Updating the UK Physical Activity Guidelines: Scientific Consensus Meeting Nanette Mutrie with help from BHFNC

What are PA guidelines? They are an evidence based statement on “how much” – contextualised with ‘for what’, ‘by whom’ – specifying  intensity, (e.g., moderate, vigorous),  duration (e.g., 30 min),  frequency (e.g., 5–7 d/week)  type / mode – (sometimes stated)

Updating the UK PA guidelines The Goal The Process Led by Professor Fiona Bull

Long Term Goal: Update this table from “5 a week” 2004 (page 3)

Long Term Goal: new current PA guidelines, consistent across UK Early YearsChildren & Young people AdultsOlder Adults

Mention 5 year review Scotland

Consensus Meeting Web Consultation Technical Report Working Papers The Process Revised Papers

Web Consultation Technical Report The Process Revised Working Papers CMO report Communications: agenda, planning, and implementation Sedentary review outputs from separate work by Stuart Biddle undertaken for DH Possible Interim report from DH in lead up to CMO

What we did before the meeting Creating working groups of academic experts from UK and including one international expert Drafted working papers based on a review of reviews of scientific evidence; mostly the US scientific report; canadian review, BASES ‘in review’ papers Listed suggestions on what changes should be included in new PA guidelines in UK – these are called “recommendations”

Children & Young People Mark Tremblay Stuart Biddle John Reilly Chris Riddoch Older adults Dave Buchner Ken Fox Richard Ferguson Dawn Skelton Adults Bill Haskell Nanette Mutrie Marie Murphy Nick Wareham Early Years John Reilly Len Almond Greet Cardon Tony Okely

What we did at the meeting About 60 academics and stakeholders in total met to review the “recommendations” suggested in the working papers In plenary and breakout group sessions debated the science and the interpretation to get more feedback and revise the working paper “recommendations”

What we accomplished at the meeting We progressed the “recommendations” - editing and ‘tweaking’ the wording and intent We also raised understanding and recognition that statements that summarise the science (i.e. PA guidelines) are not the same as the “communication messages” needed to communicate to professionals and the community – these are different and sequential steps in the process

Since then …….. Expert working groups continued  Comprised of the existing members + chairs  International experts Draft the PA guidelines for 4 groups: early years; children and young people; adults; older adults Web consultation with the wider scientific and stakeholder community via web based consultation process – Nov-Dec2009

Timelines – roughly how we see it Web based consultation developed and undertaken: Nov Dec 2009 Review feedback: Jan 2010 Circulate and edit: Feb 2010 Final Technical report: March 2010 Meanwhile we plan on a UK wide CMO report and launch for 2010 –

Highlights from groups (see workshops with John Reilly, Dawn Skelton and Nanette Mutrie today also) Early years  guidance being issued! Youth  guidance unchanged – focus on engaging children in enjoyable activities Adults  150 minutes; vigorous; strength Older adults  as above plus balance

Early Years + Sedentary (0-<5) Expert Working Group formed Working Paper drafted Sedentary (5+ Years) Expert Working Group formed Position Paper drafted Web-based Consultation 3 rd Dec 2009 – 8 th Jan 2010 Web-based Consultation 23 rd Dec 2009 – 25 th Jan Day Scientific Meeting - Marlow 21 st and 22 nd October 2009 Final Report Early Years March 2010 Early Years Stakeholder Event 8 th February 2010 Sedentary Stakeholder Event 23 rd February 2010 Supporting resources for different audiences Messages e.g. Change4Life and other mass media / social marketing June- Dec 2009 Dec 2009 – Jan 2010 Feb / March 2010 April / May 2010 Sept/Oct 2010 TBC CMO Report Either Combined home country or separate from each home country Technical Report PA Guidelines March 2010 Final Report Sedentary March 2010 DoH Convene Guidelines Writing Group UK Guidelines Process UK Physical Activity Expert Working Groups formed for: Children & Young People (5-<19 Years); Adults (19-<65 Years ); and Older Adults (≥65 Years) Working Paper: draft recommendations Communication Strategy Combined home countries planning