Sports as a development tool in the fight against NCDs

Transcription

1 Sports as a development tool in the fight against NCDs Peter Sousa Højskov Technical Officer Food Safety & NCD WHO Division of Pacific Technical Support

2 NCD crisis in the Pacific

3 NCD crisis in the Pacific

4 Casual pathway to NCDs BEHAVIORAL BEHAVIORAL Tobacco Tobacco Diet Diet Physical Physical Activity Activity Alcohol Alcohol ENVIRONMENTAL ENVIRONMENTAL Socio-cultural Socio-cultural Policy Economic & Economic Trade Physical NON-MODIFIABLE Age, Sex, Genes INTERMEDIATE RISK FACTORS Raised Blood Press Hypertension Abn Blood lipids Blood lipids Raised blood sugar Diabetes Obesity Obesity PREMATURE DEATH END-POINTS NCD END-POINTS Heart Dis. Stroke Heart Disease (inclhtn& Stroke) Peripheral Vasc. Dis. Diabetes Cancer Cancer Chronic Lung Dis. Chronic Resp Disease NCD DISABILITY Blindness, Amputations Stroke paralysis

5 Traditional foods

6 They have now been substituted by these

7 Changes in physical activity

8 Health consequences!!

9 Economic consequences NCDs undermines the four main factors of economic growth: Labour supply Productivity Investment Education Unaddressed NCDs will negatively impact economic development Macro and micro economy World Economic Forum ranks NCD as one of the top global threats to economic development

10 Social and human costs Worsens poverty treatment cost exceed 25% of household income women leave work to be carers children leave school to care and/or supplement household incomes Money spent on tobacco and medicine is money NOT SPENT on other needs

11 Four key risk factors NCDs Unhealthy diet Smoking Alcohol Physical inactivity Cancer Cardiovascular disease* Type 2 diabetes Respiratory conditions** Risk factors Obesity blood pressure blood glucose blood lipids Abnormal lung function * Includes heart disease, stroke, hypertension ** Including chronic obstructive pulmonary disease & asthma

12 NCD risk factors in Fiji

13 Prevalence of physical inactivity (+15 yrs) Percentage with low levels of physical activity (2012) Men 12.7% Women: 28.8% Generally, the most inactive population groups Women People >35 years Urban population Indo-Fijians

14 Physical activity target for Fiji 2019 Reducing prevalence insufficient physical activity by 5% adolescents 10% adults

15 Physical activity and NCDs Physical inactivity is the fourth leading risk factor for global mortality Globally, 6% of deaths are attributed to physical inactivity Physical inactivity is the main cause for app % of breast and colon cancers, 27% of diabetes and 30% of ischaemic heart disease Increasing levels of physical inactivity are seen worldwide

16 Physical activity has established health benefits Cardiovascular disease prevention Diabetes prevention Mental health, cognitive function, stress and dementia Cancer prevention Injury prevention, bone health Improves well-being, functional status, ant-ageing Many of benefits are independent of weight

17 Myths around physical activity and weight lose 30 min/day (150 min/week) of moderate activity can prevent diabetes, reduce CVD risk, improve mental health, quality of life and functional status Health benefits of being active occur at all levels of overweight and obesity Difficult to loose weight with physical activity alone. Need more activity to loose weight than to achieve other benefits

18 Indicators for physical inactivity How much physical activity do I need to do? Age 5 17 years: 60 minutes per day Age years: 150 minutes moderate intensity in the week or 75 minutes vigorous intensity All activity performed in at least 10 min duration

19 It is never too late to start

20 What interventions work? Environmental interventions targeting the built environment, policies that reduce barriers to physical activity, transport policies and policies to increase space for recreational activity Mass-media campaigns promoting physical activity Associated with policies to address local environmental barriers Linked with supportive community programmes such as schools and workplaces

21 Evidence-based interventions School-based programmes combining physical activity and diet related interventions Curriculum on diet and physical activity Supportive environments A parental and community component Healthy food options Workplace interventions Healthy food policy Space for fitness and signs to promote physical activity (stairs) Events with family involvement

22 Evidence-based interventions Community-based activities Strategies should be geared to changing social norms and improving community understanding and acceptance of the need to integrate physical activity into everyday life Primary health care Physical activities targeted NCD risk groups Linked with sports organizations Religious settings Healthy diet and physical activities organised with and by religious groups

23 THANK YOU VINAKA VAKALEVU