Physical Activity for Individual and Population Health Across the Life Course

Physical Activity Policy Through the Life Course5 April 2017

Physical activity for individual and population health across the life courseDr Mike BrannanDeputy National Lead for Adult Health & Wellbeing

2 Source: Marmot Review (2010) Fair Society Healthy Lives.

Less than 50% people disability-free at 65 years

Non Communicable Disease ChallengeWhy prevention matters

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Disease risk factors in England

Newton et al. (2015) Changes in health in England, with analysis by English regions and areas of deprivation, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet

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Everybody needs to be more active every day

Source: Health Survey for England 2012 (HSE); Active People Survey 8, April 2103-April 2014 (APS); National Travel Survey July 2014 (NTS)

How inactive are we really?

6Public Health England (2014) Everybody Active, Every Day; Based on Hallal PC et al. (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet.

International comparison of physical inactivity (at ages 15 and over)

Note: Comparator = Not meeting any of the following per week: (a) 5 x 30 mins moderate-intensity activity; (b) 3 x 20 mins vigorous-intensity activity; (c) equivalent combination achieving 600 metabolic equivalent-min.

UK 63.3%

USA 40.5%

Australia 37.9%

Finland 37.8%

France 32.5%

Germany 28.0%

Netherlands 18.2%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%%Inactive

7 Ng SW, Popkin B (2012); Lee I-M, et al. (2012); Wen CP, Wu X (2012); WHO (2010); Ossa D & Hutton J (2002); Murray et al. (2013)

Inactivity is killing us

Decreasing activity levels since 1960s: oAdults are over 20% less activeoBy 2030 we will 35% less active

Physical inactivity is responsible for:o1 in 6 UK deathsoUp to 40% of many long-term conditionsoAround 30% of later life functional limitation

and falls

Estimated £7.4 billion annual cost

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Physical activity and health & wellbeing

Individual Becoming

More Active

Fun

Personal development

Travel

Social inclusion

Health

9 Health Survey for England 2012 data

We do less activity as we age% meeting moderate-to-vigorous recommendations

Greatest drop

10 https://www.gov.uk/government/publications/start-active-stay-active-infographics-on-physical-activity

Activity is important at every age

Learning from what works - Finland

mans

11 HealthBehaviour andHealthamongFinnishAdultPopulation1978– 2011(NationalInstituteforHealthandWelfare)

0

20

40

60

80

100

% Miehet/Men

≥2 times/wk

≥4 times/wk

≥2 times/wk ≥4

times/wk

Nationwide physical activity campaign in 1980s

Key actions:• Cross-sector approach driven at local level• Supporting grass roots interventions• Tailored, innovative approaches for distinct

groups (including across life course)• Encouraged sport at all levels (informal, formal)

Achieved increased leisure time physical activity across all age groups

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Everybody Active, Every Day: The national framework for action

Active Society

Moving Professionals

Moving at scale

Active environments

Public Health England (2014) Everybody Active Every Day.

Key national policy / strategySporting Future

NHS Five Year Forward View

Sustainable Transformation Plans

Making Every Contact Count

NHS Workforce Health CQUIN

Towards an active nation

Childhood Obesity Plan

Cycling and Walking Investment Strategy

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Changing general attitudes to make physical activity the expectation or social norm

Working across sectors in the places we live and work

Developing a common vision for “Everybody Active, Every Day”

1. Active society – Creating a social movement


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1. Active society – Key national progress

2.7 million sign ups, with participants adding average extra five minutes daily activity

Primarily 40-60 year old C2DE, 16.3 million engagements &1.2 million positive interactions

2.8 million women have done some or more activity as a result of This Girl Can

In 2015-16 alone, ~15,000 Workplace Challenge participants; 60% female

Public Health England (2017) Everybody Active Every Day – Two Year On.

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Utilising existing network of influencers on the public, the public & voluntary sector workforce

‘Making every contact count’ across sectors and disciplines

Starting with expertise & leadership in key sectors:

o Educationo Sports & leisureo Health & social careo Planning, design, transport

2. Moving professionals – Activating networks


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National Clinical Champions programmeo National footprint establishedo Over 4,000 healthcare professionals trained

Movement for Movement resourceso 20+ free undergraduate teaching slidesetso Adopted by 17/34 medical schools

UK CMOs guidance infographics

BMJ e-learning moduleso Nine physical activity & health modules, plus

motivational interviewing moduleo Over 48,000 modules completed

2. Moving professionals – Key national progress (health professionals)


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Developing ‘healthy’ cities, villages, towns and communities

Linking across disciplines through planning and policyo‘Active’ infrastructure planningo“Active by Design” campaigns oCapital funding investments

Embedding activity for alloAge-friendlyoDisability-friendly

3. Active environments – Creating the right spaces


Active Design guidance (with Sport England)

Planning Health Weight Environments workshops (with Town & Country Planning Association)

NHS Healthy Towns programme

Active travel briefing for local authorities

Guidance for planners (with the Town & Country Planning Association)

Partnerships and briefings with the Horticulture and Health Forum, Natural England and National Parks

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3. Active environments – Key national progress


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Positive change must happen at every level and must be measurable, permanent and consistent

Implement ‘what works’ at scale

Maximise existing assetso Human o Physical

Make being active the easiest, efficient choice!

4. Moving at scale – Interventions that make us active


‘What works’ national case study collation and review (with ukactive and NCSEM)

Over 1,000 attendees at regional fora in 2015 and 2016 (with ukactive, CSPN, LGA, NCSEM and BHFNC)

Whole Systems Approach to Obesity programme

Get Active, Get Healthy programme (Sport England)

Active Lives survey (with Sport England)

ROI tools – MOVES (Sport England), NICE

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4. Moving at scale – Key national progress


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Active society• One You campaign

Moving professionals• Physical activity and dementia

risk in BAME communities• CMOs’ infographics• ‘Get up and go’ falls prevention

resources• NHS Health Check dementia

leaflet• Clinical Champions health

professional trainers

PHE resources for physical activity and healthy ageing

Active environments• Active Design guidance• Functional walking for disabled

people review

Moving at scale• Older people local health profiles• Physical activity data tool• ‘What works’ evidence summary• Standard Evaluation Framework• Introductory guide to evaluation• Systematic review of older adults

lifestyle interventions for healthy cognitive aging

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So what next?

Physical activity is crucial for healthy ageing and good health and wellbeing in later life

Need for interventions targeting older adults, as well as consideration of older adults across all domains of action

Need to embed evaluation at every stage and scale up ‘what works’

Let’s get Everybody Active

Every [email protected]

Physical Activity for Individual and Population Health Across the Life Course

Health & Medicine

Transcript of Physical Activity for Individual and Population Health Across the Life Course