Dr. Monika AroraDirector: Health Promoti on &Adjunct Associate Professor

Public Health Foundati on of India

ENCOURAGING PHYSICAL ACTIVITY – A KEY HEALTH

PROMOTION STRATEGY FOR THE PREVENTION AND

CONTROL OF NCDs

GBD 2010

Lancet 2012

Risk Factors(Top Contributors to DALYs)

1. High Blood Pressure2. Smoking (excluding SHS)3. Alcohol Use4. Household Air Pollution5. Low Fruit6. High Body Mass Index7. High Fasting Plasma Glucose8. Childhood Underweight9. Ambient PM Pollution10 Physical Inactivity

Diet & Physical Inactivity

Cluster Responsible For

Largest Global Disease

Burden

Study conducted among adolescents across 5 districts of India showed 25.2% boys and 24.7% girls had poor physical activity index

Bachani et al., 2013 Among adolescents (> 11 yrs) duration of Sedentary activity

(223 min) was more than moderate- vigorous physical activity (60.7 min)

Swaminathan et al., 2012 Walking and bicycling to work is associated with reduced

cardiovascular risk in the Indian population. A dose-response relationship was observed between duration of bicycling to work and being overweight, having hypertension or diabetes. Millett et al., 2013)

NCD Risk Factors in India:Physical Inactivity - I

A hospital-based case control study with 1050 participants (350 AMI cases and 700 controls) conducted in New Delhi and Bangalore suggested that:

Participants with the highest level of physical activity (>145 MET-minutes per day) had a RR of 0.45 (95% CI: 0.31, 0.66) for CHD compared with non-exercisers.

Participants with >3.6 hours of sedentary activity per day had an increased risk (RR 1.88; 95% CI: 1.09, 3.20) of CHD compared with participants doing <70 minutes of sedentary activity per day.

Rastogi et al., 2004

NCD Risk Factors in India:Physical Inactivity - II

(WHO SEARO, 2013)

Targets for NCD Prevention and Control in India

A social marketing focused interventi on to promote physical acti vity in rural Tamil Nadu (India) mobilised nearly 55% of the subjects in brisk walking > 4 days a week

Subitha et al., 2013 An intervention with 11 year olds in Norway eff ect on overall physical acti vity at

the level of p = 0.05 with a net eff ect of 50 cpm increase from baseline to post intervention in favour of the intervention group (95% CI −0.4, 100)

Grydeland et al., 2013

Eff ectiveness of Interventions to Promote Physical Activity

Source: Cecchini M, Sassi F, Lauer J et al. Tackling unhealthy diets, physical inactivity and obesity: health effects and cost-effectiveness. Lancet 2010

Surrounding area Less than 15% had cycle lanes separated from road Less than 15% had pavements on both sides of road Less than 10% had pavements on one side of the road Less than 10% had marked pedestrian crossing Less than 30% had traffi c calming measures No signs

School grounds Generally, modal quality ‘Adequate’ Over 90% had playground equipment Over 50% had courts Over 50% had quadrangles Over 50% had uncovered cycle parking while less than 10% had covered

cycle parking

An Evaluati on of School Environments: Physical Acti vity Audit tool

Innovative Health Promotion Campaigns

Walk for Health: Counti ng every mile you walk!

Mobilizing the Ground Miles App Download

www.groundmiles.bupa.comTotal global downloads: 21,372

Clicks from India: 3,13,884

Walk for Health – Delhi (Oct 20, 2013)Nearly 10000 parti cipants

Walk for Health – Mumbai (Oct 20, 2013)Nearly 6000 parti cipants

Walk for Health-Vizag (Nov 30, 2013)Nearly 5000 parti cipants

Inter-school Poster Competition- Delhi

1,200 students from nearly 40 schools in Delhi

Inter-school Poster Competition-Vizag

Nearly 1000 students participated in the Poster making competition

Optimising Social Media

Twitter Engaging celebriti es to spread the word

Engaging like minded organisations

Promotion on Y4H www.facebook.com/youthforhealth

The DADA Campaign

Promoti ng Physical Acti vity in Colleges

Partnering at festival of Youth Sport, Delhi University

Organising mini-marathons and walkathons with college students

Eat for Goals!

Eat For Goals! is a recipe book for children13 players13 dishes1 cause1 book

Rationale:Footballers are role models for boys and girls. A multicultural group of 13 internationally renowned male and female star players present their food choices. The recipe book highlights the interdependency between a balanced healthy diet and performance.

Respect Your Health

An increase in health literacy levels

• A positive change in lifestyles• An increase in community

involvement in social activities• A wider range of citizens playing

sport and using local sports facilities, thanks to a greater sense of community ownership

http://respectyourhealth.eu

“Healthy Stadia are those which promote the health of visitors, fans, players, employees and the surrounding community... Places where people can go to have a positive, healthy experience playing or watching sport.”

A holistic approach to developingstadia as ‘health promoting settings’

http://www.healthystadia.eu

The European Healthy Stadia Network

Make a healthy heart your goal

www.worldheart.org/womenseuro

Make a healthy heart your goal

UEFA Multi -European City Initi ati ve

THANK YOU!monika.arora@phfi.org