hepa recommendations : implementation and transfer to national level by rose-marie repond

Moving Europe – Moving People 1

HEPA recommendations : implementation and

transfer to national levelRose-Marie Repond

European Physical Education Association

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Background of the recommendations (Health-enhancing PA xp group)

• White Paper on Sport (2007) EU Commission : time spent in PE and extracurricular sport activities are vital to children’s education and health

• EU Guidelines on PA (2008) : decline in PA, increase of time spent on sedentary behaviours : enormous threat , responsible for several physical, metabolic and mental comorbidities during youth ad later life (Martinez-Gomez,D. et al, 2009; 163:714-730)

• EU Work Plan for Sport (2011-2014): need for further action to promote HEPA. Council recommendation : promoting HEPA across sectors to develop cross-sectoral policies and integrated strategies involving sport, education, health, transport, environment, urban planning , society sectors. • EU Work Plan for Sport (2014-2017)

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Work-plan in sport 2014-2017 Yves Le Lostecque, EU Sport Forum, Head of the

Sport policy and programme Unit, 10 March 2016 European Commission –

DG EAC The Hague

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Priorities1. Integrity of sport, 2. The economic dimension of sport,

3. Sport and society, in particular HEPA, volunteering, employment in sport as well as education and training in sport.

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HEPA Focal point - WHO• The national HEPA focal points will, in particular, be tasked to

coordinate the process of making data on physical activity available for the monitoring framework; those data should feed into the existing WHO European database on nutrition, obesity and physical activity (NOPA); they should also facilitate interdepartmental cooperation on HEPA policies;

• part of the questionnaire to be addressed to the focal points by the WHO.. . Still challenges to develop and improve DESIGN and IMPLEMENTATION of PA POLICIES across SECTORS

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Domains and setting for physical activities• PA can take place

• At school• At workplace• During transport• At home • In open space …

Collaborative project to develop and expand monitoring and surveillance of HEPA (Council of the EU, WHO, EU commission - DG-EAC) • WHO recommendations : children and young people : 60 minutes of moderate – to vigorous –

intensity physical activity (MVPA) every day.

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The smart health governance Fig. 11. Governance for health in the 21st century , Kickbush (2011)

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Policy response (indicators - questionnaire)Factsheets on health-enhancing pa in the 28 EU MS of the who European Region, 2015, p.8• National policy • Sport for All,• National or subnational approaches to promote sports clubs for health • Expanding access to sports and /or opportunities for person with special

needs in specific sectors and settings (education, health, environment and planning sectors• to encourage counselling by health pro on PA in health care setting

• Training on HEPA in curricula • Standards in the provision of PE • Schemes to promote active travels to school, workplace

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Recommendations 2 – early childhood• All those in charge of children from birth and through early childhood

should be aware of the important role they have in starting an educational process for motor development and physical activity. Parents, educators in day-care settings, and teachers in pre-schools should be assisted to develop their knowledge and knowhow for this topic, especially for sensorimotor learning and active play. Community-based programmes should be developed and offered to parents, educators and teachers. • in some MS mandatory activities , or autonomy to choose major PE

curriculum activities (also local community realities)

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Recommendation 5 – outdoor activities• Outdoor physical activities and sports should be promoted at all

education levels. Along with extra-curricular activities, the physical education curriculum should instill lasting habits of moving regularly in outdoor settings. • Children need to spend around three hours per day under natural light • PE and PA can contribute to instill habits in outdoor settings and natural parks

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Recommendation 7 – health education• The physical education curriculum should include health education

concepts like personal and social well-being, health promotion, and healthy lifestyles from a broader perspective beyond the practice of physical activity and sport. Physical education teachers should also cooperate closely with other disciplines in school to fully develop these concepts among the education community. • Broad perspective of healthy lifestyle• Practice of PA• Promote healthy habits and behaviors

• Using stairs, walking and cycling to school, active games (not only computer games)

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Recommendation 8 – inclusive approach• Everyone should be able to participate in physical education and

extra-curricular activities through inclusive, differentiated and adapted methodologies and activities, including less active and less skilled children. Children with a disability or special educational needs should be offered adapted activities and not be excluded. • PA for all regardless of age, gender, ethnicity, social background• Adequate practice environments and approaches (prevent negative

experiences)• Include children and youth with special needs

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Recommendation 10 – 15 (PE)• Quality physical education• Qualification of the PE teachers• Support for School teachers teaching PE• One hour per day (WHO recommendation)• Assessment (benchmark)• Development and implementation of methods to ensure the high quality of

PE curriculum

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Recommendation 16 – cross sectors activities• Schools, alone or accompanied by other relevant organizations should

promote and increase the availability of physical activities outside physical education curriculum (e.g. physical activity and sport, active breaks) including the implementation of the active school concept. • Extra curricular activities• Sport competitions• Physical activities• Games ..

Daily school routine : active breaks, active afternoon, camp, activities on the way to school (active transport), afterschool activitiesSchools , other relevant organizations

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Recommendation 17 – cooperation• Schools should seek to establish a cooperative framework with sport

organisations and other local sport offers in order to promote both curricular and extra-curricular activities.• Valuable interaction – promotion of healthy lifestyles • Broadening and complementing opportunities for more physical activities• Taking in consideration individual needs, interests, reflecting cultural,

geographical, financial and other conditions • Sport organisation - relevance of cooperation, complementarity as strategic

values• Relationship between these partners : promote and highlight to strengthen

valuable interaction

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Recommendation 19• School administration should be encouraged to open their sport

facilities after schools hours to make them more accessible to local communities and sport organisations. • After school activity : make sport facilities of schools available after school

hours• Engage in partnerships with groups from local community and sport

movement

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Recommendation 23 – local policies, strategies• Local authorities should promote the necessary conditions to develop active

transport to and from school, especially reducing car traffic and speed near schools, developing safe routes for cycling or walking groups (“pedibus”) or active skating, providing bicycle racks and promoting active transport among all members of school communities. • Institutions responsible for young people’s physical, mental, social and cultural

development : other stakeholders then school: parents, educational community , sport sectors, social organisations, local authorities,

• Local authorities, in partnership with schools: active lifestyles may be enhanced by creating supporting and enabling environments

• Local authorities: implementation and coordination of cross-sectoral programmes , promoting active transport, quality information to adjust local policies and strategies

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Monitoring (rec 27,28)• Effort should be encouraged to improve data collection on HEPA with

objective measurements at the school level• The European Commission should report on the progress regarding

the implementation of these recommendations. • Methodological approach: literature review (2000-2015) , EU-28, USA,

other countries if relevant• Population groups: school aged children, university students, Physical

education teachers

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Literature – demand of EU Commission (annex to deliverable 1)

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Good practices – implementation : Germany• National initiative to promote healthy diets and physical activity

(2008-2020)• Different tasks and goals: IN FORM will sustainably improve dietary

habits and patterns of physical activity in Germany:1. Healthier lifestyle through health promotion and prevention2. Reduction on diseases which are related with insufficient exercise and unhealthy eating

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Hungary : Physical education strategy• The development of the T.E.S.I. 2020 Strategy in Hungary started in

2013 with the ultimate goal to establish and successfully implement the Hungarian Framework of Quality Physical Education• Establishing the pedagogical principals and developmental areas of Quality

Physical Education (QPE) and developing and supporting the implementation of QPE in Hungary and in the EU• Framing the elements of QPE within the structure of national public education• Framing the elements of QPE within the structure of teacher’s in-service

trainings, suppliers.• Framing the elements of QPE within the structure of teacher training

programmes on national level.

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Sectors involved

Sport, Health, Education, Transport, Environment, urban planning, public safety


IRELAND: national physical activity plan • The National Physical Activity Plan of Ireland (NPAP) has been

published by end 2015. It is the first cross-sectoral evidence-based plan to increase physical activity levels across the Irish population• The NPAP focuses on different types of actions, which recognise that

behaviour change is complex and challenging and that it takes time. The plan seeks to ensure that The plan includes time bound actions across a number of sectors including children, education, health, transport, sport and communications.

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Sectors involved Sport, Health, Education, Transport, Environment, urban planning, public safety, Working environment, Children and young people

Organisation or ministry leading the initiative

Jointly led by the Department of Transport, Tourism and Sport and the Department of Health.


UK: Moving More, Living More - the Physical Activity Olympic and Paralympic Legacy for the Nation

• issued in 2014 by the UK Government, aims to contribute to meeting Government’s ambition to increase the proportion of adults meeting physical activity recommendations. • One key action in this strategy is having strong leadership at the national,

local and community level; giving people the motivation and enthusiasm to make changes. • Active society - creating a social movement;• Moving professionals - activating networks of expertise to promote physical

activity;• Active environments - creating the right spaces

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Sectors involved

Sport, Health, Education, Transport, Environment, urban planning, public safety


Slovenia: Counselling for physical and motor development

• To reduce the risk of chronic diseases in the population, it is equally important as dietary treatment, to implement properly a variety of regular, high-quality structured, professionally managed and appropriately intense physical exercises for individuals. Physical activity contributes, in particular, to maintaining health, well-being and vitality, to developing socialising skills and creative expression and to facilitate social inclusion of individuals• is led by selected physicians and strongly supported by kinesiologist

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Sectors involved

Sport, Health, Education, Working environment, Services for senior citizens; Business, Social sector


Estonia: is Moving programme – nationwide campaign – 3 goals• The first of these is to increase the number of Estonians who are

physically active. • The second is to inform the population of the options open to them in

terms of participating in sport and physical activity. • The third is to raise awareness within the population about the

benefits of a physically active lifestyle.• spreads the message that becoming physically active is easy and fun.

It ensures that the Estonian population has the ability to participate in physical movement anywhere in the country at any time they like.

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Sectors involved

Sport, Education, Environment, urban planning, public safety, Services for senior citizens


The EU Physical Activity Guidelines identified success factors, i.e. conditions that increase the success rate of a HEPA strategy.

• Developing and communicating concrete goals, objectives and target groups; identifying timeframe • Allocating sufficient financial and human resources at all relevant levels • Creating a policy environment with support from key actors across all relevant

sectors and at all levels • Increase the support and interest of the population or specific target groups

through effective communication campaigns• Monitoring and evaluating the implementation and outcomes of the policy in a

robust and systematic way• Any other

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The EU Physical Activity Guidelines identified success factors, i.e. conditions that increase the success rate of a HEPA action plan.

• Planning concrete steps, timeframes and milestones for implementation [• Defining clear responsibilities for implementation• Allocating sufficient financial and human resources at all relevant levels • Creating a policy environment with support from key actors across all

relevant sectors and at all levels]• Increase the support and interest of the population or specific target groups

through effective communication campaigns• Monitoring and evaluating the implementation and outcomes of the policy in

a robust and systematic way • Any other14-16/11/2016


Reflection - Expert group• EU Commission recall to adopt by November 2016 and on the basis of

voluntary contributions from MS , a report on the implementation and relevance of the Work Plan (2014-2017) – preparation of a possible EU Work Plan during the first half of 2017

• Cooperation with health, education and sport systems : important dimension to be further strengthened. • Suggestion to rename EU Work Plan for Sport in Work Plan for Sport

and Physical activity

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Council conclusions invited the EU commission• to develop physical activity guidelines in ECEC (early childhood

education center) setting, schools and sport clubs, in collaboration with scientific experts including the WHO, targeting in particular policy makers, local authorities, parents, family and wider community.

• MS and sport organisations – detailed questionnaire to collect views in a structured way on different aspects of the EU Work Plan 2014-2017 and suggestions for the future. • Voice for HEPA : in future priorities

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Active voice and PASS (Call of the Council of the EU)• Active – cross sector advocacy • Transnational Study (demand of the EU Commission – Narrative as a very

complete complement)• Implementation of the EU Physical activities guidelines• The education environment – parents, family , wider community • Developing national strategy, cooperation with the sport sector , sport clubs

or federation• Initiatives to encourage local authorities to create the conditions for

developing active transport to and from school• Intensify cooperation between the policy areas responsible

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Invitation to the sport movement Contribution of Active Voice and PASS

• Contributing to the development of • close partnerships, • joint objectives and communication campaigns with the

municipalities, communities • education, youth, health sectors among others, on combating sedentary lifestyles

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Thank you

hepa recommendations : implementation and transfer to national level by rose-marie repond

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