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The health of the nation – older, sicker, fatter! By Charlie Foster
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2. The effectiveness of physical activity promotion interventions - changing attitudes and environments Dr Charlie Foster BHF Health Promotion Research Group Department of Public Health University of Oxford Fitness Industry Association Conference 2010
3. So what’s in FIA’s tool box? Research evidence Communication & sales skills Behaviour strategies Business Skills Exercise promotion training, knowledge & skills Toolbox Advocacy & Policy placement
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5. 61% of men and 71% of women do not meet the Chief Medical Officer’s minimum recommendations for physical activity in adults Men Women % active Age
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7. Cost of physical inactivity (£/population) related disease by SHA Foster et al, 2009 £14.85 £14.01 £17.20 £12.95 £14.85 £14.63 £13.94 £15.96 £18.71 £15.27
8. Cost of physical inactivity (£/population) related disease by SHA Spend in London is 85p per head Foster et al, 2009 £14.85 £14.01 £17.20 £12.95 £14.85 £14.63 £13.94 £15.96 £18.71 £15.27
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10. The density of exercise facilities by quintile of deprivation for the county of Kent in Southeast England Availability of physical activity facilities declines with level of area deprivation
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12. MINDSPACE: Influencing behaviour through public policy was a joint commission by the Cabinet Office and the Institute for Government. It shows how the latest insights from the science of behaviour change can be used to generate new and cost-effective solutions to some of the current major policy challenges, such as reducing crime, tackling obesity and climate change.
13. So what does affect our behaviour? MINDSPACE. Influencing behaviour through public policy. Cabinet Office & Institute for Government, 2010.
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21. Annual growth rates: European cities and CDTs Adapted from: Transport for London (2004) ‘Creating a chain reaction. The London Cycling Action Plan. February 2004. ( http://www.croydon-lcc.org.uk/downloads/2004_TfL_LondonCyclingActionPlan.pdf ) City Annual increase in cycling flows Darlington +14.2% Exeter +9.9% Brighton & Hove +9.0% Strasbourg +7.0% Lanc w Morecambe +6.2% Vienna +6.4% Graz +5.9% Munich +5.5% Hanover +5.4% City Annual increase in cycling flows Nottingham +4.8% Freiburg +4.4% Munster +3.6% Aylesbury +3.6% Berlin +3.2% Derby +2.5% Zurich +2.3% Delft +1.2%
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24. The findings of this review indicate that professional advice and guidance with continued support can encourage people to be more physically active in the short to mid-term.
25. Estimated net increase in walking in general by validity and then sample size Ogilvie D, Foster C, Rothnie H, Cavill N, Hamilton V, Fitzsimons CF, Mutrie N. Scottish Physical Activity Research Collaboration. Interventions to promote walking: systematic review. BMJ 2007;334 (7605):1204;
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30. Social-ecological model of physical activity behaviour Foster et al (2005). Understanding why adults and children participate in physical activity and sport. London, Sport England. Law & Regulations Fiscal Built environment Natural environment Health care systems National policies & programmes
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Editor's Notes
Some 50 years since Morris’ first study there is now international consensus on the health benefits of physical activity. The US Surgeon General in 1996 and now in March of this year the Chief Medical Officer published major public health reports on the health benefits of physical activity.
Walking prevalence varies according to type of walking. Walking is socially patterned but the pattern varies by walking purpose. Long, brisk paced walks are more common among affluent groups, whereas walking for transport reveals an opposite trend. The availability of physical activity facilities declines with level of deprivation Areas in most need of facilities to assist people live physically active lifestyles have fewer resources The likelihood of this differential effect is magnified by the invitation and dose of physical activity offered. You need a car to give up or exchange a car journey for another mode of transport Car use journeys to work, school, shops, This choice is more limited and frustrating if you don’t have access to a reliable and cheap public transport system
The availability of physical activity facilities declines with level of deprivation Areas in most need of facilities to assist people live physically active lifestyles have fewer resources
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How you work with target group matters Do not underestimate the power of a good therapeutic relationship Evidence offers a direction for practice (with details) It’s art and it’s science There are other things in people’s lives which influence their physical activity choices over which we and them have little or no control Keeping adding to your toolbox
How you work with target group matters Do not underestimate the power of a good therapeutic relationship Evidence offers a direction for practice (with details) It’s art and it’s science There are other things in people’s lives which influence their physical activity choices over which we and them have little or no control Keeping adding to your toolbox