1. ENCOURAGING PHYSICAL
ACTIVITY – A KEY HEALTH
PROMOTION STRATEGY FOR
THE PREVENTION AND
CONTROL OF NCDs
Dr. Monika Arora
Director: Health Promotion &
Adjunct Associate Professor
Public Health Foundation of India

2. GBD 2010
Risk Factors
(Top Contributors to DALYs)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
High Blood Pressure
Smoking (excluding SHS)
Alcohol Use
Household Air Pollution
Low Fruit
High Body Mass Index
High Fasting Plasma Glucose
Childhood Underweight
Ambient PM Pollution
Physical Inactivity
Diet & Physical Inactivity
Cluster Responsible For
Largest Global Disease
Burden
Lancet 2012

3. NCD Risk Factors in India:
Physical Inactivity - I
 Study conducted among adolescents across 5 districts of India
showed 25.2% boys and 24.7% girls had poor physical activity
index
Bachani et al., 2013
 Among adolescents (> 11 yrs) duration of Sedentary activity
(223 min) was more than moderate- vigorous physical activity
(60.7 min)
Swaminathan et al., 2012
 Walking and bicycling to work is associated with reduced
cardiovascular risk in the Indian population. A dose-response
relationship was observed between duration of bicycling to
work and being overweight, having hypertension or diabetes.
Millett et al., 2013)

4. NCD Risk Factors in India:
Physical Inactivity - II
 A hospital-based case control study with 1050 participants (350
AMI cases and 700 controls) conducted in New Delhi and
Bangalore suggested that:
 Participants with the highest level of physical activity (>145 MET minutes per day) had a RR of 0.45 (95% CI: 0.31, 0.66) for CHD
compared with non-exercisers.
 Participants with >3.6 hours of sedentary activity per day had
an increased risk (RR 1.88; 95% CI: 1.09, 3.20) of CHD
compared with participants doing <70 minutes of sedentary
activity per day.
Rastogi et al., 2004

5. (WHO SEARO, 2013)

6. Targets for NCD Prevention and Control in
India

7. Effectiveness of Interventions to
Promote Physical Activity
 A social marketing focused intervention to promote physical activity in rural
Tamil Nadu (India) mobilised nearly 55% of the subjects in brisk walking > 4
days a week
Subitha et al., 2013
 An intervention with 11 year olds in Norway effect on overall physical activity
at the level of p = 0.05 with a net effect of 50 cpm increase from baseline to
post intervention in favour of the intervention group (95% CI −0.4, 100)
Grydeland et al., 2013
Source: Cecchini M, Sassi F, Lauer
J et al. Tackling unhealthy diets,
physical inactivity and obesity:
health effects and costeffectiveness. Lancet 2010

8. An Evaluation of School Environments: Physical
Activity Audit tool
 Surrounding area
 Less than 15% had cycle lanes separated from road
 Less than 15% had pavements on both sides of road
 Less than 10% had pavements on one side of the road
 Less than 10% had marked pedestrian crossing
 Less than 30% had traffic calming measures
 No signs
 School grounds
 Generally, modal quality ‘Adequate’
 Over 90% had playground equipment
 Over 50% had courts
 Over 50% had quadrangles
 Over 50% had uncovered cycle parking while less than 10% had covered
cycle parking

9. Innovative Health
Promotion Campaigns

10. Walk for Health: Counting every
mile you walk!

11. Mobilizing the Ground Miles
App Download
www.groundmiles.bupa.com
Total global downloads: 21,372
Clicks from India: 3,13,884

12. Walk for Health – Delhi (Oct 20, 2013)
Nearly 10000 participants

13. Walk for Health – Mumbai (Oct 20, 2013)
Nearly 6000 participants

14. Walk for Health-Vizag (Nov 30, 2013)
Nearly 5000 participants

15. Inter-school Poster Competition- Delhi
1,200 students from nearly 40 schools in
Delhi

16. Inter-school Poster Competition-Vizag
Nearly 1000 students participated in the Poster making competition

17. Optimising Social Media

18. Twitter
Engaging celebrities to spread the word

19. Engaging like minded organisations

20. Promotion on Y4H
www.facebook.com/youthforhealth

21. The DADA Campaign

22. Promoting Physical Activity in Colleges
Partnering at festival of Youth
Sport, Delhi University
Organising mini-marathons
and walkathons with college
students

23. Eat for Goals!
Eat For Goals! is a recipe book for children
13 players
13 dishes
1 cause
1 book
Rationale:
Footballers are role models for boys and girls.
A multicultural group of 13
internationally renowned male and
female star players present their
food choices.
The recipe book highlights the
interdependency between a
balanced healthy diet and
performance.

24. Respect Your Health
An increase in health literacy levels
• A positive change in lifestyles
• An increase in community
involvement in social activities
• A wider range of citizens playing
sport and using local sports facilities,
thanks to a greater sense of
community ownership
http://respectyourhealth.eu

25. The European Healthy Stadia Network
 “Healthy Stadia are those which promote
the health of visitors, fans, players,
employees
and
the
surrounding
community... Places where people can go
to have a positive, healthy experience
playing or watching sport.”
A holistic approach to developing
stadia as ‘health promoting settings’
http://www.healthystadia.eu

26. Make a healthy heart your goal
www.worldheart.org/womenseuro

27. Make a healthy heart your goal

28. UEFA Multi-European City Initiative

29. THANK YOU!
monika.arora@phfi.org