SlideShare une entreprise Scribd logo
1  sur  41
Télécharger pour lire hors ligne
Plan of Physical Activity,
     Sport & Health
DEFINITION

Health-promotion programme for
  primary health-care services,
based on prescribing and advising
         physical activity
WHO
• According to the World Health Organization (WHO),
  one of the major challenges in the prevention of
  noncommunicable diseases and in the promotion of
  physical activity and other healthy lifestyle choices is
  communicating the importance of action now in return
  for future benefits.

• Despite the fact that prevention has been the major
  contributor to health gains, including 30 added years of
  life expectancy, in the past century, most studies of
  health expenditures indicate that less than five percent
  of resources are devoted to prevention.

• The WHO says that advocacy and policy are key

• .
Around 40% of the adult population is sedentary or
                                          minimally active
                     Percentages by age group and risk factors. Men


                             100
                              90
                              80
                              70
                PERCENTAGE




                              60
                              50
                              40
                              30
                              20
                              10
                               0
                                   18-34 YEARS         35-54 YEARS       55-74 YEARS
                                     GLOBAL      HTA   DM   HCOL     BMI>25


ESCA 2006. 18-74 years. Proportion of sedentary/minimally active men (normal Physical activity)
Around 40% of the adult population is sedentary or minimally
                                active
                       Percentages by age group and risk factors. Women

                             100
                              90
                              80
                              70
                PERCENTAGE




                              60
                              50
                              40
                              30
                              20
                              10
                               0
                                   18-34 YEARS         35-54 YEARS        55-74 YEARS

                                      GLOBAL     HTA    DM   HCOL    BMI > 25


ESCA 2006. 18-74 years.
Proportion of sedentary/minimally active women (normal Physical activity)
Physical inactivity: a health risk
This is one of the 10 risk factors that contributes to the
  appearance of chronic illnesses:
                » Cardiovascular diseases
                » Cancer
                » Obesity
                » Type 2 diabetes


   These are the cause of 60% of all deaths and 47% of
     the global burden from sickness
     World Health Organisation (2002).
     Report on world health 2002: reducing risks and promoting healthy
     lifestyles
The benefits of regular exercise
 Exercise and physical activity are important to health and prevention and
treatment of many chronic diseases

                                        Prevention and control of:
                                            Cardiovascular disease
                                            Obesity / overweight
                                            Type 2 diabetes
                                            Cancer
                                            Osteomuscular disease

                                        Improved mental health


                                        ↓ Mortality
The benefits of regular exercise

• Exercise can also be a powerful
  complement to traditional medical
  intervention and, in many instances,
  may alow physician to significantly
  reduce a patient’s drug dose or
  eliminate the need for medicine
  altogheter .
The benefits of regular exercise

• Sport and health care professionals can
  play an integral role in educating your
  clients / patients about the medical
  benefits of exercise and how they can
  speak to MD, RN, PE about physical
  activity.
Plan of Physical Activity,
Sport & Health (PAFES)

  A joint programme of the
   Department of Health
            and
General Secretary for Sport
     in the fight against
 sedentary lifestyles
Physical Activity,
  Sport & Health Plan (PAFES)

• Designed to help improve the health
  and wellbeing of our population through
  a regular physical activity prescription
  from doctors and other healthcare
  providers.
Overall global framework
WORLD HEALTH ORGANISATION (2004)
Global Food, Physical Activity & Health Strategy
EUROPEAN ECONOMIC COMMUNITY (2005)
Green book: “Promoting healthy eating and physical activity: a
  European approach for preventing overweight, obesity and
  chronic illnesses”.
SPAIN (2005)
Strategy for Nutrition, Physical Activity and the prevention of
   Obesity (NAOS)
CATALONIA (2005)
Integrated plan for the promotion of health, through physical activity
   and healthy eating (PAAS)
Global Strategies
on Physical Activity for Health
LOCAL INITIATIVES FOR PRESCRIBING
PHYSICAL EXERCISE IN CATALONIA

  1993         2001        2002        2004         2004          2005            2006
GRANOLLERS   TERRASSA      REUS      MARTORELL    VILANOVA       LLEIDA         BARCELONA
              Different   Chronic     Different    Different
   AFIS                    illness                               Caminem           PPAF
             programmes              programmes   programmes   (“Let’s walk”)
                          workshop

                                                                                          …


                                                                                 Ajuntament de
                                                                                   Barcelona
                                                      UME
                                                    Hospital
                                                    Vilanova
CATALAN
 FRAMEWORK 1                             Community
                                          centres                   City Council
                                         Training workshops:       City Council
                                                                   Routes + labelling:
                                            1 - Children          Routes + labelling:
                                                                    1 – Access to sports
                                             2 - Adults           1 – Access to sports
                     Schools                                             equipment
                  • Health education                                  2 equipment
                                                                        – Programmes
                   • Schools menus                                  2 – Programmes
                                                                         among the
               • Promotion of physical                                 among the
                                                                       disadvantaged
                           activity                                  disadvantaged
                                                                         population
                                                                        population


         Primary
        Primary                                                      Companies
        Healthcare
       Healthcare                                                     • Healthy menus
         Service
        Service                                                         • Promotion of
                                                                       physical activity

        PAFES
       PAFES
                                                               Food Industry
                                                                • Code of Good
                     The Media                                     Practices
                                         Businesses
                                         i   and
                                         Restaurants
                                               • Menus
                                               • Foods
CATALAN FRAMEWORK 2


 Strategic direction:
 Strategic direction:
 Recognising sport’s role in society
 Recognising sport’s role in society


                                                Programme:
                                                Programme:
                                Medical
                               Medical             Sport &
                                                   Sport &
                               Services
                               Services
                                 in the
                                                    Health
                                                   Health
                                in the           Objective: to integrate
                                Sports
                                Sports          Objective: to integrate
                                                 physical activity into
                                                physical activity into
                                System
                               System              the health system
                PAFES
                PAFES                             the health system

                     Sports
                    Sports
                   equipment
                  equipment            Doping
                                       Doping
OBJECTIVES OF PAFES
    To incorporate prescribing and advising exercise as a therapeutic
tool in primary healthcare.
    To update knowledge and skills of professionals involved through
training and retraining courses, in coordination with multidisciplinary
training teams that can provide the necessary tools for developing their
roles.
   To coordinate the health care resources (primary health care and
specialist level) with regard to prescribing physical activity. sports
medicine doctor as a consultants
   To strengthen the use of existing sports facilities in the community.
   To establish communication channels within multidisciplinary teams.
   To work together with professionals from sports facilities.
 To work together with the different public organisations and sectors
involved
Health                               Sport

 Connection:
Health - Sport                     PAFES
                                   Office
                                              Sports equipment
                                                      +
                 Health Centre                 Local authority
                                                 sport offering




 Creating PAFES
     Office                         PAFES
                                 Programmes
General
    Health
                  Secretary of
  Department
                     Sport




               Sports facilities
               sports services
Healthcare
Centers

                           City Council
PROFESSIONALS INVOLVED

 Primary healthcare Physician (MD)

 Nurse (RN)

 Sports Medicine Physician (SMD)

 Physical Activity Educator (PE)
Plan for Physical Activity, Sport and Health in Catalonia
PAFES CHARACTERISTICS
• Target population: Sedentary adults with
  cardiovascular risk (Hypertension, Dyslipemia,
  Obesity and Diabetes type2 ).


• Entry point into the programme:
   – Primary healthcare center
• Recommendations of physical activity
     Advising on non-supervised physical activity
     Advising and prescribing advised physical activity
     Advising supervised physical activity (referrals to
     sports facility)
NON-SUPERVISED
Programme
   Advising on increasing progressive
exercise at low to moderate intensity.
   Aimed at those without impediments to
doing physical activity
    Healthy physical activity offered within the
city council area.
    General advice on increasing
light/moderate physical activity without
supervision
  Sedentary population with no
contraindication for PA.
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
ADVISED
Programme

   Periodically advising on increasing
physical activity with progressive
objectives.

    Aimed at people who need periodic
follow-up for doing physical activity

   Stage of change: contemplation or
determination
   Designing healthy walking routes for
each community area.
  Sedentary population with risk factors
and some stable chronic illnesses.
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
SUPERVISED
 Programme
    Advising on taking physical exercise with
initial and final evaluation by a SMD.

  Stage of change: contemplation or
determination

  male>45 yo , female > 55 yo
  2 CV risk factors

   Groups led by a PE in sports facilities.
   6 months’ duration
• Sedentary population with chronic illness
that may be controllable through exercise.
Require supervision when starting the
exercise.
Plan for Physical Activity, Sport and Health in Catalonia
Plan for Physical Activity, Sport and Health in Catalonia
ROLE OF LOCAL AUTHORITIES
Provide information, through the PAFES, on city council
sports services and also about healthy activities as ways of
promoting health (cultural routes, walks, games and leisure
activities, dances and others).

Arrange for city council sports facilities to be made
available as well as communicating with the facilities'
specialists in exercising for health (PE).

Promote the establishment of a “cheap” fee for
participants (the option for subsidies).
FUNCTIONS OF THE PAFES
To provide the logistical support to act as the link between
the Primary Healthcare Centres and sports facilities and
also with the local authorities’ healthy activities services.
To provide the necessary training on promoting health for
the sports facilities' physical exercise specialists
as well as local authority sports specialists.
To certify the training given as well as accrediting the
professionals who receive it.
To provide the professionals with knowledge in the area of
health promotion and establish a communication channel with
the primary healthcare centres at no cost to the local
authorities and sports administrators.
To create and drive a flow of users to the sports facilities,
with major possibilities for generating frequent users, once the
programme has ended.
Documents de
Referència




       Metges de l’Esport     LCAFE:
   Professionals Sanitaris    - als Ajuntaments
Equips d’Atenció Primària:    - als Equipaments
         - Centres de Salut   i Centres Esportius
ROLE OF PRIMARY HEALTHCARE TEAMS
             ( MD, RN)
Integrate the following into care for patients with CV risk
   factors:

• To coordinate the selection and overall
  management of the patient

•    To prescribe unsupervised and advised physical
    activity

• Where necessary, refer patients for supervised
  physical activity to SMD
HOW WILL BE THE INFORMATION
                 RECORDED?
The physical activity will be recorded in the medical history

        START: Stage of change
               Type of advice and prescription of physical
               activity

        FOLLOW-UP:        Physical activity or not, prescription
        IN A YEAR:        Stage of change, Type of advice

The remaining necessary information for the evaluation is extracted
   from what is already available in the “e-CAP” (patient characteristics
   and clinical data)
ROLE OF SPORTS MEDICINE DOCTORS

• To participate in training courses aimed at
  primary healthcare professionals

• To act as consultants for the professionals
  involved

• To prescribe supervised physical activity for
  patients referred from primary healthcare
  center, with an initial evaluation and a further
  evaluation after 6 months
ROLE OF
    PHYSICAL ACTIVITY EDUCATOR (PE)
•   To be responsible for carrying out supervised physical
    activity programmes in designated centres (including
    initial and final evaluation of patients)


• To coordinate with Primary Healthcare Centres and SMD


• To participate in training courses aimed at primary
  healthcare professionals
PRIMARY HEALTHCARE TEAM
      RESOURCES
Support material
• Professionals
    – PEFS Guide
    – Course material

•   Patients   Leaflets

Training workshop (8 hours)
         • Train the trainers strategy at 3 levels:
                   CENTRAL
                   REGIONAL
                   PRIMARY HEALTHCARE CENTRES as a CLINICAL SESSION
         • Ongoing training credits

Periodic consultations with Sports medicine physician
Sport professional TEAM
            RESOURCES
Support material
• Professionals
    – PEFS Guide
    – Course material

•   Patients    Leaflets

Training workshop (20 hours)
         • Train the trainers strategy at 2 levels:
                   CENTRAL
                   REGIONAL

          • Ongoing training credits

Periodic consultations with Sports medicine physician
Plan for Physical Activity, Sport and Health in Catalonia

Contenu connexe

En vedette

Systematic REVIEW
Systematic REVIEWSystematic REVIEW
Systematic REVIEWAprili18
 
Optimising performance through acute pre, during and post-exercise practices
Optimising performance through acute pre, during and post-exercise practices Optimising performance through acute pre, during and post-exercise practices
Optimising performance through acute pre, during and post-exercise practices markru55ell
 
Pp1 pre quiz risk factors chronic diseases
Pp1 pre quiz risk factors chronic diseasesPp1 pre quiz risk factors chronic diseases
Pp1 pre quiz risk factors chronic diseasesmthen1
 
Coronary Heart Disease
Coronary Heart DiseaseCoronary Heart Disease
Coronary Heart Diseasecphcosu
 
Career in sports & health science
Career in sports & health scienceCareer in sports & health science
Career in sports & health scienceMary Ann santiago
 
Acute effect of steady level exerise on vital parameters
Acute effect of steady level exerise on vital parametersAcute effect of steady level exerise on vital parameters
Acute effect of steady level exerise on vital parametersnikita manjanwal
 
2015: How do we encourage our patients to exercise?-Linke
2015: How do we encourage our patients to exercise?-Linke2015: How do we encourage our patients to exercise?-Linke
2015: How do we encourage our patients to exercise?-LinkeSDGWEP
 
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health Club
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubExercise Is Medicine: How a Medical Fitness Center Differs from a Health Club
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubMercy Medical Center
 
Physical activity and exercise
Physical activity and exercisePhysical activity and exercise
Physical activity and exercisehedson juanga
 
Exercise physiology powerpoint
Exercise physiology powerpointExercise physiology powerpoint
Exercise physiology powerpointmrsdavison
 
Types of sports
Types of sportsTypes of sports
Types of sportsULACIT
 
Sport presentation pdf
Sport presentation pdfSport presentation pdf
Sport presentation pdfEva Walkembach
 

En vedette (20)

Systematic REVIEW
Systematic REVIEWSystematic REVIEW
Systematic REVIEW
 
nutrition
nutrition nutrition
nutrition
 
Optimising performance through acute pre, during and post-exercise practices
Optimising performance through acute pre, during and post-exercise practices Optimising performance through acute pre, during and post-exercise practices
Optimising performance through acute pre, during and post-exercise practices
 
Pp1 pre quiz risk factors chronic diseases
Pp1 pre quiz risk factors chronic diseasesPp1 pre quiz risk factors chronic diseases
Pp1 pre quiz risk factors chronic diseases
 
Exercise
ExerciseExercise
Exercise
 
Coronary Heart Disease
Coronary Heart DiseaseCoronary Heart Disease
Coronary Heart Disease
 
Career in sports & health science
Career in sports & health scienceCareer in sports & health science
Career in sports & health science
 
Acute effect of steady level exerise on vital parameters
Acute effect of steady level exerise on vital parametersAcute effect of steady level exerise on vital parameters
Acute effect of steady level exerise on vital parameters
 
2015: How do we encourage our patients to exercise?-Linke
2015: How do we encourage our patients to exercise?-Linke2015: How do we encourage our patients to exercise?-Linke
2015: How do we encourage our patients to exercise?-Linke
 
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health Club
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubExercise Is Medicine: How a Medical Fitness Center Differs from a Health Club
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health Club
 
Responses to exercise
Responses to exerciseResponses to exercise
Responses to exercise
 
Physical activity and exercise
Physical activity and exercisePhysical activity and exercise
Physical activity and exercise
 
Exercise physiology powerpoint
Exercise physiology powerpointExercise physiology powerpoint
Exercise physiology powerpoint
 
Types of sports
Types of sportsTypes of sports
Types of sports
 
Dissertation
DissertationDissertation
Dissertation
 
Sports
SportsSports
Sports
 
Sports And Health
Sports And HealthSports And Health
Sports And Health
 
Sport presentation pdf
Sport presentation pdfSport presentation pdf
Sport presentation pdf
 
Sports and health
Sports and healthSports and health
Sports and health
 
Unit 14: EHL PowerPoint
Unit 14: EHL PowerPointUnit 14: EHL PowerPoint
Unit 14: EHL PowerPoint
 

Similaire à Plan for Physical Activity, Sport and Health in Catalonia

Despina Spanou presentation for Age UK
Despina Spanou presentation for Age UKDespina Spanou presentation for Age UK
Despina Spanou presentation for Age UKAge UK
 
St3 health inequalities session
St3 health inequalities sessionSt3 health inequalities session
St3 health inequalities sessionnmurraycavanagh
 
National Programme for Health Care of the Elderly recovered.pptx
National Programme for Health Care of the Elderly recovered.pptxNational Programme for Health Care of the Elderly recovered.pptx
National Programme for Health Care of the Elderly recovered.pptxMedha Sharma
 
Youth Perspectives on Social Determinants, Health Equity, and Global Governance
Youth Perspectives on Social Determinants, Health Equity, and Global GovernanceYouth Perspectives on Social Determinants, Health Equity, and Global Governance
Youth Perspectives on Social Determinants, Health Equity, and Global GovernanceRenzo Guinto
 
Masterclass on Public Health and Transport 21st November 2012
Masterclass on Public Health and Transport 21st November 2012Masterclass on Public Health and Transport 21st November 2012
Masterclass on Public Health and Transport 21st November 2012Movement for Liveable London
 
Integrated group project (x)
Integrated group project (x)Integrated group project (x)
Integrated group project (x)Sanchit Gautam
 
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...Kelli Buckreus
 
GPST1 ERP comm orientn health ineq 03102012 nmc DE and cases
GPST1 ERP comm orientn health ineq  03102012 nmc DE and casesGPST1 ERP comm orientn health ineq  03102012 nmc DE and cases
GPST1 ERP comm orientn health ineq 03102012 nmc DE and casesnmurraycavanagh
 
World Health Organization, its role in solving population's health problems
World Health Organization, its role in solving population's health problemsWorld Health Organization, its role in solving population's health problems
World Health Organization, its role in solving population's health problemsEneutron
 
NPCDCS by Dr. Tabeer Shoaib
NPCDCS by Dr. Tabeer ShoaibNPCDCS by Dr. Tabeer Shoaib
NPCDCS by Dr. Tabeer ShoaibTabeer Shoaib
 
community geriatrics
community geriatricscommunity geriatrics
community geriatricsMenka Garg
 

Similaire à Plan for Physical Activity, Sport and Health in Catalonia (20)

Despina Spanou presentation for Age UK
Despina Spanou presentation for Age UKDespina Spanou presentation for Age UK
Despina Spanou presentation for Age UK
 
St3 health inequalities session
St3 health inequalities sessionSt3 health inequalities session
St3 health inequalities session
 
National Programme for Health Care of the Elderly recovered.pptx
National Programme for Health Care of the Elderly recovered.pptxNational Programme for Health Care of the Elderly recovered.pptx
National Programme for Health Care of the Elderly recovered.pptx
 
Youth Perspectives on Social Determinants, Health Equity, and Global Governance
Youth Perspectives on Social Determinants, Health Equity, and Global GovernanceYouth Perspectives on Social Determinants, Health Equity, and Global Governance
Youth Perspectives on Social Determinants, Health Equity, and Global Governance
 
Masterclass on Public Health and Transport 21st November 2012
Masterclass on Public Health and Transport 21st November 2012Masterclass on Public Health and Transport 21st November 2012
Masterclass on Public Health and Transport 21st November 2012
 
Health and well-being in times of austerity
Health and well-being in times of austerityHealth and well-being in times of austerity
Health and well-being in times of austerity
 
NCD Prevention in Cameroon
NCD Prevention in CameroonNCD Prevention in Cameroon
NCD Prevention in Cameroon
 
Integrated group project (x)
Integrated group project (x)Integrated group project (x)
Integrated group project (x)
 
Obesity in rwanda
Obesity in rwandaObesity in rwanda
Obesity in rwanda
 
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...
 
Obesity.pdf
Obesity.pdfObesity.pdf
Obesity.pdf
 
The ASSET Trial
The ASSET TrialThe ASSET Trial
The ASSET Trial
 
Social determinants labour plp
Social determinants labour plpSocial determinants labour plp
Social determinants labour plp
 
GPST1 ERP comm orientn health ineq 03102012 nmc DE and cases
GPST1 ERP comm orientn health ineq  03102012 nmc DE and casesGPST1 ERP comm orientn health ineq  03102012 nmc DE and cases
GPST1 ERP comm orientn health ineq 03102012 nmc DE and cases
 
World Health Organization, its role in solving population's health problems
World Health Organization, its role in solving population's health problemsWorld Health Organization, its role in solving population's health problems
World Health Organization, its role in solving population's health problems
 
Geriatric Health.pptx
Geriatric Health.pptxGeriatric Health.pptx
Geriatric Health.pptx
 
Breda opac2013
Breda opac2013Breda opac2013
Breda opac2013
 
NPCDCS by Dr. Tabeer Shoaib
NPCDCS by Dr. Tabeer ShoaibNPCDCS by Dr. Tabeer Shoaib
NPCDCS by Dr. Tabeer Shoaib
 
Vylh congress fontana 5.26.11
Vylh congress fontana 5.26.11Vylh congress fontana 5.26.11
Vylh congress fontana 5.26.11
 
community geriatrics
community geriatricscommunity geriatrics
community geriatrics
 

Plus de Sport Countries Xarxa de Països Esportius

Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...
Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...
Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...Sport Countries Xarxa de Països Esportius
 
Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...
Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...
Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...Sport Countries Xarxa de Països Esportius
 
Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...
Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...
Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...Sport Countries Xarxa de Països Esportius
 
Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...
Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...
Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...Sport Countries Xarxa de Països Esportius
 
Contribution of epidemiology in sport practice. Health in High Performance Sp...
Contribution of epidemiology in sport practice. Health in High Performance Sp...Contribution of epidemiology in sport practice. Health in High Performance Sp...
Contribution of epidemiology in sport practice. Health in High Performance Sp...Sport Countries Xarxa de Països Esportius
 
Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...
Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...
Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...Sport Countries Xarxa de Països Esportius
 
La práctica de la actividad física en la población de Girona y su relación co...
La práctica de la actividad física en la población de Girona y su relación co...La práctica de la actividad física en la población de Girona y su relación co...
La práctica de la actividad física en la población de Girona y su relación co...Sport Countries Xarxa de Països Esportius
 

Plus de Sport Countries Xarxa de Països Esportius (20)

Le VIH / Sida au Mali : évolution et impacts à l'horizon du 2010
Le VIH / Sida au Mali : évolution et impacts à l'horizon du 2010Le VIH / Sida au Mali : évolution et impacts à l'horizon du 2010
Le VIH / Sida au Mali : évolution et impacts à l'horizon du 2010
 
Història de l’exercici físic i la seva importància per a la salut
Història de l’exercici físic i la seva importància per a la salutHistòria de l’exercici físic i la seva importància per a la salut
Història de l’exercici físic i la seva importància per a la salut
 
Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...
Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...
Place de l’éléctrocardiogramme dans l'évaluation de l'aptitude des jeunes foo...
 
Sport and health policies
Sport and health policiesSport and health policies
Sport and health policies
 
Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...
Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...
Contribution of European Non Governmental Sport Organisation (ENGSO) to healt...
 
Pysical activity, sports and health: the Quebec experience
Pysical activity, sports and health: the Quebec experiencePysical activity, sports and health: the Quebec experience
Pysical activity, sports and health: the Quebec experience
 
Epidemiological study of physical fitness and physical activity in Flanders
Epidemiological study of physical fitness and physical activity in FlandersEpidemiological study of physical fitness and physical activity in Flanders
Epidemiological study of physical fitness and physical activity in Flanders
 
Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...
Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...
Mantenimiento del rol del Estado en la elaboración de políticas públicas de f...
 
El Pla d'Activitat Física, Esport i Salut (PAFES)
El Pla d'Activitat Física, Esport i Salut (PAFES)El Pla d'Activitat Física, Esport i Salut (PAFES)
El Pla d'Activitat Física, Esport i Salut (PAFES)
 
Osteofit. Dr. Jorge Cerani, former Osteofit Project Director.
Osteofit. Dr. Jorge Cerani, former Osteofit Project Director.Osteofit. Dr. Jorge Cerani, former Osteofit Project Director.
Osteofit. Dr. Jorge Cerani, former Osteofit Project Director.
 
Salud y deporte en Paraguay
Salud y deporte en ParaguaySalud y deporte en Paraguay
Salud y deporte en Paraguay
 
Taula comarcal de salut juvenil de l’Alt Empordà
Taula comarcal de salut juvenil de l’Alt EmpordàTaula comarcal de salut juvenil de l’Alt Empordà
Taula comarcal de salut juvenil de l’Alt Empordà
 
Estrategias de vida saludable en el País Vasco
Estrategias de vida saludable en el País VascoEstrategias de vida saludable en el País Vasco
Estrategias de vida saludable en el País Vasco
 
Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...
Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...
Corazón y entrenamiento, corazón y escuela: Programas desarrollados por la He...
 
Contribution of epidemiology in sport practice. Health in High Performance Sp...
Contribution of epidemiology in sport practice. Health in High Performance Sp...Contribution of epidemiology in sport practice. Health in High Performance Sp...
Contribution of epidemiology in sport practice. Health in High Performance Sp...
 
Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...
Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...
Pla integral per la promoció de la salut mitjançant l’activitat física i l’al...
 
Activitat física, salut i instal·lacions esportives
Activitat física, salut i instal·lacions esportivesActivitat física, salut i instal·lacions esportives
Activitat física, salut i instal·lacions esportives
 
La práctica de la actividad física en la población de Girona y su relación co...
La práctica de la actividad física en la población de Girona y su relación co...La práctica de la actividad física en la población de Girona y su relación co...
La práctica de la actividad física en la población de Girona y su relación co...
 
Physical activity policy and program development: the experience of Finland
Physical activity policy and program development: the experience of FinlandPhysical activity policy and program development: the experience of Finland
Physical activity policy and program development: the experience of Finland
 
Sport in Kosova
Sport in KosovaSport in Kosova
Sport in Kosova
 

Dernier

"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptxGood Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptxLikeways
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingAnonymous
 
Microbiology lecture presentation-1.pptx
Microbiology lecture presentation-1.pptxMicrobiology lecture presentation-1.pptx
Microbiology lecture presentation-1.pptxkitati1
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisNilofarRasheed1
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfMedicoseAcademics
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
concept of total quality management (TQM).
concept of total quality management (TQM).concept of total quality management (TQM).
concept of total quality management (TQM).kishan singh tomar
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxsumanchaulagain3
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 

Dernier (20)

"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptxGood Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptx
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_Wellbeing
 
Microbiology lecture presentation-1.pptx
Microbiology lecture presentation-1.pptxMicrobiology lecture presentation-1.pptx
Microbiology lecture presentation-1.pptx
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid Arthritis
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
Cone beam CT: concepts and applications.pptx
Cone beam CT: concepts and applications.pptxCone beam CT: concepts and applications.pptx
Cone beam CT: concepts and applications.pptx
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdf
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
concept of total quality management (TQM).
concept of total quality management (TQM).concept of total quality management (TQM).
concept of total quality management (TQM).
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptx
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 

Plan for Physical Activity, Sport and Health in Catalonia

  • 1. Plan of Physical Activity, Sport & Health
  • 2. DEFINITION Health-promotion programme for primary health-care services, based on prescribing and advising physical activity
  • 3. WHO • According to the World Health Organization (WHO), one of the major challenges in the prevention of noncommunicable diseases and in the promotion of physical activity and other healthy lifestyle choices is communicating the importance of action now in return for future benefits. • Despite the fact that prevention has been the major contributor to health gains, including 30 added years of life expectancy, in the past century, most studies of health expenditures indicate that less than five percent of resources are devoted to prevention. • The WHO says that advocacy and policy are key • .
  • 4. Around 40% of the adult population is sedentary or minimally active Percentages by age group and risk factors. Men 100 90 80 70 PERCENTAGE 60 50 40 30 20 10 0 18-34 YEARS 35-54 YEARS 55-74 YEARS GLOBAL HTA DM HCOL BMI>25 ESCA 2006. 18-74 years. Proportion of sedentary/minimally active men (normal Physical activity)
  • 5. Around 40% of the adult population is sedentary or minimally active Percentages by age group and risk factors. Women 100 90 80 70 PERCENTAGE 60 50 40 30 20 10 0 18-34 YEARS 35-54 YEARS 55-74 YEARS GLOBAL HTA DM HCOL BMI > 25 ESCA 2006. 18-74 years. Proportion of sedentary/minimally active women (normal Physical activity)
  • 6. Physical inactivity: a health risk This is one of the 10 risk factors that contributes to the appearance of chronic illnesses: » Cardiovascular diseases » Cancer » Obesity » Type 2 diabetes These are the cause of 60% of all deaths and 47% of the global burden from sickness World Health Organisation (2002). Report on world health 2002: reducing risks and promoting healthy lifestyles
  • 7. The benefits of regular exercise Exercise and physical activity are important to health and prevention and treatment of many chronic diseases Prevention and control of: Cardiovascular disease Obesity / overweight Type 2 diabetes Cancer Osteomuscular disease Improved mental health ↓ Mortality
  • 8. The benefits of regular exercise • Exercise can also be a powerful complement to traditional medical intervention and, in many instances, may alow physician to significantly reduce a patient’s drug dose or eliminate the need for medicine altogheter .
  • 9. The benefits of regular exercise • Sport and health care professionals can play an integral role in educating your clients / patients about the medical benefits of exercise and how they can speak to MD, RN, PE about physical activity.
  • 10. Plan of Physical Activity, Sport & Health (PAFES) A joint programme of the Department of Health and General Secretary for Sport in the fight against sedentary lifestyles
  • 11. Physical Activity, Sport & Health Plan (PAFES) • Designed to help improve the health and wellbeing of our population through a regular physical activity prescription from doctors and other healthcare providers.
  • 12. Overall global framework WORLD HEALTH ORGANISATION (2004) Global Food, Physical Activity & Health Strategy EUROPEAN ECONOMIC COMMUNITY (2005) Green book: “Promoting healthy eating and physical activity: a European approach for preventing overweight, obesity and chronic illnesses”. SPAIN (2005) Strategy for Nutrition, Physical Activity and the prevention of Obesity (NAOS) CATALONIA (2005) Integrated plan for the promotion of health, through physical activity and healthy eating (PAAS)
  • 13. Global Strategies on Physical Activity for Health
  • 14. LOCAL INITIATIVES FOR PRESCRIBING PHYSICAL EXERCISE IN CATALONIA 1993 2001 2002 2004 2004 2005 2006 GRANOLLERS TERRASSA REUS MARTORELL VILANOVA LLEIDA BARCELONA Different Chronic Different Different AFIS illness Caminem PPAF programmes programmes programmes (“Let’s walk”) workshop … Ajuntament de Barcelona UME Hospital Vilanova
  • 15. CATALAN FRAMEWORK 1 Community centres City Council Training workshops: City Council Routes + labelling: 1 - Children Routes + labelling: 1 – Access to sports 2 - Adults 1 – Access to sports Schools equipment • Health education 2 equipment – Programmes • Schools menus 2 – Programmes among the • Promotion of physical among the disadvantaged activity disadvantaged population population Primary Primary Companies Healthcare Healthcare • Healthy menus Service Service • Promotion of physical activity PAFES PAFES Food Industry • Code of Good The Media Practices Businesses i and Restaurants • Menus • Foods
  • 16. CATALAN FRAMEWORK 2 Strategic direction: Strategic direction: Recognising sport’s role in society Recognising sport’s role in society Programme: Programme: Medical Medical Sport & Sport & Services Services in the Health Health in the Objective: to integrate Sports Sports Objective: to integrate physical activity into physical activity into System System the health system PAFES PAFES the health system Sports Sports equipment equipment Doping Doping
  • 17. OBJECTIVES OF PAFES To incorporate prescribing and advising exercise as a therapeutic tool in primary healthcare. To update knowledge and skills of professionals involved through training and retraining courses, in coordination with multidisciplinary training teams that can provide the necessary tools for developing their roles. To coordinate the health care resources (primary health care and specialist level) with regard to prescribing physical activity. sports medicine doctor as a consultants To strengthen the use of existing sports facilities in the community. To establish communication channels within multidisciplinary teams. To work together with professionals from sports facilities. To work together with the different public organisations and sectors involved
  • 18. Health Sport Connection: Health - Sport PAFES Office Sports equipment + Health Centre Local authority sport offering Creating PAFES Office PAFES Programmes
  • 19. General Health Secretary of Department Sport Sports facilities sports services Healthcare Centers City Council
  • 20. PROFESSIONALS INVOLVED Primary healthcare Physician (MD) Nurse (RN) Sports Medicine Physician (SMD) Physical Activity Educator (PE)
  • 22. PAFES CHARACTERISTICS • Target population: Sedentary adults with cardiovascular risk (Hypertension, Dyslipemia, Obesity and Diabetes type2 ). • Entry point into the programme: – Primary healthcare center • Recommendations of physical activity Advising on non-supervised physical activity Advising and prescribing advised physical activity Advising supervised physical activity (referrals to sports facility)
  • 23. NON-SUPERVISED Programme Advising on increasing progressive exercise at low to moderate intensity. Aimed at those without impediments to doing physical activity Healthy physical activity offered within the city council area. General advice on increasing light/moderate physical activity without supervision Sedentary population with no contraindication for PA.
  • 26. ADVISED Programme Periodically advising on increasing physical activity with progressive objectives. Aimed at people who need periodic follow-up for doing physical activity Stage of change: contemplation or determination Designing healthy walking routes for each community area. Sedentary population with risk factors and some stable chronic illnesses.
  • 29. SUPERVISED Programme Advising on taking physical exercise with initial and final evaluation by a SMD. Stage of change: contemplation or determination male>45 yo , female > 55 yo 2 CV risk factors Groups led by a PE in sports facilities. 6 months’ duration • Sedentary population with chronic illness that may be controllable through exercise. Require supervision when starting the exercise.
  • 32. ROLE OF LOCAL AUTHORITIES Provide information, through the PAFES, on city council sports services and also about healthy activities as ways of promoting health (cultural routes, walks, games and leisure activities, dances and others). Arrange for city council sports facilities to be made available as well as communicating with the facilities' specialists in exercising for health (PE). Promote the establishment of a “cheap” fee for participants (the option for subsidies).
  • 33. FUNCTIONS OF THE PAFES To provide the logistical support to act as the link between the Primary Healthcare Centres and sports facilities and also with the local authorities’ healthy activities services. To provide the necessary training on promoting health for the sports facilities' physical exercise specialists as well as local authority sports specialists. To certify the training given as well as accrediting the professionals who receive it. To provide the professionals with knowledge in the area of health promotion and establish a communication channel with the primary healthcare centres at no cost to the local authorities and sports administrators. To create and drive a flow of users to the sports facilities, with major possibilities for generating frequent users, once the programme has ended.
  • 34. Documents de Referència Metges de l’Esport LCAFE: Professionals Sanitaris - als Ajuntaments Equips d’Atenció Primària: - als Equipaments - Centres de Salut i Centres Esportius
  • 35. ROLE OF PRIMARY HEALTHCARE TEAMS ( MD, RN) Integrate the following into care for patients with CV risk factors: • To coordinate the selection and overall management of the patient • To prescribe unsupervised and advised physical activity • Where necessary, refer patients for supervised physical activity to SMD
  • 36. HOW WILL BE THE INFORMATION RECORDED? The physical activity will be recorded in the medical history START: Stage of change Type of advice and prescription of physical activity FOLLOW-UP: Physical activity or not, prescription IN A YEAR: Stage of change, Type of advice The remaining necessary information for the evaluation is extracted from what is already available in the “e-CAP” (patient characteristics and clinical data)
  • 37. ROLE OF SPORTS MEDICINE DOCTORS • To participate in training courses aimed at primary healthcare professionals • To act as consultants for the professionals involved • To prescribe supervised physical activity for patients referred from primary healthcare center, with an initial evaluation and a further evaluation after 6 months
  • 38. ROLE OF PHYSICAL ACTIVITY EDUCATOR (PE) • To be responsible for carrying out supervised physical activity programmes in designated centres (including initial and final evaluation of patients) • To coordinate with Primary Healthcare Centres and SMD • To participate in training courses aimed at primary healthcare professionals
  • 39. PRIMARY HEALTHCARE TEAM RESOURCES Support material • Professionals – PEFS Guide – Course material • Patients Leaflets Training workshop (8 hours) • Train the trainers strategy at 3 levels: CENTRAL REGIONAL PRIMARY HEALTHCARE CENTRES as a CLINICAL SESSION • Ongoing training credits Periodic consultations with Sports medicine physician
  • 40. Sport professional TEAM RESOURCES Support material • Professionals – PEFS Guide – Course material • Patients Leaflets Training workshop (20 hours) • Train the trainers strategy at 2 levels: CENTRAL REGIONAL • Ongoing training credits Periodic consultations with Sports medicine physician