Global Strategy on Diet Physical activity and Health:

1. Global Strategy on Diet Physical activity and Health: Adaptation at local and national levels to the Americas Dr Godfrey Xuereb Team Leader Population-based Prevention Department of Chronic Diseases and Health Promotion xuerebg@who.int

2. Noncommunicable disease and risk factors 60% of global deaths due to NCDs

3. High blood pressure continues to go up 40% High-income countries 30% Upper Middle-income countries % of population Lower middle-income countries 20% Low-income countries 10% 0 1980 2008 Raised blood pressure (2008) Source: WHO NCD Country Profiles (2010)

4. Overweight continues to increase 70% 60% 50% High-income countries 40% Upper Middle-income countries % of population Lower middle-income countries 30% Low-income countries 20% 10% 0% Overweight (2008) Source: WHO NCD Country Profiles (2010) 1980 2008

5. WHO Mandates to date 2000 Global Strategy for the Prevention and Control of Noncommunicable Diseases 2003 Global Strategy on Diet, Physical Activity and Health 2004 Action Plan on the Global Strategy for the Prevention and Control of NCDs 2008 Global Strategy to Reduce the Harmful Use of Alcohol 2009 WHO Global Status Report on NCDs 2010 2011 Political Declaration on NCDs 2012+ Realizing the commitments made in the Political Declaration

6. "Best buys" interventions to address NCDs

7. The General Assembly adopted by consensus the resolution titled "Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases" (document A/66/L.1).

8. What does the Political Declaration say on Diet & PA

9. What does the Political Declaration say on Diet & PA

10. Physical Inactivity

11. Physicalinactivity - 4thleadingrisk factor for global mortality Source: WHO's report on "Global health risks" 1.5 billion adults are insufficiently active

12. Percentage of insufficient physical activity comparable country estimates, 2008 Age standardized; by WHO Region and World Bank income group, men and women Source: Global Status Report on NCDs, WHO, 2001

13. Prevalence of insufficient physical activity*, ages 15+ age standardized Males, 2008 Source: Global Status Report on NCDs, WHO, 2001

14. Prevalence of insufficient physical activity*, ages 15+ age standardized Females, 2008 Source: Global Status Report on NCDs, WHO, 2001

15. Being inactive costs the country and the individual • New study* just released on the health care costs of physical inactivity in Canadian adults shows that the estimated direct, indirect and total health care costs in 2009 were: • Direct: 2.4 billion C$ (3.8% of overall health care costs) • Indirect: 4.3 billion C$ • Total Costs: 6.8 billion C$ (3.7% of overall health care costs) • Other studies** have shown that 19% of the coronary artery disease cases in Canadian men are due to physical inactivity • * Janssen, 2012, Appl. Physiol. Nutr. Metab. • ** Katzmarzyk and Janssen, 2004 Can.J. Appl. Physiol.

16. What does the Global Strategy Say

17. Global recommendations on PA for Health • 5-17 yrsold • At least 60 minutes of moderate to vigorous intensity PA daily. • +18 yrs old: • At least 150 minutes of moderate-intensity aerobic PA spread throughout the weekor • At least 75 minutes of vigorous-intensity aerobic PA spread throughout the week or an equivalent combination. • 65yrs old & above: • Should perform PA to enhance balance and prevent falls on 3 or more days/ week. • When they cannot do the recommended amounts of PA due to health conditions, they should be as physically active as their abilities and conditions allow.

18. What does the Global Strategy Say

19. National strategies on diet and physical activity GSHS Conduct a situation analysis - GSHS Mexico Cuba Dominican Republic Belize Honduras Guatemala Nicaragua El Salvador Guyana Venezuela Costa Rica Suriname Panama Columbia Ecuador Peru Brazil Anguilla Antigua and Barbuda Bahamas Barbados British Virgin Islands Cayman Islands Dominica Grenada Guyana Jamaica Montserrat St. Kitts and Nevis St. Lucia St. Vincent and the Grenadines Trinidad and Tobago Bolivia Paraguay Chile Completed Survey Implementation Workshop Data collection underway Uruguay Argentina* Data collection complete

20. National strategies on diet and physical activity • Establish a coordinating team to develop the policy/ strategy/ programme Review of Policies in selected Low and Middle Income Countries

21. National strategies on diet and physical activity • Multisectoral collaboration: • Coordinating mechanism headed or chaired by ministry of health. • Multisectoral collaboration containing representation from all key sectors.

22. What does the Global Strategy Say

23. School Policies and programs CARICOM supports Physical Education Standards for all Caribbean States – Feb 2011, Port of Spain.

24. Recommended actions for Member States • Introduce transport policies that promote active and safe methods of travelling to and from schools, such as walking or cycling; • Ensure that walking, cycling and other forms of physical activity are accessible to and safe for all;

25. Recommended actions for Member States • Improve sports, recreation and leisure facilities

26. Recommended actions for Member States • Increase the number of safe spaces available for active play

27. Recommended actions for Member States Urban Planning

28. The Floor is Yours ! http://www.who.int/dietphysicalactivity/en/