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Public Health Promotion of Physical Activity – Filling Critical Research Gaps

Public Health Promotion of Physical Activity – Filling Critical Research Gaps. Russell Pate, Ph.D., FACSM Department of Exercise Science Arnold School of Public Health University of South Carolina. Background. Physical activity (PA) provides important health benefits PA Guidelines

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Public Health Promotion of Physical Activity – Filling Critical Research Gaps

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  1. Public Health Promotion of Physical Activity – Filling Critical Research Gaps Russell Pate, Ph.D., FACSM Department of Exercise Science Arnold School of Public Health University of South Carolina

  2. Background • Physical activity (PA) provides important health benefits • PA Guidelines • Adults: 150 minutes of PA per week • Youth: 60 minutes of PA per day • Most Americans do not meet these guidelines

  3. Prevalence of Meeting GuidelinesAdult Self-Report – BRFSS 2005 Percent Kruger et al. MMWR 2007;56(46):1209-1212

  4. Prevalence of Meeting GuidelinesAdult Objective Data - NHANES Percent Troiano et al. Med Sci Sports Exerc 2008;40(1):181-188

  5. Prevalence of Meeting GuidelinesYouth Self-Report – YRBS 2007 Percent Eaton et al. MMWR 2008;(S S04):1-131

  6. Prevalence of Meeting GuidelinesYouth Objective Data - NHANES Percent Troiano et al. Med Sci Sports Exerc 2008;40(1):181-188

  7. www.physicalactivityplan.org

  8. Organizational Partners • American Academy of Pediatrics • American Alliance for Health, Physical Education, Recreation, and Dance • American Association of Retired Persons • American Cancer Society • American College of Sports Medicine • American Heart Association • Centers for Disease Control & Prevention

  9. A comprehensive plan for promoting physical activity in the American population would provide the framework to support a broad and comprehensive national effort to increase physical activity throughout the population.

  10. Vision • All Americans are physically active and live, work, and play in environments that facilitate regular physical activity. • Mission • Develop a National Plan for Physical Activity that produces a marked and progressive increase in the percentage of Americans who meet physical activity guidelines throughout life.

  11. Goals • Provide a clear roadmap for actions that support short and long term progress • Develop strategies for increasing physical activity in all population subgroups • Create a sustained and resourced social movement

  12. Culture and Society Industry, Government Community School and Peers Family and Home Child or Adolescent Social Ecological Model

  13. Sectors • Public Health • Education • Transportation, Urban Design, & Community Planning • Mass Media • Healthcare • Business & Industry • Parks, Recreation, Fitness, & Sports • Volunteer and Non-Profit Organizations

  14. Guide to Community Preventive Services • Task Force on Community Preventive Services • Support from the US Department of Health and Human Services in collaboration with public and private partners • Reviewed literature for PA interventions: • Informational approaches • Behavioral and social approaches • Environmental and policy approaches Kahn et al. Am J Prev Med 2002;22(4S): 73-107

  15. Effective Physical Activity Interventions

  16. Public Health • Strong Evidence • “Point-of-decision” prompts to encourage stair use • Community-wide campaigns • Social support in community settings • Individually-adapted health behavior change (most implemented in community settings)

  17. Education • School-Based Physical Education • Strong evidence for effectiveness in increasing PA and improving physical fitness

  18. Education • Insufficient evidence • Classroom-based Health Education (focus on information provision) • Classroom-based Health Education (focus on reducing TV viewing) • College-based Health Education and Physical Education

  19. Transportation, Urban Design, & Community Planning • Creation of or enhanced access to places for PA combined with informational outreach activities • Strong evidence for effectiveness

  20. Mass Media • Insufficient evidence • Mass media campaigns

  21. Sectors • Public Health (4, 0) • Education (1, 3) • Transportation, Urban Design, & Community Planning (1, 0) • Mass Media (0, 1) • Healthcare (0, 0) • Business & Industry (0, 0) • Parks, Recreation, Fitness, & Sports (0, 0) • Volunteer and Non-Profit Organizations (0, 0)

  22. Education Active by Choice Today CATCH CHIC FitKid Project Know Your Body LEAP Pathways Planet Health PLAY Project FAB Project GRAD SPARK TAAG Large Scale PA Intervention Studies

  23. Public Health Bootheel Heart Health Project Heart to Heart Project Minnesota Heart Health Project Stanford Five-City Project Transportation, Urban Design & Community Planning Active Community Environments Healthcare ACT PACE PACE+ Mass Media VERB Business & Industry Blair et al. 1986 Bowne et al. 1984 King et al. 1988 LIFECHECK Large Scale PA Intervention Studies

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