Bureau of Health Promotion 1 The Prevalence of Physical Activities among Adults in Taiwan Yu-Hsuan...

1

Bureau of Health Promotion

The Prevalence of Physical Activities among Adults in Taiw

anYu-Hsuan Lin, Chun-Yu Tsai, Shu-Ti Chiou

Bureau of Health Promotion, Department of Health,

The Executive Yuan, Taiwan

2


Outline

Background Method & Materials Results Quick Summary National Goal & Strategy

3


Background Physical inactivity ： A leading cause of disease and dis

ability. （ The Challenge of Obesity in the WHO European Region and the Strategies for Response, WHO/European, 2007 ）

Approximately 2 million deaths per year are attributed to physical inactivity, prompting WHO to issue a warning that a sedentary lifestyle could very well be among the 10 leading causes of death and disability in the world.

The health benefits of regular, moderately intense physical activity, such as decreased risk of mortality from cardiovascular diseases, seem to apply to all people, regardless of their weight.

4


Background （ Cont. ） Current recommendations on physical activity that enhances

health suggest that half an hour of moderately intense physical activity on most days of the week yields major health benefits for inactive populations. For effective prevention of overweight and obesity, at least an hour of daily activity is recommended.

15 mins a day or 90 mins a week of moderate-intensity exercise might be of benefit, even for individuals at risk of cardiovascular disease. （ Minimum amount of physical activity for reduced mort

ality and extended life expectancy: a prospective cohort study 1996-2008, Chi Pang Wen, et al., 2011 ）

5


The Role of Department of Health on Promoting Physical Activity

In order to understand the situation of physical activity comprehensively, the Department of Health in Taiwan ： conducts investigation to monitor the prevalence of

physical activity and related factors. advocates the advantages of physical activity. sets strategies to encourage people to adopt physical

activities into their daily life style.

6


Method and Materials- National Health Interview Survey

Study Subject ： Adults aged 18-64 years old, with national representative.

Years of Data Collection ： 2005, 2009. Data Collection ： Face to face interviews. Effective Sample Size ： 24,726 in 2005

20,036 in 2009

7


Strength and Limitation

Strength National representative sample High response rate of more than 80%

Limitation Self-report data Observational study

8


52.73 53.1952.25

53.53

56.48

50.58

30

40

50

60

Total Male Female

%

2005

2009

The Prevalence of Physical Activity of Adults in Taiwan

Adults who were 18-64 years old did any kind of physical activities in past 2 weeks were viewed as exercising population in this investigation.

Data source ： 2005 and 2009 NHIS （ National Health Interview Survey ）

The exercise rate was increasing on males; however, no statistically significant difference on females.

9


Comparison of the Prevalence of Physical Activity in Different Age Groups in Males in 2005 and 2009


50.22

59.08

60.5

57.32

56.97

52.7454.3

63.92

58.85

57.69

53.3

46.746.25

65.1

30

35

40

45

50

55

60

65

70

age18-24 age25-34 age35-44 age45-54 age55-64 age65-74 older than 75

2009 Male

2005 Male

10


Comparison of the Prevalence of Physical Activity in Different Age Groups in Females in 2005 and 2009 （ Cont. ）

36.6

55.02

44.22

53.35

57.51

59.02

49.85

44.25

46.61

55.46

58.94

55.1850.69

46.8

30

35

40

45

50

55

60

65

70

age18-24 age25-34 age35-44 age45-54 age55-64 age65-74 older than 75

2009 Female

2005 Female


11


Top 10 Physical Activities in Both Genders, 2009 （ Compare with 2005 ） - Walking and Cycling Ranked as the Top 2 Choices for Both Genders.

2.68

4.01

5.63

6.1

6.57

8.04

8.75

12.47

17.07

52.72

3.11

5.03

5.18

5.37

5.38

11.63

10.85

11.45

8.56

49.64

0 10 20 30 40 50 60

3. 24

3. 87

4. 50

8. 56

8. 97

10. 18

10. 77

22. 52

22. 98

34. 82

4. 48

4. 14

3. 09

7. 60

7. 00

12. 23

15. 00

22. 25

10. 04

36. 80

40 35 30 25 20 15 10 5 0

2009

2005

Walking

Cycling

Jogging

Playing basketball

Hiking

Gymnastics

Swimming

Muscle building

Other ball games

Badminton

Walking

Cycling

Gymnastics

Jogging

Hiking

Yoga

Swimming

Aerobic Exrcise

Swinning hands

Ballroom dance


12


Relation between BMI and Physical Activity, 2009

0.58

11.17

0.95

0

0.5

1

1.5

2

underweight normal overweight obesity

Male

Data source ： 2009 NHIS （ National Health Interview Survey ）

（ BMI ＜ 18.5 ）

（ 18.5 BMI≦ ＜24 ）

（ 24 BMI≦ ＜27 ）

（ BMI 27≧ ）

Odds Ratio

13


Relation between BMI and Physical Activity, 2009 （ Cont. ）

0.65

11.09

0.75

0

0.5

1

1.5

2

underweight normal overweight obesity

Female

Data source ： 2009 NHIS （ National Health Interview Survey ）

（ BMI ＜ 18.5 ）

（ 18.5 BMI≦ ＜24 ）

（ 24 BMI≦ ＜27 ）

（ BMI 27≧ ）

Odds Ratio

14


Quick Summary

Between 2005 and 2009 ： Males had increased physical activity rate, but d

ecreased in females. Underweight and obesity groups had lower rate

than normal group in both genders. Elders had decerased physical activity rate in bo

th genders. Walking and cycling ranked top 2 in both gende

rs.

15


Physical inactivity

Source ： Global status report on noncommunicable diseases 2010

Insufficient physical activity is defined as less than five times 30 minutes of moderate activity per week, or less than three times 20 minutes of vigorous activity per week, or equivalent.

Chinese Taipei ： Insufficient physical activity is defined as less than 3 times 30 minutes of moderate activity per week

19.223.7

2831

32.537.9

43.250.2

54.760.2

61.463.3

73.9

0 10 20 30 40 50 60 70 80

Thailand(2008)

Phillippines(2003)

Germany(2005)

China(no national

France(2008)

Australia(2003)

USA(2007)

Spain(2003)

Italy(2005)

Japan(no national

Malaysia(2005)

UK(2008)

Chinese Taipei(2009)

% of population

Japan (no national data)

China(no national data)

Age standardized percentages

Our prevalence of physical inactivity is much higher than other Economies

16


Challenge

The prevalence of doing any kind of exercise in past two weeks is about 54% in Taiwan in 2009.

However, by applying the more rigid definition of “insufficient physical activity”, the rate is a staggering 74% ！

More comprehensive and intensive strategies are needed to increase nation wide physical activity level.

17


National Goal in next Ten Years Short-term goal （ 2012 ）： To raise the prevalence of regular physical activity from 26

% （ 2010 ） to 28% Mid-term goal （ 2016 ）： To raise the prevalence of regular physical activity from 26

% （ 2010 ） to 38% Long-term goal （ 2021 ）： To raise the prevalence of regular physical activity from 26

% （ 2010 ） to 52%

Regular Physical Activity ： 1. Do physical activity 3 times a week 2. Do physical activity for 30 min every time 3.Work up a sweat and pant during physical activity

18


National Strategies

Continue to promote nation-wide obesity prevention, physical activity, and encourage adults to exercise regularly.

Combine physical activity with daily life style.

Provide environment for physical activities to encourage dynamic life style.

19


Action Plans for Promoting Regular Physical Activity

Provide information on healthy physical fitness to enhance the awareness among people; maintain dynamic life style – these are the primary and secondary prevention for diseases.

View and build dynamic living environment in communities; Combine health promoting workplaces and hospitals to help people and workers develop physically active life style.

“Build a Physcially Active Island” program: provide physical activities and facilities for all ages; cooperate with Ministry of Education to recruit health promoting schools; help students develop active life style.

20


Bureau of Health Promotion 1 The Prevalence of Physical Activities among Adults in Taiwan Yu-Hsuan...

Documents

Transcript of Bureau of Health Promotion 1 The Prevalence of Physical Activities among Adults in Taiwan Yu-Hsuan...