healthy places, healthy people: building partnerships to promote...
TRANSCRIPT
Healthy Places, Healthy People: Building Partnerships to Promote
Good Health
Lisa A. Cirill, M.S., Acting Chief California Center for Physical Activity California Department of Public Health
Physical Inactivity in Youths
and Adolescents • 1 in 7 youth ages 6–19 is overweight
• Children spend more time watching television in a year
than they do attending school
• 35% of children watch 5+ hours of TV a day
78% of children fall short of the recommended minimum dose of active play
Physical Inactivity
Children don’t walk anymore:
Our Kids Are in Trouble!
• In the 1970s, 70% of youngsters walked or rode bikes to school
• Today, only 14% walk or bike
Do Obese Children Become Obese Adults?
• About a third (26-41%) of obese preschool children are obese as adults
• About half (42-63%) of obese school-aged children are obese as adults
• 25% of all adults are sedentary
• Most are low-income and people of color
• > 20% get 30 minutes of PA at least 5 days/wk
Physical Inactivity in Adults
If the current trend continues, of those children born in 2000:
• 32.8% of boys and 38.5% of girls will develop diabetes
• Close to 50% of African American and Latino children will develop diabetes
Diabetes Link to Obesity
Impact of Our Legacy?
• 1/3 of all children will be diabetics
• Life span shortened by 15 years
• 1st generation in history who may not live as long as their parents
• All adults should perform 30 or more minutes of moderate-intensity physical activity on most, and preferably all days (either in a single session or accumulated in multiple bouts, each lasting at least 10 minutes)
• Children should accumulate at least 60 minutes of physical activity/active play per day
CDC-ACSM, 2007
Physical Activity Guidelines
Benefits of Physical Activity
• Increases life span by 2 years • Reduces risk of CVD by 40% • Prevents/manages high BP and Diabetes • Decreases risk of breast and colon cancers • Improves mood and mental health • Contributes to weight control • Health care costs for active adults are $300-
$400 less per year
U.S. Surgeon General’s Report, 1996
Promoting exercise has not worked
Trend in Recommended Physical Activity
Contributing Factors
• VERY complex!
• Variety of factors play a role: behavior environment genetic culture socioeconomic status
Environmental Factors
Changes are taking place in a variety of settings that negatively impact our choices:
home (e.g. too much screen time) school (e.g. lack of physical activity options) work (e.g. poor access to stairs, no locker rooms) community (e.g. parents reluctant to let kids roam
free to play, unsafe streets, urban sprawl)
Walking for transport and overweight in children
Walking for transport and overweight in adults
Traditional Vs. Suburban Designs
Illustration: Frank, LD “Health & Community Design”
Greenwald, M.J. Transportation Research Record 2001
The Built Environment = More Risks Than Just Obesity
• Diabetes • Cancers • Heart disease • Injury • Asthma • Bone health • Impotence • Depression, stress
• Air quality • Noise • Climate change • Sense of community • Crime/violence • Economic vitality • Children’s development
Americans Keep Driving More
Shift people from cars to walking and biking
What is an Activity-Friendly
Environment?
A place that makes it easy to choose to be physically active, through planned exercise
or routine daily activity
Activity-Friendly Communities
Need to design for:
• Active recreation • Active transport
Activity-Friendly Communities
Physical activity is:
• Incidental • Functional • Safe • Accessible • Pleasing • Normal
Principles of �Healthy Streets
Streets designed for people - not just cars
Principles of �Healthy Streets
Streets designed so drivers feel comfortable at slow speeds:
– 15-25 mph on neighborhood streets
– 25-35 mph on avenues and boulevards
Healthy Streets Need Good Sidewalks
• Detached from curb
• At least 5 feet wide
• Planting strip helps shade streets and sidewalk
Does Design Make �a Difference for Kids?
More children walk to school where there are sidewalks
Marin County SR2S – safety, encouragement and street improvements – 64% increase in kids walking
CA SR2S – 15% of kids walked or biked more after physical improvements (vs. 4% w/ no improvements)
Walkable neighborhoods encourage trips by bike and foot
People in traditional neighborhoods are
more likely to walk to nearby shops.
Handy, S.L. Transportation Research Record 1996
Building Physical Activity Back Into Our Daily Lives
Key Partners • Local Elected Officials • Architects and Urban Designers • Parks and Recreation • Land Use Planners • Transportation Engineers • Public Health • School Officials • Advocacy Groups • Businesses • Non-Profit Organizations • Law Enforcement • Emergency Services
Walkability Audits
More Trees
Complete Streets �Movement
Pedestrians, bicyclists, motorists and public transit users of all ages and abilities are able to safely
move along and across a complete street
Safe Routes to �School Movement
• Infrastructure • Non-infrastructure
School Siting and �Joint-Use Facilities
Then…
and now…
Shared space
Get Healthier Outdoors
“Healing the broken bond between our young and nature is in our self-interest.”
Children in Nature Movement
No Child Left Inside!
Yikes…
Governor Endorsed
Every Kid’s �Life List
• Encourage kids to go outdoors… – Make it memorable – Make it fun – Involve the family – Involve all recreation providers – Make it adaptable
Unstructured Play Areas = Active Play
My First Friend
Tree Stewardship
Greenways and Trails
Community Trees
Great Places Bring People Together
Tree Placement� Reduces Criminal Activity
• Crime Prevention through Environmental Design Institutes for planners, architects and law enforcement professionals
• Out of four principles, two focus on improving safety through placement of greenery - maximizes visibility by proper placement and spacing * street trees for shade and protection * low shrubs along buildings or pathways to control access points
Infill Projects
Trees: Camouflage and Protection
Trees Are Our Friends
Every city and unincorporated area should have a tree ordinance establishing the following:
• Existing trees in cities and unincorporated areas be maintained and preserved
• New developments and revitalization projects include a designated number of trees
• Perimeter of school sites and other public facilities are tree-lined and grounds contain sufficient amount of shade trees and edible trees
• Streetscapes include shade trees every 30’ to 50’ • Parks, greenways and open spaces serve as community
urban forests
Lisa A. Cirill, M.S. Acting Chief California Center for Physical Activity California Department of Public Health Tel: (916) 552-9943 Fax: (916) 552-9912 Email: [email protected]
www.caphysicalactivity.org