physical activity for individual and population health across the life course
TRANSCRIPT
Physical Activity Policy Through the Life Course5 April 2017
Physical activity for individual and population health across the life courseDr Mike BrannanDeputy National Lead for Adult Health & Wellbeing
2 Source: Marmot Review (2010) Fair Society Healthy Lives.
Less than 50% people disability-free at 65 years
Non Communicable Disease ChallengeWhy prevention matters
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Disease risk factors in England
Newton et al. (2015) Changes in health in England, with analysis by English regions and areas of deprivation, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet
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Everybody needs to be more active every day
Source: Health Survey for England 2012 (HSE); Active People Survey 8, April 2103-April 2014 (APS); National Travel Survey July 2014 (NTS)
How inactive are we really?
6Public Health England (2014) Everybody Active, Every Day; Based on Hallal PC et al. (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet.
International comparison of physical inactivity (at ages 15 and over)
Note: Comparator = Not meeting any of the following per week: (a) 5 x 30 mins moderate-intensity activity; (b) 3 x 20 mins vigorous-intensity activity; (c) equivalent combination achieving 600 metabolic equivalent-min.
UK 63.3%
USA 40.5%
Australia 37.9%
Finland 37.8%
France 32.5%
Germany 28.0%
Netherlands 18.2%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%%Inactive
7 Ng SW, Popkin B (2012); Lee I-M, et al. (2012); Wen CP, Wu X (2012); WHO (2010); Ossa D & Hutton J (2002); Murray et al. (2013)
Inactivity is killing us
Decreasing activity levels since 1960s: oAdults are over 20% less activeoBy 2030 we will 35% less active
Physical inactivity is responsible for:o1 in 6 UK deathsoUp to 40% of many long-term conditionsoAround 30% of later life functional limitation
and falls
Estimated £7.4 billion annual cost
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Physical activity and health & wellbeing
Individual Becoming
More Active
Fun
Personal development
Travel
Social inclusion
Health
9 Health Survey for England 2012 data
We do less activity as we age% meeting moderate-to-vigorous recommendations
Greatest drop
10 https://www.gov.uk/government/publications/start-active-stay-active-infographics-on-physical-activity
Activity is important at every age
Learning from what works - Finland
mans
11 HealthBehaviour andHealthamongFinnishAdultPopulation1978– 2011(NationalInstituteforHealthandWelfare)
0
20
40
60
80
100
% Miehet/Men
≥2 times/wk
≥4 times/wk
≥2 times/wk ≥4
times/wk
Nationwide physical activity campaign in 1980s
Key actions:• Cross-sector approach driven at local level• Supporting grass roots interventions• Tailored, innovative approaches for distinct
groups (including across life course)• Encouraged sport at all levels (informal, formal)
Achieved increased leisure time physical activity across all age groups
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Everybody Active, Every Day: The national framework for action
Active Society
Moving Professionals
Moving at scale
Active environments
Public Health England (2014) Everybody Active Every Day.
Key national policy / strategySporting Future
NHS Five Year Forward View
Sustainable Transformation Plans
Making Every Contact Count
NHS Workforce Health CQUIN
Towards an active nation
Childhood Obesity Plan
Cycling and Walking Investment Strategy
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Changing general attitudes to make physical activity the expectation or social norm
Working across sectors in the places we live and work
Developing a common vision for “Everybody Active, Every Day”
1. Active society – Creating a social movement
Public Health England (2014) Everybody Active Every Day.
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1. Active society – Key national progress
2.7 million sign ups, with participants adding average extra five minutes daily activity
Primarily 40-60 year old C2DE, 16.3 million engagements &1.2 million positive interactions
2.8 million women have done some or more activity as a result of This Girl Can
In 2015-16 alone, ~15,000 Workplace Challenge participants; 60% female
Public Health England (2017) Everybody Active Every Day – Two Year On.
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Utilising existing network of influencers on the public, the public & voluntary sector workforce
‘Making every contact count’ across sectors and disciplines
Starting with expertise & leadership in key sectors:
o Educationo Sports & leisureo Health & social careo Planning, design, transport
2. Moving professionals – Activating networks
Public Health England (2014) Everybody Active Every Day.
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National Clinical Champions programmeo National footprint establishedo Over 4,000 healthcare professionals trained
Movement for Movement resourceso 20+ free undergraduate teaching slidesetso Adopted by 17/34 medical schools
UK CMOs guidance infographics
BMJ e-learning moduleso Nine physical activity & health modules, plus
motivational interviewing moduleo Over 48,000 modules completed
2. Moving professionals – Key national progress (health professionals)
Public Health England (2017) Everybody Active Every Day – Two Year On.
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Developing ‘healthy’ cities, villages, towns and communities
Linking across disciplines through planning and policyo‘Active’ infrastructure planningo“Active by Design” campaigns oCapital funding investments
Embedding activity for alloAge-friendlyoDisability-friendly
3. Active environments – Creating the right spaces
Public Health England (2014) Everybody Active Every Day.
Active Design guidance (with Sport England)
Planning Health Weight Environments workshops (with Town & Country Planning Association)
NHS Healthy Towns programme
Active travel briefing for local authorities
Guidance for planners (with the Town & Country Planning Association)
Partnerships and briefings with the Horticulture and Health Forum, Natural England and National Parks
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3. Active environments – Key national progress
Public Health England (2017) Everybody Active Every Day – Two Year On.
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Positive change must happen at every level and must be measurable, permanent and consistent
Implement ‘what works’ at scale
Maximise existing assetso Human o Physical
Make being active the easiest, efficient choice!
4. Moving at scale – Interventions that make us active
Public Health England (2014) Everybody Active Every Day.
‘What works’ national case study collation and review (with ukactive and NCSEM)
Over 1,000 attendees at regional fora in 2015 and 2016 (with ukactive, CSPN, LGA, NCSEM and BHFNC)
Whole Systems Approach to Obesity programme
Get Active, Get Healthy programme (Sport England)
Active Lives survey (with Sport England)
ROI tools – MOVES (Sport England), NICE
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4. Moving at scale – Key national progress
Public Health England (2017) Everybody Active Every Day – Two Year On.
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Active society• One You campaign
Moving professionals• Physical activity and dementia
risk in BAME communities• CMOs’ infographics• ‘Get up and go’ falls prevention
resources• NHS Health Check dementia
leaflet• Clinical Champions health
professional trainers
PHE resources for physical activity and healthy ageing
Active environments• Active Design guidance• Functional walking for disabled
people review
Moving at scale• Older people local health profiles• Physical activity data tool• ‘What works’ evidence summary• Standard Evaluation Framework• Introductory guide to evaluation• Systematic review of older adults
lifestyle interventions for healthy cognitive aging
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So what next?
Physical activity is crucial for healthy ageing and good health and wellbeing in later life
Need for interventions targeting older adults, as well as consideration of older adults across all domains of action
Need to embed evaluation at every stage and scale up ‘what works’
Let’s get Everybody Active
Every [email protected]