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Have "PHAN!“ Promoting networking and action on healthy and equitable environments for physical activity Presenter: Francesca RACIOPPI 1 Contributors: C. SCHWEIZER 1 , M. BRAUBACH 1 , L. NEMER 1 , A. TSOUROS 1 , S. KAHLMEIER 2 1  WHO Regional Office for Europe 2  University of Zurich This project is co-funded by the European Union in the framework of the Health Programme 2008-2013.
In this presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Disability adjusted life years lost due to risk factors in EURO, 2004   Source: Global Health Risks. .  Geneva, World Health Organization, 2009 ( http://www.who.int/healthinfo/global_burden_disease/global_health_risks/en/index.html / ).  Physical inactivity is a leading risk factor for health in Europe, associated with nearly 1 million deaths/year The challenge
What do we know about physical activity and health Source:Physical Activity Guidelines Advisory Committee Report,  US Department for  Health and Human Services,  2008       Strong evidence    Moderate evidence       Coronary heart disease       High blood pressure       Stroke       Diabetes II       Metabolic syndrome       Colon cancer       Breast cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physical inactivity estimated to cause: 21–25% of breast and colon cancer burden 27% of diabetes burden 30% of ischaemic heart disease burden  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Magnitude of benefits from reaching minimum recommendations for physical activity Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S. Department of Health and Human Services, 2008.
Physical inactivity status in the European Region ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Global Health Risk Report, World Health   Organization, 2009 Eurobarometer 72.3. Special Eurobarometer 334: Sport and PA Health Behaviour in School Aged Children 2005/06 Survey
How much physical activity do we need? New WHO Global Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adults aged 18-64 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Environmental interventions to meet the recommendations for healthier life ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Photo courtesy of Harry Rutter
“ Whole of government approach”  in practice:  different sectors need to achieve  their own  goals Goals Interest ,[object Object],[object Object],[object Object],[object Object],Environment Health Reduce congestion Transport Reduce road traffic injuries Transport ,  Health Reduce investments in infrastructure for more cars Transport Improve accessibility and quality of urban life Transport ,  Health Complement improvements to vehicles and fuels Transport Increase physical activity Health Promote tourism Tourism and leisure industry Creation of new jobs Economy, welfare, labour
The project ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cross-cutting: creating supportive environments for physical activity work/school transportation Domains of activity How often? How long? How much in total? Intensity of activity moderate vigorous household recreation  and   sports Type of activity Aerobic Strength Balance Flexibility
Cross-cutting: networking
The project at a glance WP1: Coordination WP2: Dissemination WP3: Evaluation WP7: Strengthen networking through HEPA Europe WP6: Exchange experience on tools to integrate PA into urban planning WP7: Develop and refine tools to integrate PA into urban planning WP4: Guidance to promote PA in socially disadvantaged groups WP5: Guidance to promote PA in youth
The modules and achievements ,[object Object],[object Object],[object Object],[object Object]
The modules and achievements ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],The modules and achievements
Making new tools available ,[object Object]
The modules and achievements ,[object Object],[object Object],[object Object],[object Object],[object Object]
The partners ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEPA Europe ,[object Object],[object Object],[object Object],[object Object],[object Object]
HEPA Europe – selected activities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thanks

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Workshop1 f racioppi

  • 1. Have "PHAN!“ Promoting networking and action on healthy and equitable environments for physical activity Presenter: Francesca RACIOPPI 1 Contributors: C. SCHWEIZER 1 , M. BRAUBACH 1 , L. NEMER 1 , A. TSOUROS 1 , S. KAHLMEIER 2 1 WHO Regional Office for Europe 2 University of Zurich This project is co-funded by the European Union in the framework of the Health Programme 2008-2013.
  • 2.
  • 3. Disability adjusted life years lost due to risk factors in EURO, 2004 Source: Global Health Risks. . Geneva, World Health Organization, 2009 ( http://www.who.int/healthinfo/global_burden_disease/global_health_risks/en/index.html / ). Physical inactivity is a leading risk factor for health in Europe, associated with nearly 1 million deaths/year The challenge
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Cross-cutting: creating supportive environments for physical activity work/school transportation Domains of activity How often? How long? How much in total? Intensity of activity moderate vigorous household recreation and sports Type of activity Aerobic Strength Balance Flexibility
  • 14. The project at a glance WP1: Coordination WP2: Dissemination WP3: Evaluation WP7: Strengthen networking through HEPA Europe WP6: Exchange experience on tools to integrate PA into urban planning WP7: Develop and refine tools to integrate PA into urban planning WP4: Guidance to promote PA in socially disadvantaged groups WP5: Guidance to promote PA in youth
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.

Notas do Editor

  1. Not all benefits found have been quantified, ie. Refer back to the overview of health effects first (e.g. risk reduction for overweight not quantified) Or e.g.: Does Physical Activity Protect Against the Onset of Depression Disorders or Depression Symptoms? Conclusions Population-based, prospective cohort studies provide substantial evidence that regular physical activity protects against the onset of depression symptoms and major depressive disorder. Does Physical Activity Reduce Symptoms of Depression? Conclusions The results of RCTs indicate that participation in physical activity programs reduces depression symptoms in people diagnosed as depressed, healthy adults, and medical patients without psychiatric disorders. All from US guidelines committee report, 2008
  2. Please note that 63+38=101% -> they have not rounded to 100% in the Global Health Risk Report unfortunately Say that you will explain in a moment what “ the minimum recommended level of physical activity” means Definitions WHO global risk report: Based on: Danaei G, Ding E, Taylor B, Mozaffarian D, Rehm J, Murray CJL et al. Mortality effects of lifestyle, dietary, and metabolic risk factors in the United States: comparative risk assessment. PLoS Medicine, 2009, 6(4):e1000058. Categories of PA were defined using responses regarding PA during the past 30 Days: Inactive : no moderate or vigorous PA Low-active: <2.5h/wk of moderate activity or <600 MET mins/week Moderately active: either >= 2.5h/wk of moderate or >= 1 h of vigorous activity and >= 600 MET mins /week Highly active: >= 1 h/wk of vigorous activity and >= 1.600 MET mins/week According to WHO (and US) reocmmendations: BUT YOU WILL GET TO THAT Moderately active is 150 minutes to 300 (5 hours) minutes of moderate-intensity activity a week (or 75 to 150 minutes of vigorous-intensity physical activity a week). In scientific terms, this range is approximately equivalent to 500 to 1,000 metabolic equivalent (MET) minutes a week. A range is necessary because the amount of physical activity necessary to produce health benefits cannot yet be identified with a high degree of precision; this amount varies somewhat by the health benefit. For example, activity of 500 MET-minutes a week results in a substantial reduction in the risk of premature death, but activity of more than 500 MET-minutes a week is necessary to achieve a substantial reduction in the risk of breast cancer.
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