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Rich Killingsworth, Director Active Living by Design National Program Office

University of North Carolina School of Public Health

Active Living

A New Public Health Paradigm: Promoting Physical Activity Through Design

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Focus of Todays Discussion on

Active Living

History Assumptions

Terminology Public Health Burden ofPhysical Inactivity

Research Needs Policy Needs Practice Opportunities Calls to Action

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The individuals who will succeed and

flourish will also be masters of change:adept at reorienting their own and others

activities in untried directions to bringabout higher levels of achievement.

Rosabeth Moss Kanter

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The Changing Face of Public Health

1950 - 2003 Pre-1950: Improving Sanitation

Change zoning, clean-up slums and industrial pollution

1950s: Eradicating Infectious Diseases Polio, Typhoid, Malaria, etc.

1970s: Removing Toxic Environments Improve Air/Land/Water Quality, Love Canal, Asbestos

1980s: Preventing Risky Lifestyles Decrease Smoking, Drug Use, Drunk driving, etc.

21 st Century: Creating Healthy Environments Physical Activity and Healthy Eating

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The Emergence of a Sedentary Society

Automobile

Television Computers Convenience Engineering

Built Environment Human Nature

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Recommended Physical ActivityU.S. Adults, 1986-2000

Source: Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System

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The Burden of Physical Inactivity

The Problem 27% of adults are sedentary 70% do not achieve recommended dose

The Public Health Burden 64% overweight and 1 in 3 obese CVD, Cancer, Diabetes Physical inactivity is a primary factor in

over 200,000 deaths annually. The Economic Burden

Medical costs associated with physicalinactivity may exceed $76 billionannually.

Data Sources: 2000 BRFSS, 2000 NHANES, Powell 1994, Pratt et. al. 2000

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Obesity* Trends Among U.S. Adults

BRFSS, 1985 (*BMI 30, or ~ 30 lbs overweight for 54 person)

No Data