all PA dimensions. Within the project “EUPASMOS Plus”, our aims were to develop PALs, sports participation, sedentary behavior, and sleeping time monitoring framework in the European region. The outcomes of the project will support the Member States, the European Commission, the WHO, and other relevant international sports organizations in the design, promotion, implementation, and monitoring of effective, evidence-based HEPA and sport strategies across the European region including the Republic of North Macedonia.

1. ACTIVITIES IN PHYSICAL EDUCATION AND SPORT, International Journal of Scientific and
Professional Issues in Physical Education and Sport, Vol. 10, No.1-2, 2020, North Macedonia
1
23 Science Symposium on Sports and Physical Education
of Youth 2020, Ohrid, Republic of North Macedonia
Website: https://www.hepa.org.mk,, Email: contact@hepa.org.mk, Phone: +389 2 6090775, <www.eupasmos.com
Implementation of a standardized EU Monitoring
system for Sport and Physical Activity
as a base for HEPA Strategy and Programme
in Republic of North Macedonia
EUPASMOS Plus, 2019 – 2020
Author: Univ. prof. Vera Simovska Jarevska, MD., PhD.
NGO HEPA Macedonia National organization for the promotion of health-enhancing PA

2. Project Coordination
National Coordination:NGO for PublicHealth “HEPA MacedoniaNational Organization”
Coordinator: Univ. Prof. Vera Simovska-Jarevska, MD., PhD.
EUPASMOS Coordination: Portuguese Institute of Sport and Youth
Coordinator: Invited Prof. Paulo ROCHA, PhD.
Project coordination in close relationship with both:
European Commission – Sport Unit
World Health Organization – Regional Office for Europe
Team Coordination: Lea Samantha Nash Castro
EU Project Partners and Republicof North Macedonia are involved.
Statistical analysis and graphical presentation: Radu Bidiugan
Websites: https://www.eupasmos.com; https://www.hepa.org.mk
Email: contact@hepa.org.mk, Phone: +389 2 6090775
Kick-off Meeting – Budapest, 18-19 january 2018

3. Project Aim
•To implement a harmonized Monitoring System for Physical Activity, Sport
participation and sedentary behaviour through the development of an integrated and
shared methodological process that will provide comparable, valid and reliable
physical activity and sport participation data across European member states.
•The outcomes of the project will support Member States, WHO, EC, and other
relevant organizations in the design, promotion, implementation and surveillance of
effective and evidence-based HEPA and Sport policies and strategies across European
region and governance levels.

4. EUPASMOS PLUS Objectives - 1
I. To establish a monitoring scientific framework for assessing sedentary
behavior patterns, physical activity levels and sport participation in the
European population: adults, seniors, pregnant women and people
with disabilities.
II. To compare commonly used questionnaires for physical activity
surveillance with each other and with objective accelerometer data in
a validation study that will use representative samples from European
partner countries.

5. EUPASMOS PLUS Objectives - 2
III. To analyze and compare sedentary behavior patterns, physical activity levels
and prevalence of sport participation across European MS based on the results
obtained with the validation study;
IV.To develop a toolkit to build and reinforce capacity to monitor, analyze, and
compare sedentary behavior patterns, physical activity and sport participation
prevalence data;
V. To support the development of the physical activity section of the WHO
Health Gateway Database, aligning it with the European HEPA monitoring
framework.

6. EUPASMOS PLUS Objectives - 3
- To increase the extension ofthe database , to expand the EUPASMOS study, to include
new project partners - European countries, in order to strengthen and reinforce its aim
in creating an European wide, integrated framework to monitor physical activity levels,
sport participation and sedentary behaviors.
- To scale up the EUPASMOS study to vulnerable groups extending sample (pregnant
women, elderly and people with disabilities).
- Include body composition and cardiorespiratory fitness markers VO2 max - ml-1
kg-1 min-1.

7. METHODOLOGY: Questionnaires - Eurobarometer, EHIS, IPAQ-SF, GPAQ, and National
Questionnaires 1st Time European Overall Validity Assessment &Publication

8. EUPASMOS Methodology –Objective Measurements with
UKK RM42 accelerometer
Measuring physical activity, sedentary behavior
and sleep with UKK RM42 accelerometer
Pauliina Husu & Henri Vähä-Ypyä, The UKK Institute,
TampereFinland
Pauliina Husu & Henri Vähä-Ypyä,
The UKK Institute, Tampere, Finland
DataCollection
QualityControl– TrainingSupport& Supervision

9. EUPASMOS Plus HarmonizationProcess
23 Symposium for Sport and Physical Education of Youth, 2-3 October 2020, Ohrid

10. EU SPORT AND PHYSICAL ACTIVITY MONITORING SYSTEM-EUPASMOS, 2019-2020
9/26/2020 www.eupasmos.com - Statistical analysis and graphical presentation: Radu Bidiugan

11. 9/26/2020 11
SPORT DATA - EUPASMOS
Data obtained from 144.443 questionnaires: females 66.666; males 77.777, 2018-2019
www.eupasmos.com- Statistical analysis and graphical presentation: Radu Bidiugan

12. EU SPORT AND PHYSICAL ACTIVITY MONITORING SYSTEM –
EUPASMOS PLUS, 2018 - 2020
12www.eupasmos.com- Statistical analysis and graphical presentation: Radu Bidiugan

13. Sedentary behaviour distribution by age and sex (min/day)
using IPAQ-SF, GPAQ and RM42
www.eupasmos.com- Statistical analysis and graphical presentation: Radu Bidiugan

14. Trends in Physical Inactivity by Accelerometers and Questionnaires
in EU countries, 2008 - 2015

15. Statistical analysis: IPAQ-SF vs. accelerometer steps (RM42)
www.eupasmos.com- Statistical analysis and graphical presentation: Radu Bidiugan

16. www.eupasmos.com

17. Prevalence of moderate-to-vigorous physical activity (MVPA)
17
Simovska V.: MACEDONIA. 6th International Congress of Physical Activity and Public Health “Active People, Active Places, Active Policy, 16-19 November, 2016,
Bangkok, Thailand, Book of Abstracts, 2016:692. Simovska V.: MACEDONIAN PHYSICALACTIVITY PROFILE – ASSESSMENTAND MONITORING, PREVALENCE,
RESEARCH AND POLICY, International Jour. For scientific and professional issues “Activities in Physical Education and Sport”, 2016, Vol. 6, No. 2, pp. 246-249

18. Planning a national register for NCD risk factors focused on
physical activity levels (PALs, 2013)
Inactivity Walking Cycling SPORTS ACTIVITIESBrisk walking,
running
Simovska-Jarevska V., Martinovski S. et al.: MONITORING OF EATING HABITS AND PHYSICAL ACTIVITY LEVELS AS A BASIS FOR A NEW
NONCOMMUNICABLE DISEASE PREVENTION PROGRAMME IN THE REPUBLIC OF MACEDONIA. Proceedings of the Latvian Academy of
Sciences. Section B. Natural, Exact, and Applied Sciences 2013; 67(4-5): 357–362, ISSN (Print) 1407-009X, DOI: 10.2478/prolas-2013-0072.

19. 59% of Macedonian children and adolescent younger than 19 years have
moderate or vigorous physical activity level such as organized sports.
28% of young people had low physical activity levels , especially girls.
Concerning PALs, higher income has low impact on the engagement in organized
sports activities of youth, and low effect on participating in moderate intensity of
PALs (brisk walking, cycling).

20. Proportion (%) of youth between 10-18 years old related
to income and physical activity levels, Republic of Macedonia (2012)
Inactivity Walking Brisk walking,
running
SPORTS ACTIVITIES
Simovska V.et al.: THE EFFECT OF SOCIOECONOMIC INDICATORS ON DIETARY HABITS, PHYSICAL ACTIVITY LEVELS
(PALs) AND BMI kg/m2 IN MACEDONIAN YOUTH. Vth Congress of Sports Medicine and Sports Sciences of Serbia with
International participations, Belgrade, 6-7 December, 2012. Book of Abstract and Original Papers, Belgrade, Serbia 2012:19-21.

21. 23 Symposium for Sport and Physical Education of Youth, 2-3
October 2020, Ohrid

23. 23 Symposium for Sport and Physical Education of Youth, 2-3 October 2020, Ohrid, Republic of North Macedonia
EUPASMOS – Project Partners, COUNTRY PRESENTERS, 4th Meeting–Netherland