Bureau of Health Promotion 1 The Prevalence of Physical Activities among Adults in Taiwan Yu-Hsuan Lin, Chun-Yu Tsai, Shu-Ti Chiou Bureau of Health Promotion, Department of Health, The Executive Yuan, Taiwan

Bureau of Health Promotion 2 Outline Background Method & Materials Results Quick Summary National Goal & Strategy

Bureau of Health Promotion 3 Background Physical inactivity ： A leading cause of disease and disability. （ The Challenge of Obesity in the WHO European Region and the Strategies for Response, WHO/European, 2007 ）  Approximately 2 million deaths per year are attributed to physical inactivity, prompting WHO to issue a warning that a sedentary lifestyle could very well be among the 10 leading causes of death and disability in the world.  The health benefits of regular, moderately intense physical activity, such as decreased risk of mortality from cardiovascular diseases, seem to apply to all people, regardless of their weight.

Bureau of Health Promotion 4 Background （ Cont. ）  Current recommendations on physical activity that enhances health suggest that half an hour of moderately intense physical activity on most days of the week yields major health benefits for inactive populations. For effective prevention of overweight and obesity, at least an hour of daily activity is recommended. 15 mins a day or 90 mins a week of moderate-intensity exercise might be of benefit, even for individuals at risk of cardiovascular disease. （ Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study , Chi Pang Wen, et al., 2011 ）

Bureau of Health Promotion 5 The Role of Department of Health on Promoting Physical Activity In order to understand the situation of physical activity comprehensively, the Department of Health in Taiwan ：  conducts investigation to monitor the prevalence of physical activity and related factors.  advocates the advantages of physical activity.  sets strategies to encourage people to adopt physical activities into their daily life style.

Bureau of Health Promotion 6 Method and Materials- National Health Interview Survey Study Subject ： Adults aged years old, with national representative. Years of Data Collection ： 2005, Data Collection ： Face to face interviews. Effective Sample Size ： 24,726 in ,036 in 2009

Bureau of Health Promotion 7 Strength and Limitation Strength  National representative sample  High response rate of more than 80% Limitation  Self-report data  Observational study

Bureau of Health Promotion 8 The Prevalence of Physical Activity of Adults in Taiwan Adults who were years old did any kind of physical activities in past 2 weeks were viewed as exercising population in this investigation. Data source ： 2005 and 2009 NHIS （ National Health Interview Survey ） The exercise rate was increasing on males; however, no statistically significant difference on females.

Bureau of Health Promotion 9 Comparison of the Prevalence of Physical Activity in Different Age Groups in Males in 2005 and 2009 Data source ： 2005 and 2009 NHIS （ National Health Interview Survey ）

Bureau of Health Promotion 10 Comparison of the Prevalence of Physical Activity in Different Age Groups in Females in 2005 and 2009 （ Cont. ） Data source ： 2005 and 2009 NHIS （ National Health Interview Survey ）

Bureau of Health Promotion 11 Top 10 Physical Activities in Both Genders, 2009 （ Compare with 2005 ） - Walking and Cycling Ranked as the Top 2 Choices for Both Genders. Walking Cycling Jogging Playing basketball Hiking Gymnastics Swimming Muscle building Other ball games Badminton Walking Cycling Gymnastics Jogging Hiking Yoga Swimming Aerobic Exrcise Swinning hands Ballroom dance Data source ： 2005 and 2009 NHIS （ National Health Interview Survey ）

Bureau of Health Promotion 12 Relation between BMI and Physical Activity, 2009 Male Data source ： 2009 NHIS （ National Health Interview Survey ） （ BMI ＜ 18.5 ）（ 18.5 ≦ BMI ＜ 24 ）（ 24 ≦ BMI ＜ 27 ）（ BMI ≧ 27 ） Odds Ratio

Bureau of Health Promotion 13 Relation between BMI and Physical Activity, 2009 （ Cont. ） Female Data source ： 2009 NHIS （ National Health Interview Survey ） （ BMI ＜ 18.5 ） （ 18.5 ≦ BMI ＜ 24 ）（ 24 ≦ BMI ＜ 27 ） （ BMI ≧ 27 ） Odds Ratio

Bureau of Health Promotion 14 Quick Summary Between 2005 and 2009 ： Males had increased physical activity rate, but decreased in females. Underweight and obesity groups had lower rate than normal group in both genders. Elders had decerased physical activity rate in both genders. Walking and cycling ranked top 2 in both genders.

Bureau of Health Promotion 15 Physical inactivity Source ： Global status report on noncommunicable diseases 2010 Insufficient physical activity is defined as less than five times 30 minutes of moderate activity per week, or less than three times 20 minutes of vigorous activity per week, or equivalent. Chinese Taipei ： Insufficient physical activity is defined as less than 3 times 30 minutes of moderate activity per week % of population Japan (no national data) China(no national data) Age standardized percentages Our prevalence of physical inactivity is much higher than other Economies

Bureau of Health Promotion 16 Challenge The prevalence of doing any kind of exercise in past two weeks is about 54% in Taiwan in However, by applying the more rigid definition of “insufficient physical activity”, the rate is a staggering 74% ！ More comprehensive and intensive strategies are needed to increase nation wide physical activity level.

Bureau of Health Promotion 17 National Goal in next Ten Years Short-term goal （ 2012 ）： To raise the prevalence of regular physical activity from 26% （ 2010 ） to 28% Mid-term goal （ 2016 ）： To raise the prevalence of regular physical activity from 26% （ 2010 ） to 38% Long-term goal （ 2021 ）： To raise the prevalence of regular physical activity from 26% （ 2010 ） to 52% Regular Physical Activity ： 1. Do physical activity 3 times a week 2. Do physical activity for 30 min every time 3.Work up a sweat and pant during physical activity

Bureau of Health Promotion 18 National Strategies Continue to promote nation-wide obesity prevention, physical activity, and encourage adults to exercise regularly. Combine physical activity with daily life style. Provide environment for physical activities to encourage dynamic life style.

Bureau of Health Promotion 19 Action Plans for Promoting Regular Physical Activity Provide information on healthy physical fitness to enhance the awareness among people; maintain dynamic life style – these are the primary and secondary prevention for diseases. View and build dynamic living environment in communities; Combine health promoting workplaces and hospitals to help people and workers develop physically active life style. “Build a Physcially Active Island” program: provide physical activities and facilities for all ages; cooperate with Ministry of Education to recruit health promoting schools; help students develop active life style.

Bureau of Health Promotion 20