Archive February 2008
PHYSICAL ACTIVITY

What we know
What information do we have about the Eastern Board area?
What is the result of this on our health locally?
Policies
What is happening in the Eastern Board area?
References

 

Statistics
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Links
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Documents
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What we know

Physical activity has been defined by the World Health Organisation as "all movements in everyday life, including work, recreation, exercise and sporting activities". For an average sedentary adult, at least 30 minutes of cumulative moderate physical activity everyday or on most days of the week is sufficient to obtain health benefits.

Physical activity has major benefits to health. It reduces the risk of:

Obesity
Type 2 Diabetes
Coronary Heart Disease
Colon Cancer
Osteoporosis
Stroke
Falls and Fractures
Anxiety and Stress, and improves Mental Well-being

There are also indirect benefits of physical activity.  Active travel such as cycling and walking reduces traffic congestion and pollution and physically active children and young people are less inclined to become involved in crime and risk taking behaviour such as drugs, alcohol and smoking.

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What information do we have about the Eastern Board area?

The advancement of technology and mechanisation has removed much of the physical activity from modern living. It is necessary to build physical activity back into daily living by walking, using stairs, cycling, active play and developing active leisure pursuits.

The incidence of obesity and type 2 diabetes in adults and children is on the increase and can be prevented by regular participation in physical activity.

Inactive lifestyles currently account for at least 2,200 premature deaths in Northern Ireland each year.  A five percent decrease in the sedentary population could:

Save 358 lives each year
Save 190,000 sick days per annum
Save £6 million direct health service costs per year (C. Swales 2003)

Please click on the relevant section for more information on obesity and healthy eating.

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What is the result of this on our health locally?

The Health and Wellbeing Survey 2001, classified 25% of the population in Northern Ireland as inactive or sedentary. In the Eastern Board, 26% of the population were classified as sedentary.

The likelihood of sedentary behaviour increases with age, being most common in those aged over 45.  There are no significant differences in sedentary levels for male or females, however more males than females tend to take above the recommended levels of physical activity.

Individuals in lower socio-economic groups are more likely to be physically inactive, this has a major potential impact on inequalities in health.

The Young Person's Behaviour and Attitudes Survey 2000 showed that:

48% of young people were doing less than two hours of vigorous physical activity a week
61% are more active during school holidays compared to when they are at school
81% of pupils exercise or play sports apart from their time tabled PE sessions

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Policies

In 1996 the first Northern Ireland Physical Activity Strategy 'Be Active - Be Healthy' 1996 - 2002 was published. The overall aim of the strategy was to increase levels of physical activity among those who exercise least.

A Northern Ireland Physical Activity Implementation Group (NIPAIG) was established to oversee the regional implementation of the strategy, with local co-ordination groups in each of the Health and Social Services Board areas to co-ordinate local implementation.

The Programme for Government and Investing for Health Strategy both emphasised the need to promote and support physical activity for a healthier population.  A range of other strategic documents have also emphasised the importance of physical activity. Examples of these are: Blueprint for Diabetes, Workplace Health Strategy, Promoting Mental Health Strategy, local falls prevention plans, Northern Ireland Cycling Strategy and the Northern Ireland Walking Action Plan.

The original Physical Activity Strategy was reviewed in 2002.  This review concluded that there was a continuing need for a physical activity strategy. A draft of the new strategy was circulated for consultation in July 2004 and, it is available on the DHSSPS website www.dhsspsni.gov.uk.

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What is happening in the Eastern Board area?
There is a multi-disciplinary, intersectoral group in the Eastern Board area to co-ordinate the implementation of the Physical Activity Strategy.  The Eastern Physical Activity Co-ordination Group (EPACG) was established in 1999.
There is a Physical Activity Co-ordinator employed by the Eastern Board who has stimulated and facilitated a range of physical activity initiatives on behalf of EPACG.
The Walking the Way to Health initiative has been well developed across the Eastern Board area. There are over 200 trained walk leaders, who are insured to lead groups of individuals who may not have walked for a number of years or who prefer to walk in company.  Funding has been secured from the Big Lottery Fund to further develop their initiative in areas of high social need.  In 2003/04, approximately 1500 people participated in led walks across the Board’s area.
EPACG has produced a resource for schools promoting the use of playground markings to promote active play and better behaviour management in school playgrounds. This resource has been provided to all primary schools in the Belfast and South Eastern Education and Library Board areas. Funding has also been provided to schools to assist them to pay for the application of the markings.
The use of Top Tots and Top Start packs in Surestart projects and early years initiative in the Eastern Board area is helping children from the age of 18 months to develop their skills of active play and co-ordination.
Funding has been provided to leisure services departments of district and city councils to develop the skills of their staff in promoting, supporting and monitoring health enhancing physical activity.
Initiatives in local areas have been funded by the Eastern Board, examples are Boccia development, the Buddy Bear Sports and Physical Activity Programme, Keeping Kids Sport Smoke Free, Movement to Music and the development of chair aerobics for frail individuals or those with a disability and enhancing physical activity opportunities for individuals with disabilities.

Highway to Health is a simple and innovative scheme that aims to encourage people of all ages to walk for leisure and good health.  It uses attractive pole signs at one km intervals on popular walking routes to encourage people of all ages to take exercise for health and leisure.  The project is a joint venture between Northern Ireland Chest Heart and Stroke Association, Eastern Physical Activity Co-ordination Group and the local District and City Councils and the local Community and Acute Health and Social Services Trusts.  Further details of Highway to Health walking routes can be found at www.nichsa.com/html/health/nireland.html

Big Lottery funding has been secured for the following projects:

 

 

Health for Life is a holistic health awareness programme that aims to empower individuals to make behavioural changes, improve health status and reduce inequalities in health.

It consists of general health awareness sessions incorporating topics of Cancer, Smoking, Alcohol & Drugs, Nutrition, Stress & Relaxation and Physical Activity. 

Practical activities include, relaxation techniques and a taster session of movement to music.

The programme is delivered to local communities by Health for Life tutors recruited from a wide variety of backgrounds and include community representatives, health professionals and individuals from the voluntary sector. 

For information on becoming a tutor and locally run programmes contact the Health for Life Project Officer.

 

Healthwise (Physical Activity Referral Scheme) is a partnership drawn up between the EHSSB, the four Trusts, and the six councils in the EHSSB area.  The initiative has been set up by EPACG (Eastern Physical Activity Coordination Group) and is funded by the Big Lottery.  The aim of ‘Healthwise’ is to introduce those clients referred by an approved Health-care Professional (e.g. G.P. Registered Nurse, Therapist etc), to regular physical activity in a warm, friendly, comfortable and safe environment.  Throughout a 12-week programme we aim to encourage participants to adopt a more active lifestyle, with unlimited access to the leisure centre of their choice (free of charge). The ultimate goal is to encourage ongoing regular and independent participation in physical activity.

 

 

EPACG has produced a resource for schools promoting the use of playground markings to promote active play and better behaviour management in school playgrounds.  This resource has been provided to all primary schools in the Belfast and South Eastern Education and Library Board areas.  Funding has also been provided to schools to assist them to pay for the application of the markings.

As a result of funding from EPACG and additional funds from Investing for Health in 2004 a number of schools have applied markings in playgrounds so as to facilitate active play.

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References
C. Swales (2001). A Health Economics Model; the cost benefits of the Physical Activity Strategy for Northern Ireland - Summary of key findings. (with 2003 revised costing). Available at
www.healthpromotionagency.org.uk/Resources/physicalactivity/paeconomreport.htm

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For further information on this topic please contact us at publichealth@ehssb.n-i.nhs.uk

Eastern Health and Social Services Board Champion House, 12-22 Linenhall Street, Belfast BT2 8BS Telephone: (028) 9032 1313 Fax: (028) 9055 3681 Text Phone:(028) 9032 4980 Website: www.ehssb.org E-mail: pr@ehssb.n-i.nhs.uk
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