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+ Unit 3: Physical activity
  participation
  and physiological performance
+




    Area of Study 1–
    Monitoring and Promotion
    of Physical Activity
    Assessment of Physical Activity and
    Sedentary Behaviour
+
    Lifestyle Diseases


•    Lifestyle diseases are those conditions usually attributed to dramatic shifts
     in the way humans live their lives, often due to advancements in a society or
     its scientific progress.

•    Most of these illnesses can be classed as caused by the way humans behave

•    Chronic diseases of lifestyle account for millions of deaths each year
     globally. These diseases share similar modifiable risk factors, including
     hypertension, tobacco smoking, diabetes, obesity and physical inactivity.
+
    Top 10 Causes of Death Worldwide
                                                        Based on data from World Health
    Organisation
                                                        Fact Sheet No 310:   2008




                   World           Deaths in Millions         % of Deaths
    Coronary heart disease                7.2                          12.2

    Stroke and other                      5.71                          9.7
    cerebrovascular diseases
    Lower respiratory infections          4.18                          7.1

    Chronic obstructive                   3.02                          5.1
    pulmonary disease
    Diarrhoeal diseases                   2.16                          3.7

    HIV/AIDS                              2.04                          3.5

    Tuberculosis                          1.46                          2.5

    Trachea, bronchus, lung               1.32                          2.3
    cancers
    Road traffic accidents                1.27                          2.2

    Prematurity and low birth             1.18                          2.0
    weight
+




    WHO Library Cataloguing-in-Publication Data
    Global health risks: mortality and burden of disease attributable to
    selected major risks.
    2009
+
    Lifestyle Diseases
+
        Physical Activity Measurement

   Physical activity measurement has several important uses, in informing the overall
    health promotion effort and is used in:

    •    research, to understand the relationship between physical activity and a
         range of physical health and mental health outcomes.

    •    the monitoring and surveillance of physical activity levels in and among
         populations.

    •    understanding the correlates and determinants of physical activity, and to
         explain why some people or groups are more active than others.

    •    measuring the impact and effectiveness of health promotion programmes and
    interventions designed to increase physical activity.

    •   providing a sound and strong evidence base for broader initiatives in health
    promotion policy and practice.
+
        Measurable Components of
        Physical Activity
   Physical activity is a set of complex physical behaviours, with possible measurements
    made of its duration, frequency, intensity or setting.

    •   How often activity is undertaken: measures of frequency

    •   Duration of physical activity per session: expressed as total time per day

    •    Intensity of activity: activities may be classified as light, moderate or
         vigorous based on their assigned energy expenditure values („MET‟ values or
    Multiples of Basal Resting Energy)

    •   Type: specific physical activity or sport performed

    •   Domains or settings where the physical activity is performed: leisure time
        (organised – non organised), occupational, domestic, active commuting,
        incidental and sedentary.
+
    Metabolic Equivalent (METS)

       Intensity      METS    Energy    % Max HR    Examples of
     Classification          Expended                Activities
                              (kJ/min
    Low Intensity      <3      <15        <50      Walking slowly,
                                                   golf, gardening,
                                                   household
                                                   chores, sitting
    Moderate          3-6     15-30      50-70     Surfing,
    Intensity                                      performing
                                                   massage, social
                                                   badminton
    Vigorous           7+      30+        70+      Australian rules
    intensity                                      football,
                                                   shovelling
                                                   ditches, squash
+
     National Activity Guidelines

0   – 5 Years
 •    0 – 1 floor based play should be encouraged

 •    1 – 3 – should be physically active for at least three hours
      each day

 •    2 – 5 – sitting using electronic media should be limited to less
      than one hour per day
+
     National Activity Guidelines

5   – 12 Years
 •    At least 60 minutes (and up to several hours) of moderate to
      vigorous intensity activity should be completed every day

 •    no more than 2 hours per day should be spent using
      electronic media for entertainment
+
     National Activity Guidelines

 12   – 18 Years
 •     At least 60 minutes (and up to several hours) of moderate to
       vigorous intensity activity should be completed every day

 •     no more than 2 hours per day should be spent using
       electronic media for entertainment
+
     National Activity Guidelines

 Adults   18 - 65
 •    Think of movement as an opportunity, not an inconvenience

 •    Be active in as many ways as possible

 •    Put together at least 30 mins of moderate intensity activity on
      most, preferably all, days

 •    If possible enjoy some regular vigorous activity
+
     National Activity Guidelines

 Older   Adults 65+
 •    Continue to be active no matter what your age

 •    Be active every day in as many ways as possible

 •    Accumulate at least 30 mins of moderate intensity activity on
      most, preferably all, days

 •    If commencing exercise for the first time begin gradually

 •    If maintained activity levels continue to exercise at a safe
      level which you are capable of maintaining
+
        Measuring Physical Activity

   Accurate assessment of physical activity is influenced by “behavioural reactivity” – in
    which the use of measurement tools can change physical activity behaviours.

    •    Objective methods of data collection do not need the participant to process
         information and exists independently of what the participant thinks.
         Objective measures include:-
    - Direct observation
              - Pedometers
              - Accelerometers
              - Heart rate monitors

    •    Subjective measures of data collection require some level of cognitive or
         perceptual processing by the participant to create the data. These measures
         require participants to think about, and record, information about their
         physical activity levels.
         Subjective measure include:-
    • Self Report include assessment methods such as interviews, diaries, logs
           and questionnaires and rely on people to estimate or recall their own
           activity level
+   • Accelerometers are electronic motion
      sensors that detect movement in a vertical
      plane as a combined function of the
      frequency and intensity of the movement.
      Movement counts are averaged over
      defined time frames, which are stored in
      memory and
      subsequently
      downloaded to a
      computer.




    Accelerometer
+

    • Involves watching subjects behave in a
      particular environment such as
      homes, workplaces, parks or school yards.




    Direct Observation
+   • Heart rate monitors measures heart rate
      response to exercise which provides an
      indicator of activity that reflects
      physiological stress on the body.




    Heart Rate
    Monitors
+   • Pedometers assess the total number of
      steps taken and some models can
      estimate total distance travelled, time of
      total movement and energy expenditure.

    • The benchmark number of steps for
      achieving health benefits is 10,000 steps.




    Pedometers
+   • Self Report can be divided into two basic
      categories:-
      i. Recall based approaches - obtain actual
      information on activity on specific days.
      ii. General measures - focus on typical
      activity behaviour and often involve a
      series of questions about general activity
      patterns.
    • Global Physical Activity Questionnaire
      (CPAQ)
    • International Physical Activity
      Questionnaires (IPAQ)




    Self Report

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Whi u3 assessment of physical activity behaviour

  • 1. + Unit 3: Physical activity participation and physiological performance
  • 2. + Area of Study 1– Monitoring and Promotion of Physical Activity Assessment of Physical Activity and Sedentary Behaviour
  • 3. + Lifestyle Diseases • Lifestyle diseases are those conditions usually attributed to dramatic shifts in the way humans live their lives, often due to advancements in a society or its scientific progress. • Most of these illnesses can be classed as caused by the way humans behave • Chronic diseases of lifestyle account for millions of deaths each year globally. These diseases share similar modifiable risk factors, including hypertension, tobacco smoking, diabetes, obesity and physical inactivity.
  • 4. + Top 10 Causes of Death Worldwide Based on data from World Health Organisation Fact Sheet No 310: 2008 World Deaths in Millions % of Deaths Coronary heart disease 7.2 12.2 Stroke and other 5.71 9.7 cerebrovascular diseases Lower respiratory infections 4.18 7.1 Chronic obstructive 3.02 5.1 pulmonary disease Diarrhoeal diseases 2.16 3.7 HIV/AIDS 2.04 3.5 Tuberculosis 1.46 2.5 Trachea, bronchus, lung 1.32 2.3 cancers Road traffic accidents 1.27 2.2 Prematurity and low birth 1.18 2.0 weight
  • 5. + WHO Library Cataloguing-in-Publication Data Global health risks: mortality and burden of disease attributable to selected major risks. 2009
  • 6. + Lifestyle Diseases
  • 7. + Physical Activity Measurement  Physical activity measurement has several important uses, in informing the overall health promotion effort and is used in: • research, to understand the relationship between physical activity and a range of physical health and mental health outcomes. • the monitoring and surveillance of physical activity levels in and among populations. • understanding the correlates and determinants of physical activity, and to explain why some people or groups are more active than others. • measuring the impact and effectiveness of health promotion programmes and interventions designed to increase physical activity. • providing a sound and strong evidence base for broader initiatives in health promotion policy and practice.
  • 8. + Measurable Components of Physical Activity  Physical activity is a set of complex physical behaviours, with possible measurements made of its duration, frequency, intensity or setting. • How often activity is undertaken: measures of frequency • Duration of physical activity per session: expressed as total time per day • Intensity of activity: activities may be classified as light, moderate or vigorous based on their assigned energy expenditure values („MET‟ values or Multiples of Basal Resting Energy) • Type: specific physical activity or sport performed • Domains or settings where the physical activity is performed: leisure time (organised – non organised), occupational, domestic, active commuting, incidental and sedentary.
  • 9. + Metabolic Equivalent (METS) Intensity METS Energy % Max HR Examples of Classification Expended Activities (kJ/min Low Intensity <3 <15 <50 Walking slowly, golf, gardening, household chores, sitting Moderate 3-6 15-30 50-70 Surfing, Intensity performing massage, social badminton Vigorous 7+ 30+ 70+ Australian rules intensity football, shovelling ditches, squash
  • 10. + National Activity Guidelines 0 – 5 Years • 0 – 1 floor based play should be encouraged • 1 – 3 – should be physically active for at least three hours each day • 2 – 5 – sitting using electronic media should be limited to less than one hour per day
  • 11. + National Activity Guidelines 5 – 12 Years • At least 60 minutes (and up to several hours) of moderate to vigorous intensity activity should be completed every day • no more than 2 hours per day should be spent using electronic media for entertainment
  • 12. + National Activity Guidelines  12 – 18 Years • At least 60 minutes (and up to several hours) of moderate to vigorous intensity activity should be completed every day • no more than 2 hours per day should be spent using electronic media for entertainment
  • 13. + National Activity Guidelines  Adults 18 - 65 • Think of movement as an opportunity, not an inconvenience • Be active in as many ways as possible • Put together at least 30 mins of moderate intensity activity on most, preferably all, days • If possible enjoy some regular vigorous activity
  • 14. + National Activity Guidelines  Older Adults 65+ • Continue to be active no matter what your age • Be active every day in as many ways as possible • Accumulate at least 30 mins of moderate intensity activity on most, preferably all, days • If commencing exercise for the first time begin gradually • If maintained activity levels continue to exercise at a safe level which you are capable of maintaining
  • 15. + Measuring Physical Activity  Accurate assessment of physical activity is influenced by “behavioural reactivity” – in which the use of measurement tools can change physical activity behaviours. • Objective methods of data collection do not need the participant to process information and exists independently of what the participant thinks. Objective measures include:- - Direct observation - Pedometers - Accelerometers - Heart rate monitors • Subjective measures of data collection require some level of cognitive or perceptual processing by the participant to create the data. These measures require participants to think about, and record, information about their physical activity levels. Subjective measure include:- • Self Report include assessment methods such as interviews, diaries, logs and questionnaires and rely on people to estimate or recall their own activity level
  • 16. + • Accelerometers are electronic motion sensors that detect movement in a vertical plane as a combined function of the frequency and intensity of the movement. Movement counts are averaged over defined time frames, which are stored in memory and subsequently downloaded to a computer. Accelerometer
  • 17. + • Involves watching subjects behave in a particular environment such as homes, workplaces, parks or school yards. Direct Observation
  • 18. + • Heart rate monitors measures heart rate response to exercise which provides an indicator of activity that reflects physiological stress on the body. Heart Rate Monitors
  • 19. + • Pedometers assess the total number of steps taken and some models can estimate total distance travelled, time of total movement and energy expenditure. • The benchmark number of steps for achieving health benefits is 10,000 steps. Pedometers
  • 20. + • Self Report can be divided into two basic categories:- i. Recall based approaches - obtain actual information on activity on specific days. ii. General measures - focus on typical activity behaviour and often involve a series of questions about general activity patterns. • Global Physical Activity Questionnaire (CPAQ) • International Physical Activity Questionnaires (IPAQ) Self Report