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Physical Activity NCD
This document discusses the health benefits of physical activity and strategies for promoting physical activity at a population level. The key points are: 1. There is strong evidence that physical activity provides significant health benefits by reducing the risk of diseases like cardiovascular disease, cancer, and diabetes. 2. Rather than debating whether physical activity is important, the focus should be on how to increase physical activity through public policy measures. 3. Investing in public education campaigns can help raise awareness, but policy actions across multiple sectors are also needed to create environments that support physical activity.
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Physical Activity NCD
- 1. Physical Activity Professor FionaBull Director, Centre for Built Environment and Health, School of Population Health, The University of Western Australia Chair, Global Advocacy for Physical Activity, International Society for Physical Activity and Health
- 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
- 4. Dose response relationship Source: Vouri I. Terveysliikunta. UKK Institute for Health Promotion Research, Tampere, Finland, 1995.
- 5. Prevalence of physicalinactivity in adults by WHO Region and World Bank income group. 2008
- 6. Benefits of PAextend beyond just the big 3 • CVD • Cance • Diabetes • Improvement in mental health • Positive social health • Community „connectedness‟ and social capital • Child development • Education performance
- 7. Not “if”, not“why”, but “How”
- 8.
- 9. Preventing NCD’s: addressing the causes the causes of the causes of chronic disease UNDERLYING PROXIMAL PHYSIOLOGICAL Death and & Disability CAUSES BEHAVIORAL RISK FACTORS RISK FACTORS CHRONIC Social DISEASES Economic Tobacco use Overweight/obesity Diabetes Employment Heart disease Alcohol abuse High blood pressure Educational Stroke Cultural High blood glucose Cancer Unhealthy diet Respiratory Political dis. Abnormal blood Built Physical lipids environment inactivity
- 10. 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
- 11. Tailor to theArab Region
- 12. 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
- 15. 7 Investments that work for physical activity 5. Public education, including 1. Whole-of-school’ programs mass media to raise awareness and change social 2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs 3. 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
- 16.
- 17. Building blocks ofsuccessful national action on physical activity Mass media campaigns Communication Strategy Targets & Goals Intersectorial buy in PA Guidelines Surveillance & Political Monitoring Commitment
- 18. Guidelines: inform communication campaignsand a catalyst to partnerships New Zealand „Agita‟ Brazil Western Australia
- 19. 7 Investments that work for physical activity 5. Public education, including 1. Whole-of-school’ programs mass media to raise awareness and change social 2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs 3. 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. Schools – abest buy
- 21. Across the schoolsetting • 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
- 22. 7 Investments that work for physical activity 5. Public education, including 1. Whole-of-school’ programs mass media to raise awareness and change social 2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs 3. 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
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- 25. 7 Investments that work for physical activity 5. Public education, including 1. Whole-of-school’ programs mass media to raise awareness and change social 2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs 3. 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
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- 27. Create supportive environments The solutions will be context specific Example: Ciclovia
- 28. 7 Investments that work for physical activity 5. Public education, including 1. Whole-of-school’ programs mass media to raise awareness and change social 2. Transport policies and norms on physical activity systems that prioritise walking, cycling and public transport 6. Community-wide programs 3. 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
- 29. Building blocks ofsuccessful national action on physical activity Multiple Mass media Multiple Strategies campaigns Strategies Communication Strategy Multiple Intersectorial Strategies Targets & Goals buy in PA Guidelines Surveillance & Political Multiple Monitoring Commitment Strategies Multiple Strategies
- 31. Kuwait National Action Planfor Physical Activity
- 32. Challenges • Leadership • Research evidence from Arab region • Stronger workforce with knowledge and skills to address PA
- 33. Turning round therisk factors: Tobacco success Smoke free SG Report workplaces National campaigns PH action groups 1950 1980 1990 2000
- 34. National Examples ofincreasing population levels of physical activity ParticipACTION – national action underpinned by sustained social marketing campaign
- 35.
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