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Physical Activity: recreational & transportation options Godfrey Xuereb Team Leader, Population-based Prevention Department of Chronic Diseases and Health.

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Presentation on theme: "Physical Activity: recreational & transportation options Godfrey Xuereb Team Leader, Population-based Prevention Department of Chronic Diseases and Health."— Presentation transcript:

1 Physical Activity: recreational & transportation options Godfrey Xuereb Team Leader, Population-based Prevention Department of Chronic Diseases and Health Promotion World Health Organization

2 | Pan American Conference on Obesity, with special attention to Childhood Obesity June billion adults are insufficiently active Aged 15+; 2008;

3 | Pan American Conference on Obesity, with special attention to Childhood Obesity June % of global deaths due to NCDs Source: WHO's report on "Global health risks" Physical inactivity - 4 th leading risk factor for global mortality

4 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 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

5 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 Global response to NCDs Global Strategy for the Prevention and Control of Non-communicable Diseases High-level Meeting on NCDs (New York, September 2011) 2011

6 | 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 States

7 | 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 States

8 | 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 States

9 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 How 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

10 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 Children 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.

11 | 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.

12 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 Promoting physical activity: what works?

13 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 Policy and environment Interventions targeting the built environment: –reducing barriers to physical activity, –Supportive transport policies and –policies to increase space for recreational activity.

14 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 Success: Ciclovias, Bogotá, Colombia A cross between a street party and a marathon, Bogota's Ciclovía manages to 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.

15 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 Multisectoral approach to implementation

16 | 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 goals GoalsInterest Reduce emissions of: –air pollutants; –greenhouse gases; –noise Environment Health Reduce congestionTransport Reduce road traffic injuriesTransport Health Reduce investments in infrastructure to cater for more cars Transport Improve accessibility and quality of urban lifeTransport Health Complement technological improvements to vehicles and fuels Transport Increase physical activityHealth

17 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 School-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;

18 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 School-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

19 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 WHO 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."

20 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011

21 Interventions 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.

22 | Pan American Conference on Obesity, with special attention to Childhood Obesity June 2011 Thank you


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