1. Physical Activity for Health Research Centre (PAHRC) Cycling & Health Prof Chris Oliver @CyclingSurgeon

3. Please stand up if when you were a child you: Used to walk or cycle to/from school Used to play in the street Were allowed to go to the local shops or playground without an adult Watched less than 2 hours TV/day Please stand up if you haven't done so yet!

8. Source: Scottish Health Survey 2014 annual report http://www.gov.scot/Publications/2015/09/6648 The proportion of men and women in Scotland meeting the MVPA guideline in 2014 by age

9. The proportion of adults in Scotland achieving the minimum MVPA recommendations from 2008 to 2014 9 Sources: Trend tables up until 2013 http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/scottish-health- survey/Publications/Trendtables13http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/scottish-health- survey/Publications/Trendtables13 Scottish Health Survey 2014 annual report http://www.gov.scot/Publications/2015/09/6648http://www.gov.scot/Publications/2015/09/6648

10. Source: http://www.globalphysicalactivityobservatory.com/card/?country=SH

11. The proportion of adults in Scotland taking part in any sport, any sport excl. walking and walking in the four weeks prior to interview in 2014 Source: http://www.gov.scot/Topics/Statistics/16002/PublicationAnnual

12. Age- and sex-related differences in the contributions of the domains of PA to total MVPA amongst adults in Scotland who met the aerobic PA guidelines in 2013 Source: Strain et al. in press

13. Policy

14. Health and economic impact of cycling in Netherlands Cycling prevents about 6500 deaths each year Dutch people live for half a year longer Health benefits correspond to more than 3% of the Dutch GDP Capital investments by all levels of Dutch government in road and parking infrastructure for cycling of almost €0.5 billion per year over the last decades Annual benefits of €19 billion are much higher than the annual costs. There were estimated health benefits across all age groups from 20 – 90 year olds Greatest increases in life expectancy were among people aged 65 or over. Cycling rises with age in the Netherlands, reaching a peak among people aged 65-69 years before reducing significantly above 80. Fishman E, Schepers P, Kamphuis CBM. Dutch Cycling: Quantifying the Health and Related Economic Benefits. American Journal of Public Health 2015;105,8, e13-e15 http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2015.302724

15. Travel to work trends, 1966 - 2011 24 walked to work in 1966, but only 11 walked in 2011 Out of 100 commuters… 43 took the bus in 1966; in 2011 only 11 travelled by bus 21 travelled by car in 1966, by 2011 this had risen to 69

16. Edinburgh commutes

17. Adult cyclist casualty trends by deprivation Adult cyclist casualties highest in least deprived areas

19. MOOC www.coursera.org/learn/get-active @GetActiveMOOC

20. Physical Activity for Health Research Centre (PAHRC) Cycling & Health Reflections Strategies drive change PE in schools, nursery Health care settings Cycling & Walking strategy Must have National leadership and co-ordination Having medical ‘champion’ critical Resources limited For what we know works At scale