Communities: where Life Happens ! Communities: where Life Happens ! Thinking Globally, Acting...

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Communities: Communities: where Life where Life Happens ! Happens ! Thinking Globally, Acting Locally !

Transcript of Communities: where Life Happens ! Communities: where Life Happens ! Thinking Globally, Acting...

Page 1: Communities: where Life Happens ! Communities: where Life Happens ! Thinking Globally, Acting Locally !

Communities: Communities: where Life where Life Happens ! Happens !

Thinking Globally, Acting Locally !

Page 2: Communities: where Life Happens ! Communities: where Life Happens ! Thinking Globally, Acting Locally !

Dom Aguirre Ave. (Board of Sorocaba River)Dom Aguirre Ave. (Board of Sorocaba River)

Sorocaba City

Page 3: Communities: where Life Happens ! Communities: where Life Happens ! Thinking Globally, Acting Locally !

Walking PathWalking Path

Sorocaba City

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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

Page 5: Communities: where Life Happens ! Communities: where Life Happens ! Thinking Globally, Acting Locally !

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%

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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

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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%

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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

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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

---------

Cost-saving

---------

Cost-saving

---------

Cost-saving

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Agita impact represents a saving of 310 million US dollars/year

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AGITA RIBEIRÃO PRETO AGITA SANTOS AGITA SÃO JOSÉ CAMPOS

AGITA GUARUJÁ AGITA SOROCABA AGITA ASSIS

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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

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RED ACTIVIDAD FISICA ARGENTINA

National Networks National Networks

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POR SU SALUD...

Muévase pues!EQUIPO DE CICLISMO

Muévase pues!

URUGUAI EM

MOVIMENTO