Knowledge into Practice : Physical Activity in the Workplace

Transcription

1 Knowledge into Practice : Physical Activity in the Workplace Alexandra Swaka and Federica Amati, WHO CC Imperial College London, School of Public Health Department of Primary Care and Public Health

2 CASE STUDY : Present - 57 year-old male with ACS - CVRF: HTN, DLP, high BMI, former smoker (± 30 years ago), no DM, no signs of DVT, no significant FHx, sedentary.

3 First AMI August 2006

4 - Occlusion in all arteries % stenosis - DES placed in LAD via PTA

5 - SL NTG x 2 - Placement of 6 DES - Discharged home Second AMI - June 2014 LVAD 6 months - Subsequent AMI - Cardiac ARREST CVA

6 2 months later - TRANSPLANT

7

8 Outline Part 1 What does the scientific evidence tell us Preventing disease Improving health Current levels of physical activity in the UK Part 2 The role of the NHS How do we increase physical activity? Barriers to physical activity The role of personal goal setting Workplace

9 The Evidence Base Volume 380, Issue 9838, July 2012, Pages

10 What is physical activity? Physical activity is defined as any bodily movement produced by skeletal muscles that requires energy expenditure. Physical inactivity has been identified as the fourth leading risk factor for global mortality (6% of deaths). World Health Organization

11 WHO global health risk: mortality and burden attributed to major risks The 4 main causes of preventable ill-health summarised from global data

12 How physical activity impacts the risk of death with other risk factors

13 What are the health benefits of physical activity? Prevention is better than cure!

14 Reduced Risk of illness and premature death Mental Health - reverses brain aging - as effective as drugs for depression Muscle Strength - builds muscle mass - maintains muscle strength Cardiovascular & Heart Health - decreases the likelihood of heart disease - reduces risk of death for those who already suffer from heart disease. Balance & Flexibility - improves balance and flexibility - key for healthy and independent ageing

15 How is the UK population doing in achieving its ideal PA

16 Why should we focus on healthy behaviours?

17 The cost of inactivity to the NHS Over 40% of adults do not reach the minimum recommended level of 30 minutes moderately intense exercise five times per week. Professor Dame Sue Bailey more is better but some is better than none! Increased physical activity to a minimum 30 minutes 5 times a week = over 18bn saving for the NHS (15% of the budget)

18 Physical Activity: Miracle Cure and Fountain of Youth!

19 Part 2: Knowledge into Practice But how do we adopt physical activity in every day life? General Practitioners and the NHS Personal Responsibility

20 Obstacles: Dangerous habits can decrease PA

21 The role of GPs & the NHS DOCTORS: Trusted and respected community members who interact with the population who would most benefit through physical activity. Already play a central role in evaluating risks and monitoring patients with chronic disease. Physical activity should be monitored as a vital sign.

22 F.I.T.T Principle For those unused to physical activity, it is recommended to gradually build up to the level of 30 minutes five times a week over time. The F.I.T.T. principle suggests what can be changed over time to build up the exercise: F I T T Frequency (sessions per week) Intensity (level of difficulty) Time (gradually increase) Type of exercise (from walking to jogging)

23 Barriers to physical activity More time spent seated at computer / with phone More time spent seated during transport More caffeine consumption / poor diet = greater overall fatigue

24 Personal Goal Setting: Engaging in an active lifestyle Jumping the Hurdles Set GOALS Forget diet, think lifestyle BIG picture: Healthy body, healthy mind Small steps to subjective outcomes Increase fresh vegetables and water

25 How can we be more active every day?

26 Personal Life and Sustainability Create everyday habits Walk children to school Cycle to shops Engage in park play Low cost and leads to sustained behaviour changes. Healthy habits feel good Genuine maintenance

27 Exercise should be fun Exercise should not only be about shedding kilos.

28 and exciting! No difference between structured exercise and lifestyle physical activity in the health benefits provided. Fun activities are more likely to be sustained!

29 Permanent lifestyle changes Fitness is more important than fatness Some reduction in Fatness Exercise = Fitness Better health Better glucose metabolism Reduced stress response Reduced HDL Cholesterol Reduced visceral fat deposition Better posture Better muscle strength Better bone strength More resilience to change Better health

30 Workplace

31 Workplace

32 Workplace Get off the train or bus one stop early and walk the rest of the way. Replace coffee break with a 10-minute power walk. Ask a friend of colleague to go with you. Make periodic stretching and movement breaks normal. Your mind will be more productive from the serotonin and endorphin release.

33 Workplace

34 Summary & Conclusions Plenty of evidence that PA is beneficial to health! Opportunities to apply the evidence There are challenges But there is also a policy drive to promote Upstream measures of prevention NHS is important! But there needs to be a culture change & improved health literacy.

35 THANK YOU FOR LISTENING! With special thanks to the WHO Collaborating Centre, Imperial College Department of Primary Care and Public Health & NIHR CLAHRC NWL