Transcript Health Alliance

Linking Sport and
Health through
Purposeful Activity
Len Almond
Loughborough University
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My Task today:

Raise the priority and significance
of Purposeful Activity and Health on
your agenda.

Identify priorities

Propose what we can do?
Sport and Health:we share the
same aspirations
 Sedentary
population
 Insufficiently active
 Productive/purposeful
use of leisure-time
Is there any evidence that
Health and Sport need to work
together?
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Physical Activity levels among children
Health Survey for England 1995-1997
Summary physical
activity level*
MALES
Group 1 – Low
Group 2 – Medium
Group 3 - High
FEMALES
Group 1 – Low
Group 2 – Medium
Group 3 - High
Total
%
2
%
3
%
4
%
5
%
AGE (YEARS)
6 7 8 9
% % % %
10 11 12 13 14 15
% % % % % %
29
16
55
29 36 34 36 30 34 28 26 22 25 26 25 29 29
13 20 13 14 17 12 16 15 12 17 12 17 22 23
58 44 53 51 53 54 56 59 65 58 62 58 50 48
44
18
39
37 36 36 38 40 40 38 40 43 48 53 53 54 64
15 18 14 20 15 15 18 18 15 19 21 21 22 18
48 47 50 42 45 45 44 42 42 33 26 26 24 18
*Group 3 = 60 minutes or more on a least five days a week;
Group 2 = 30-59 minutes on at least five days a week; Group 1 = lower level of
activity.a
Physical Activity levels among children
Health Survey for England 1995-1997




Recommended that young people (5-18)
accumulate one hour - moderate intensity
physical activity/day
HEA 1998
55% boys & 39% girls aged 2 –15 years
Participation declines around age 8 -10, steepest
decline in girls
By 15, only 18% girls & 48% boys
reach rec. level
No activity reported in previous 4
weeks: Health Survey for England
Age
M 1994 M 1998 W 1994 W 1998
16-24
7
9
11
18
25-34
8
10
8
14
35-44
11
14
9
14
45-54
15
21
12
19
55-64
24
34
18
28
65-74
29
36
33
45
75+
53
57
62
71
People who are NOT participating in enough activity to
benefit their health. Health Survey for England 1998.
Men
16-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
42%
52%
57%
64%
68%
83%
Women
68%
69%
68%
70%
79%
88%
Percentage of people not able to
walk a mile in 20 minutes: ADNFS
Men
Women
16-24
25-34
35-44
45-54
55-64
65+
10
12
30
45
4
14
20
40
50
80
Percentage of people not able to walk
a mile in 20 minutes on a 5% slope
Men
16-24
25-34
35-44
45-54
55-64
65-74
3
10
23
44
75
84
Women
36
50
70
80
90
90+
Overweight and Obese Men
Health Survey for
MEN
England (HSE) 1998
1994 (%)
1998 (%)
16-24 years
30.6
27.9
25-34 years
49.7
56.3
35-44 years
61.7
64.7
45-54 years
67.9
73.2
55-64 years
69.2
75.5
65-74 years
71
76.5
Overweight and Obese Women
Health Survey for England
WOMEN
(HSE) 1998
1994 (%)
1998 (%)
16-24 years
28.2
27.3
25-34 years
37.6
43.4
35-44 years
44.8
50.6
45-54 years
54.2
60
55-64 years
64.2
67.8
65-74 years
66
70.3
Overweight and Obese Men and
Women: HSE 1998
Age
16-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
75+
Obese Men
5.2
15.9
16.8
21.2
23.3
21.2
15.9
Obese Women
10.7
16.3
20.5
23.9
28.6
29
20.7
Comparison of BMIs (DTI 2002)
Country
Weight
Height
BMI
UK
M 79.8
W 66.7
M 1.755
W 1.620
M 25.9
W 25.4
USA
M 82.1
W 69.4
M 1.760
W 1.626
M 26.5
W 26.2
Holland
M 76
W 65
M 1.795
W 1.650
M 23.6
W 23.9
Waist Circumference (DTI 2002)
Country
Waist Circumference
UK
M 98.46 cm
W 84.06 cm
M 101.14 cm
W 87.40 cm
M 78.06 cm
W 71.94 cm
USA
Japan
China
M
W
75.02 cm
69.18 cm
The Good News
In terms of health risk it is
better to be overweight and
active than the right weight
and inactive!
(Blair, 1999)
Added Complication for Post 40s
 By
this age most people
who are sedentary or
insufficiently active will
start to lose muscle mass
and their strength thus
reducing functional
decline is also a priority.
Making a More
Rigorous Case
Inactivity as a major risk factor
Preventable Hazards to Population
Health: Disability Adjusted Life Years (DALYS)
Occupational hazards
 Illicit drugs
 Cholesterol
 Low fruit/vegetables
 Obesity
 Alcohol abuse
 Hypertension
 Physical inactivity
 Smoking

Mathers (1999) Burden of Disease and Injury in Australian
Physical Inactivity is a MAJOR
Health Risk
 World
(2002)
Health Organisation
One of the top ten leading
causes of death and disability
in the world
Potential Savings for reducing
Physical Inactivity:
Scotland
 £85 million saved by increasing physical
activity levels by 1% for next 5 years
P.A. Strategy for Scotland 2002
UK
 9% CHD could be avoided if sedentary/
lightly active became moderately active
McPherson, Britton & Causer 2002
Mathers,C. (1999) Burden of Disease and Injury in
Australia. Australian Institute of Health and Welfare


Physical activity appears to be
under recognised in terms of public
health importance for priority-based
resource allocation
Investment in physical activity may
be as low as 10% of what it should
be given these data on the
preventive role of physical activity.
What Should we do?
Raise the priority given to promoting
Purposeful Activity and Health by:
 MPs
 Civil
Servants
 Public Health Officials
 Regional Assemblies
 Local Councils
All Sport Bodies
 Recognise
the
significance of Health
as an added value to
Sport as enrichment of
our cultural wealth
A Different Perspective
Sport
needs to
accommodate
another dimension
Rusty Ladies example
All of us need to:
Recognise
what it is
that we need to
promote
Sport and Health:
INCREASE ACTIVITY
LEVELS OF
 Sedentary population
 Insufficiently active
PROMOTE MORE
 Productive/purposeful use
of leisure-time
THREE KEY AREAS FOR HEALTH
GAINS
16-25
Post
35
Post
60
Concerns for All Communities
 Overweight/obese
(all
ages)
 Reduced functional
capacity (post 40)
 Counter mental health
problems (all ages)
Health and Sport: Our task
Helping People to:
 Put something active into their
lives
 Learn to love being active
 Develop a commitment as a
result of the satisfactions that
sport can generate
East of England Activity Targets
Age
Numbers
Range of people
15-24
600,556
25-44
1,643,339
45-64
1,304,844
65-74
458,606
total
4,007,345
%
sedentary
13.5
Numbers 5%
sedentary increase
81,075
4,054
13
213,634
10,682
25.5
332,735
16,637
41
188,028
9,401
815,472
40,774
Reducing Sedentary Pop. Targets for
East of England
Total
sedentary
Numbers
Target
40,774
Primary Care
Trusts (PCT)
41
994
GP Surgeries
per PCT
Average
number
16
62
Thank You
With your help we
can put purposeful
Physical Activity into
everyone’s lives.
WE REALLY CAN MAKE A DIFFERENCE
Contact:
Len Almond
BHF National Centre for Physical
Activity and Health
Loughborough University
Loughborough LE11 3TU
Tel. 01509 223329
Fax. 01509 223972
Email: [email protected]
Website: www.bhfactive.org.uk