poster report card may
TRANSCRIPT
COLOMBIA
REPORT CARD ON PHYSICAL ACTIVITY FOR CHILDREN AND YOUTH 2014
Silvia A. González1 2, Johnattan García2 8, Olga L. Sarmiento1 2, Alexandra Bastidas1 2, María de los Ángeles Castiblanco1 2, Juan Pablo Moreno1 2, Daniel Cohen3 4, Diana M. Camargo5, Jorge E. Correa6, Diana C. Páez2, Robinson Ramírez-Vélez7, Rocío Gámez9, Óscar Lozano10, Nubia Ruiz10, Adriana Almanza10. 1Department of Public Health, School of Medicine, Universidad de los Andes, Bogotá, Colombia. 2Group of Epidemiology at Universidad de los Andes –Epiandes-, School of Medicine, Universidad de los Andes, Bogotá, Colombia. 3MASIRA Institute. School of Health Sciences, Universidad de Santander, Bucaramanga, Colombia. 4Research Department. Fundación Oftalmológica de Santander, Bucaramanga, Colombia. 5Physical Therapy School, Universidad Industrial de Santander, Bucaramanga, Colombia. 6Center for Measurement Studies in Physical Activity CEMA, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia. 7School of Physical Culture, Sports and Recreation, Universidad de Santo Tomás, Bogotá, Colombia. 8School of Law, Universidad de los Andes, Bogotá, Colombia. 9District Recreation and Sports Institute, Bogotá, Colombia, 10National Sports, Recreation, Physical Activity and Leisure Time Administrative Department -COLDEPORTES-.
ACTIVE AND HEALTHY CHILDREN AND ADOLESCENTS IN COLOMBIA 2014
2.4 2.8
CHILDREN AND ADOLESCENTS WHO SPEND 2 HOURS PER DAY OR MORE WATCHING TV OR PLAYING VIDEO-GAMES6 7
15%
30%
45%
60%
2005 2010
56.3%
CHILDREN BETWEEN 5-12 YEARS OLD
ADOLESCENTS BETWEEN 13 -17 YEARS OLD
40% 80%
65.9%
68.2%
67.0%
57.9%
2010
HOURS SPENT ON AVERAGE
p < 0.001
p < 0.001
COLOMBIASouth America
5%
10%
15%
20%
BY GENDER BY GENDERBY SOCIOECONOMIC STATUS*
OVERWEIGHT OBESITY
BY SOCIOECONOMIC STATUS*
S1S2
S3S4
S1S2 S3 S4
*ACCORDING TO THE SISBEN SURVEY, A COLOMBIAN TOOL TO IDENTIFY HOUSEHOLDS BY THEIR VULNERABILITY AND INCOME. LEVEL 1 (S1) HOUSEHOLDS ARE THE MOST VULNERABLE AND HAVE THE LOWEST INCOME.
PREVALENCE OF OVERWEIGHT AND OBESITY AMONG CHILDREN AND ADOLESCENTS (5-17 YEARS)
p < 0.001 p < 0.001
p < 0.001 p < 0.00112.2%
14.7%13.4%
11.4%
13.2%
15.0%16.6%
2.8%
4.1%6.1% 5.7%
4.7%3.4% 4.1%
10%
20%
30%
27.6% 24.2 26.0%
PREVALENCE OF MEETING WHO RECOMMENDATIONS AMONG ADOLESCENTS (13-17 YEARS)6
5%10%15%20%
2005 2010
13.9% 17.5%
p < 0.001
TABLE OF GRADESINDICATORS GRADES COMMENTS
PHYSICAL ACTIVITYOVERALL PHYSICAL ACTIVITY LEVELS 2
National surveillance data for preschool and school aged children are needed for overall PA levels. It is also necessary to promote an increase in the PA level among adolescents.
ACTIVE TRANSPORTATION INC National surveillance data are needed to evaluate active transportation to schools.
ORGANIZED SPORT PARTICIPATION 2 It is desirable to collect data on regular participation in sports and to
evaluate the effectiveness of current programs.
ACTIVE PLAY INC National surveillance data are needed to evaluate active play.
RISK FACTORSTIME SPENT IN SEDENTARY BEHAVIORS 2 Despite the high prevalence, efforts to reduce screen time in children and
adolescents are limited.
OVERWEIGHT 3 Colombia has one of the lowest prevalence of overweight in children in Latin America. However, the prevalence is increasing.
OBESITY 4 The prevalence of childhood obesity in Colombia is relatively low. A stronger application of the Law on Obesity is necessary.
LOW CARDIORESPIRATORY FITNESS
INC National data are required to assess the physical condition of children and adolescents.
LEVELS OF INFLUENCEFAMILY INC It is recommended to have data on the support and participation of parents
in physical activity in Colombia.
SCHOOL 1 Schools are the main stage for children to be active. However, this requires appropriate facilities, time within the school day and qualified instructors.
COMMUNITY - BUILT ENVIRONMENT INC National data to describe the association between the community, built
environment and physical activity in children are required.
PUBLIC POLICY
NATIONAL 4 There is an institutional arrangement with a strong normative component that is included in the different national, departmental and local agendas. However is important to evaluate both programs and policies.DEPARTAMENTAL
AND MUNICIPAL 3
NON-GOVERMENTAL STRATEGIES
2 It is necessary to document the impact of non-governmental strategies that promote physical activity and sport.
Physical activity (PA) is central to the global agenda to prevent Non-‐communicable diseases (NCD)1. Despite 80% of NCDs deaths occur in low-‐to-‐middle-‐income countries (LMIC)2, 90% of the evidence regarding PA comes from high income countries3. In Colombia, a LMIC where NCDs are recognized as a public health priority4, and PA is considered a right of all citizens5, an advocacy tool to help in the translation of evidence into concrete actions is needed.
Background
To summarize the methodology used to produce the first Report Card on Physical Activity in Colombian Children and Youth, and summarize its results.
Purpose
Methods
FIG 1. Physical activity indicators
Key Findings
1. Twelve indicators were designed and classified into 3 categories (Figure 1). Evidence and national data spanning 2005 to 2013 was summarized into these indicators.
2. A numerical grading scale was selected (5, highest, to 1, lowest). Criteria and benchmarks were based on other Report Cards.
3. A Research Work Group assessed the evidence for each indicator and assigned the grade.
ConclusionsPA levels are low and sedentary behaviors are high in Colombian children and youth. Although the prevalence of obesity in Colombia is lower compared to other Latin American countries, it is increasing. Colombia must provide appropriate facilities, time within the school day and qualified instructors to improve PA at schools. A rich legal framework and availability of institutional arrangements provide unique opportunities to bridge the gap between knowledge and practice that need to be evaluated
PREVALENCE OF OVERWEIGHT + OBESITY (>1SD) AMONG CHILDREN AND ADOLESCENTS (5-17 YEARS) 2005-2010
> 1 to ≤ 2 SD > 2 SD