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Physical Activity – Benefits to Health. Gwyn Williams Advanced Public Health Practitioner gwilliams1@cornwall.gov.uk. Quick Stretch part 1. Top 5 non-communicable disease risk factors for mortality.
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Physical Activity – Benefits to Health • Gwyn Williams • Advanced Public Health Practitioner • gwilliams1@cornwall.gov.uk
Top 5 non-communicable disease risk factors for mortality Source: WHO (2009) Global health risks: mortality and burden of disease attributable to selected major risks
Physical activity reduces risk of which of the following conditions? • Early death – by 30% • Type 2 diabetes – by up to 40% • Breast cancer – by 20% • Depression – by up to 30% • Dementia – by up to 30% • Cardiovascular disease by up to 35% • Colon cancer – by 30% • Hip fracture – by up to 68%
Why focus on Physical Activity • 1 in 6 deaths in UK* – 800 deaths in Cornwall and Isles of Scilly annually • Estimated locally at £100 million annually (PHAR 2015) • Inactive people have x 3 rate of moderate to severe depression as active people • Inactivity increases risk of high blood pressure, heart disease and osteoporosis Source: Everybody Active , Every day, PHE, 2014
Extent of the problem Is the UK less active than? • France • Netherlands • Germany • Australia • Finland • USA
International comparison of physical inactivity (at ages 15 and over) Note: Comparator = Not meeting any of the following per week: (a) 5 x 30 mins moderate-intensity activity; (b) 3 x 20 mins vigorous-intensity activity; (c) equivalent combination achieving 600 metabolic equivalent-min. Source: Public Health England (2014) Everybody Active, Every Day; Based on Hallal PC et al. (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. TheLancet.
How active are we in Cornwall? • 58% of Adults reach the CMO guidelines • <30% of 65-74 year olds reported doing any sport or exercise lasting at least 10 mins in last 4 weeks • Inactivity is <30 min/daily children, <30 min/weekly adults
Inequalities in levels of PA • In age, gender, ethnicity, deprivation and disability • Activity tends to decline with age • People in deprived areas X 2 likely to be inactive • Disabled people are half as likely to be active compared to non-disabled
Physical Activity, age and gender Source: Health Survey for England (2012))
Figure below illustrates the variation in life expectancy across one bus route in mid Cornwall for both men and women
Active Travel • An estimated 90% of the workforce in the UK commute to work, with the vast majority of these taking a ‘non-active’mode of transport • Almost 60% of commuters feel that flexible working or greater opportunity to work remotely would increase their health and wellbeing. • Cycle to work scheme
Cost of absenteeism • The average firm of 250 employees loses £4,800 per week due to sickness absence (ONS) • A Confederation of British Industry (CBI) survey, estimates employee absences incur a £15bn cost to the economy p.a. • 8.2 million Work days are lost due to mental health and stress related problems. 270,000 employees take time off work for stress related disorders. • The TUC estimates that British businesses lose 4.9m days to employee absenteeism through work related back pain at a cost £5bn p.a. • Absenteeism in the workplace can fall by as much as 42% through wellness programs
Presenteeism • Reduced productivity when employees come to work disengaged or perform at lower levels as a result of ill health. • The Centre for Mental Health calculated that presenteeism from mental ill health costs the UK economy £15.1 billion p.a Engagement with wellbeing • Users of Sit- Stand workstations unanimously claim to be more alert, task-driven and positive. • Research shows a direct link between healthy employees and improved performance. • Meetings are kept short and efficient. • Better posture and reduced risk of back pain. • Higher energy levels, especially afternoons. Source: https://www.getbritainstanding.org/sitting-cost.php
What are the benefits? • 70% of sedentary behaviour takes • place at work (get Britain standing)
Short Video • https://www.youtube.com/watch?v=whPuRLil4c0
Key Points • Low physical activity is the 4th leading modifiable cause of death globally and 7th leading modifiable cause of ill health in England. 800 deaths in Cornwall and IOS • UK guidelines recommend150 minutes of moderate or 75 minutes of vigorous activity per week for adults or a combination of both; although benefits achieved with each 10 minute bout of activity • Getting inactive people to become active has greater health benefits than getting active people to do more activity – get everybody active, every day
Small changes BIG differences How will you get more active everyday? Source: Photo taken from www.visitcornwall.com