23/10/2019

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(Global) update on Physical Activity :

towards a systems approach

Are we making progress in Australia ?

Professor Adrian Bauman

School of Public Health

and Charles Perkins Centre

SYDNEY UNIVERSITY

The University of Sydney Page 2

http://www.who.int/ncds/prevention/physical-

activity/global-action-plan-2018-2030/en/

Global perspectives on PA

physical activity requires

a systems approach, cross sectoral

engagement, and longterm investment

3

2004 --------------------------------------2018

Systems approaches to global and national physical activity plans Bull World Health Org. 2019 Feb1;97(2):162-5

The University of Sydney Page 5

World Health Organization

policy 2018

The University of Sydney Page 66

ANZOS 2019 Friday October 18th

Physical activity session Global Perspectives

Adrian Bauman Sydney University

23/10/2019

2

The University of Sydney Page 77 The University of Sydney Page 88

The University of Sydney Page 99 The University of Sydney Page 10

WHO GAPPA framework – systems map

The University of Sydney Page 11

Indicators to monitor progress

Monitoring

framework

being

developed

The University of Sydney Page 12

SDGs – the sustainable development

goals

WHO recognises links to the SDGs

ANZOS 2019 Friday October 18th

Physical activity session Global Perspectives

Adrian Bauman Sydney University

23/10/2019

3

The University of Sydney Page 13

Now WHO target

is changed to

coincide with

SDGs, aim is

15% reduction in

inactivity by

2030

7 “best investments” to promote physical activity

How do they relate to older adults ?

Br J Sports Med 2012;46:709-712

7 Global Investments that

work for promoting physical activity1. Whole-of-school’ programs

2.Transport policies and systems that

prioritise walking, cycling and public transport

3.Urban design that provides for equitable

and safe access for recreational physical activity;

walking and cycling across the life course

4. Physical activity and NCD prevention integrated

into primary health care

5.Public education, including mass

media to raise awareness and change social

norms on physical activity

6.Community-wide programs involving multiple settings and sectors &

that mobilize and integrate community engagement and resources

7. Sports systems and programs that promote

‘sport for all’ and encourage participation across the life span

16

17

ABS National health survey

2011-12 results

Population representative survey data

Repeated data – so part of a surveillance system

ANZOS 2019 Friday October 18th

Physical activity session Global Perspectives

Adrian Bauman Sydney University

23/10/2019

4

10.515.0

19.223.1 21.9 23.3

40.4

20.3 20.4 20.3

35.8

36.1

35.731.9

38.3 38.4

34.0

33.837.5 35.7

53.4 47.044.0 44.0

38.9 37.7

25.2

44.641.5 43.0

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

18–24 25–34 35–44 45–54 55–64 65–74 75

years+

Males Females all

adults

Sufficien

t

PA

Insuff

PA

Low

active

Latest data - ABS, NHS 2011-12Australian adults PA meeting recommendations

7,587 7,7458,219

7,941

7,360

6,174

4,557

7,403 7,404 7,404

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

18–24 25–34 35–44 45–54 55–64 65–74 75+ Males Females all

adults

Per week day Steps Per weekend day Steps Per day Steps

Objective measures

ABS NHS 2011-12, mean steps / day by age and sex,

Australian adults [pedometers]

Chau J, et al 2017 ANZJPH

22 year trends in leisure-time

physical activity in

Australian adults

comparable NHS national

surveillance data, 1989-2011

Trends in prevalence of sufficient physical activity

Overall fitted trend for years: OR = 0.998; p=0.012

Interpretation: There was a 0.2% decrease per year over 22 years in

prevalence of sufficient physical activity

Trends in physical inactivity [low-nil activity]

Overall fitted trend for years: OR = 0.999; p=0.242

Interpretation: No change over 22 years in prevalence of inactivity

Marked increase

in publicationsin this area

What about active travel, active

commuting as incidental PA

24

0

10

20

30

40

50

60

70

1995 2000 2005 2010 2015 2020

# publications per yearActive travel / commuting/ CTW/ WTW

ANZOS 2019 Friday October 18th

Physical activity session Global Perspectives

Adrian Bauman Sydney University

23/10/2019

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Merom D et al Am J Prev Med 2010;39(2):113–121

TRANSPORT WALKING AND CYCLING

NSW Household travel surveys

Selecting out “active trips”

Recent efforts in Australia ?• Need coordinated national efforts [or sustained state level efforts]

• all sectors engaged – think about who you would speak to about increasing walking alone?

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What has been tried ? Policy frameworks / workshops/ think tanks / PA strategic planning processes

National sport Policy 2018

Blueprint for an Active Australia [revised and updated] – Heart Foundation

Are there more creative actions ? radical actions that are required and what would

they look like ?

Embedding PA in obesity policy [it often gets lost]

Cycles of policy work, with PA Taskforces in WA and NSW providing good models

ANZOS 2019 Friday October 18th

Physical activity session Global Perspectives

Adrian Bauman Sydney University