1. Unit 3 Physiological and Participatory Perspectives of Physical Activity

2. Chapter 1 National Physical Activity Guidelines & Methods of Assessing Physical Activity Text Sources 1.Nelson Physical Education VCE Units 3&4: 4 th Edition – Malpeli, Horton, Davey and Telford 2006. 2. Live It Up 2: 2 nd Edition – Smyth, Brown, Judge, McCallum and Pritchard 2006.

3. National Physical Activity Guidelines National Physical Activity Guidelines & Methods of Assessing Physical Activity

4. National Physical Activity Guidelines The Australian Department of Health and Ageing has produced a set of guidelines on the minimum levels of physical activity required for optimum health and body weight. They are not designed for high-level fitness or sports training, but are intended to provide realistic strategies for incorporating physical activity into our daily lives.

6. Age & Training Principles GroupFrequencyIntensityDurationType of Activity Child & Youth 7 daysModerate to Vigorous 60 min+Weight bearing / impact AdultMinimum of 5 days Moderate30 minAll types Obese7Low- moderate 60 minAerobic p.6

13. REVISION QUESTIONS 1.What is the recommended frequency of physical activity for a 52 year old male within the healthy weight range? 2.If a 10 year old boy averages 75 minutes of MVPA per day and watches 180 minutes of television, does he meet the National Physical Activity Guidelines? 3.If an individual who returns to the healthy weight range after being obese for several years accumulates 30 minutes of MVPA most days, would they be sufficiently active to avoid weight regain? Explain.

14. Domains of Physical Activity Domains Examples Leisure-time physical activityVarious types of activity; different surveys use generic or activity specific questions, and may ask details of activity frequency, duration and intensity. Gardening and yard workVarious definitions, of varied intensities; may range from light-intensity gardening to vigorous chores or digging/moving heavy objects. Household choresHeterogeneous set of tasks; large gender differences; energy expenditure across tasks not well understood. Active transportWalking or cycling for transportation. Occupational physical activityDiverse occupations, with changes in energy expended in many occupations over recent decades. PA for older adults

15. Need for and Benefits of Physical Activity National Physical Activity Guidelines & Methods of Assessing Physical Activity

16. The Need for Physical Activity Physical activity can be defined as ‘any body movement produced by the skeletal muscles that results in expenditure of energy’. Technology has lessened the need for human movement. It is now much easier to live, work and play as a result of technology. However, this reliance has made Australians more sedentary. Human movement is essential for the health and maintenance of our bodies. Sedentary lifestyles account for an estimated 1/3 of all deaths. The most common deaths include heart disease, colon cancer and diabetes. 30 minutes a day of activity has a range of health and social benefits.

17. Benefits of Physical Activity On average, every minute of walking can extend your life by one and a half to two minutes A brisk walk can burn up to 300 calories per hour Physical activity increases your circulation Boosts energy levels and enhances your mood Decrease your risk of many health problems including cardiovascular disease, type II diabetes, some forms of cancer and mental health conditions. Improves your balance and flexibility Increase muscle and bone strength Physical activity helps maintain weight control Improve health outcomes for people who are overweight or obese Assist in managing diseases (heart disease, diabetes) Increase the ability of people with certain chronic, disabling conditions to perform activities of daily living

21. Benefits of Physical Activity

22. REVISION QUESTIONS 1.Prior to the 1990s what was the focus of the Australian National Activity Guidelines? 2.The Surgeon General’s report concluded significant health gains could be obtained by engaging in physical activity on most days of the week at what intensity? 3.Provide two examples of physical activities within each domain of physical activity (household/gardening, leisure time, occupational and active participation) 4.What are the current National Physical Activity Guidelines for adults, children, and youth? 5.What types of physical activities are important for older people?

23. Physical Activity Pyramid National Physical Activity Guidelines & Methods of Assessing Physical Activity

24. Physical Activity Pyramid & Ladder Educates people about the types of activities required to enhance fitness, health and wellbeing. People need to participate in all activities in all levels. Like the healthy eating food pyramid, the bottom of the pyramid is activities that we should participate in the most, were as the top is the least. Fitness ladder

26. How Active are Australians? National Physical Activity Guidelines & Methods of Assessing Physical Activity

27. How Active are We? Over 6.5 million Australians are active participants is sports 60% of men and 53% of women successfully achieve the recommended time and frequency to enjoy the benefits of physical activity However, frequency has declined since 1997. 62% of children participate in sport outside of school hours. 20-25% of children and adolescents are overweight. Fewer older people were involved in sport than younger people Just of 50% of those aged 15-24 were active participants

28. Adult Participation 57% of adults engage in sufficient physical activity for health benefits. However adult male participation is decreasing. Tertiary educated adults more active. Retiree participation rates are increasing due to recent health awareness programs. Most common activities (See table 1.3-1.6) Data Analysis 1.1 p.9 Data Analysis 1.2 p.14 Data Analysis 1.1 p.115 p.9

29. Adolescent Participation National Health Survey Findings 23% of adolescents don’t regularly participate in physical activity. Only one-third of adolescents participate in vigorous activity. Males more active than females. Adolescents are significantly more active during warmer months of the year (See fig 1.5 p.15) Data Analysis 1.5 p.16 MET (Metabolic equivalent) 3.5ml/kg/min of O 2 Rest 1MET Moderate activity 3MET Vigorous activity 6+

30. Children Participation ABS findings 62% of children participate in organised sport. Boys had a higher participation than girls. Peak participation between 10-12 years of age. Soccer is the most popular boys sport and netball for girls. Accelerometer findings 5-6 year old children average four hours of physical activity per day. 10-12 year olds only average 10 minutes. Tips for keeping kids active Australian Sports Commission Link Active After school program Structured Questions 1.6 p.19

31. Age and Gender

32. Sport Participation Rates

33. Organised Activities

34. Barriers to Participation Gender - Greater proportions of males participate in sport and physical activity than females. Females generally have less opportunity and less access to sporting activities. Socioeconomic Status – Well educated white collar workers are the most physically active Australians. Income – People with higher incomes can participate in a wider variety of activities and more often. Race – People born in Australia are more active than those who were not. Race is often used as a form of discrimination, thus reducing participation. Geographic Location – Where you live can limit access to facilities and specific sports

35. Barriers to Participation Other Barriers Lack of time due to other commitments Lack of fun and enjoyment Lack of self-motivation Low self-efficiency Injury Lack of self- management skills Lack of encouragement and support Poor coaching Negative environmental factors

36. Barriers to Participation

37. Measuring levels of Physical Activity National Physical Activity Guidelines & Methods of Assessing Physical Activity 10,000 steps

38. Measuring Physical Activity among Individuals and Populations Measuring the amount of physical activity is a complex procedure. Information collected needs to address the types of activities, frequency, intensity and duration. Physical activity covers many domains. domains Why measure our levels of activity? Document how active our population is Gives feedback on government health programs An active nation is a healthy nation Study the factors that influence our participation

39. Methods of Measuring Physical Activity

41. Dimensions of Physical Activity Frequency – Number of times a person engages in an activity Duration – Length of time engaged in an activity Intensity – How hard an activity is Type – Domains Context – Where you are, when, who with etc. Energy – Measured in METs Expense – Cost in dollars Reactivity – How much the measure biases towards the result.

42. METS, Time and Intensity

43. Subjective Measures Examples of subjective (remembering physical activity done) are self-reported recall measures, diaries and logs. Eg. Active Australia Survey and IPAQ. Written Report 1.7 p.23 StrengthsWeaknesses Assess multiple domains Can be quickly administered to large groups Low reliability and validity Social biases in answers given Poor recall skills in children

44. The Active Australia Survey

45. Objective Measures Direct Observation Direct Observation – Involves watching people and noting specific behaviours and activities they are participating in. Commonly used on children while playing. Advantages Quantitative and qualitative information Behaviour observed Wider variety of information gained Software available Used in school and community settings Disadvantages Difficult with large populations Obtrusive and time consuming Can cause bias

46. Physical Activity logs/diaries Advantages Disadvantages

47. Objective Measures - SOPLAY System of Observing Play and Leisure Activity in Youth (SOPLAY) Used to asses groups of people (Commonly school settings). Uses a time-sampling technique in a given target area. See table 1.8 p.1.8 See SOPLAY formSOPLAY form SOPLAY Laboratory 1.8 p.27

48. Measurement Options – Direct Observation Advantages Disadvantages

50. Objective Measures – SOFIT and BEACHES SOFIT (System for Observing Fitness Instruction Time) Measures physical activity during PE classes Content and behaviour is observed (See graph) BEACHES (Behaviours of Eating Activity for Children’s Health Evaluation System) Measures children’ eating and physical activity patterns at home and at school.

51. Measurement Options – Direct Observation

52. Objective Measures HR Monitors HR monitors measure our hearts response to exercise intensity and energy expenditure. HR is very useful in the laboratory and in sports training. Is unobtrusive and gives quick data collection. However, HR is not influenced by intensity alone. There is also a lag between HR change and intensity.

53. Measurement Options – HR monitors Advantages Disadvantages

54. Objective Measures - Pedometers Advantages Low cost & non-invasive Easy to use motion sensor Determine distance travelled on foot Newer models also measure energy expended and time. 10,000 steps a day is recommended. Heart foundation planner Disadvantages Assess only hip movement Can’t store data Unable to record magnitude of the movement Not useful when comparing different age groups Energy expenditure based on adult results only. Laboratory 1.9 & 1.10 p.31

55. Measurement Options - Pedometers Advantages Disadvantages Laboratory 1.9 & 1.10 p.31

56. Measurement Options - Accelerometers Advantages Disadvantages See fig.1.20 p.32

58. Objective Measures Doubly Labelled Water DLW – Used to accurately measure total energy expenditure in field settings. A person is given a known sample of two isotopes (Deuterium and oxygen-18) and a urine sample is given. A fortnight later, another urine sample is given and the level of isotopes is recorded. The greater the difference in isotopic concentrations, the greater the energy expenditure. The method is based on two stable isotopes (naturally occurring compounds) of water found in the body: 2 H 2 O (deuterium-labelled water). – Is lost from the normal body routes via sweat, urine, evaporative losses. H 2 18 O (oxygen-18 labelled water) – Is lost at a slightly faster rate because in addition to the normal routes of loss it also lost via carbon dioxide production. The difference between the two isotopes is the rate of carbon dioxide production. The subject is given a dose of the two isotopes orally. The new levels are then measured via a urine sample. The person then returns to normal living for 7-14 days. Then returns to the lab where a final urine test is performed and the difference between the two isotopes is established. Hence the rate of carbon dioxide production is determined. p.35

59. Doubly labelled Water Advantages Unobtrusive and non invasive. Accurately measures total energy expenditure related to physical activity over a one or two week period. Allows for the calculation of VO 2 Can be used with any age group. Disadvantages Extremely expensive, around $2000 per person per test. Doesn’t provide any information relating to activity type, frequency, intensity or duration. Doesn’t provide any contextual information (settings where someone is being active) about the physical activity behaviour of an individual.

61. REVISION QUESTIONS + Test your knowledge p 35 1.Identify three advantages and limitations of heart rate telemetry 2.If you wanted to assess whether a 7 year old child meets the National Physical Activity Guidelines for 5 – 12 year olds, what physical activity measures would you use? Explain your answer. 3.How could you reduce the reactivity associated with the use of direct observation when observing a group of primary school aged children? 4.Direct observation is an example of a subjective measure or an objective measure of physical activity? 5.What is the major limitation of heart rate monitoring in assessing physical activity? 6.Explain how stride length is calculated so it can be programmed into a pedometer 7.What are the advantages of using accelerometry to assess physical activity?

62. REVISION QUESTIONS revision 1 revision 2 revision 3 revision 4 revision 5 revision 6

63. GLOSSARY LIST Electronic media for entertainment Moderate intensity physical activity Physical activity Operationalise Reactivity Subjective Sufficiently active Validity Vigorous intensity physical activity

64. KEY CONCEPT CHECKLIST + p34 1.How much physical activity is recommended for children, youth, adults, older, overweight and obese individuals? 2.Rates of participation in Australia 3.Types of measures most appropriate for various subgroups 4.Characteristics of various subjective measures including recall, self-reported logs and diaries 5.Characteristics of various objective measures including heart rate telemetry, pedometry, accelerometry and direct observation

65. Web Links – Chapter 1 Australian Sports Commission: http://www.ausport.gov.au http://www.ausport.gov.au Find 30 promotion (Government of WA Department of Health): http://www.find30.com.au http://www.find30.com.au Walking School Bus promotion (UK): http://www.walkingbus.com http://www.walkingbus.com Ministry of Health (New Zealand) toolkits: http://www.newhealth.govt.nz http://www.newhealth.govt.nz The 10,000 Steps Rockhampton project: http://www.10000steps.org.au/rockhampton/ http://www.10000steps.org.au/rockhampton/ Travelsmart Australia: http://www.travelsmart.gov.au http://www.travelsmart.gov.au World Health Organisation: http://www.who.int http://www.who.int Heart Foundation Australia: http://www.heartfoundation.com.au http://www.heartfoundation.com.au VicHealth (The Victorian Health Promotion Foundation): http://www.vichealth.vic.gov.au http://www.vichealth.vic.gov.au Be Active promotion (Government of South Australia): http://www.beactive.com.au http://www.beactive.com.au Go For Your Life: http://www.goforyourlife.vic.gov.au http://www.goforyourlife.vic.gov.au Physical Activity Resources for Health Professionals – Introduction (Centre for disease control and prevention – USA): http://www.cdc.gov/nccdphp/dnpa/physical/health_professionals/index.htm http://www.cdc.gov/nccdphp/dnpa/physical/health_professionals/index.htm Health Promotion (Public Health Agency of Canada): http://www.phac-aspc.gc.ca/hp-ps/index.html http://www.phac-aspc.gc.ca/hp-ps/index.html Strategic Inter-Governmental Forum on Physical Activity and Health (SIGPAH): http://www.nphp.gov.au/workprog/sigpah/ http://www.nphp.gov.au/workprog/sigpah/ Healthy youth (Centre for disease control and prevention (USA): http://www.cdc.gov/HealthyYouth/ http://www.cdc.gov/HealthyYouth/ America On The Move promotion: http://www.americaonthemove.org http://www.americaonthemove.org Papers from the International Journal of Behavioural Nutrition and Physical Activity: http://www.ijbnpa.org/home http://www.ijbnpa.org/home Department of health and aging (Australian government): http://www.health.gov.au/internet/wcms/publishing.nsf/content/home http://www.health.gov.au/internet/wcms/publishing.nsf/content/home Building a healthy, active Australia (Australian government): http://www.healthyactive.gov.au http://www.healthyactive.gov.au National Public Health Partnership: http://www.nphp.gov.au http://www.nphp.gov.au Be Active promotion (Government of South Australia): http://www.beactive.com.au http://www.beactive.com.au Sport and Recreation Australia: http://www.sport.vic.gov.au http://www.sport.vic.gov.au Australian government physical activity recommendations for children and young people: http://www.health.gov.au/internet/wcms/publishing.nsf/Content/health- pubhlth-strateg-active-recommend.htmhttp://www.health.gov.au/internet/wcms/publishing.nsf/Content/health- pubhlth-strateg-active-recommend.htm Children’s leisure activities report (Centre for Physical Activity and Nutrition Research – Deakin University): http://www.deakin.edu.au/hbs/cpan/be.php http://www.deakin.edu.au/hbs/cpan/be.php Australian Sports Commission: http://www.ausport.gov.auhttp://www.ausport.gov.au VicHealth (The Victorian Health Promotion Foundation): http://www.vichealth.vic.gov.au http://www.vichealth.vic.gov.au Physical Activity Resources for Health Professionals – Introduction (Centre for disease control and prevention (USA): http://www.cdc.gov/nccdphp/dnpa/physical/health_professionals/index.htm http://www.cdc.gov/nccdphp/dnpa/physical/health_professionals/index.htm Strategic Inter-Governmental Forum on Physical Activity and Health (SIGPAH): http://www.nphp.gov.au/workprog/sigpah/ http://www.nphp.gov.au/workprog/sigpah/ Sport and Recreation Australia: http://www.sport.vic.gov.auhttp://www.sport.vic.gov.au