NUR 512 Organization, Delivery, and Policy in Healthcare

1. Physical Activity for Healthy
People 2020
Erin Thornton
Jacksonville University

2. Physical Activity guidelines
for Americans (PAG)
The Physical Activity guidelines
for Americans, also known as
PAG, was first released in 2008
and is implemented into
Healthy People 2020.
The PAG provides science
based guidelines helping
Americans age 6 and older
improve their health through
appropriate physical activity.
( health.gov )

3. Guidelines for Healthy
People 2020
* Children & adolescents should do at least 60 minutes or more
of moderate aerobic physical activity a week.
* Adults should take part in 150 minutes of moderate exercise,
75 minutes of vigorous aerobic exercise, or a combination of
both moderate and vigorous aerobic activity per week.
* Older adults should stay active, and if they are unable to
complete 150 minutes of moderate aerobic exercise a week,
they should work out as their health conditions allow.
( health.gov )

4. Benefits of Program
Guidelines
• Understand the health benefits of physical
activity
• Learn about the types and amounts of physical
activity you need to maintain your health
• Choose appropriate physical activities that fit into
any lifestyle or routine
• Help others be more physically active
• Learn ways to reduce the risks of activity-related
injury
( health.gov )

5. Why is Physical Activity
Important?
Regardless of health status, regular physical activity can
improve health and quality of life.
For adults specifically, physical activity can lower the risk
of early death, coronary artery disease, stroke, high blood
pressure, cancers, type 2 diabetes, falls and depression.
For children and adolescents, they can have improvement
with bone health and cardiorespiratory and muscular
fitness, reduce depression and body fat percentages.
( healthypeople.gov )

6. GOAL
Improve health, fitness, and quality
of life through daily physical activity.
( healthypeople.gov )

7. Severity of Problem
More than 80% of adults & adolescents do not meet the
guidelines for both aerobic & muscle-strengthening
activities.
Across the globe, 1 in 4 adults are not active enough.
Insufficient physical activity is 1 of the 10 leading risk
factors for death.
( healthypeople.gov )
( who.int )

8. Sample Study on Physical
Activity Levels
A study was conducted in 2010, observing high school students, and
whether they met the heathy people 2020 standards for physical activity.
Analyzed data from the 2010 National Youth Physical Activity and
Nutrition Study (NYPANS), which looked at different measurements,
including height, weight, physical activity, and dietary behaviors among
students grades 9-12 was considered for this study.
It was found among students nationwide in grades 9–12, 15.3% met the
aerobic objective, 51.0% met the muscle-strengthening objective, and
12.2% met the objective for both aerobic and muscle-strengthening
activities.
(MMWR)

9. Program Objectives
1) aerobic physical activity (participation in ≥60 minutes
of aerobic activity per day, 7 days per week)
2) muscle-strengthening activity (muscle-strengthening
activities on ≥3 days per week)
3) aerobic physical activity and muscle-strengthening
activity combined
(MMWR)

10. Desired Change
Findings from the 2010 study showed that approximately 1 out of 10 high school
students in the United States met the Healthy People 2020 objectives for physical
activity.
Both aerobic and muscle-strengthening activities were lower for female students,
students in higher grade levels, and students with obesity.
Since this was the first study of its kind, these results indicate the need to improve
and increase efforts in promoting how important physical activity in young adults
is.
According to Healthy People 2020, 28.7 % of adolescents met current physical
activity guidelines for aerobic physical activity in 2011.
(MMWR)
( healthypeople.gov )

11. Accountability in Program
Evaluation & Sustainability
* An emerging issue within Healthy People 2020 is the multidisciplinary approach of
traditional (education & healthcare) and nontraditional (transportation, recreation, and
environmental health) partnerships.
* Data sources are needed to monitor key characteristics of the environment, such as the
availability and use of parks and trails and policies that promote physical activity at work,
within the community, and in schools.
* The National Physical Activity Plan (NPAP) is a part of a private-public sector that
developed policies, programs, and initiatives to help make Americans more physically active.
* Peer-reviewed publications, report, and briefs were produced in order to evaluate the NPAP
in 2011, which is an active part of the Healthy People 2020 Physical Activity initiative.
(The U.S. National Physical Activity Plan)
( health.gov )

12. Funding
Preventive Health and Health Services Block Grant
(PHHS Block Grant)
Georgia, Wisconsin, Kansas, Puerto Rico, and
Pennsylvania have funding for Healthy People 2020
from PHHS Block Grant to help promote physical
activity.
( PHHS )

13. Providing Information
( health.gov )
The CDC’s Guide to Community Preventive Services recommends the need
for evidence-based strategies to increase physical activity.
Idea: enhancing school physical education programs by increasing the time
of classes or activity levels.
The National Physical Activity Plan suggests involvement of schools,
community members, families, and the private sector to best approach the
need to increase activity levels for the public.
Public health departments can monitor community progress in providing
places and opportunities to be physically active and can track changes in the
proportion of the population meeting the Physical Activity Guidelines for
Americans. (PAG)
(MMWR)

14. Unintended Outcomes
The benefits of physical activity far outweigh the
possibility of adverse outcomes.
The main unintended outcome from increasing the
amount of physical activity a person does, is injuries.
Having a healthcare provider involved with the
development of a physical activity plan can help decrease
in the occurrence of injuries for adults and adolescents.
( health.gov )

15. ReferencesPHHS Block Grant Supports Healthy People Priorities. (2014, December 29). Retrieved August 2, 2015, from http://
www.cdc.gov/phhsblockgrant/statehpprior.htm
Physical Activity Guidelines. (2008, October 1). Retrieved August 2, 2015, from http://www.health.gov/PAGuidelines/
Physical activity levels of high school students --- United States, 2010. (2011). MMWR: Morbidity & Mortality Weekly
Report, 60(23), 773-777.
The U.S. National Physical Activity Plan. (n.d.). Retrieved August 1, 2015, from http://www.physicalactivityplan.org/
theplan.php
U.S. Department of Health and Human Services, (2015). Healthy People 2020: PhysicalActivity. Retrieved July 31, 2015
from http://www.healthypeople.gov/2020/topics-objectives/topic/physical-activity
World Health Organization (2015). PhysicalActivity. Retrieved July 30,2015 from http://www.who.int/mediacentre/factsheets/
fs385/en/