WHO European
Physical Activity
Strategy
J Breda
Programme Manager Nutrition, Physical Activity and
Obesity
Division of Noncommunicable Diseases and Promoting
Health through the Life-course
WHO Regional Office for Europe, Copenhagen
Name of presentation
Date of presentation
Need for a PA strategy
Prevalence of
insufficient physical
activity (%)
in 122 countries
(2008)
WHO http://gamapserver.who.int/gho/interactive_charts/ncd/risk_factors/physical_inactivity/atlas.html
WHO Global Status Report NCD 2014
• Insuf. PA - 3.2 Million
deaths and 69,3 DALYs
every year worldwide
Need for a PA strategy
Special challenge:
Children and adolescents
• Only 34% of children and adolescents
(13-15 years of age) meet PA
recommendations.
• In some countries, up to half of 8year-old boys are overweight and
more than a quarter are obese.
Prevalence of overweight
among European adolescents
2010
BMI-for-age >10%
10%≤ BMI-for-age <15%
15%≤ BMI-for-age <20%
BMI-for-age ≥20%
No information
11, 13 and 15 years old boys and girls
Source: HBSC Survey
Voluntary global targets
• 25% reduction of premature mortality
from NCDs
• 10% reduction of physical inactivity
• 25% reduction of raised blood
pressure
• Halt rise in diabetes, obesity
Global Action Plan for the
Prevention and Control of NCDs 2013–2020
From Health 2020 to the PAS
2012
2013
2015
Health 2020
Vienna Declaration
Physical Activity Strategy
(PAS)
PAS development so far
Web-based
technical
consultations
with MS
Technical consultation
meeting of MS (Zurich)
Stakeholder consultation
meeting (La Valletta)
WHO Regional
Committee
(Vilnius)
Political consultation
with MS
Standing Committee
of WHO Regional
Committee
11
12
2014
1
2
Standing Committee of
WHO Regional Committee
(Geneva)
3
4
5
6
2015
7
8
9
10
PAS development so far
Web-based
technical
consultations
with MS
Technical consultation
meeting of MS (Zurich)
Stakeholder consultation
meeting (La Valletta)
WHO Regional
Committee
(Vilnius)
Political consultation
with MS
SpecificStanding
comments
fromof19 MS in
Committee
previous
consultation
rounds &
WHO
Regional Committee
experts(Geneva)
Standing Committee
of WHO Regional
Committee
11
12
2014
1
2
3
4
5
6
2015
7
8
9
10
Support for PAS development
•
Working group with several Member States‘ representatives and renowned
experts in the field of PA
•
Meetings in Erlangen, Germany (March 2014) and Copenhagen, Denmark
(June 2014)
•
Research sub-committee prepares scoping review of major databases on
extent, range and nature of scientific evidence relating to PA in three different
areas:
– Type I: evidence that links physical activity to health outcomes
– Type II: evidence that links interventions to physical activity
– Type III: evidence that links policy-making to interventions
•
WHO materials and networks
Support for PAS development
Scoping Review: Preliminary results
Focus of research on PA health effects and interventions
Health
Interventions
Policy
861 reviews
identified
351 reviews
identified
40 reviews
identified
Support for PAS development
Scoping Review: Preliminary results
Increase of research in recent years
500
Type 1: Health
400
Type 2: Interventions
300
Type 3: Policy
200
100
0
'80–84
'85–'89
'90–'94
'95–'99
'00–'04
'05–'09
'10–'14
Support for PAS development
Scoping Review: Preliminary results
Types of policies addressed in
existing reviews
School-based policies
Child care policies
Children/youth policies
Urban design/transport policies
Sport policies
Workplace policies
Specific policy instruments (e.g. economic)
Broader range policy interventions
Support for PAS development
WHO Tools
WHO Global recommendations
on physical activity for health
Support for PAS development
WHO Tools
Country Profiles on Nutrition,
Physical Activity and Obesity
http://www.euro.who.int/en/health-topics/diseaseprevention/nutrition/country-work/
Support for PAS development
WHO Tools
WHO European Database on Nutrition,
Obesity and Physical Activity (NOPA)
http://data.euro.who.int/nopa
Support for PAS development
WHO Tools
Promoting physical activity with
a focus on youth and
socially disadvantaged groups
Support for PAS development
WHO Tools
Health Economic Assessment Tool (HEAT)
for cycling and walking
For a given volume of walking or cycling
within a defined population what is the
economic value of the health benefits?
http://heatwalkingcycling.org
Support for PAS development
WHO Tools
New arguments to advocate investments
into active mobility
How many jobs could be created if the main
European cities had the same level of cycling
as Copenhagen?
76,000!
And how many deaths could be prevented?
10,000!
Support for PAS development
WHO Networks
HEPA Europe
The European Network on
Health Enhancing Physical
Activity
www.euro.who.int/hepa
Further timeline
Web-based
technical
consultations
with MS
Technical consultation
meeting of MS (Zurich)
Stakeholder consultation in Malta
New draft for political consultation
Detailed results scoping review
Stakeholder consultation
meeting (La Valletta)
WHO Regional
Committee
(Vilnius)
Political consultation
with MS
Standing Committee
of WHO Regional
Committee
11
12
2014
1
2
Standing Committee of
WHO Regional Committee
(Geneva)
3
4
5
6
2015
7
8
9
10