NATIONAL AND GLOBAL STRATEGY TO REDUCTION A 10 % RELATIVE IN PREVALENCE

OF INSUFFISIENT PHYSICAL ACTIVITY

IMRAN AGUS NURALI

OUTLINE PRESENTATION Introduction Prevalence NCD’s and Risk factors Global Strategy Continuum period of Physical Activity Site place of Physical Activity Intervention National Strategy Conclusion

3

WHO Global health Risks report, 2004.

Deaths attributed to 19 leading factors, by country income level, 2004

PHYSICAL INACTIVITY in Member countries of

South-East Asia Region, 2008

Note: … indicates no data were available

Country name

Insufficiently active (2008) (Age group 15+) Insufficiently active (2008) (Age group 15+)

Crude adjusted estimates * Age-standardized adjusted estimates *

Males Females Both Sexes Males Females Both Sexes

Bangladesh 2.9 (2.4-3.4) 6.5 (5.9-7.3) 4.7 (4.3-5.1) 2.7 (2.3-3.3) 6.6 (5.9-7.3) 4.7 (4.3-5.1)

Bhutan 41.2 (12.0-64.2) 63.5 (30.1-85.0) 51.5 [18.7-73.2] 40.9 (13.4-66.0) 63.6 (30.6-85.2) 52.3 (19.7-74.1)

DPRK … ... ... ... ... ...

India 10.8 (9.9-11.8) 17.3 (16.4-18.2) 14 (13.3-14.6) 12.7 (11.8-13.7) 18.4 (17.5-19.3) 15.6 (14.9-16.2)

Indonesia 31.9 (28.7-35.1) 27.9 (25.2-30.7) 29.9 (27.8-32.0) 31.5 (28.4-34.8) 28.1 (25.4-30.9) 29.8 (27.7-31.9)

Maldives 36.6 (10.3-59.9) 41.3 (14.7-69.0) 38.9 (13.1-63.9) 36.6 (10.3-59.9) 41.3 (14.7-69.0) 39 (13.1-63.9)

Myanmar 9.8 (8.7-11.0) 14.4 (13.4-15.4) 12.2 (11.4-13.0) 10.4 (9.3-11.6) 14.9 (13.9-15.9) 12.7 (11.9-13.4)

Nepal 12.6 (3.9-36.0) 15.7 (5.1-42.1) 14.2 (4.7-41.8) 13.9 (4.5-38.3) 17 (5.9-44.1) 15.5 (5.4-44.0)

Sri Lanka 18.4 (17.4-19.4) 33.3 (32.1-34.5) 26 (25.3-26.8) 18.5 (17.5-19.5) 33.3 (32.2-34.5) 25.9 (25.1-26.7)

Thailand 16.5 (15.7-17.3) 20.7 (19.9-21.5) 18.7 (18.1-19.2) 17.1 (16.3-17.8) 21.4 (20.6-22.1) 19.2 (18.7-19.8)

Timor-Leste ... ... ...

Diabetic Mellitus 1,1%

DM (urban) 5,7%

Prevalence of Non Communicable Disease in Indonesia, 2007

Tumours 4,3‰

Rheumathoid Arthritis 30,3%

Asthma 3,5%

Hypertension 31,7%

Stroke 8,3‰

Cardiovscular disease 7,2%

Source: National Basic Health Research, 2007

Prevalence and Risk Factors of NCD’s in Indonesia

0

10

20

30

40

50

60

70

80

25-34 35-44 45-54 55-64 65-74 75+

Stroke

Hypertension

Phy inAct

DM

CHD

Figure 1- Obesity (IMT ≥ 27) by Characteristic, NBHS 2007

Gambar 5. Kurang Aktivitas Fisik Menurut Karakteristik, 2007

52.042.938.938.4

44.4

58.5

76.0

41.4

54.5 57.6

42.4 44.845.547.149.153.9

0.0

20.0

40.0

60.0

80.0

100.015

–24

25 –

34

35 –

44

45 –

54

55 –

64

65 –

74 75+

Mal

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Fem

ale

Urb

an

Rur

al

Q-1

Q-2

Q-3

Q-4

Q-5

Age group Gender Residence Exp.Level

Figure 2. Physical Inactivity by Characteristic, NBHS 2007

Age GroupGender Residence Exp. Level

GLOBAL STRATEGY

1. Adopt and implement national guidelines on physical activity for health. 2. Promote physical activity through activities of daily living, including through “active

transport” as well as through recreation, leisure and sport. 3. Develop partnerships with agencies outside the health sector, consider establishing a

multisectoral committee or coalitions to provide strategic leadership and coordination and identify and promote

4. Create and preserve built and natural environments which support physical activity in schools, work sites, clinics and hospitals, and in the wider community with a particular focus on providing infrastructure to support active transport

5. Develop policy measures directed at national and sub national urban planning and transport policies to improve the accessibility and acceptability of walking and cycling

6. Develop strategies to foster community involvement in developing and implementing local solutions and actions aimed at increasing physical activity and for young people and in all age groups.

7. Conduct public campaigns through mass media, social media and at the community level, and social marketing initiatives to inform and motivate adults and young people about the benefits of physical activity and to facilitate healthy behaviours.

8. Develop initiatives to engage all stakeholders, including NGO and civil society, economic operators, in actively and appropriately implementing actions aimed at increasing physical activity across all ages.

9. Encourage the evaluation of actions aimed at increasing physical activity to contribute to the development of an evidence base of effective and cost effective actions.

GLOBAL

• Indicator: Age-standardized prevalence of insufficient physical activity in adults aged 18+ years (defined as less than 150 minutes of moderate-intensity activity per week, or equivalent).

• Data

INDONESIA

• Indicator :

Age-standardized prevalence of insufficient physical activity in population aged over 10+ years (defined as less than 150 minutes of moderate-intensity activity per week, or equivalent).

• Data :

National Basic Health Survey 2007 stated 48.2 percent of Indonesia's population aged over 10 years lack of physical activity, where women who are physical inactivity (54.5 percent) higher than men (41.4 percent). Another National Survey in 2003 found that of the population aged 10 years and over, 74 percent physical inactivity occur during travel, 81persen during leisure time, and 14 percent less physical activity at work.

Pregnancy and

Postpartum Children Adolescents Adults

Older Adults

CONTINUUM PERIOD OF PHYSICAL ACTIVITY

SITE PLACE OF PHYSICAL ACTIVITY

1. AT HOME

2. DURING TRAVEL 3. WORKSITE PLACE

4. AT SCHOOL 5. PUBLIC PLACE

INTERVENTION : 1. INDIVIDUALLY BEHAVIOUR

PROGRAM (continuum period of PA)

2. SCHOOL BASED PHYSICAL EDUCATION

3. ENVIRONMENTAL APPROACHES 4. COMMUNITY CAMPAIGNS 5. SOCIAL SUPPORT

INTERVENTIONS IN COMMUNITY 6. POLICY APPROACHES

National Strategy of Diet and Physical Activity 2011 in Indonesia

1. Strengthen legislation to support the implementation of diversified, balanced, safe food consumption patterns, and adequate and regular physical activity

2. Partnerships and multi-sector approach and reorient of National NCDs Network and its monitoring and evaluation mechanism;

3. Resources development for implementation of actions related to diet and physical activity.

4. Address equality and diminish disparities (focus on the needs of the poorest communities and population groups).

5. Sharply scale up evidence-based cost-effective interventions by place settings (household, school, public place, workplace, and primary health care facility).

6. Field testing for actions and development of policy and strategy options for sustainability of community-based NCDs prevention.

IAN 2012

Physical inactivity is part of the problem

Physical activity is part of the solution

Intervention

to increasing physical activity

CONCLUSION

THANK YOU