scholarly journals The added value of using the HEPA PAT for physical activity policy monitoring: a four-country comparison

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Peter Gelius ◽  
◽  
Sven Messing ◽  
Sarah Forberger ◽  
Jeroen Lakerveld ◽  
...  

Abstract Background Public policy is increasingly recognized as an important component of physical activity promotion. This paper reports on the current status of physical activity policy development and implementation in four European countries based on the Health-Enhancing Physical Activity Policy Audit Tool (HEPA PAT) developed by WHO. It compares the findings to previous studies and discusses the general utility of this tool and its unique features in relation to other instruments. Methods The study was conducted as part of the Policy Evaluation Network (www.jpi-pen.eu) in Germany, Ireland, the Netherlands and Poland. Data collection built upon information obtained via the EU Physical Activity Monitoring Framework survey, additional desk research and expert opinion. Data analysis employed Howlett’s policy cycle framework to map and compare national physical activity policies in the four countries. Results In all countries under study, policy agenda-setting is influenced by prevalence data from national health monitoring systems, and the sport and/or health sector takes the lead in policy formulation. Key policy documents were located mainly in the health sector but also in sport, urban design and transport. Physical activity programmes implemented to meet policy objectives usually cover a broad range of target groups, but currently only a small selection of major policies are evaluated for effectiveness. National experts made several suggestions to other countries wishing to establish physical activity policies, e.g. regarding cross-sectoral support and coordination, comprehensive national action plans, and monitoring/surveillance. Conclusions This study provides a detailed overview of physical activity policies in the four countries. Results show that national governments are already very active in the field but that there is room for improvement in a number of areas, e.g. regarding the contribution of sectors beyond sport and health. Using the HEPA PAT simultaneously in four countries also showed that procedures and timelines have to be adapted to national contexts. Overall, the instrument can make an important contribution to understanding and informing physical activity policy, especially when used as an add-on to regular monitoring tools like the EU HEPA Monitoring Framework.

2020 ◽  
Vol 42 (3) ◽  
pp. 4-17
Author(s):  
John Saunders ◽  
Rusli Lutan

This paper considers the current status of physical education and sport science in Indonesia from the perspective of the development of the professional knowledge base and research culture surrounding its practice. It seeks to place the field’s development within the broader context of international sport studies from 1945 to 2020. It identifies as major influences the process of globalisation and the growth of international sport as a significant political and economic entity. Physical education is acknowledged as a common historical base for the three modern strands within contemporary sports studies – medical /and health science, high performance studies, and sports business management. Future developments are considered in the context of the current pandemic. Covid19 and the world’s response to it has impacted on some key dimensions which underpin the current global sports economy – namely easy and convenient travel and the gathering of crowds in the widespread consumption of live sport. It is suggested that this might cause a major reset in the conduct of elite sport and sport festivals. The continuing growth of the physical activity and health sector is predicted and in the context of the serious challenges facing the sporting sector a case is made for increased resources to be moved back into the educational study and practice of sport and physical activity as a universal good.


2020 ◽  
Vol 12 (21) ◽  
pp. 8824
Author(s):  
Karel Fromel ◽  
Michal Kudlacek ◽  
Dorota Groffik

The theoretical foundation of tourism policy is based on an interdisciplinary approach, using evidence-based findings from related scientific fields. For this reason, trends in the health and physical activity of the population should be considered as part of the promotion of healthy lifestyles in the field of tourism. The aim of this study is to support the multidisciplinary development of evidence-based tourism by using the results of long-term monitoring of physical activity (PA) preferences among youth. Furthermore, this study aims to support the continuation of education regarding tourism, behavioral changes in lifestyle, health promotion (including physical activity promotion), physical conditioning, as well as related mental conditioning. An interdisciplinary approach should lead to the adoption of knowledge, habits, and interests that lead to a lifelong readiness to participate in active tourism. The research sample of this 10-year survey consisted of 17,032 Czech and Polish respondents, aged from 12 to 25 years. A questionnaire on physical activity preferences was employed to explore the current status and trends in physical activity preferences and realization. The results show the actual status and trends in preferred and realized types of physical activity and represent an important indicator of tourism service choices for these youths, as well as predict future interests for tourism clients in schools. The analysis of the results enabled the suggestion of a prognostic model of tourism strategy focused on the integration of physical activity with tourism activities.


2019 ◽  
Vol 31 (1) ◽  
pp. 130-136 ◽  
Author(s):  
Adam Šimůnek ◽  
Jan Dygrýn ◽  
Lukáš Jakubec ◽  
Filip Neuls ◽  
Karel Frömel ◽  
...  

Purpose:Activity trackers are useful tools for physical activity promotion in adolescents, but robust validity evaluations have not been done under free-living conditions. This study evaluated the validity of the Garmin Vívofit 1 (G1) and Garmin Vívofit 3 (G3) in different settings and contexts.Methods:The participants (girls: 52%, age: 15.9 [1.9] y) wore the G1 and G3 on their nondominant wrist and the Yamax pedometer on their right hip for a period of 1 week. Validity was examined in 4 discrete segments (before school, in school, after school, and whole day). The criterion method was the Yamax pedometer.Results:Both the G1 and G3 could be considered equivalent to the Yamax pedometer regarding the before school, in school, and whole day segments. The G1 showed wider limits of agreement than G3.Conclusions:The G1 and G3 trackers exhibited acceptable validity for 3 of the 4 segments (before school, in school, and whole day measurements). The results were less accurate during the after-school segment. The evidence that the validity of the monitors varied depending on the setting and context is an important consideration for research on adolescent activity patterns.


2014 ◽  
Vol 62 (2) ◽  

Objectives: Growing interest in physical activity has led to the development of a number of organizations, networks and associations, including grass-root, professional and academic institutions. To maximize relevance and effectiveness of work undertaken in this field, we aimed at developing a systematic overview of institutions active in health-enhancing physical activity (HEPA). Methods: Systematic, purposive weblink-search complemented by expert input; classification by institutional type, main activity and synergy with goals of HEPA Europe, the European network for the promotion of HEPA. Results: Of 127 identified institutions, 42 met the criteria of being European and active in physical activity promotion. 45.3% were NGO/associations, 33.3% were networks, 11.9% WHO units or platforms and 9.5% bodies of the European Commission. Sport was the main topic of 28.6% institutions. Health promotion was represented with 21.4%, physical activity promotion and transport/environment with 19.0% each, disease prevention with 7.2% and nutrition with 4.8%. Seven institutions had a high synergy to HEPA Europe’s goals. Conclusions: The search identified many institutions, networks and initiatives, which 1. reflects the growing interest in and importance of physical activity for a number of stakeholders, 2. provides increased capacity to address this important topic on a European scale and 3. creates a “critical mass” to push the agenda forward into clearer and synergetic directions. Systematically mapping key players is a useful tool for institutions active in an environment with a multitude of actors to ensure that activities provide added value, to avoid duplication and to promote partnership and efficient use of resources.


Author(s):  
Sven Messing ◽  
Sarah Forberger ◽  
Catherine Woods ◽  
Karim Abu-Omar ◽  
Peter Gelius

Zusammenfassung Hintergrund Da Bewegungsmangel eine entscheidende Ursache für nichtübertragbare Erkrankungen ist, wurden sowohl von der Weltgesundheitsorganisation (WHO) als auch von Wissenschaftlerinnen und Wissenschaftlern weltweit verschiedene Tools zum Monitoring und Audit bewegungsfördernder Politik entwickelt. Allerdings wurden diese Tools bisher noch nicht genutzt, um systematisch und umfassend Daten zu bewegungsfördernder Politik in Deutschland zu erheben und zu analysieren. Ziel der Arbeit Die Studie hat zum Ziel, die politischen Anstrengungen zur Bewegungsförderung in Deutschland in einem systematischen Überblick darzustellen. Material und Methoden Die Erhebung wurde im Rahmen des Projekts „Policy Evaluation Network“ (www.jpi-pen.eu) unter Nutzung des Health-Enhancing Physical Activity (HEPA) Policy Audit Tools (PAT) der WHO durchgeführt. Datenquellen waren Erhebungen der WHO für das European Union Physical Activity Monitoring Framework, eigene Recherchearbeiten sowie eine Expertenbefragung. Ergebnisse Die Ergebnisse zeigen das Spektrum der relevanten Akteure und bieten einen Überblick über aktuelle politische Maßnahmen sowie die Bereiche Surveillance, Evaluation und finanzielle Förderung. Darüber hinaus identifizieren sie wichtige Erfolge der aktuellen deutschen Politik sowie bestehende Herausforderungen. Diskussion Im internationalen Vergleich fällt auf, dass andere Länder im Gegensatz zu Deutschland messbare nationale Ziele für die Förderung von Bewegung formuliert haben. Hervorzuheben ist, dass Deutschland zu der Minderheit der Staaten mit spezifischen Bewegungsempfehlungen für Menschen mit nichtübertragbaren Erkrankungen zählt. Eine besonders hohe Relevanz hat die Weiterentwicklung von Strukturen für Bewegungsförderung in Deutschland.


2020 ◽  
Vol 54 (24) ◽  
pp. 1463-1467 ◽  
Author(s):  
Karen Milton ◽  
Adrian E Bauman ◽  
Guy Faulkner ◽  
Gerard Hastings ◽  
William Bellew ◽  
...  

ObjectivesPhysical activity guidelines are evidence-based statements on recommended physical activity levels for good health. Guidelines, in isolation, are unlikely to increase population levels of physical activity; appropriate and effective communication is fundamental to maximising their impact. The aim of this paper is to provide a planning framework for physical activity guideline communication, including an overview of key audiences, aims and approaches.MethodsAll authors considered and agreed on the three broad issues to address by consensus. We identified key sources of evidence through scoping of the literature and our knowledge of the research area.ResultsWhether guidelines are global or national, communication of the physical activity guidelines should be informed by: (1) a situational analysis that considers the context in which the communication will take place and (2) a stakeholder analysis to determine the key target audiences for the communication and their values, needs and preferences. Audiences include policy-makers within and outside the health sector, other key stakeholders, the general public, specific population subgroups, health professionals and non-health professionals with a role in physical activity promotion. The aims and approach to communication will differ depending on the target audience.ConclusionCommunication to raise awareness and knowledge of the physical activity guidelines must be supported by policies, environments and opportunities for physical activity. Besides the intrinsic value of the physical activity guidelines, it is essential that substantial effort is put in to diligently planning, funding and implementing their communication from the outset.


2019 ◽  
Vol 10 ◽  
pp. 204201881983929 ◽  
Author(s):  
Olga Kordonouri ◽  
Michael C. Riddell

Smartphone technologies, and the applications (apps) that they host, are developing rapidly mainly with regard to communication, information processing, design, features and connectivity with other devices. Technologies used in modern treatment modalities and monitoring of type 1 diabetes are also rapidly evolving and can communicate with smartphones and apps. Therefore, numerous web-based and smartphone apps aim to provide information and various patient data metrics (e.g. caloric intake, activity levels, glucose monitoring) that can be accessed and processed for decision support by smartphone apps. In this narrative review, we highlight current information about the effectiveness of interventions through smartphone apps with a focus on apps designed to give guidance to patients with type 1 diabetes on physical activity monitoring and glucose control during and after structured exercise sessions, as these patients are experiencing huge therapeutic challenges during exercise. Furthermore, we propose a number of critical elements for future apps designed for people with type 1 diabetes.


Author(s):  
Peter Gelius ◽  
Antonina Tcymbal ◽  
Stephen Whiting ◽  
Sven Messing ◽  
Karim Abu-Omar ◽  
...  

Background: The COVID-19 pandemic is a major challenge for societies and governments around the world that severely affects all aspects of health promotion. This study assesses the potential influence of the first wave of the pandemic on national physical activity promotion policy in the European Union (EU). Methods: Data were collected using an online survey among members of the EU Physical Activity Focal Point Network, which consists of government officials from all EU member states. Results: The COVID-19 pandemic has significantly affected physical activity promotion across the EU. In particular, experts indicated that it has negatively impacted opportunities for physical activity in their countries. There have, however, been positive effects of the crisis on public awareness of physical activity. While almost all countries were able to issue physical activity recommendations during quarantine, opinions varied regarding the overall impact of the pandemic on governmental capacities for physical activity promotion and policy. Conclusions: This study shows that the COVID-19 crisis has had both negative and positive effects on physical activity promotion in the EU. The positive experiences reported by some members of the Focal Point Network may assist other countries in identifying potential policy windows and strategies for the ongoing pandemic.


2006 ◽  
Vol 3 (s1) ◽  
pp. S20-S29 ◽  
Author(s):  
Thomas L. Schmid ◽  
Michael Pratt ◽  
Lindsay Witmer

Background:Although policy approaches are traditionally an important element of public health efforts to address major health problems, public health policy around physical activity remains poorly defined and developed.Methods:After extensive literature searches and reviews of policy frameworks developed for other public health issues such as tobacco control and injury prevention, the Centers for Disease Control and Prevention hosted a series of workshops and discussions on physical activity policy.Results:A simple model describing relationships among policy, the environment, behavior, and health was developed, a framework for organizing and conceptualizing policy interventions was described, and priorities for public health efforts to promote physical activity were proposed.Conclusions:An expanded focus on physical activity policy interventions is warranted, and such efforts can complement physical activity promotion efforts at other levels. The addition of researchers with expertise in the policy sciences will enhance the work of existing multidisciplinary teams.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 459-459
Author(s):  
Carl-Philipp Jansen ◽  
Corinna Nerz ◽  
Sarah Labudek ◽  
Sophie Gottschalk ◽  
Judith Dams ◽  
...  

Abstract The ‘Lifestyle-integrated Functional Exercise’ (LiFE) program has been shown to reduce risk of falling via improvements in balance and strength while increasing physical activity in older adults. Its one-to-one delivery comes with considerable costs hampering large scale implementability. To potentially reduce costs, a group format (gLiFE) was developed and analyzed for its non-inferiority to LiFE in reducing activity-adjusted fall incidence after 6 months. Further, intervention costs and physical activity were analyzed. Older adults (70+ years) at risk of falling were included in this multi-centre, single-blinded, randomized non-inferiority trial. LiFE was delivered in nine intervention sessions to increase balance, strength, and physical activity, either in a group (gLiFE) or at the participant’s home (LiFE). 309 persons were randomized into gLiFE (n=153) and LiFE (n=156). Non-inferiority for activity-adjusted falls was inconclusive; the incidence risk ratio (IRR) of gLiFE was 1.350 (95% CI: 0.856; 2.128) at 6 months. Falls were largely reduced in both groups. Physical activity was superior in the gLiFE group (gLiFE +880 steps; CI 252, 1,509) which also had a cost advantage under study conditions as well as real world estimations. GLiFE was associated with lower intervention costs, making it a cost-efficient alternative to the individually delivered LiFE. The added value of gLiFE is the greater effect on physical activity, making it particularly attractive for large scale PA promotion in public health concepts. Depending on individual needs and preferences, both formats could be offered to individuals, with a greater focus on either fall prevention (LiFE) or physical activity promotion (gLiFE).


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