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1 |1 | Global Strategy on Diet Physical activity and Health: Adaptation at local and national levels to the Americas Dr Godfrey Xuereb Team Leader Population-based.

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Presentation on theme: "1 |1 | Global Strategy on Diet Physical activity and Health: Adaptation at local and national levels to the Americas Dr Godfrey Xuereb Team Leader Population-based."— Presentation transcript:

1 1 |1 | Global Strategy on Diet Physical activity and Health: Adaptation at local and national levels to the Americas Dr Godfrey Xuereb Team Leader Population-based Prevention Department of Chronic Diseases and Health Promotion xuerebg@who.int

2 2 |2 | Tobacco useUnhealthy dietsPhysical inactivity Harmful use of alcohol Heart disease and stroke Diabetes Cancer Chronic lung disease Noncommunicable disease and risk factors 60% of global deaths due to NCDs

3 3 |3 | High-income countries Upper Middle-income countries Lower middle-income countries Low-income countries 19802008 % of population 0 10% 20% 30% 40% High blood pressure continues to go up Raised blood pressure (2008) Source: WHO NCD Country Profiles (2010)

4 4 |4 | 0% 10% 20% 30% 40% 50% 60% 70% High-income countries Upper Middle-income countries Lower middle-income countries Low-income countries 19802008 % of population Overweight continues to increase Overweight (2008) Source: WHO NCD Country Profiles (2010)

5 5 |5 | WHO Mandates to date 2000 2003 2004 2008 Global Strategy for the Prevention and Control of Noncommunicable Diseases Global Strategy on Diet, Physical Activity and Health Action Plan on the Global Strategy for the Prevention and Control of NCDs 2010 2009 2011 Global Strategy to Reduce the Harmful Use of Alcohol WHO Global Status Report on NCDs Political Declaration on NCDs 2012+ Realizing the commitments made in the Political Declaration

6 6 |6 | "Best buys" interventions to address NCDs Population- based interventions addressing NCD risk factors Tobacco use - Excise tax increases - Smoke-free indoor workplaces and public places - Health information and warnings about tobacco - Bans on advertising and promotion Harmful use of alcohol - Excise tax increases on alcoholic beverages - Comprehensive restrictions and bans on alcohol marketing - Restrictions on the availability of retailed alcohol Unhealthy diet and physical inactivity Salt reduction through mass media campaigns and reduced salt content in processed foods Replacement of trans-fats with polyunsaturated fats Public awareness programme about diet and physical activity Individual- based interventions addressing NCDs in primary care Cancer - Prevention of liver cancer through hepatitis B immunization - Prevention of cervical cancer through screening (visual inspection with acetic acid [VIA]) and treatment of pre- cancerous lesions Cardiovascular disease and diabetes - Multi-drug therapy (including glycaemic control for diabetes mellitus) for individuals who have had a heart attack or stroke, and to persons at high risk (> 30%) of a cardiovascular event within 10 years - Providing aspirin to people having an acute heart attack

7 7 |7 | The General Assembly adopted by consensus the resolution titled "Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases" (document A/66/L.1).

8 8 |8 | What does the Political Declaration say on Diet & PA

9 9 |9 |

10 10 | Physical Inactivity

11 11 | Source: WHO's report on "Global health risks" Physical inactivity - 4 th leading risk factor for global mortality 1.5 billion adults are insufficiently active

12 12 | Percentage of insufficient physical activity comparable country estimates, 2008 Age standardized; by WHO Region and World Bank income group, men and women Source: Global Status Report on NCDs, WHO, 2001

13 13 | Prevalence of insufficient physical activity*, ages 15+ age standardized Males, 2008 Source: Global Status Report on NCDs, WHO, 2001

14 14 | Prevalence of insufficient physical activity*, ages 15+ age standardized Females, 2008 Source: Global Status Report on NCDs, WHO, 2001

15 15 | Being inactive costs the country and the individual New study* just released on the health care costs of physical inactivity in Canadian adults shows that the estimated direct, indirect and total health care costs in 2009 were: Direct: 2.4 billion C$ (3.8% of overall health care costs) Indirect: 4.3 billion C$ Total Costs: 6.8 billion C$ (3.7% of overall health care costs) Other studies** have shown that 19% of the coronary artery disease cases in Canadian men are due to physical inactivity * Janssen, 2012, Appl. Physiol. Nutr. Metab. ** Katzmarzyk and Janssen, 2004 Can.J. Appl. Physiol.

16 16 | What does the Global Strategy Say

17 17 | Global recommendations on PA for Health 5-17 yrs old At least 60 minutes of moderate to vigorous intensity PA daily. +18 yrs old: At least 150 minutes of moderate-intensity aerobic PA spread throughout the week or At least 75 minutes of vigorous-intensity aerobic PA spread throughout the week or an equivalent combination. 65yrs old & above: Should perform PA to enhance balance and prevent falls on 3 or more days/ week. When they cannot do the recommended amounts of PA due to health conditions, they should be as physically active as their abilities and conditions allow.

18 18 | What does the Global Strategy Say

19 19 | Brazil Peru Chile Suriname Guatemala Costa Rica Completed Survey Implementation Workshop Data collection underway Venezuela Data collection complete Ecuador Columbia Uruguay Argentina* Panama Bolivia Mexico Nicaragua Belize Guyana Dominican Republic Paraguay El Salvador Honduras National strategies on diet and physical activity Conduct a situation analysis - GSHS Anguilla Antigua and Barbuda Bahamas Barbados British Virgin Islands Cayman Islands Dominica Grenada Guyana Jamaica Montserrat St. Kitts and Nevis St. Lucia St. Vincent and the Grenadines Trinidad and Tobago Cuba

20 20 | National strategies on diet and physical activity Establish a coordinating team to develop the policy/ strategy/ programme Review of Policies in selected Low and Middle Income Countries

21 21 | National strategies on diet and physical activity Multisectoral collaboration: Coordinating mechanism headed or chaired by ministry of health. Multisectoral collaboration containing representation from all key sectors.

22 22 | What does the Global Strategy Say

23 23 | School Policies and programs CARICOM supports Physical Education Standards for all Caribbean States – Feb 2011, Port of Spain.

24 24 | Introduce transport policies that promote active and safe methods of travelling to and from schools, 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 States

25 25 | Improve sports, recreation and leisure facilities Recommended actions for Member States

26 26 | Increase the number of safe spaces available for active play Recommended actions for Member States

27 27 | Recommended actions for Member States Urban Planning

28 28 | The Floor is Yours ! http://www.who.int/dietphysicalactivity/en/


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