Physical Activity: recreational & transportation options
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Transcript of Physical Activity: recreational & transportation options
Physical Activity: recreational & transportation options
Godfrey XuerebGodfrey XuerebTeam Leader, Population-based PreventionTeam Leader, Population-based Prevention
Department of Chronic Diseases and Health PromotionDepartment of Chronic Diseases and Health PromotionWorld Health OrganizationWorld Health Organization
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
1.5 billion adultsare insufficiently active
Aged 15+; 2008;
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 201160% of global deaths due to NCDs
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Physical inactivity - 4th leading risk factor for global mortality Physical inactivity - 4th leading risk factor for global mortality
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Percentage of insufficient physical activity comparable country estimates, 2008Percentage of insufficient physical activity comparable country estimates, 2008
Age standardized; by WHO Region and World Bank income group, men and womenSource: Global Status Report on NCDs, WHO, 2001
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Global response to NCDs
2000
2002
2003
2004
2008
Global Strategy for the Prevention and Control of
Non-communicable Diseases
High-level Meeting on NCDs (New York, 19-20 September 2011)
2011
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
"Ensure that physical environments support safe active commuting, and create space for recreational activity"
Recommended actions for Member StatesRecommended actions for Member States
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Introduce transport policies that promote active and safe methods of travelling to and from schools and workplaces, such as walking or cycling;
Ensure that walking, cycling and other forms of physical activity are accessible to and safe for all;
Recommended actions for Member StatesRecommended actions for Member States
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Improve sports, recreation and leisure facilities
Increase the number of safe spaces available for active play
Implement school-based programmes
Develop and implement national guidelines on PA for health
Recommended actions for Member StatesRecommended actions for Member States
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
How much physical activity do we need?New WHO Global RecommendationsHow much physical activity do we need?New WHO Global Recommendations
• Main aim: providing guidance on dose response relation between frequency, duration, type and total amount of PA needed for prevention of NCD’s
• Three age-groups; 5-17 year olds; 18-64; and 65+
• Main target audience; national and local policy makers
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Children and youth - aged 5-17Children and youth - aged 5-17
at least 60 minutes of moderate to vigorous intensity physical activity daily
> 60 minutes provide additional health benefits
Should:– be mostly aerobic activity– include vigorous intensity activities – include muscle strengthening and bone
health activities at least 3 times per week.
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
PA includes play, games, sports, transportation, recreation, physical
education, or planned exercise, in the context of family, school, and community
activities.
PA includes play, games, sports, transportation, recreation, physical
education, or planned exercise, in the context of family, school, and community
activities.
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Promoting physical activity: what works?
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Policy and environmentPolicy and environment
Interventions targeting the built environment:
– reducing barriers to physical activity,
– Supportive transport policies and
– policies to increase space for recreational activity.
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Success: Ciclovias, Bogotá, ColombiaSuccess: Ciclovias, Bogotá, Colombia
A cross between a street party and a marathon, Bogota's Ciclovía managesto combine sport, recreation, health, commerce and culture in one package.
Improvements in public transport at the city level.
% persons travelling by car has dropped from 17% to 12% at peak times.
55% of programmes provide economic opportunities (temporary businesses)
63% of programs reported engaging the community (eg:volunteerism)
Ciclovia has now extended to more than 38 cities in at least 11 countries in the Americas.
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Multisectoral approach to implementationMultisectoral approach to implementation
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Look for “win-win-win” options, that help each sector achieving its own goalsLook for “win-win-win” options, that help each sector achieving its own goals
Goals Interest
Reduce emissions of:–air pollutants;–greenhouse gases;–noise
EnvironmentHealth
Reduce congestion Transport
Reduce road traffic injuries TransportHealth
Reduce investments in infrastructure to cater for more cars
Transport
Improve accessibility and quality of urban life TransportHealth
Complement technological improvements to vehicles and fuels
Transport
Increase physical activity Health
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
School-based interventionsSchool-based interventions
High-intensity interventions that are comprehensive, multi-component and include:
– curriculum on physical activity taught by trained teachers;
– supportive school environment/policies;
– a physical activity programme;
– a parental/family component;
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
School-based interventionsSchool-based interventions
High-intensity interventions that are comprehensive, multi-component and include:
– A focused approach:
• programmes aimed at reducing sedentary behaviour and increasing participation in physical activity, accompanied by supportive activities within the curriculum.
– Formative assessments addressing:
• school needs and
• cultural contexts
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
WHO is linking with other sectorsWHO is linking with other sectors
2010 update:
Memorandum of Understanding IOC-WHO
" …agree to join efforts and to cooperate…to promote healthy lifestyles, physical activity and
sport for all among the communities."
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
InterventionsInterventions
Multi-component interventions
Adapted to the local context
Culturally and environmentally appropriate interventions
Using existing social structures of a community (e.g. schools, weekly meetings of older adults)
Multistakeholder involvement throughout the process
Listening, learning and targeting populations needs.
Interventions targeting the built environment.
http://www.who.int/dietphysicalactivity/whatworks/
|Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011
Thank you
http://www.who.int/dietphysicalactivity/pa/en/index.html