UNIVERSITY OF SOUTH CAROLINA
PREVENTION RESEARCH CENTER NOTES
"Promoting Health through Physical Activity"
Greetings from the faculty, staff, and students at the USC Prevention
Research Center. We hope those of you who live in the Northern Hemisphere
are enjoying the arrival of spring! It is certainly beautiful here
in South Carolina.
The decade of the 1990's brought us a tremendous advancement in
the public health efforts to increase physical activity awareness
and action. Notable were the release of the CDC-ACSM position statement,
the Surgeon General's Report on Physical Activity and Fitness, and
the NHLBI Consensus Statement on the health benefits of regular
physical activity. We hope these reports have helped to reduce the
levels of inactivity in the U.S. If you want to find out more about
physical inactivity levels in your state, look at the website for
the Division of Physical Activity and Nutrition at the CDC (http://preview.tinyurl.com/3cs4vt).
They have provided an interactive program that allows you to review
the 10-year trends (1990-2000) in physical inactivity by state.
No doubt, you will find these data interesting for your program
planning and evaluation. Best wishes in leading an active life.
Barb Ainsworth, Director
Dennis Shepard, Deputy Director
Delores Pluto, Newsletter Editor (email@example.com)
IN THIS ISSUE - March 2002
NEWS YOU CAN USE: World Health Day, National Public Health Week,
National Walk to Lunch Day, Bike to Work Week/Day
WHAT'S HAPPENING IN WASHINGTON: FY 2003 US Budget, Congressional
Hearing on Safe Routes to School, New Transportation Charter
RESEARCH NOTES: Lifestyle Intervention Reduces Incidence of Diabetes,
Cycling to Work, PA Among European Seniors
REPORTS, SURVEYS, GUIDELINES, RESOURCES: Economic Benefits of Promoting
PA, Guidelines for Promoting PA & Nutrition, PA Evaluation Handbook,
PA Guidelines For Infants & Toddlers, Health Promotion for Older
PROMOTING ACTIVE COMMUNITIES: Working for the Nation's Wellness,
Trail Finder Maps in NY, Cycling Safely in Chicago
UPCOMING CONFERENCES AND WORKSHOPS: Bicycle Education Leaders Conference,
National Health Education/Health Promotion Conference, National
NEWS YOU CAN USE
WORLD HEALTH DAY: Don't forget World Health Day - April 7. Find
ways to "Move for
Health!" in your community on web sites hosted by the American
Association for World Health (http://www.thebody.com/aawh/aawhpage.html),
Pan American Health Organization (http://www.paho.org/default.htm),
and WHO (http://www.who.int/world-health-day)
Consider contacting media outlets in your area to make sure they
are aware of World Health Day and that its focus is physical activity
and health. Go to the links above for creative ideas to bring World
Health Day home to your community.
NATIONAL PUBLIC HEALTH WEEK: Celebrate "Healthy People In
Healthy Communities" April 1-7, 2002. For a planning kit, go
to the APHA website at http://www.apha.org/news/press/nphw.htm.
NATIONAL WALK TO LUNCH DAY: America Walks is declaring Wednesday,
May 1, 2002, "National Walk to Lunch Day." According to
the website, the idea is for people to walk at lunchtime because
walking is good for people and communities. Many people who are
unable to walk to work, for whatever reason, might be able to walk
at lunch. The walk might be to a restaurant, to a park or plaza
with a brown bag from home, or just around the block after eating.
BIKE TO WORK WEEK/DAY: For the 46th consecutive year, the League
of American Bicyclists will declare May to be National Bike Month.
The League is also promoting Bike to Work Week from May 13 - 17
and Bike-to-Work Day on Friday, May 17. For more information about
planning associated events, go to http://www.bikeleague.org/programs/bikemonth/.
WHAT'S HAPPENING IN WASHINGTON
FY 2003 US BUDGET: President Bush's proposed budget for fiscal
year 2003 contained good news for researchers by strongly supporting
efforts to double the NIH budget. This establishes an important
benchmark for Congress. While there is strong Congressional support
for substantially increasing the NIH budget, there is also pressure
put limited funds into other areas - particularly the war on terrorism.
For the Centers for Disease Control, the outlook was less optimistic.
The President recommended level funding for physical activity programs
and elimination of the new media campaign that focuses on increasing
activity among youth. The budget also proposes giving level funding
to the Preventive Health and Health Services Block Grant, which
funds many state health department physical activity efforts. Sources
on Capitol Hill speak of the need to highlight programs that work.
For Congress to increase funding for physical activity, members
want to see evidence that their investments in this arena are paying
CONGRESSIONAL HEARING ON SAFE ROUTES TO SCHOOL: On February 5,
2002, health and transportation officials and advocates took part
in a Congressional Forum to discuss their efforts to create Safe
Routes to School. Rep. Jim Oberstar of Minnesota, ranking Democrat
on the House Transportation and Infrastructure Committee, convened
and moderated the forum in the Library of Congress. In his opening
statement, Rep. Oberstar lamented the health of an "entire
generation of children who are mobility challenged." Dr. Jeff
Runge, Administrator of the National Highway Traffic Safety Administration,
emphasized the need to allow people of all ages to move about safely
and freely, to enable commerce and to promote social interaction
and health. He cautioned, however, against encouraging children
to walk or bicycle without providing a safe street environment.
Dr. Bill Dietz and Christine Branche of the Centers for Disease
Control and Prevention said having safe routes to school is important
in fighting physical inactivity and the obesity epidemic in children.
Surface Transportation Policy Project (STPP) staff members Barbara
McCann and James Corless discussed state?level efforts to use federal
safety money for Safe Routes to School projects. While programs
in California and Washington have experienced demand far in excess
of funding, state Departments of Transportation have opposed proposals
for similar programs in other states. At the forum, STPP released
an updated Summary of Safe Routes to School Programs. The document
is now available on STPP's website at http://www.transact.org.
NEW TRANSPORTATION CHARTER: The Surface Transportation Policy Project
(STPP) has begun the Alliance for a New Transportation Charter,
devoted to making transportation more sustainable, just, and environmentally
wise. The group's charter says, in part, "We call now for the
development and implementation of local, state, and national transportation
policies that provide real changes in transportation planning and
investments that fully embrace the following principles: Enhanced
Public Health, Safety, and Security; Promotion of Social Equity
and Livable Communities; Sustained Economic Prosperity; Improved
Energy Use and Environmental Protection." The Alliance intends
to highlight the successes of past federal funding of non-motorized
and alternative transportation, and to begin to articulate needs
for reauthorization of the Transportation Equity Act (TEA-21) in
2003. To read the rest of the Charter and to join, visit STPP's
website at: http://www.transact.org.
LIFESTYLE INTERVENTION REDUCES INCIDENCE OF DIABETES. This study
compared the effects of a lifestyle-intervention program and the
administration of metformin on the incidence of Type 2 Diabetes
on individuals at high risk for developing the disease. 3234 non-diabetic
individuals with increased risks for developing diabetes were randomly
assigned to either a lifestyle intervention, metformin, or placebo
group. Compared to the placebo group, the incidence of diabetes
was lower in the lifestyle-intervention group by 58% and by 31%
in the metformin group. Diabetes Prevention Program Research Group.
"Reduction in the incidence of Type 2 Diabetes with lifestyle
intervention or metformin." The New England Journal of Medicine,
346(6): 393-403, 2002.
CYCLING TO WORK: The Cycling 100 Project encouraged the use of
bicycles as a means of transportation to work for people living
in Perth, Australia. 100 people who lived close to work were provided
with a loan bicycle and were required to replace four car trips
to work each week for a year. At the end of the year, cyclists had
replaced 121,000 kilometers of driving with cycling. Other measures
revealed that significant improvements in physical work capacity,
reductions in coronary risk ratio, increases in HDL levels, decreases
in LDL levels, and increases in job satisfaction. Marshall. "Promoting
Cycling for Health and Fitness." Health Promotion Journal of
Australia, 12(3): 258-260, 2001.
PA AMONG EUROPEAN SENIORS: Europeans age 65 and older were interviewed
about their beliefs and attitudes about physical activity and exercise,
along with their levels of physical activity and health. Respondents
ranked physical activity fifth in a list of the most important factors
influencing health. Food, smoking habits, alcohol use, and stress,
respectively, were the top four influences. With increasing age
a greater proportion of subjects rated food as an important influence
while a smaller proportion rated physical activity as important.
Of the participants, 68% did not believe that they need more physical
activity and 37% of those saw age as a barrier to physical activity.
Additionally, 41% were not performing any physical activity while
50% were engaging in some activity 3.5 or more hours per week. The
most common activities reported by active participants were walking,
gardening, cycling, and swimming. Afonso, Graca, Kearney, et al.
"Physical activity in European seniors: Attitudes, beliefs,
and levels." The Journal of Nutrition, Health, and Aging, 5(4):
For additional summaries of recent research on promoting physically
active lifestyles, visit the Research Updates at http://prevention.sph.sc.edu.
REPORTS, SURVEYS, GUIDELINES, RESOURCES
ECONOMIC BENEFITS OF PROMOTING PA: The National Center for Bicycling
& Walking (NCBW) has developed a short report on the economic
benefits of bicycle- and pedestrian-based tourism and of trail development.
This report provides links and bibliographic information to help
communities justify improving environmental supports for physical
activity. Find it at http://www.walkinginfo.org/why/benefits_economic.cfm.
GUIDELINES FOR PROMOTING PA & NUTRITION: The Association of
State and Territorial Public Health Nutrition Directors' Nutrition
and Physical Activity Work Group has published "Guidelines
for Comprehensive Programs to Promote Healthy Eating and Physical
Activity". The document offers recommendations for making it
easier to live a healthy lifestyle by counteracting the impact of
living in a society that makes it easy to eat high-calorie foods
while avoiding activity. State and local health advocates can use
the Guidelines to create comprehensive nutrition, physical activity,
and obesity control programs. The document is available on line
at 6_resource_file1.pdf http://preview.tinyurl.com/2jsqs4.
PA EVALUATION HANDBOOK: The Centers for Disease Control and Prevention
has published the "Physical Activity Evaluation Handbook."
The Handbook outlines six basic steps of program evaluation and
illustrates each step with physical activity program examples. Appendices
provide information about physical activity indicators, practical
case studies, and additional evaluation resources. Look for ordering
information and links to the online document at http://www.cdc.gov/nccdphp/dnpa/physical/handbook/pdf/handbook.pdf.
PA GUIDELINES FOR INFANTS & TODDLERS: The National Association
for Sport and Physical Education (NASPE) has released the first
physical activity guidelines for infants and toddlers. Based on
the recommendations of motor development experts, movement specialists,
exercise physiologists, and medical professionals the report offers
guidelines for each age group. The guidelines are intended for teachers,
parents, caregivers, and health care professionals. Order copies
of the full document (stock number 304-10254) by calling 1-800-321-0789.
It costs $10 for NASPE/AAHPERD members and $13 for non-members.
HEALTH PROMOTION FOR OLDER ADULTS: The American Society on Aging
(ASA) and the Roybal Institute of Applied Gerontology (with funding
from the CDC) have collaborated to produce "Live Well, Live
Long: Steps to Better Health," a health promotion and disease
prevention project for older adults. The project will be composed
of online modules to enhance practitioner and organizational capacity
and understanding of the changing health and social service needs
of an aging and more diverse population. The first module is a health
promotion primer, which includes sections on Changing Behavior,
Creating Health Promotion Campaigns, Working with Mass Media, and
Creating Culturally Sensitive and Effective Health Promotion Materials.
The module is available at http://www.asaging.org/cdc/index.cfm.
PROMOTING ACTIVE COMMUNITIES
WORKING FOR THE NATION'S WELLNESS: On Feb. 26, 2002, the National
Recreation & Park Association and U.S. Department of Health
& Human Services announced the formation of a strategic partnership.
Agencies within HHS will work with NRPA leaders and staff over the
next year to develop programs, products, and services aimed at increasing
physical activity and reducing overweight and obesity nationwide.
Read the complete press release at http://www.health.gov/healthypeople/
TRAIL FINDER MAPS IN NY: The New York Parks and Conservation Association
(NYPCA) launched Trail Finder Maps, a new online guide to community
trails and greenways in New York State. The initiative is designed
to get people outdoors to be active - to bike, walk, run, cross-country
ski, ride horses, or ride snowmobiles. The website for Trail Finder
Maps is http://www.ptny.org/greenways/map_files/8.new.shtml.
CYCLING SAFELY IN CHICAGO: Mayor Daley's Bicycling Ambassadors
(managed by the Chicagoland Bicycle Federation) teach motorists
and bicyclists to better share city streets to reduce the number
of bicycling-related injuries and create more livable neighborhoods.
Teams of Ambassadors deliver bicycling expertise personally through
demonstrations and conversations in public places and at events.
The Program's 2001 Report, including an executive summary, campaign
components, and easy to use educational materials, is available
UPCOMING CONFERENCES AND WORKSHOPS
BICYCLE EDUCATION LEADERS CONFERENCE: The League of American Bicyclists,
the Wisconsin DOT, and the Bicycle Federation of Wisconsin will
hold the Bicycle Education Leaders Conference for bicycle safety
advocates and educators, June 3-5, 2002, in Madison, WI. Special
topics of the conference include Safe Routes to School, Innovative
Teaching Approaches, Safety, and Bicycle Friendly Communities.
NATIONAL HEALTH EDUCATION/HEALTH PROMOTION CONFERENCE: CDC and
the Association of State and Territorial Directors of Health Promotion
and Public Health Education are sponsoring the 20th annual Health
Education and Health Promotion conference. "Strengthening America
Through Health Education and Health Promotion Alliances" will
be held in New Orleans, LA, June 5-7, 2002. Conference themes include
Emerging Challenges, Threats, Epidemics, and Opportunities; Health
Policy and Environmental Change; Innovative Approaches to Personal
Health; and Technology, Media and Communications.
NATIONAL TRAILS SYMPOSIUM: Greenways & Trails - Crossing the
American Landscape will be held November 13-16, 2002, in Haines
City, FL (near Orlando). This is an opportunity for trail advocates,
managers, planners, and users, as well as tourism, and business
interests, to come together to communicate and experience an inspirational
and educational conference.
Writers: Delores Pluto, Lillian Smith, Regina Fields, Tracy
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Prevention Research Center Notes" are available at our website.
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The USC Prevention Research Center is a member of the CDC Prevention
Research Center's National Network, consisting of 26 Centers in
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Prevention Research Center
Norman J. Arnold School of Public Health, University of South Carolina
730 Devine Street, Columbia, South Carolina 29208
Funded by the Centers for Disease Control and Prevention
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