Communities: where Life Happens !
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Transcript of Communities: where Life Happens !
Communities: Communities: where Life where Life Happens ! Happens !
Thinking Globally, Acting Locally !
Dom Aguirre Ave. (Board of Sorocaba River)Dom Aguirre Ave. (Board of Sorocaba River)
Sorocaba City
Walking PathWalking Path
Sorocaba City
PHYSICAL ENVIRONMENT
Constructed EnvironmentConstructed Environment
Supportive
Behaviors
SOCIAL ENVIRONMENTINTRAPERSONAL
`ConstructedEnvironment
Transport
Architectural
Urban/Suburban
Biological
PoliciesGoverningResources
PoliciesGoverningIncentives
Demographic
“MOBILE MANAGEMENT” - ECOLOGICAL MODEL
PHYSICAL ENVIRONMENT
NaturalEnvironment
Cognitive/Affective
Cultural
Social Climate
InformationGeopraphy
Temperature
Entertainment
Recreation
Matsudo et al, 2003
Behavioural
Sorocaba: World Capital for Physical Activity
SOROCABASOROCABA Hospitalization Hospitalization
0
2
4
6
8
10
12
14
16
2000 2001 2002 2003 2004
DIABETES STROKE
Source: Sorocaba Municipal Authority
Nu
mb
er
per
10.0
00 in
hab
.
50%
57%
Impact of a seven-year multi-level intervention on sedentary levels of São Impact of a seven-year multi-level intervention on sedentary levels of São
Paulo Metropolitan regionPaulo Metropolitan region
02468
101214161820
2000 2007
Men Women Total
Matsudo V et al. ACSM 2008Matsudo V et al. ACSM 2008
-31,4-31,4
-51,3-51,3-41,3-41,3
%%
29 Municípios em 11 Regiões administrativas do 5/200629 Municípios em 11 Regiões administrativas do 5/2006
n: 1242 - Amostra Probabilística e estratificada-IPAQn: 1242 - Amostra Probabilística e estratificada-IPAQ
> 14 anos> 14 anos
22.6
12.2
15.2
8.7
0
5
10
15
20
25
1999 2007
Men
Women
%
Matsudo V et al, 2008
∆ - 46.02%
∆ - 42.7%
Brazilian Experience Impact of Agita
6
7
8
9
10
11
12
13
14
Including Walking
Including Including WalkingWalking
SEDENTARISM PREVALENCESEDENTARISM PREVALENCEAGITA SÃO PAULO AGITA SÃO PAULO PURPOSE KNOWLEDGEPURPOSE KNOWLEDGE
PROGRAMA AGITA SÃO PAULO & IMES,2000
NO YESN:645 – SCS- SA - SBC- Home-Interview
13.1%
7.1%
%
Matsudo, S. J Phys Activity and Health, 2004
One-year per person total intervention cost in 2003 Reais, $R ($US)
640 (190)
One-year per person total intervention cost in 2003 Reais, $R ($US)
640 (190)
None
Agita
None
Agita
Agita Sao Paulo interventionAgita Sao Paulo intervention
BrazilEconomic value of Agita Sao PauloBrazilEconomic value of Agita Sao Paulo
Base case resultsBase case results
One-year efficacy (delta MET-min/wk)
132
One-year efficacy (delta MET-min/wk)
132
InterventionIntervention Total costTotal cost Total life-yearsTotal life-years Total QALY’sTotal QALY’s Cost per life-yearCost per life-year Cost per QALYCost per QALY
$ 115.418
$ 114.005
$ 115.418
$ 114.005
20.019
20.070
20.019
20.070
15.358
15.449
15.358
15.449
---------
Cost-saving
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Cost-saving
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Cost-saving
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Cost-saving
Agita impact represents a saving of 310 million US dollars/year
AGITA RIBEIRÃO PRETO AGITA SANTOS AGITA SÃO JOSÉ CAMPOS
AGITA GUARUJÁ AGITA SOROCABA AGITA ASSIS
MADRUGALE A LA SALUD
MADRUGALE A LA SALUD
CUNDINAMARCA SIEMPRE ACTIVA Y
POSITIVA
CUNDINAMARCA SIEMPRE ACTIVA Y
POSITIVA
CAUCA ACTIVA Y
SALUDABLE
CAUCA ACTIVA Y
SALUDABLE
Buga en MovimientoBuga en Movimiento
COLOMBIAACTIVA Y
SALUDABLE
COLOMBIAACTIVA Y
SALUDABLE
RED ACTIVIDAD FISICA ARGENTINA
National Networks National Networks
POR SU SALUD...
Muévase pues!EQUIPO DE CICLISMO
Muévase pues!
URUGUAI EM
MOVIMENTO