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Promoting Physical Activity in Jamaica. Dr Deanna Ashley. Healthy Lifestyle Programme. Baseline Lifestyle Survey conducted yr 2000 Healthy Lifestyle Policy and Strategic Plan approved yr 2004 Programme implementation initiated 2004/05
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Promoting Physical Activityin Jamaica Dr Deanna Ashley
Healthy Lifestyle Programme • Baseline Lifestyle Survey conducted yr 2000 • Healthy Lifestyle Policy and • Strategic Plan approved yr 2004 • Programme implementation initiated 2004/05 • Repeat Life Style Survey conducted yr 2008
Background Jamaican Healthy Lifestyle Survey 2000-2001 (15-74yrs old) showed prevalence estimate of Hypertension 20.8% Diabetes mellitus 7.2% Obesity 19.7% Wilks et al 2002 These health conditions are associated with a high economic cost 3 3Ward E and Grant A, 2003
Lifestyle Survey 2007/08 -Study Design Wilks et al Nationally representative cross-sectional survey Interviewer administered questionnaire Target Group: 15- 74 year olds Field Work: November 2007 - March 2008 Sample size: 2914
Changes in Nutritional Status: 2000-2008 ***P< 0.001
Summary Almost 40% of Jamaicans reported having low physical activity levels Obesity appears to be the driver of this epidemic
Work Place Study 2003Ashley D.V. et al • Sample taken from 2 Private Sector Companies • Public Sector Health Workers
Frequency Vigorous (%) Moderate (%) Daily 3.9 24.3 3-6/week 14.2 20.4 1-3 /week 18.4 19.9 2-4 /month 6.4 6.4 1-3 /month 5.2 6.2 Once/month 18.1 10.3 Never 33.8 12.5 Self – reported Frequency of Exercise Taken for >30mins
Factors Influencing Physical Activity Behaviour • Lack of Motivation (44%) • Lack of Support (34%) • Safety (31%) • Lack of Time (44%) • Affordability (43%) • Lack of Habit 22%) • Sedentary leisure activities (88%)
Integrated Healthy Lifestyle Programme St. Ann’s Bay H/CDr. Calixto Orozco Muñoz et. al • Objective • To assess the impact of an integrated Healthy Lifestyle Programme on the Management of Chronic Diseases
Integrated Healthy Lifestyle Programme St. Ann’s Bay H/C • Target group : • Patients attending the Chronic Disease Clinic • No. of participants 122 • 58% were over age of 60 yrs
Integrated Healthy Lifestyle Programme – St. Ann’s Bay H/C • Methods • Two Year Integrated Lifestyle Programme (August 2002-September 2004): • Health Promotion • Prevention • Curative Care • Rehabilitation • Exercise Programme
Integrated Healthy Lifestyle Programme St. Ann’s Bay H/C Mean No. Risk Factors Before and After Intervention
Integrated Healthy Lifestyle Programme St. Ann’s Bay H/C • Other Results: • 23% of obese patients reduced their BMI to overweight • 44% of overweight patients achieved normal weight