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Promoting Physical Activity in Jamaica

Promoting Physical Activity in Jamaica. Dr Deanna Ashley. Healthy Lifestyle Programme. Baseline Lifestyle Survey conducted yr 2000 Healthy Lifestyle Policy and Strategic Plan approved yr 2004 Programme implementation initiated 2004/05

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Promoting Physical Activity in Jamaica

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  1. Promoting Physical Activityin Jamaica Dr Deanna Ashley

  2. Healthy Lifestyle Programme • Baseline Lifestyle Survey conducted yr 2000 • Healthy Lifestyle Policy and • Strategic Plan approved yr 2004 • Programme implementation initiated 2004/05 • Repeat Life Style Survey conducted yr 2008

  3. Background Jamaican Healthy Lifestyle Survey 2000-2001 (15-74yrs old) showed prevalence estimate of Hypertension 20.8% Diabetes mellitus 7.2% Obesity 19.7% Wilks et al 2002 These health conditions are associated with a high economic cost 3 3Ward E and Grant A, 2003

  4. Lifestyle Survey 2007/08 -Study Design Wilks et al Nationally representative cross-sectional survey Interviewer administered questionnaire Target Group: 15- 74 year olds Field Work: November 2007 - March 2008 Sample size: 2914

  5. Changes in Nutritional Status: 2000-2008 ***P< 0.001

  6. Changes in PAL of Jamaicans in Seven Years

  7. Nutritional Status & Activity Levels

  8. Summary Almost 40% of Jamaicans reported having low physical activity levels Obesity appears to be the driver of this epidemic

  9. Work Place Study 2003Ashley D.V. et al • Sample taken from 2 Private Sector Companies • Public Sector Health Workers

  10. MOH vs. Private Sector Mean BMI and Waist Circumference

  11. Frequency Vigorous (%) Moderate (%) Daily 3.9 24.3 3-6/week 14.2 20.4 1-3 /week 18.4 19.9 2-4 /month 6.4 6.4 1-3 /month 5.2 6.2 Once/month 18.1 10.3 Never 33.8 12.5 Self – reported Frequency of Exercise Taken for >30mins

  12. Physical Activity Level – Staff at High Risk for CVD

  13. Factors Influencing Physical Activity Behaviour • Lack of Motivation (44%) • Lack of Support (34%) • Safety (31%) • Lack of Time (44%) • Affordability (43%) • Lack of Habit 22%) • Sedentary leisure activities (88%)

  14. Integrated Healthy Lifestyle Programme St. Ann’s Bay H/CDr. Calixto Orozco Muñoz et. al • Objective • To assess the impact of an integrated Healthy Lifestyle Programme on the Management of Chronic Diseases

  15. Integrated Healthy Lifestyle Programme St. Ann’s Bay H/C • Target group : • Patients attending the Chronic Disease Clinic • No. of participants 122 • 58% were over age of 60 yrs

  16. Integrated Healthy Lifestyle Programme – St. Ann’s Bay H/C • Methods • Two Year Integrated Lifestyle Programme (August 2002-September 2004): • Health Promotion • Prevention • Curative Care • Rehabilitation • Exercise Programme

  17. Integrated Healthy Lifestyle Programme St. Ann’s Bay H/C Mean No. Risk Factors Before and After Intervention

  18. Integrated Healthy Lifestyle Programme St. Ann’s Bay H/C • Other Results: • 23% of obese patients reduced their BMI to overweight • 44% of overweight patients achieved normal weight

  19. Clinic Patients

  20. Clinic Patients

  21. Youth Camp

  22. Aerobics in the Park

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