A technical package for increasing physical activity World Health Organization
A technical package for increasing physical activity
ACTIVE Acknowledgements ACTIVE was prepared by WHo Headquarters with input from WHO Regional Offices and assistance from a number of wHo Collaborating Centers, international experts and WHo Intern fellows, who assisted in the development of the global Action plan on physical Activity, including the specific assistance of: Professor Adrian Bauman, Dr Bill Bellew, Dr Nick Cavill. Ms Orana chandrasiri. Mr daniel friedman Dr Karen milton. Professor Harry Rutter, and Dr Justin Varney. WHO acknowledges the generous input from many stakeholders, across different disciplines and from all regions of the world in supporting the development of the Global Action Plan on Physical Activity and the accompanying ACTIVE technical package ACTIVE: a technical package for increasing physical activity lsBN97892-4-151480-4 a World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons Attribution- Non Commercial Sharealike3.0igolicence(ccBy-nC-sa3.0igO:https://creatiy ns. org/ licenses/by-nc-sa/3.0/igo) Under the terms of this licence you may copy, redistribute and adapt the work for non- commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHo endorses any specific organization products or services. the use of the wHo logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: This translation was not created by the world Health Organization (wHO). WHO is a ot responsible for the content or accuracy of this translation. the original English edition shall be the binding 8 Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the world Intellectual Property Organization. citation. ACTIVE: a technical package for increasing physical activity. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA30 IGO Cataloguing-in-publication(cip)data.cipdataareavailableathttp://apps.whoint/iris. SalesrightsandlicensingTopurchaseWhopublicationsseehttp:/apps.whoint/bookorders.Tosubmit requestsforcommercialuseandqueriesonrightsandlicensingseehttp://www.whoint/about/licensing use material from this work that is attributed to a third party tables, figures or images, it is your responsibility to determine whether permission is needed for that ret to obtain permission from the copyright holder the risk of claims resulting from infringement of any third- party-owned component in the work rests solely with the use imply the expression of any opinion whatsoever on the part of who concerning the legal status of any country and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by who in preference to others of a similar nature that are not mentioned Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. recautions have been taken by who to verify the information contained in this publicatio ished material is being distributed without warranty of any kind, either expressed or implied ity for the interpretation and use of the material lies with the reader. In no event shall WHo be s arising from its use Printed in Switzerland
ACTIVE ACTIVE 2 A technical package for increasing physical activity ACTIVE was prepared by WHO Headquarters with input from WHO Regional Offices and assistance from a number of WHO Collaborating Centers, international experts and WHO Intern fellows, who assisted in the development of the Global Action Plan on Physical Activity, including the specific assistance of: Professor Adrian Bauman, Dr Bill Bellew, Dr Nick Cavill, Ms Orana Chandrasiri, Mr Daniel Friedman, Dr Karen Milton, Professor Harry Rutter, and Dr Justin Varney. WHO acknowledges the generous input from many stakeholders, across different disciplines and from all regions of the world, in supporting the development of the Global Action Plan on Physical Activity and the accompanying ACTIVE technical package. ACTIVE: a technical package for increasing physical activity ISBN 978-92-4-151480-4 © World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercialShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. ACTIVE: a technical package for increasing physical activity. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing. Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any thirdparty-owned component in the work rests solely with the user. General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. Printed in Switzerland. Acknowledgements
ACTIVE CONTENTS ACTIVE: A TOOLKIT FOR ACTION FOUR POLICY ACTION AREAS ACTIVE SOCIETIES 566 ACTIVE ENVIRONMENTS ACTIVE PEOPLE ACTIVE SYSTEMS What is physical activity? What is sedentary behaviour? 8 What are the causes of physical inactivity? HOW MUCH PHYSICAL ACTIVITY IS NEEDED FOR GOOD HEALTH? CURRENT LEVELS OF PHYSICAL INACTIVITY WHERE TO START? A WHOLE SYSTEM APPROACH TO NATIONAL ACTION SCALING FOR SUCCESS <≌00乏 PARTNERSHIPS FOR ACTION CONNECTING HEALTH POLICY PRIORITIES PHYSICAL ACTIVITY AND THE SUSTAINABLE DEVELOPMENT GOALS 19 SUPPORTING COUNTRY IMPACT MONITORING PROGRESS REFERENCES APPENDIX WHO resources supporting policy action on physical activity
ACTIVE ACTIVE 3 A technical package for increasing physical activity ACTIVE: A TOOLKIT FOR ACTION FOUR POLICY ACTION AREAS ACTIVE SOCIETIES ACTIVE ENVIRONMENTS ACTIVE PEOPLE ACTIVE SYSTEMS What is physical activity? What is sedentary behaviour? What are the causes of physical inactivity? HOW MUCH PHYSICAL ACTIVITY IS NEEDED FOR GOOD HEALTH? CURRENT LEVELS OF PHYSICAL INACTIVITY WHERE TO START? A WHOLE SYSTEM APPROACH TO NATIONAL ACTION SCALING FOR SUCCESS PARTNERSHIPS FOR ACTION CONNECTING HEALTH POLICY PRIORITIES PHYSICAL ACTIVITY AND THE SUSTAINABLE DEVELOPMENT GOALS SUPPORTING COUNTRY IMPACT MONITORING PROGRESS REFERENCES APPENDIX WHO resources supporting policy action on physical activity 4 5 6 6 7 7 8 8 8 9 10 12 13 16 17 18 19 20 21 22 23 23
ACTIVE ACTNEA TOOLKIT FOR ACTION The Global Action Plan on Physical ACTIVE is one of several WHO technical Activity 2018-2030 provides a shared packages that support countries to vision of More active people for a prevent and reduce NCD risk factors healthier world and sets out goals to others include tobacco use(MPOWER) achieve a relative reduction in global salt reduction (SHAKE), elimination of levels of physical inactivity of 10% by transfat(REPLACE) and reduction in 2025 and 15% by 2030. The action alcohol (SAFER). plan outlines four objectives and 20 可>am recommended evidence-based policies Implementation of the ACTIVE applicable and adaptable to all country technical package will be supported contexts to increase levels of physical by of a series of "how to"toolkits activity () and provides countries each one addressing in more detail with a roadmap for implementing a the specific tasks and processes 00oaco national response to increase health necessary to implement each policy and wellbeing. Collectively, the 20 recommendation across different recommended policies form a "whole settings and the life course. Priority system" approach to increasing the areas for the"how to" resources opportunities for people of all ages and focus on promoting physical activity abilities to be more physically active through social marketing campaigns, every day, at home, work, school and in in primary health care and by using their local communities school-based approaches. "How to toolkits to support multisector planning This ACTIVE technical package is the of a whole systems approach, and on first of several implementation tools creating supportive environments fo that the World Health Organization physical activity, will be forthcoming WHO) will develop to support countries WHO will also be developing a global plan, implement and evaluate the monitoring framework and supporting implementation of the Global Action capacity building initiatives to accelerate Plan. It outlines four policy action areas, implementation across multiple sectors, which directly reflect the four objectives including health, sports, transport, of the Global Action Plan endorsed by urban design, civil society, academia, the World Health Assembly in May 2018, private sector and community-based and identifies the key policies within organizations each action area: ACTIVE SOCIETIES 2. ACTIVE ENVIRONMENTS 3. ACTIVE PEOPLE ACTIVE SYSTEMS
ACTIVE ACTIVE 4 A technical package for increasing physical activity ACTIVE The Global Action Plan on Physical Activity 2018–2030 provides a shared vision of More active people for a healthier world and sets out goals to achieve a relative reduction in global levels of physical inactivity of 10% by 2025 and 15% by 2030. The action plan outlines four objectives and 20 recommended evidence-based policies applicable and adaptable to all country contexts to increase levels of physical activity (1), and provides countries with a roadmap for implementing a national response to increase health and wellbeing. Collectively, the 20 recommended policies form a “whole system” approach to increasing the opportunities for people of all ages and abilities to be more physically active every day, at home, work, school and in their local communities. This ACTIVE technical package is the first of several implementation tools that the World Health Organization (WHO) will develop to support countries plan, implement and evaluate the implementation of the Global Action Plan. It outlines four policy action areas, which directly reflect the four objectives of the Global Action Plan endorsed by the World Health Assembly in May 2018, and identifies the key policies within each action area: 1. ACTIVE SOCIETIES 2. ACTIVE ENVIRONMENTS 3. ACTIVE PEOPLE 4. ACTIVE SYSTEMS ACTIVE is one of several WHO technical packages that support countries to prevent and reduce NCD risk factors - others include tobacco use (MPOWER), salt reduction (SHAKE), elimination of transfat (REPLACE) and reduction in alcohol (SAFER). Implementation of the ACTIVE technical package will be supported by of a series of “how to” toolkits, each one addressing in more detail the specific tasks and processes necessary to implement each policy recommendation across different settings and the life course. Priority areas for the “how to” resources focus on promoting physical activity through social marketing campaigns, in primary health care and by using school-based approaches. “How to” toolkits to support multisector planning of a whole systems approach, and on creating supportive environments for physical activity, will be forthcoming. WHO will also be developing a global monitoring framework and supporting capacity building initiatives to accelerate implementation across multiple sectors, including health, sports, transport, urban design, civil society, academia, private sector and community-based organizations. 4 A technical package for increasing physical activity
ACTIVE FOUR POLICY ACTION AREAS ACTIVE SOCIETIES Implement behaviour ACTIVE campaigns and build ENVIRONMENTS workforce capacity to change social norms. Promote safe. well maintained infrastructure, facilities and public open spaces that provide equitable access to places for walking cycling and other physical activity ACTIVE <≌00乏 PEOPLE Ensure access te opportunities ACTIVE across multiple settings to SYSTEMS engage people of all ag and abilities in regular Strengthen leadership physical activity governance, multisectoral partnerships, workforce research, advocacy and information systems to support effective coordinated policy implementation
ACTIVE ACTIVE 5 A technical package for increasing physical activity ACTIVE ACTIVE SOCIETIES Implement behaviour change communication campaigns and build workforce capacity to change social norms. ACTIVE PEOPLE Ensure access to opportunities, programmes and services across multiple settings to engage people of all ages and abilities in regular physical activity. ACTIVE SYSTEMS Strengthen leadership, governance, multisectoral partnerships, workforce, research, advocacy and information systems to support effective coordinated policy implementation. ACTIVE ENVIRONMENTS Promote safe, well maintained infrastructure, facilities and public open spaces that provide equitable access to places for walking, cycling and other physical activity