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Subject: Getting people to move -- challenges in promoting physical activity
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Preventive Medicine, researchers examine the challenges in promoting =
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<H1 class=3Dtitle>Getting people to move -- challenges in promoting =
physical=20
activity</H1>
<H2 class=3Dsubtitle></H2>
<P>Programs that discourage smoking have been reasonably successful. =
However,=20
public health programs that encourage physical activity have not. While =
the=20
benefits of regular physical activity are well documented in the medical =

literature and the problems associated with a sedentary lifestyle are =
even more=20
apparent, public health officials struggle for methods to promote =
increased=20
physical activity that will work in American society. In a study =
published in=20
the January 2007 issue of the American Journal of Preventive Medicine,=20
researchers examine the challenges in promoting physical activity in a =
society=20
less and less inclined to walk, run or exercise. </P>
<P>Writing in the article, Antronette K Yancey, MD, MPH, at the UCLA =
School of=20
Public Health, states, "Although the science of physical activity =
promotion is=20
advancing rapidly, the practice of promoting physical activity at a =
population=20
level is in its infancy. The virtual absence of a public health practice =

infrastructure for the promotion of physical activity at the local level =

presents a critical challenge to chronic disease, and particularly =
obesity,=20
control policy."</P>
<P>The authors examined the current public health infrastructure and =
found that=20
there are political and systemic barriers to effective physical activity =

promotional efforts. Competing interests have often conspired to hamper =
such=20
programs. For example, funding public school Physical Education often =
loses out=20
to increased money for more academic programs. While healthy eating to =
prevent=20
obesity is desirable, demonizing the food industry as the sole cause of =
obesity=20
undermines the importance of physical activity and deflects attention =
from=20
activity-restricting consequences of other industries. With the =
automobile, oil=20
and tire industries putting us in cars and the movie/TV, video game and=20
spectator sports industries putting us in chairs, the public is =
encouraged to=20
remain sedentary. The message that there is a fuller spectrum of =
benefits from=20
physical activity is easily lost.</P>
<P>Dr. Yancey continues, "Physical activity promotion constitutes a =
critical=20
role for public health practice, given the increasing prevalence of =
inactivity=20
and sedentary behavior, the substantial protection against obesity and =
chronic=20
disease conferred by regular physical activity, the major contribution =
of=20
sedentariness and obesity to health disparities and the increasing =
understanding=20
of the central role that physical activity plays in overall health and =
quality=20
of life. The public health infrastructure for physical activity =
promotion, while=20
undeveloped and untested, is not unlike the public health infrastructure =
for=20
other major health concerns before they were recognized as such. Given =
the=20
evidence, the time is right to move forward with putting the =
infrastructure into=20
place. To not do so is to place future generations at risk." </P>
<DIV align=3Dcenter>###</DIV>
<P>The article is "Creating a Public Health Infrastructure for Physical =
Activity=20
Promotion" by Antronette K. Yancey, MD, MPH, Jonathan E. Fielding, MD, =
MBA, MPH,=20
George R. Flores, MD, MPH, James F. Sallis, PhD, William J. McCarthy, =
PhD, and=20
Lester Breslow, MD, MPH.</P>
<P>It appears in the American Journal of Preventive Medicine, Volume 32, =
Issue 1=20
(January 2007) published by Elsevier. </P><BR clear=3Dboth>
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