2. Communities: where Life Happens ! Communities: where Life Happens ! Thinking Globally, Acting Locally !

3. Supportive Behaviors Supportive Behaviors SOCIAL ENVIRONMENT INTRAPERSONAL `Constructed Environment `Constructed Environment TransportTransport Architectural Architectural UrbanSuburbanUrbanSuburban Biological Policies Governing Resources Policies Governing Resources Policies Governing Incentives Policies Governing Incentives Demographic “MOBILE MANAGEMENT” - ECOLOGICAL MODEL PHYSICAL ENVIRONMENT Natural Environment Natural Environment Cognitive/ Affective Cognitive/ Affective Cultural Social Climate InformationInformation GeographyGeography WeatherWeather EntertainmentEntertainment RecreationRecreation Matsudo V et al, Perspectives 2004 Behavioural

4. Dom Aguirre Ave. (Board of Sorocaba River) Dom Aguirre Ave. (Board of Sorocaba River) Sorocaba City

5. Walking Path Walking Path Sorocaba City

6. PHYSICAL ENVIRONMENT Constructed Environment Sorocaba: World Capital for Physical Activity

7. SOROCABA Hospitalization Source: Sorocaba Municipal Authority Number per 10.000 inhab. 50% 57%

8. Impact of a seven-year multi-level intervention on sedentary levels of São Paulo Metropolitan region Matsudo V et al. ACSM 2008 -31,4 -51,3 -41,3 % 29 Municípios em 11 Regiões administrativas do 5/2006 n: 1242 - Amostra Probabilística e estratificada-IPAQ > 14 anos

9. % Matsudo V et al, 2008 ∆ - 46.02% ∆ - 42.7%

10. Brazilian Experience Impact of Agita Matsudo, S. J Phys Activity and Health, 2004

11. One-year per person total intervention cost in 2003 Reais, $R ($US) 640 (190) One-year per person total intervention cost in 2003 Reais, $R ($US) 640 (190) None Agita None Agita Agita Sao Paulo intervention Brazil Economic value of Agita Sao Paulo Base case results One-year efficacy (delta MET-min/wk) 132 One-year efficacy (delta MET-min/wk) 132Intervention Total cost Total life-years Total QALY’s Cost per life-year Cost per QALY $ 115.418 $ 114.005 $ 115.418 $ 114.005 20.019 20.070 20.019 20.070 15.358 15.449 15.358 15.449 --------- Cost-saving --------- Cost-saving --------- Cost-saving --------- Cost-saving

12. Agita impact represents a saving of 310 million US dollars/year

13. AGITA RIBEIRÃO PRETO AGITA SANTOSAGITA SÃO JOSÉ CAMPOS AGITA GUARUJÁAGITA SOROCABA AGITA ASSIS

16. MADRUGALE A LA SALUD CUNDINAMARCA SIEMPRE ACTIVA Y POSITIVA CAUCA ACTIVA Y SALUDABLE CAUCA ACTIVA Y SALUDABLE Buga en Movimiento COLOMBIA ACTIVA Y SALUDABLE COLOMBIA ACTIVA Y SALUDABLE

17. National Networks

19.           URUGUAI EM MOVIMENTO