Promoting Energy Balance in Singapore. Robert Sloan, PhD

Transcription

1 Promoting Energy Balance in Singapore Robert Sloan, PhD

2 74% 13% 9% 3% Total pop 5,399,000 Resident pop 3,844,000 Secondary and below 51% Post secondary 9% Diploma and university 40% Mortality Morbidity Males 79.9 yrs Women 84.5 yrs

3 OECD Adult Obesity 2010 or latest available

4 OECD Childhood Overweight /Obesity Girls Boys Sources: Health At a Glance OECD Indicators, OECD, 2011; Singapore Ministry of Education 2012

5 70 Inactivity Around the World 60 Proportion of inactive adults (%) years years years 60 years 10 0 Africa Americas Eastern Mediterranean Europe Southeast Asia Western Pacific Singapore Lee, Lancet, 2012

6 Data trends have suggested that Singaporeans are exceeding energy recommendations 59.4 Energy Proportion of adult population that exceed recommendations (>100% of RDA) Source: Singapore National Nutrition Survey 1998, 2004 & 2010

7 Many Singaporeans Eat Out Singaporeans Dining Out, yrs (%) * Eating out at hawker centres, food courts, coffee shop stalls, restaurants or coffee houses Source: Singapore National Nutrition Survey 2004 & 2010

8 Nutrition Creating a Healthier Environment to Promote Healthier Eating

9 Creating a healthier environment to promote healthier eating Obesity Control Healthier meals eaten out Healthier grocery products

10 Healthier Dining Programme An initiative by HPB to encourage F&B companies (restaurants, caterers and food courts and hawkers) to provide healthier food and beverage options Reduced-sugar beverages and free plain water lower-calorie meals Whole-grains, healthier oils, more fruit and vegetables Lower-calorie meals will be identified using the Healthier Choice Symbol

11 Healthier Choice Labelling Programme Healthier Choice Symbol - A registered symbol by Health Promotion Board 2001 Differentiation of taglines Making a business case for health Fund healthier product R&D for local manufacturers Drive demand for healthier products together with supermarkets and manufacturers

12 Health Promoting Environment for the Young

13 Healthy Meals In Schools Programme BEFORE HMS AFTER HMS Porridge Fried Rice Set meal 1 Protein Fruit Vegetables Roti Jala Nasi Lemak Whole-grains Curry Rice Side Dishes / Desserts Briyani Rice Set meal 2 Fruit Protein Vegetables Whole-grains

14 Evaluation of HMS Programme Benefits of participating in HMS Knowledge of daily recommended no. of servings of fruit and vegetables: 42% (pre) to 72% (post) Consumption of 2 + 2: 31% (pre) to 52% (post) Consumption of whole-grains 5 or more times/week: 43% (pre) to 50% (post) Benefits of continuing to participate in HMS Consumption of 2 + 2: 51% (pre) to 54% 3mths) to 60% mths) Consumption of whole-grains 5 or more times/week: 26% (pre) to 34% 3 mths) to 51% 15 mths)

15 Food Advertising to Children

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17 Toronto Charter 1. Whole-of-school programs 2. Transport policies and systems that prioritise walking, cycling and public transport 3. Urban design regulations and infrastructure that provides for equitable and safe access for recreational physical activity, and recreational and transport-related walking and cycling across the life course 4. Physical activity and NCD prevention integrated into primary health care systems 5. Public education, including mass media to raise awareness and change social norms on physical activity 6. Community-wide programs involving multiple settings and sectors & that mobilize and integrate community engagement and resources 7. Sports systems and programs that promote sport for all and encourage participation across the life span B J Sports Feb 2014 Vol 48 No 3

18 School Programs MOE: Additional hour of PE every week Encourage proficiency in at least 3 sports Funding to pick sports modules from endorsed sport service providers National Physical Fitness Award (NAPFA) Aim: To encourage children to keep fit beyond school and instil more holistic values Standardised fitness-testing and fitness-education tool Focus on sit-up, standing broad jump, sit and reach, inclined pull-up and 1.6km walk-run Compulsory for all students from primary 4 to junior college

19 Transport Policies and Urban Design Free early morning travel Free fitness centre access 70% of all journeys will be made via public transport Walk2Ride increase from 200m to 400m covered walkways 2500 bike parking racks

20 Built Urban Transport Environment Design Policies and Urban Design > 1100 free fitness corners

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22 High Walkability Moderate Walkability Low Walkability

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24 Island-wide Park Connector Networks 200 kms 360 kmsby kms 150 kms 20 kms 42 kms 10 kms

25 Physical activity integrated into health care systems

26 Public Education National Physical Activity Guidelines Guidelines describe best practices based on scientific evidence Provide the starting point to the establishment of goals and objectives for PA promotion Clarify principles and justify allocation of resources to PA interventions Resolve conflicts between partners by creating a framework for joint action Synergise physical activity efforts between partners

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30 Community Wide Programmes Community Aerobics Taichi for All Community Fitness Assessment > 1200 clubs island-wide Dance Fit Brisk Walk Health Qigong

31 Community Wide Programmes National Wellness Programme PA as primary driver targeting population aged 50 and above Three objectives More Active Lifestyle encourage older adults to stay physically active Better Social Well-Being promote neighbourliness & social connectedness Better Health Outcomes Empower older adults to look after own health 31

32 Community Wide Programmes Evaluation Findings Wellness members compared to a representative national sample (controlled for individual differences and length of membership) Stayed more active Better self related overall health and had more health-promoting behaviours Were more socially connected (Duke -NUS & HPB)

33 Community Wide Programmes Health Promoting Malls Objective: To provide opportunities for mall stakeholders (shoppers, employees, mall tenants, mall contractors, community) to ensure and improve their health and wellbeing 52 participating malls

34 Community Wide Programmes Improving fitness among working adults >1000 sessions per year

35 Singapore HEALTH Award Helping Employees Achieve Life-Time Health (HEALTH) Biennial national award to recognize companies with commendable workplace health promotion programmes

36 BusinessParks Ecosystem

37 Community Wide Programmes Individual Physical Proficiency test (IPPT) Standardised physical fitness test used by the Singapore Armed Forces, Singapore Police Force, the Singapore Civil Defence Force Components: 1) sit-ups 2) standing broad jump 3) chin-up 4) 4X100 metres shuttle run 5) 2.4 Km run Applicable to all those undergoing National Service and Reservists ~ 116,000 NSMEN take the IPPT every year

38 Community Wide Programmes Kick-start your weight loss with Lose to Win! A holistic 12-week weight loss programme with: Assessments Physical Activity Nutrition Mental Wellbeing Social Support Assisted over 4,200 individuals since % of participants lose weight at wk12 Average weight loss: 2.6 to 3.6 kg from baseline to week 12 1 kg to 3.3kg after 1 year

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40 Sports and Recreation 41 PCNs 456 Parks 46.5% of Singapore under green cover 107 community centres island-wide 4 nature reserves 800 recreational facilities 1 facility:1000 citizens

41 On the Horizon Scale Up Target Default Partnership Nudge Leverage Measure

42 Thank You For more information on HPB, please visit